Archive for the tag: DIAGNOSIS

hip pain, causes, diagnosis and treatment.

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hip pain, causes, diagnosis  and treatment.

Dr. Ebraheim’s educational animated video describes causes of hip pain. Site and location of hip pain, diagnosis and treatment of hip pain
Causes of Hip Pain
Pain can arise from the structures that are within the hip joint or from the structures surrounding the hip joint. The most important thing is to ask the patient to locate the site of pain. ask the patient to point at the site of pain. When the patient states that their hip hurts, it doesn’t mean that the pain is coming from the hip joint itself, so ask the patient to point at the site of the pain. The pain can arise from structures that are within the hip joint or from structures surrounding the hip. The hip joint is a weight bearing joint. The joint consists of two main parts: femoral head (ball) and acetabulum (socket). The hip pain can be anterior hip pain (deep groin pain). The pain can be lateral hip pain. the pain can be posterior hip pain. The pain can be far posterior hip pain, coming from the sacroiliac joint and the lower spine. Anterior hip pain is usually deep within the groin, and it can result due to arthritis of the hip. Conservative treatment is physical therapy, anti-inflammatory medication, possible injections, and surgery is done in late cases, usually by total hip replacement. It is usually diagnosed by clinical examination with a provocative test of flexion, adduction, and internal rotation. The diagnosis is confirmed by an MRI arthrogram. Conservative treatment is therapy, anti-inflammatory medication, and injections. Surgical treatment provides good result and is usually done by arthroscopic debridement or repair of the tear. Stress fracture is usually diagnosed by an MRI. The x-ray may be normal. Early diagnosis is important before the fracture displaces and gives a bad result. Treatment of avascular necrosis is usually surgical fixation of the fracture. Fixation of the fracture is usually performed utilizing screws. Femoral head replacement is done in rare, late cases. Avascular necrosis means death of a segment of the bone. When the blood supply of the femoral head is interrupted, a segment of the bone dies and becomes necrotic (femoral head will collapse). Treatment for early stages of AVN without collapse of the femoral head include decompression by drilling of this segment in the femoral head to bring a new blood supply to the area. Vascularized fibular graft may be used also. In severe cases with collapse of the femoral head (usually diagnosed by an x-ray), the treatment is usually total hp replacement. Treatment of an inflamed bursa is usually conservative treatment of physical therapy, anti-inflammatory medication, and injection. Surgical treatment by excision of the bursa is rarely done. In case of chronic, resilient trochanteric bursitis, try to get an MRI to exclude a tear of the abductor muscles of the hip (gluteus medius and gluteus minimus muscle tear). Posterior hip pain is usually due to piriformis syndrome. The sciatic nerve can be irritated from the piriformis syndrome. Treatment is usually physical therapy, stretching, anti-inflammatory medications, and injections. Surgical treatment is usually rare. It is the last resort. It includes release of the piriformis tendon and exploration of the sciatic nerve. It is done in cases that fail to improve with conservative treatment. Far posterior pain may come from the sacroiliac joint or from the lower spine conditions. Sacroiliac joint (SI) problems is a challenging diagnostic and treatment entity. There are a lot of clinical diagnostic examinations that can be used to diagnose sacroiliac joint (SI) problems such as the Faber test and others. However, injection of the SI joint is probably the method to diagnose pain originating from the SI joint. If there is improvement of the condition of the patient after injection of the SI Joint, then we will probably consider that the problem is in the SI joint. The SI joint problems are usually under estimated and are unappreciated. Lower spine conditions can cause referred pain to the buttock and hip area. In fact, symptoms of hip and lower spine conditions can overlap or both of them can coexist in the same patient. You have to separate pain from the hip from pain that comes from the spine.
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Navigating Hip and Low Back Pain With Differential Diagnosis

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The American Hip Institute in Chicago shares information on treating hip and lower back pain with differential diagnosis.

Visit https://www.americanhipinstitute.com/ for more information.
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Hepatitis C & Cirrhosis // symptoms, diagnosis & treatment

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Hepatitis C Virus is a common cause of Liver SCARRING ~ Cirrhosis. It is the the most common reason for Liver Transplant is the US. This dangerous disease that can be PREVENTED & TREATED. Learn how Hepatitis C affects our body? How Hep C virus enters our body and how does it spread to others? How can Hep C be prevented? What is Cirrhosis? and how is Hep C treated? Ask Dr. SMART!
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Differential diagnosis of the Lumbar spine, Hip and Sacroilliac joint

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Differential diagnosis of the Lumbar spine, Hip and Sacroilliac joint

http://www.strengthphysio.com In this video we show you Differential diagnosis of the Lumbar spine, Hip and Sacroilliac joint. This will hopefully give you some quick clinical tests that you can use to target where someones pain may be coming from.

You can also check out my video on some lower limb functional tests click here: https://www.youtube.com/watch?v=27o3Ru2A06k

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Differential diagnosis of the Lumbar spine, Hip and Sacroilliac joint

The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.

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What is Diarrhoea? Causes, Signs and Symptoms, Diagnosis and Treatment.

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Diarrhea, also spelled diarrhoea, is the condition of having at least three loose or liquid bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin with loss of the normal stretchiness of the skin and irritable behaviour. This can progress to decreased urination, loss of skin color, a fast heart rate, and a decrease in responsiveness as it becomes more severe. Loose but non-watery stools in babies who are exclusively breastfed, however, are normal.

