• Title/Summary/Keyword: Differential Diagnosis

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A Case of Qigong-Induced Mental Disorder: a Differential Diagnosis

  • Kwon, Yongju;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.3
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    • pp.251-256
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    • 2013
  • Objectives : Qi gong is generally considered to be safe in most people when learned from a qualified instructor. But abnormal psychosomatic responses or mental disorder may be induced when Qigong is practiced inappropriately, excessively, or when practiced unguided in predisposed individuals. Here we reported a case of Qigong-induced Mental Disorder (QIMD). A woman who had not had a psychiatric disease, by chance started Qigong practice, and felt raising- Qisymptoms, including headache. Methods : We identified the unique characteristics of QIMD and discusses differences with other diseases such as somatoform disorder and schizophrenia. Results : To conclude, QIMD does not come under current somatoform disorder subtypes and schizophrenia. Conclusions : It has distinct characters that occurring after Qigong practice, symptoms of upper body, feeling that something to rise up.

Misconceived Retropharyngeal Calcific Tendinitis during Management of Myofascial Neck Pain Syndrome

  • Oh, Ji Youn;Lim, Jin Hun;Kim, Yong Seok;Kwon, Young Eun;Yu, Jae Yong;Lee, Jun Hak
    • The Korean Journal of Pain
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    • v.29 no.1
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    • pp.48-52
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    • 2016
  • Differential diagnosis of posterior neck pain is very challenging based on symptoms and physical examination only. Retropharyngeal calcific tendinitis is a rare and frequently misdiagnosed entity in various causes of neck pain. It results from calcium hydroxyapatite deposition in the longus colli muscle which is characterized by severe neck pain, painful restriction of neck movement, dysphagia, and odynophagia. We herein report a case of a patient with acute retropharyngeal calcific tendinitis, who complained of posterior neck pain, initially diagnosed and treated as a myofascial neck pain syndrome.

Solitary Cavernous Sinus Neurosarcoidosis Mimicking Neurosyphilis

  • Kim, Dong Ha;Cho, Won Ho;Cho, Kyu Sup;Cha, Seong Heon
    • Journal of Korean Neurosurgical Society
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    • v.55 no.1
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    • pp.61-63
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    • 2014
  • A differential diagnosis between neurosarcoidosis and neurosyphilis is particularly problematic in patients with a positive serologic result for syphilis. We report here a patient with a solitary cavernous sinus sarcoidosis who had a history of syphilis and showed rapidly progressing cavernous sinus syndrome. A transsphenoidal biopsy was performed and a histopathologic examination revealed a non-caseating granuloma with an asteroid body. His facial pain disappeared after steroid therapy. He received oral prednisolone for one year. A follow-up magnetic resonance imaging of the brain revealed resolution of the mass over the cavernous sinus. Particularly in patients with a history of syphilis, neurosyphilis should be included in a differential diagnosis of neurosarcoidosis.

Solitary sclerotic fibroma on the thigh

  • Kim, Ji Hoon;Shin, Chi Ho;Kim, Dong Chul;Paik, So Ya;Lee, Chong Kun
    • Archives of Craniofacial Surgery
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    • v.21 no.5
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    • pp.323-325
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    • 2020
  • Sclerotic fibroma is a rare fibrous tumor of the skin associated with Cowden's disease. In 1989, Rapini described sclerotic fibroma without Cowden's disease as solitary sclerotic fibroma of the skin. It is a solid, well-circumscribed, slow-growing nodular tumor and it looks similar to a keloid scar. Consequently, it is extremely difficult to make a differential diagnosis of solitary sclerotic fibroma with keloid scar based on clinical findings only. The authors report a case of solitary sclerotic fibroma arising at the left lateral thigh of a 25-year-old man.

Movement Disorders that Psychiatrists Should Know (정신과의사가 알아야할 운동장애)

  • Cheon, Jin Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.99-105
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    • 2013
  • The movement disorders in psychiatry have been neglected, though it is an important psychiatric dimension to exert unfavorable influence on patients'quality of life. The etiologies of movement disorders in psychiatry can be classified as primary neurological disorders, psychiatric comorbidities of neurological disorders, manifestations of primary psychiatric disorders, drug-induced movement disorders and psychogenic movement disorders. For the rapid and proper treatment for movement symptoms and signs easily observed from psychiatric patients, psychiatrists' ability toward precise disgnosis and differential diagnosis of movement disorders should be preceded.

