Posts tagged diagnosis

Common Afflictions of Kitchen Appliances.
Never look at your kitchen appliances the same ever again. “Millions of appliance afflictions go undiagnosed every year.”

Common Afflictions of Kitchen Appliances.

Never look at your kitchen appliances the same ever again. “Millions of appliance afflictions go undiagnosed every year.”

With the patient’s constellation of signs and symptoms, it was obvious to me that this was a classic presentation of ‘I have no idea what this is.’
A doctor tries to sound smooth as he explains to us his provisional diagnosis for a patient with an unusual history and wide array of symptoms that did not point in any obvious direction.
Your Medical Diagnosis Options by Chuck & Beans.
The internet contains a wealth of information; when it comes to medical information, the amount can be overwhelming. Some sites contain great information and some contain bad information. 
As future practitioners, we students must remember that the internet can be a powerful tool for a patient to have, to educate them about their conditions, and their treatment options in conjunction to the regular patient visit. For those benefits to happen however, we must pave the way, and point them in the right direction first.

Your Medical Diagnosis Options by Chuck & Beans.

The internet contains a wealth of information; when it comes to medical information, the amount can be overwhelming. Some sites contain great information and some contain bad information. 

As future practitioners, we students must remember that the internet can be a powerful tool for a patient to have, to educate them about their conditions, and their treatment options in conjunction to the regular patient visit. For those benefits to happen however, we must pave the way, and point them in the right direction first.

Diagnosis is not the end, but the beginning of practice.
Martin Henry Fischer

Systemic Lupus Erythematosus

A diagnostic criteria for SLE is to fulfill at least four of the following eleven letters that make up the mnemonic “SOAP BRAIN MD”:

  • Serositis
  • Oral ulcers
  • Arthritis
  • Photosensitivity
  • Blood disorders
  • Renal disease
  • Anti-nuclear antibody positive
  • Immunologic abnormalities
  • Neurologic disease
  • Malar rash
  • Discoid rash

That is a lot of ground to cover. Are you sure it is not lupus, House?

Rediagnosis

  • Doctor sees a person in a public space with telltale signs of a rare but treatable endocrine condition. After much debating over the ethics, decides to approach the person.
  • Doctor: I am very sorry to intrude and this might come off a little odd, but I am an endocrinologist. I noticed you while passing by and I think you might have an undiagnosed, rare endocrine condition.
  • Person: ...Yes, I know. Do you not remember? I am one of your patients.
  • Doctor: *Awkward silence*
Reed-Sternberg Cell.
Historically, lymphoma has been categorized into two types: Hodgkin’s lymphoma and non-Hodgkin’s lymphoma. Hodgkin’s lymphoma was first described by Thomas Hodgkin in 1832. It is a cancer of the lymph tissue found in lymph nodes, spleen, liver, bone marrow and other sites. The diagnosis can be made by identifying the Reed-Sternberg cell in the involved lymphoid tissue. Classically, this cell is large and binucleate, with each nucleus containing a prominent nucleolus, giving it the appearance of “owl eyes.”

Reed-Sternberg Cell.

Historically, lymphoma has been categorized into two types: Hodgkin’s lymphoma and non-Hodgkin’s lymphoma. Hodgkin’s lymphoma was first described by Thomas Hodgkin in 1832. It is a cancer of the lymph tissue found in lymph nodes, spleen, liver, bone marrow and other sites. The diagnosis can be made by identifying the Reed-Sternberg cell in the involved lymphoid tissue. Classically, this cell is large and binucleate, with each nucleus containing a prominent nucleolus, giving it the appearance of “owl eyes.

When in med school do you learn about all the different types of test/scan you can order and when you should order different ones? — Asked by alexandrianicole

In our problem-based learning tutorial groups, we get a chance to work through cases that are relevant to our weekly objectives. We go through the symptoms, a differential diagnosis, and come up as a group what sort of tests that we think would be appropriate to order while the tutor guides us along to a rationale for why we want to do certain things. 

We also get an opportunity to learn about all the tests that are done for certain conditions through our lectures that cover some treatments or clinical pearls of how a diagnosis is made. Both of these components kind of allow us a chance to think of ways to diagnosis a patient. Of course, these scenarios are sometimes very ideal and designed as such to allow us to every avenue. The best opportunities to really get a handle and solidify the skill will come next year, when we transition to a clinical teaching environment.

According to my clipboard…

According to my clipboard…

Conventional Pap Smear Cytology.
The Papanicolaou smear, also known as the Pap test is a screening test used in gynecology to detect premalignancy or malignacy in the ectocervix and thus used to prevent cervical cancer.
Georgios Papanikolaou was a Greek physician and was the first to describe a noninvasive technique in 1923 of gathering cellular debris from the lining of the vaginal tract to be examined on glass slides for signs of cervical cancer. Later in 1928, he introduced his low-cost test that became known as the Papanicolaou technique. However, it still faced with skepticism from the medical community.
Finally in 1941, after years of refinement and study, Papanicolaou and Traut, a gynecologist published a paper on the diagnostic value of vaginal smears.

Conventional Pap Smear Cytology.

The Papanicolaou smear, also known as the Pap test is a screening test used in gynecology to detect premalignancy or malignacy in the ectocervix and thus used to prevent cervical cancer.

Georgios Papanikolaou was a Greek physician and was the first to describe a noninvasive technique in 1923 of gathering cellular debris from the lining of the vaginal tract to be examined on glass slides for signs of cervical cancer. Later in 1928, he introduced his low-cost test that became known as the Papanicolaou technique. However, it still faced with skepticism from the medical community.

Finally in 1941, after years of refinement and study, Papanicolaou and Traut, a gynecologist published a paper on the diagnostic value of vaginal smears.