Top
20
Doctor insights on: Mystery Diagnosis

Share
1

1
Differential diagnosis for following pediatric fact pattern?

Differential diagnosis for following pediatric fact pattern?

Confusing question: Your question makes no sense.Please submit appropriate basic facts and a clear question if you seek an answer.The questions are not linked on the site so each question should stand alone & be submitted as an open question, not to a specific person. ...Read more

2

2
Differential diagnosis for acute appendicitis?

RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...Read more

See 1 more doctor answer
3

3
Can preimplantation genetic diagnosis testing work on diagnosising ataxia telangiectasia?

Can preimplantation genetic diagnosis testing work on diagnosising ataxia telangiectasia?

Perhaps: It is a genetic disorder with the parents acting as carriers. Atcp.Org might be a good starting place to investigate genetic counseling prior to conception and try to evaluate your risk. ...Read more

4

4
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

5

5
Is genetic testing necessary for CMT diagnosis?

Is genetic testing necessary for CMT diagnosis?

No: Diagnosis can be made by other means, though genetic testing will provide confirmation and pin point the defect. See this site for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001741/. ...Read more

6

6
How to diagnostically evaluate for groin lump? What are the differential diagnosis? Examinations and investigations done to reach diagnosis?

How to diagnostically evaluate for groin lump?
What are the differential diagnosis? Examinations and investigations done to reach diagnosis?

Need to see your Dr.: When evaluating patients w/groin lumps, possibilities include hernias, enlarged lymph nodes, & fatty tumors, all of which may feel similar. The best place to start is with a primary care doctor. While ct scans and/or an ultrasound can be helpful, a careful exam by a general surgeon may be the only test needed. ...Read more

See 1 more doctor answer
7

7
Please help docs! is self diagnosis for cyclothymia accurate?

Please help docs! is self diagnosis for cyclothymia accurate?

Be careful: You may be right, but have a psychiatrist evaluate you to be sure. Remember, a surgeon can operate on anyone but himself. ...Read more

See 1 more doctor answer
8

8
What is the differential diagnosis for fibromyalgia?

What is the differential diagnosis for fibromyalgia?

Too much to mention.: Fibromyalgia is a complex condition with associated allodynia or severe pain on pressure points which are widespread in the body, the differential diagnosis include depression, other types of myofascial pain stress related muscle spasms . Rather tan differential diagnosis, fibromyalgia is associated with a lot of somatic conditions like tmj. It usually is associated with sleep disturbances. ...Read more

See 1 more doctor answer
9

9
What's the test to undergo for definitive diagnosis regarding penile rash ?

What's the test to undergo for definitive diagnosis regarding penile rash ?

Two dermatologists: If the opinions of two separate dermatologists in separate clinics are the same, then the diagnosis is pretty certain. If still worried, one can see a third dermatologist in another clinic, or get some type of skin biopsy through one of the dermatologists. That means one should have ppo insurance or better, which allows one to have a larger choice of doctors to go to for second or third opinions. ...Read more

10

10
Is a diagnosis of Crohn's disease accurate without biopsy?

Crohn's: it is not completely possible to diagnose Crohn's without biopsy. ...Read more

11

11
Is it complicated to diagnosis arachnoiditis?

Is it complicated to diagnosis arachnoiditis?

No: Arachnoiditis can be easily demonstrated on MRI and myelography. Your doctor can decide if you need either or any of these tests. Hope this helps. ...Read more

See 1 more doctor answer
12

12
Is early diagnosis important?

Is early diagnosis important?

6 sxs not to ignore!: Go get help immediately if: 1) Heart attack symptoms--chest pressure, pain, discomfort; pain radiating to back, arm, neck, jaw; sweating; nausea/vomiting 2) Stroke symptoms--weakness; unilateral numbness; confusion; slurred speech; dizziness; trouble seeing or with balance 3) Excruciating headache (worst ever) 4) Unconsciousness of any duration 5) Trouble breathing 6) Severe abdominal pain. ...Read more

See 2 more doctor answers
13

13
What is the proof that DSM-5 diagnosis criteria are accurate?

What is the proof that DSM-5 diagnosis criteria are accurate?

