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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
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Modeling Persistent Pseudomonas aeruginosa Infection in Wounded Zebrafish Larvae
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Case 282: Fishbone Pylephlebitis.

Amir H Davarpanah1, Linton W Eberhardt1

  • 1From the Department of Radiology and Imaging Sciences, Emory University School of Medicine, Emory University Hospital, 1364 Clifton Rd NE, Atlanta, GA 30322.

Radiology
|September 21, 2020
PubMed
Summary

A 63-year-old woman presented with prolonged flu-like symptoms and abdominal distention. Investigations revealed significant leukocytosis and elevated inflammatory markers, prompting further imaging for diagnosis.

Area of Science:

  • Internal Medicine
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • A 63-year-old female with a history of mastectomy and partial gastrectomy presented with a month of worsening abdominal distention, fevers, chills, and fatigue.
  • Initial treatment for suspected influenza with oseltamivir did not resolve her symptoms.

Observation:

  • The patient exhibited leukocytosis (WBC 15.1 × 10^3/μL), an elevated erythrocyte sedimentation rate (100 mm/hr), and significantly elevated C-reactive protein (203.8 mg/L).
  • Liver function tests showed elevated alanine aminotransferase (48 U/L), aspartate aminotransferase (98 U/L), alkaline phosphatase (682 U/L), and total bilirubin (1.5 mg/dL).

Findings:

  • Abdominopelvic computed tomography (CT) was performed to investigate the persistent symptoms and laboratory abnormalities.
  • The CT scan results are pending but are crucial for identifying the underlying cause of the patient's condition.

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Implications:

  • This case highlights the importance of comprehensive diagnostic evaluation for persistent, severe symptoms, even after initial treatment for common infections.
  • Prompt and accurate diagnosis is essential for effective management of complex gastrointestinal and systemic inflammatory conditions.