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Doctor insights on: Diagnosis Of Leptospirosis

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What clinical signs are required for a diagnosis of hypostatic pneumonia?

What clinical signs are required for a diagnosis of hypostatic pneumonia?

Excessive lying on b: Hypostatic pnumonia occurs in old and weak patients due to excessive lying in bed.It is the result of collection of fluid in the dorsal area of the lungs symptoms are 1discomfort or tightness in chest 2shallow breathibg 3cough 4spitting up mucus, sometimes with a little blood 5fever 6cyanosis(blue tinge in skin and mucous membranes) if not recognized and treated can end in respiratory failure. ...Read more

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Dr. Leonard Mermel
52 doctors shared insights

Leptospirosis (Definition)

A severe infection caused by a specific bacteria that usually occurs in warmer climates. The bacteria is typically found in fresh water that is ...Read more


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What is the role of antigen detection for diagnosis of tropical pulmonary eosinophilia?

What is the role of antigen detection for diagnosis of tropical pulmonary eosinophilia?

Find the parasite: Find the specific parasite causing the lung inflammation with cells called eosinophils and high eosinophil count in the blood. I am certainly not an expert in this disease which we see very infrequently in the us, especially the northern states.I is actually an allergic reaction to a papasite and not a pulmonary infection. ...Read more

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Hemophilia: what are the symptoms, diagnosis, treatment of it?

Hemophilia: what are the symptoms, diagnosis, treatment of it?

Bleeding, Lab tests: There are two major forms of hemophilia and both are associated with excessive bleeding in tissues on minor trauma, including bleeding into joint cavities. Both forms can be diagnosed with lab tests and treated with appropriate clotting factor concentrates. ...Read more

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What is the differential diagnosis of thyrotoxicosis ?

What is the differential diagnosis of thyrotoxicosis ?

Several causes: Graves' disease, benign thyroid tumor(toxic adenoma), multi-nodular goiter, thyroiditis, taking excessive amount of thyroid hormone. ...Read more

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What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

Medical examination: It is important to exclude the possibility that the signs of dementia are caused by some reversible condition, e.g. Vitamin B12 deficiency, . ...Read more

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What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

Test exam: A full exam by a qualified expert in the field; MRI or ct of the brain often done; lab work to r/o reversible causes; consideration of depression as a cause or contributing; a full review of medications; avoidance of alcohol; consider full neuropsychol testing as well. ...Read more

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Possible medical diagnosis of cutaneous leishmaniasis disease?

Possible medical diagnosis of cutaneous  leishmaniasis disease?

Where???: Where do you live? Where have you been? There must be a reason for suspecting this: what is it? ...Read more

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What is the etiologic agent, mode of transmission, source of infection, and period of communicable of emphysema?

What is the etiologic agent, mode of transmission, source of infection, and period of communicable of emphysema?

See below: Emphysema is not an infectious disease. It is caused by smoking, long-term uncontrolled asthma, occupational and other exposures or may be inherited. ...Read more

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Is part of the diagnosis of schizophrenia to doubt diagnosis?

Is part of the diagnosis of schizophrenia to doubt diagnosis?

It can be: People with psychotic disorders may lack insight into their illness. Most people don't want to have something wrong with them, so "denial" is common in many people struggling with psychiatric problems. ...Read more

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Whats the differential diagnosis of thyrotoxicosis ?

Mostly thyroid: Thyroid disease: graves or toxic nodular goiter; thyroiditis: subacute, post partum, "hashitoxicosis; very rarely thyroid cancer, or pitutary tumor making tsh. Taking too much thyroid hormone (beware of "herbal" supplements. Trophoblastic disease during pregnancy. The diagnosis is usually graves, toxic goiter, or thyroiditis. ...Read more

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Id expert: what is differential of rickettsia typhi vs possible mystery diagnoses?

What is the question: Rickettsia typhi causes typhus and is what killed ricketts when he was about to leave mexico city after helping our neighbor with an epidemic. Have no clue what you mean by "possible mystery diagnoses". Is a mystery to me. ...Read more

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What are the symptoms of final stages of hepatitis b?

What are the symptoms of final stages of hepatitis b?

It depends: People with chronic hepatitis b infection need to be monitored closely for liver cancer (which can present with abdominal pain and weight loss) and liver failure (which can present with abdominal swelling, throwing up blood, turning yellow, or confusion). People can remain symptom free and not even know they have hbv, until the liver damage has become severe. At-risk people should be tested. ...Read more

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What are the presenting symptoms of a west nile virus infection?

What are the presenting symptoms of a west nile virus infection?

Many have none: May present with fever, fatigue, body aches, skin rash on the trunk, enlarged lymph nodes and generalized sense of not feeling well. In about one in 150 patients develop neurological findings of meningitis/encephalitis, and this can be potentially devastating. ...Read more

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What is the treatment of child known case of G6bd deficiency diagnosed with kawasaki disease?

What is the treatment of child  known case of G6bd deficiency diagnosed with kawasaki disease?

Complex: Children with Kawasaki disease are treated with IVIG (immunoglobin)and initially, high dose aspirin.Having G6PD deficiency complicates things a bit because high dose aspirin therapy can cause a severe hemolytic anemia. Still, high dose aspirin therapy would more than likely be initiated, but intensely close monitoring for the development of hemolysis would be employed.Stopping the Rx stops hemolys ...Read more

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What is the likely differential diagnosis of cervicitis?

What is the likely differential diagnosis of cervicitis?

Vaginitis: Most commonly, cervicitis is the result of an infection, although it can also be caused by injury or irritation (as a reaction to the chemicals in douches and contraceptives, for example, or a forgotten tampon). The three most common infectious causes of cervicitis are chlamydia, gonorrhea, and trichomonas. All three are considered sexually transmitted diseases. ...Read more

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What're the clinical findings of the Paget's disease?

What're the clinical findings of the Paget's disease?

Nipple changes: Paget's disease of the breast is a type of cancer that involves the nipple and/or the dark tissue around the nipple (areloa). Often there is another tumor within the breast. Symptoms involve the nipple and include crusting, thickening, itching, scabbing or bleeding. There are many non-cancerous reasons for nipple symptoms, but if you have changes that don't resolve, see your health provider! ...Read more

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What are symptom of initial stages of tetanus?

What are symptom of initial stages of tetanus?

Tetanus: Gosh! It so rare-- and thankfully so! As name suggests-- muscle go through involuntary spasms or tetany--- usually triggered by sound, water, airwaves.as and when it progresses, the spasm of muscles of wind pipe-- is life threatening! ...Read more

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What are the tests for leptospirosis?

What are the tests for leptospirosis?

See below: Clinical features and lab testing are not specific, a high index of suspicion must be maintained for the diagnosis. Cultures can be done growing the bacteria. Serologic test: labs and include the microscopic agglutination test (mat), macroscopic agglutination test, indirect hemagglutination, and elisa. Mat is considered the gold standard. Molecular techniques (pcr) are being developed. ...Read more