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Pathology Consultation

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https://www.readbyqxmd.com/read/29033126/vertigo-and-dizziness-in-hospital-attendance-flow-and-characteristics-of-patients
#1
Carmen Bécares Martínez, Marta M Arroyo Domingo, Aurora López Llames, Jaime Marco Algarra, María M Morales Suárez-Varela
INTRODUCTION AND OBJECTIVES: Vertigo and dizziness as symptoms are frequent in the population. They are present in a wide range of pathologies and it is usually difficult to make an accurate diagnosis. The general objective of this study is to obtain the information to evaluate vertigo and dizziness in the hospital setting. The specific objectives are: to estimate the burden of these symptoms at the hospital; to study patients' conditions and to detail the flow of these patients inside the hospital...
October 12, 2017: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/29020890/career-transition-points-in-toxicologic-pathology-management-and-consulting
#2
Shambhunath Choudhary, Tanasa Osborne, Rick R Adler, Kevin S McDorman, John E Dillberger, Ricardo Ochoa
In the constantly evolving field of toxicologic pathology, a pathologist's career is often characterized by multiple career transitions. However, these transitions can be challenging and/or overwhelming and may require a shift in focus, strategic approach, and acquisition of new skills and expertise. In order to provide a forum to discuss challenges associated with career transitions and skill set/competencies required to navigate career changes effectively and successfully, the Career Development and Outreach Committee of the Society of Toxicologic Pathology (STP) sponsored a career development workshop entitled "Transitions in a Pathologist's Career" in conjunction with the STP 36th annual symposium...
January 1, 2017: Toxicologic Pathology
https://www.readbyqxmd.com/read/28979622/-vitiligo-revealing-vogt-koyanagi-harada-disease
#3
Mohamed El Amraoui, Youssef Zemmez, Ahmed Bouhamidi, Rachid Frikh, Naoufal Hjira, Mohammed Boui
Vitiligo is a chronic auto-immune skin disease, often associated or discovers other autoimmune pathologies. His association with Ophthalmological type pan uveitis and/or neurological type of meningitis and/or inner ear type of hearing loss determines the disease or Vogt -Koyanagi-Harada syndrome (VKH). We related the case of a young woman who consulted for recurrent uveitis for a year, and it was only with the onset of vitiligo lesions that VKH disease diagnosis was discussed and confirmed.
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28976457/revisiting-the-appendiceal-diameter-via-ultrasound-for-the-diagnosis-of-acute-appendicitis
#4
Henry P Chicaiza, Laurie Malia, Christine H Mulvey, Sharon R Smith
OBJECTIVES: This study aims to investigate the optimal outer appendiceal diameter via ultrasound for the diagnosis of acute appendicitis. METHODS: A retrospective chart review was conducted on patients (ages, 2-18 years) presenting to an urban pediatric emergency department between January 1, 2009 and December 31, 2010 with suspected acute appendicitis. Children were considered as having "suspected acute appendicitis" if they (1) presented with acute abdominal pain and had either a surgical consult or an abdominal ultrasound, or (2) presented or transferred with the stated suspicion of acute appendicitis...
October 2, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28967955/intraoperative-pathologic-consultation-on-hysterectomy-specimens-for-endometrial-cancer-an-assessment-of-the-accuracy-of-frozen-sections-gross-only-evaluations-and-obtaining-random-sections-of-a-grossly-normal-endometrium
#5
Mohamed Mokhtar Desouki, Zaibo Li, Omar Hameed, Oluwole Fadare
Objectives: Pathologic intraoperative consultation (IOC) is a common approach for segregating the subset of patients with endometrial cancer who likely require a lymphadenectomy. Methods: We evaluate factors related to the performance and value of IOC, including the accuracy of frozen sections, "gross-only examinations," and obtaining random sections when a gross lesion is not apparent. Results: IOC was performed by gross examination only in 17 (8%) of 250 cases, the specificity and negative predictive value of which in diagnosing cancer were 100% and 85%, respectively...