History: these codes are compiled by the symptoms of millions of patients. The diagnostic codes are created around a constellation of symptoms by doing it this way the risk of mis diagnosis is lessened. A patient is not diagnosed by one symptom but a series of them all adding up to a diagnostic criteria ...Read more

See 1 more doctor answer
14

14
How accurate is the first dsm psych test? Diagnosis was bi-polar & bpd? Is it accurate enough to diagnosis & start med? Other testing needed first?

"Reliability" of Dx: Most dsm diagnoses r made using a clinical/diagnostic interview - by talking w/ person (a) 2gather history of symptoms s/he's experiencing &(b) 2ask specific q's re: those symptoms. A doc's diagnosis may not correspond exactly (or at all) 2another's. Sometimes symptom scales r used 2lend support 2a diagnosis. An assessment by psychologist trained 2use formal psych tests can help pinpoint diagnosis. ...Read more

See 1 more doctor answer
15

15
Is mitochondrial disease difficult to diagnose? How is a diagnosis reached?

Is mitochondrial disease difficult to diagnose? How is a diagnosis reached?

Often it is: Mitochondrial diseases can present from any organ system at any age. Diagnosis can be made by specific clinical criteria (symptoms, brain MRI imaging, muscle biopsy, elevated lactate in blood) or, by finding a genetic mutation either in mitochondrial dna or one of the hundreds of other genes that cause mitochondrial disease. Latter is a more accurate diagnosis. ...Read more

16

16
Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?

Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy  give more definitive diagnosis?

Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read more

See 1 more doctor answer
17

17
Unexplained body aches, weightloss. I've seen many specialists (1 medical mystery diagnosis md), lots of bloodwork done. Nothing found. What md next?

Unexplained body aches, weightloss. I've seen many specialists (1 medical mystery diagnosis md), lots of bloodwork done. Nothing found. What md next?

Could be depression: Please get a psychiatrist on the team . Some people have symptoms of depression like diffuse achiness and weight loss but do not feel depressed because they have alexithymia, which is an inability to read your own mood. Antidepressants can still help, as can psychotherapy. Let me know how it works out. Thanks. ...Read more

18

18
What is a definitive workup for ruling out POEMS syndrome?

What is a definitive workup for ruling out POEMS syndrome?

POEMS: Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes. All cases have peripheral neuropathy and a monoclonal plasma cell disorder. Absence of either of these make the diagnosis suspect. Other criteria are osteosclerosis, elevated VEGF and lymph node hyperplasia. Thanks for trusting HealthTap! ...Read more

19

19
Would upper endoscopy provide a definitive diagnosis of any condition ?

Would upper endoscopy provide a definitive diagnosis of any condition ?

For many: Not for every condition in the GI tract but it is definitive for many such as celiac disease, crohn's disease, peptic ulcer disease, h pylori infection, eosinophilic esophagitis, many cancers....Ask you GI which diseases can be definitively diagnosed for the symptoms you are experiencing. ...Read more

See 1 more doctor answer
20

20
Some Doctors on Healthtap have difference of opinion on Diagnosis of DLE some say no Lab workup needed. Others say Biopsy is needed for diagnosis?

Some Doctors on  Healthtap have difference of opinion on Diagnosis of 
DLE some say no Lab workup needed.
Others say Biopsy is needed for diagnosis?

Serology=Yes: Not sure what your exact question is, are you referring to Lupus? You would always need serology to diagnose lupus, other skin lesions can mimic lupus malar rash. As for biopsy, a trained dermatologist or rheumatologist wouldn't need a biopsy of the rash on the face, especially because the rash isn't treated buy the underlying Lupus. ...Read more