Differential Diagnosis in Internal Medicine: From Symptom to Diagnosis Walter Siegenthaler
The most frequently Thus, jet lag or internal desynchronization of physiologic and endocrine rhythms -- such as core body temperature, cortisol, and melatonin -- from each other, or from the ambient light-dark cycle, have been implicated in both depression and PMDD. History Symptoms may consist of: - wheezing - shortness of breath - chest tightness - cough. DSM-IV diagnostic criteria emphasize cyclic symptoms, the sine qua non of both PMS and PMDD. Link between asthma and allergic . The diagnosis should only be .. � Shoulder tip At this early stage, the differential diagnosis is between miscarriage, ectopic pregnancy, pregnancy of unknown location (PUL) and early normal pregnancy. If women are If the β- HCG is above 2000 IU/ ml and rising and the progesterone is above 10nmol/l (in the absence of an intrauterine pregnancy) then it must be assumed that there is an ectopic and either medical or surgical treatment is required. What about misdiagnosis in your doctor's office? Abstract In Lyme disease concurrent Infections caused by these pathogens in patients not infected by Borrelia burgdorferi can result in clinical symptoms similar to those occurring in Lyme disease. This applies particularly to Chlamydophila pneumoniae not only causes arthritis but also affects the nervous system and the heart, which renders the differential diagnosis difficult. Until a week ago we had no good idea about diagnostic errors in a primary care setting. Many congenital conditions are diagnosed before the patient becomes an adult, and therefore the differential diagnosis of asthma in adults consists primarily of acquired conditions. Cough occurs in most patients with asthma and may be the only symptom in cough-variant asthma. That all changed with an article published in JAMA Internal Medicine (online, Feb. Asthma diagnosis (click to enlarge the image). Feeling faint and dizzy due to internal bleeding. Advisably, the diagnosis should be made by a physician with a broad experience of patients with painful conditions and knowledge of family medicine, internal medicine or pain management. The diffuse types of Dercum's disease have traits in common with conditions with general pain: Fibromyalgia. Practice of Internal Medicine, Rheinbach, 53359, Germany. This Expert Column provides a succinct overview of diagnostic criteria and treatment approaches for PMDD. Many diagnoses have similar symptoms as the symptoms experienced in Dercum's disease.