October 1, 2017: American Journal of Clinical Pathology
https://www.readbyqxmd.com/read/28967805/telepathology-at-the-armed-forces-institute-of-pathology-a-retrospective-review-of-consultations-from-1996-to-1997
#6
Arunima Ghosh, G Thomas Brown, Paul Fontelo
CONTEXT: - Telepathology is the practice of pathology at a distance, transmitting images using telecommunication methods for second opinion and/or diagnostic assistance, or for educational purposes. It may be the only means of consultation for some pathologists. OBJECTIVE: - To retrospectively review and evaluate a subset of telepathology consultations from June 1996 to March 1997, and to determine the concordance between the telepathology diagnosis of the contributor and pathologists at the Armed Forces Institute of Pathology (AFIP), Washington, District of Columbia, as well as the concordance between the telepathology diagnosis and the glass slide diagnosis, when available...
October 2, 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28955599/rapid-intraoperative-histology-of-unprocessed-surgical-specimens-via-fibre-laser-based-stimulated-raman-scattering-microscopy
#7
Daniel A Orringer, Balaji Pandian, Yashar S Niknafs, Todd C Hollon, Julianne Boyle, Spencer Lewis, Mia Garrard, Shawn L Hervey-Jumper, Hugh J L Garton, Cormac O Maher, Jason A Heth, Oren Sagher, D Andrew Wilkinson, Matija Snuderl, Sriram Venneti, Shakti H Ramkissoon, Kathryn A McFadden, Amanda Fisher-Hubbard, Andrew P Lieberman, Timothy D Johnson, X Sunney Xie, Jay K Trautman, Christian W Freudiger, Sandra Camelo-Piragua
Conventional methods for intraoperative histopathologic diagnosis are labour- and time-intensive, and may delay decision-making during brain-tumour surgery. Stimulated Raman scattering (SRS) microscopy, a label-free optical process, has been shown to rapidly detect brain-tumour infiltration in fresh, unprocessed human tissues. Here, we demonstrate the first application of SRS microscopy in the operating room by using a portable fibre-laser-based microscope and unprocessed specimens from 101 neurosurgical patients...
2017: Nature biomedical engineering
https://www.readbyqxmd.com/read/28955419/cervical-cancer-in-southern-malawi-a-prospective-analysis-of-presentation-management-and-outcomes
#8
Pandora Rudd, Dermot Gorman, Samuel Meja, Petani Mtonga, Yankho Jere, Irene Chidothe, Ausbert T Msusa, M Jane Bates, Ewan Brown, Leo Masamba
BACKGROUND: Malawi has the highest age standardised rate of cervical cancer in the world. This study describes the presentation, management and short-term outcomes of patients with newly diagnosed cervical cancer at Queen Elizabeth Central Hospital (QECH), in Southern Malawi. METHODS: All patients with a new diagnosis of cervical cancer presenting to QECH between 1st January-1st July 2015 had demographic data, referral pathway, stage, histology and management prospectively recorded at presentation, and at two months after initial presentation...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28953766/delusional-parasitosis-treated-by-atypical-antipsychotic-and-selective-serotonin-reuptake-inhibitor-a-case-report
#9
Tiffany Roulet, Nicolas Zdanowicz
BACKGROUND: Delusional parasitosis (DP) is an uncommon psychiatric disorder. Patients suffering from this disorder have the fixed false belief of being infested by a parasite. Because of this condition, patients mainly consult with dermatologists or general practitioners. They are often reluctant to see a psychiatrist and to take treatment with antipsychotics because of their belief. The following describes the case of a woman who has the particularity that the DP started a few days after sertraline interruption...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28953127/areas-of-confusion-in-pathologist-clinician-communication-as-it-relates-to-understanding-the-vulvar-pathology-report
#10
Debra S Heller
OBJECTIVES: Pathologist-clinician communication has been an ongoing topic in the literature. Pathology reports are geared to assisting clinicians with patient therapy, but sometimes there are barriers to communication. This survey aims to explore clinicians' understanding of their pathology reports in the membership of the International Society for Vulvovaginal Disease (ISSVD). METHODS: An email survey was sent to all members of the ISSVD. RESULTS: Surveys were emailed to 397 members, with 91 responding (23 %)...