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A Study on the Auto-diagnosis Plethysmograph by Novel Algorithm for Radial Pulse Detection (새로운 맥파 인식 알고리즘을 적용한 자동 맥파 시스템에 관한 연구)

  • 박승환;홍승홍
    • Journal of Biomedical Engineering Research
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    • v.17 no.2
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    • pp.241-246
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    • 1996
  • This paper describes a new system that detects radial pulse wave and allows the diagnosis of malfunctions of cardiovascular system by analyzing the waveforms with the newly proposed algorithm. The system consists of a sensor part and a data processing part within which a new detection algorithm is incorporated In acquiring radial pulse signal noninvasively, the sensor used in this system is a new combinational fiber-optic sensor which has a detecting Part and a transmitting Part. Also, In order to analyze the characteristics of pulsation quantitatively, the algorithm proposed in this paper is a method that runs in parallel with both the data of ECG and differential pulse simultaneously. these concepts are based upon the idea that thfee Q points of ECG give obious discrimination of one entire period of pulse in any abnormal cases, and newly defined feature lines at the differential counterpart can be used to recogrlize sDme significant points in one period of pulses.

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Generalized Gingival Hyperplastic Lesions (임상가를 위한 특집 2 - 몸의 전반적인 증식을 초래하는 질환)

  • Ahn, Mee-Young;Yoon, Jung-Hoon
    • The Journal of the Korean dental association
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    • v.52 no.12
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    • pp.720-725
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    • 2014
  • Generalized gingival enlargement, also known as gingival hyperplasia or hypertrophy, is defined as an abnormal diffuse overgrowth of gingival tissues. There are several causes of generalized gingival enlargement and they can be grouped into four categories: hereditary gingival fibromatosis, medication-induced, inflammatory, and systemic or neoplastic causes of gingival enlargement. This paper reviews the clinical features, differential diagnosis and significance of generalized gingival enlargements.

Non-epileptic paroxysmal events during sleep - Differentiation from epileptic seizures - (수면시 발생하는 비간질성 발작 - 간질 발작과의 비교 -)

  • Lee, In Kyu
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.726-731
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    • 2007
  • This review describes the wide spectrum of paroxysmal events during sleep in infancy and childhood. The differential diagnosis between sleep-related non-epileptic paroxysmal events and epileptic seizures is difficult in special occasions. The nocturnal frontal lobe seizure and of the more common nonepileptic paroxysmal events during sleep are described. The main differentiating features characterizing parasomnias are: onset in early childhood, rare episodes of long duration, relatively lower frequency per night, absence of stereotypy, gradual disappearance of older age. Video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from nocturnal frontal lobe seizures.

A swelling of the maxilla: a case report and differential diagnosis

  • Bhargava, Puneet;Khan, Saba;Sharma, Rohit;Agwani, Khalid;Gupta, Sahil
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.6
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    • pp.308-312
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    • 2014
  • Ossifying fibromas are benign fibro-osseous tumors of mesenchymal origin. Although ossifying fibromas have principally been found in the jaw, they have also been reported in the frontal, ethmoid, sphenoid, and temporal bones, as well as the orbit and anterior cranial fossa. Ossifying fibromas affecting the jaw exhibit variable behaviors ranging from slow growth to occasionally aggressive local destruction. In the present article, we discuss a differential diagnosis considered for maxillary swellings and report a rare case of ossifying fibroma occurring in the maxilla.

Radiological Findings of Pleural and Mediastinal Diseases (흉막 및 종격동 질환의 방사선학적 소견)

  • Choi, Yo Won
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.6
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    • pp.543-553
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    • 2005
  • Radiological analysis of chest lesions detected on chest radiographs or CT scans begins with their classification into parenchymal, pleural, or extrapleural lesions according to their presumed origin. The mediastinum is divided anatomically into the anterior, middle, and posterior mediastinal compartments, and localizing a mediastinal mass to one of these divisions can facilitate their differential diagnosis. A differential diagnosis of a mediastinal mass is usually based on a number of findings, including its location; the structure from which it is arising; whether it is single, multifocal (involving several different areas or lymph node groups), or diffuse; its size and shape; its attenuation (fatty, fluid, soft-tissue, or a combination of these); the presence of calcification along with its characteristics and amount; and its opacification following the administration of contrast agents.