Maternal suspicion

Sigmoid volvulus in pregnancy is a rare cause of intestinal obstruction with high maternal and fetal morbidity and mortality if not diagnosed and managed early. Early diagnosis and management can prevent adverse effects such as bowel ischemia and preterm labor. Because classic clinical and radiological features may not be evident, high degree of suspicion is warranted.

3p vilazada 31-01-2024 4 2   Download

Identification of deafness before 3 months of age substantially improves the socio-linguistic and cognitive development of deaf children. Existing studies demonstrating the feasibility of newborn hearing screening in South Africa have used small samples unrepresentative of general population characteristics.

10p vichengna2711 25-02-2020 12 0   Download

Diagnosis in most cases can be made from clinical presentation with certainty; if the clinician has a strong suspicion. Differentials include papular urticaria, chickenpox, mosquito bite etc. Rarity of cases and lack of suspicion as well as uneventful recovery are the most important causes of missing a case clinically. Though laboratory confirmation depends on direct isolation of virus in cell cultures, Indirect fluorescent assays (IFA), RT-PCR or serum neutralization techniques are also useful.

16p connicquy 14-12-2012 43 3   Download

However, there are patients with two negative biopsies who continue with a high suspicion of cancer, with a persistently elevated PSA or pre-malignant histology report such as prostate intraepithelial neoplasia grade 3 or atypical microacinar proliferation. The evidence suggests that cancers diagnosed with the third or fourth biopsy are those of low grade and volume (Djavan, 2001). The key question is how often is it justified to re-biopsy the patient that perhaps does not have a cancer that is life threatening.

510p ti_du_hoang 10-08-2012 38 2   Download