October 2017: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/28949246/a-case-series-of-the-probability-density-and-cumulative-distribution-of-laryngeal-disease-in-a-tertiary-care-voice-center
#11
Jaime de la Fuente, C Gaelyn Garrett, Robert Ossoff, Kim Vinson, David O Francis, Alexander Gelbard
OBJECTIVE: To examine the distribution of clinic and operative pathology in a tertiary care laryngology practice. METHODS: Probability density and cumulative distribution analyses (Pareto analysis) was used to rank order laryngeal conditions seen in an outpatient tertiary care laryngology practice and those requiring surgical intervention during a 3-year period. RESULTS: Among 3783 new clinic consultations and 1380 operative procedures, voice disorders were the most common primary diagnostic category seen in clinic (n = 3223), followed by airway (n = 374) and swallowing (n = 186) disorders...
September 1, 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/28948195/three-dimensional-segmentation-of-breast-masses-from-digital-breast-tomosynthesis-images
#12
Stefanie T L Pöhlmann, Yit Y Lim, Elaine Harkness, Susan Pritchard, Christopher J Taylor, Susan M Astley
Assessment of three-dimensional (3-D) morphology and volume of breast masses is important for cancer diagnosis, staging, and treatment but cannot be derived from conventional mammography. Digital breast tomosynthesis (DBT) provides data from which 3-D mass segmentation could be obtained. Our method combined Gaussian mixture models based on intensity and a texture measure indicative of in-focus structure, gray-level variance. Thresholding these voxel probabilities, weighted by distance to the estimated mass center, gave the final 3-D segmentation...
July 2017: Journal of Medical Imaging
https://www.readbyqxmd.com/read/28947117/making-a-measurable-difference-in-advanced-huntington-disease-care
#13
Carol Brown Moskowitz, Ashwini K Rao
Neurologists' role in the care of people with advanced Huntington disease (HD) (total functional capacity <7), often limited by a lack of clinical research to support good practice, includes the following: (1) provide comprehensive health records to an interdisciplinary care staff before admission to a more intense care setting (home health services, day program, assisted living, group home, long-term skilled nursing facility, palliative care); (2) consult with and refer to rehabilitation (occupational therapy, physical therapy, speech and language pathology), behavioral and psychiatric professionals for problem-solving strategies, which must be reviewed with direct care staff before implementation; (3) encourage and support qualitative and quantitative interdisciplinary research studies, and randomized controlled studies of nonpharmacologic interventions; and (4) assist in the development of meaningful measures to further document what works to provide a good quality of life for the patient and family and a comfortable thoughtful approach to a good death...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/28942942/-management-of-unintentional-pediatric-female-genital-trauma
#14
D Guerre, C Bréhin, E Gurrera, K Pinnagoda, P Galinier, I Claudet, O Abbo
INTRODUCTION: Unintentional pediatric female genital trauma is frequent in the daily practice of emergency wards. However, scientific data are rare in the literature, leading to variability in their management. The aim of this study was to evaluate our practice in order to obtain epidemiological data and define clinical guidelines. MATERIAL AND METHODS: We conducted a retrospective study from March 2013 to January 2015 and identified all emergency visits for this pathology...