The most common cause is an infection of the intestines due to either a virus, bacteria, or parasite – a condition also known as gastroenteritis.[2] These infections are often acquired from food or water that has been contaminated by feces, or directly from another person who is infected. The three types of diarrhea are: short duration watery diarrhea, short duration bloody diarrhea, and persistent diarrhea (lasting more than two weeks).The short duration watery diarrhea may be due to an infection by cholera, although this is rare in the developed world. If blood is present it is also known as dysentery. A number of non-infectious causes can result in diarrhea. These include lactose intolerance, irritable bowel syndrome, non-celiac gluten sensitivity, celiac disease, inflammatory bowel disease, hyperthyroidism, bile acid diarrhea, and a number of medications.In most cases, stool cultures to confirm the exact cause are not required.

COVID-19 DIAGNOSIS: MOST ACCURATE TEST? RT-PCR / ANTIBODY DETECTION TEST?

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Hi. If you have cough or fever (either low grade or a high grade), with breathing discomfort or any other symptoms, then the only way to find out whether you have COVID-19 or not is to get tested.
In response to the growing COVID-19 pandemic, multiple diagnostic test manufacturers have developed and begun selling rapid and easy-to-use devices.
However, before these tests can be recommended, they must be validated in the appropriate populations and settings. Inadequate tests may miss patients with active infection or falsely categorize patients as having the disease when they do not, further hampering disease control efforts.

Now the question arises, which test to get it done??
Listen to this video till the end to find out about the different kinds of tests available, which diagnostic test is best and how each kind of diagnostic plays a role in the fight against COVID-19.

Disclaimer: Information provided by INTELLECT MEDICOS is not meant to substitute for medical advise by any physician, or experienced health care professional. Always seek advise from your physician about the clinical condition and usage of particular treatment or therapy.

REFERENCES:

1. Liu Y, Liu Y, Diao B, Ren Feifei, et al. Diagnostic indexes of a rapid IgG/IgM combined antibody test for SARS-CoV-2. medxriv [Internet]. 2020;

2. Zhang P, Gao Q, Wang T, Ke Y, et al. Evaluation of recombinant nucleocapsid and spice protein serological diagnosis of novel coronavirus disease 2019 (COVID-19). medxriv [Internet]. 2020;

3. Pan Y, Li X, Yang G, Fan J, et al. Serological immunochromatographic approach in diagnosis with SARS-CoV-2 infected COVID-19 patients. medxriv [Internet]. 2020;

5. Li Z, Yi Y, Luo X, Xion N, et al. Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis. Journal of medical virology. https://onlinelibrary.wiley.com/doi/abs/10.1002/jmv.25727

6. Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y, et al. Antibody responses to SARS-CoV-2 in patients of novel coronavirus disease 2019. medxriv [Internet]. 2020;

7. Okba N.M.A, Muller M.A., Li W, Wang C, et al. SARS-COV-2 specific antibody responses in COVID-19 patients. medxriv [Internet]. 2020

8. Gorse GJ, Donovan MM, Patel GB. Antibodies to coronaviruses are higher in older compared with younger adults and binding antibodies are more sensitive than neutralizing antibodies identifying coronavirus-associated illnesses. Journal of medical virology. https://doi.org/10.1002/jmv.25715

9. Lin D, Liu L, Zhang M, Hu Y, et al. Evaluation of serological tests in the diagnosis of 2019 novel coronavirus (SARS-CoV-2) infections during the COVID-19 outbreak. medxriv [Internet]. 2020;

10. Wölfel R, Corman V, Guggemos W, Seilmaier M, Mueller M, Niemeyer D, et al. Virological assessment of hospitalized patients with COVID-2019. Nature [Internet]. 2020;

11. Lou B, Li T, Zheng S, Su Y, Li Z, Liu W, et al. Serology characteristics of SARS-CoV-2 infection since the exposure and post symptoms onset. medxriv [Internet]. 2020;

12. Liu W, Liu L, Kou G, Zheng Y, et al. Evaluation of nucleocapsid and spike protein-based ELISAs for detecting antibodies against SARS-CoV-2. medxriv [Internet]. 2020;

13. Zhang W, Du R, Li B, Zheng X, et al. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerging microbes and infections. 2020; 9(1):386-389.

14. Zhou P, Yang XL, Wang X, Hu B, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020 Mar;579(7798):270-273. doi: 10.1038/s41586-020-2012-7. Epub 2020 Feb 3.
15. Wang N, Li SY, Yang XL, et al. Serological Evidence of Bat SARS-Related Coronavirus Infection in Humans, China. Virol Sin. 2018;33(1):104–107. doi:10.1007/s12250-018-0012-7

16. Che X, Qiu L, Liao Z, Wang Y, et al. Antigenic cross-reactivity between severe acute respiratory syndrome-associated coronavirus and human coronaviruses 229E and OC43. The Journal of Infectious Diseases, Volume 191, Issue 12, 15 June 2005, Pages 2033–2037, https://doi.org/10.1086/430355

17. https://www.who.int/news-room/commentaries/detail/advice-on-the-use-of-point-of-care-immunodiagnostic-tests-for-covid-19
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