September 21, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28942692/the-role-of-tele-medicine-in-patients-with-respiratory-diseases
#15
Nicolino Ambrosino, Claudio Fracchia
Tele-medicine is a clinical application connecting a patient with specialized care consultants by means of electronic platforms, potentially able to improve patients' self-management and allow for the care of patients with limited access to health services. This article summarizes the use of tele-medicine as a tool in managing patients suffering from some pathological respiratory conditions. Areas covered: We searched papers published between 1990 and 2017 dealing with tele-medicine and respiratory diseases, chronic obstructive pulmonary disease, asthma, interstitial lung disease, chronic respiratory failure, neuromuscular diseases, critical illness, home mechanical ventilation, and also legal and economic issues...
September 27, 2017: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/28940402/diffuse-peritoneal-mesothelioma-a-case-series-of-62-patients-including-paraoccupational-exposures-to-chrysotile-asbestos
#16
Richard L Kradin, George Eng, David C Christiani
BACKGROUND: Diffuse peritoneal malignant mesothelioma (DPM) is caused by exposure to asbestos. The medical literature has linked DPM primarily to high levels of asbestos exposure, in particular amosite. Controversy persists as to whether chrysotile is capable of causing DPM, especially when exposures are paraoccupational. METHODS: Sixty-two subjects (51 men, 11 women) with DPM were reviewed in medical-legal consultation with deposition and product identification evidence...
November 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28936911/postoperative-transient-blindness-after-general-anesthesia-and-surgery-case-report-of-conversion-disorder
#17
Semih Gungor, Rohit Aiyer
Postoperative acute visual loss due to organic pathology has been described after spinal surgery in the prone position. This report describes a case of transient postoperative blindness in a patient after general anesthesia and surgery in the prone position. Postoperative workup did not reveal any organic pathology. Unbeknown to the treating physicians, the patient had a comorbid untreated psychiatric history. Upon psychiatric consultation, the patient was diagnosed with conversion disorder as a cause of postoperative blindness...
September 2017: Pain Management
https://www.readbyqxmd.com/read/28927771/-impact-of-a-written-document-for-preoperative-information-on-the-use-of-internet-by-parents
#18
M Landier, T Villemagne, A Le Touze, K Braïk, P Meignan, A R Cook, B Morel, H Lardy, A Binet
INTRODUCTION: Preoperative information is a legal and ethical obligation. Very few studies have evaluated the preoperative information method in pediatrics. Having a child operated on is stressful for parents. The use of Internet to look for data on the pathology and its treatment is frequent, but often unprofitable and sometimes even harmful. This study aimed to measure the impact of a leaflet, which supports spoken information in preoperative consultation, on parents' use of the Internet before surgery...
September 15, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28923679/inguinal-hernia-containing-urinary-bladder-a-case-report
#19
Milena Taskovska, Jurij Janež
INTRODUCTION: Inguinal bladder hernia is rare condition found in about 1-5% of inguinal hernias. The condition is usually diagnosed intraoperatively. Patients rarely have symptoms regarding urinary tract. The best management is surgical, open surgical technique is preferred over laparoscopic. Possible urinary tract damage during surgery should be recognized and resolved. CASE PRESENTATION: The following paper presents case of inguinal bladder hernia in 82-year old Caucasian male...
September 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28913323/cutaneous-basal-cell-carcinoma-arising-in-odontogenic-cutaneous-fistula
#20
Nam Gyun Kim, Jun Oh Kim, Young Ji Park, Jun Sik Kim, Yoon Jung Lee, Kyung Suk Lee
An odontogenic cutaneous fistula is a pathological communication between the outer skin surface of the face and the oral cavity. Facial cutaneous fistula is a complication of odontogenic infection that is often misdiagnosed with skin infection. We report a rare case, which was diagnosed as basal cell carcinoma based on the biopsy of skin lesions in the patient who had been diagnosed with odontogenic cutaneous fistula. A 64-year-old male patient presented with a cutaneous odontogenic fistula. The patient had undergone surgical extraction of fistula tract and loose tooth before dermatology or plastic surgery consultation...
June 2017: Arch Craniofac Surg
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