Physical diagnosis

Axis III Physical conditions and disorders, ie, any physical diagnosis... 

Practiced palpatory skills applied to physical diagnosis and a good history combined with appropriately selected diagnostic laboratory and radiologic examinations should separate secondary dysmenorrhea from both primary dysmenorrhea and PMS. 

P. N. T. Wells, Physical Principles of Ultrasonic Diagnosis, Academic Press, London, 1969. 

The neutrons in a research reactor can be used for many types of scientific studies, including basic physics, radiological effects, fundamental biology, analysis of trace elements, material damage, and treatment of disease. Neutrons can also be dedicated to the production of nuclear weapons materials such as plutonium-239 from uranium-238 and tritium, H, from lithium-6. Alternatively, neutrons can be used to produce radioisotopes for medical diagnosis and treatment, for gamma irradiation sources, or for heat energy sources in space. 

Stress or fatigue fractures are very painful. Most often symptoms occur after athletic activity or physical exertion. Gradually pain worsens and becomes more constant. Stress fractures do not show up on standard x-rays. A bone scan maybe used to confirm the diagnosis. Stress fractures usually occur in the weight-bearing bones of the lower leg and foot. Stress fractures of the tibia account for half of all stress fractures, resulting mostly from athletic activity. These stress fractures are often mistaken for shin splints. In addition to the tibia, the fibula and other small bones of the foot are prone to stress fractures. 

If the patient has recently received a diagnosis of diabetes mellitus and has not received insulin or if the patient is known to have diabetes, the initial physical... 

Promoting an Optimai Response to Therapy Nursing management depends on the patient s diagnosis, physical status, and die reason for use of die drag. The nurse may need to assess vital signs every 4 hours and observe for die adverse reactions seen with glucocorticoid administration. 

After a patient receives a diagnosis of hypothyroidism and before therapy starts, the nurse takes vital signs and weighs the patient. A history of the patient s signs and symptoms is obtained. The nurse performs a general physical assessment to determine outward signs of hypothyroidism. 

Accurate diagnosis of patients with inhalant use disorders may require a variety of methods, including psychiatric history and mental status examination, physical examination and laboratory testing, neuropsychological testing, and neurophysiological testing. 

The diagnosis of a specific type of porphyria can generally be established by consideration of the chnical and family history, the physical examination, and appropriate laboratory tests. The major findings in the six principal types of porphyria are listed in Table 32-2. 

As I look back at this experience, it was an awesome adventure to be alone, during and for an interval of time after this discovery, with the apparatus showing one new effect after another, when there was no one in the Illinois Physics Department experienced in NMR with whom I could talk. Little did the early NMR resonance community realize that the analogue of spin echo hidden memory contained in excited phases of all kinds of states of matter, including plasmas, would be obtained in the future by use of optical laser, electric, and acoustic pulses as well. And now today the use of spin echoes is a standard procedure for magnetic resonance imaging of the human body for medical diagnosis. 

It is often difficult to differentiate ARF from acute rejection in the kidney transplant recipient, as both conditions may present with similar symptoms and physical examination findings. However, fever and graft tenderness are more likely to occur with rejection while neurotoxicity is more likely to occur with cyclosporine or tacrolimus toxicity. Kidney biopsy is often needed to confirm the diagnosis of rejection.42... 

A diagnosis can be made only at autopsy therefore the diagnosis is established following an extensive history and physical examination, and by ruling out other potential causes of dementia. 

Hospitalized at age 15 for physical aggression towards parents, suicidality, and running away does not remember if she was placed on medication or if she was given a diagnosis admits history of sleep disturbance that alternates between hyposomnia and hypersomnia and moodiness, when she shifts from feeling "on top of the world" to very depressed, "like I m a nobody."... 

Note Two or more venous plasma concentrations must be met or exceeded for a positive diagnosis of diabetes to be made. The test should be done in the morning after an 8- to 1 4-hour fast and after at least 3 days of unrestricted diet and unlimited physical activity. The patient should remain seated and should not smoke during the test. 

Recommend appropriate empirical and definitive antimicrobial regimens when given a diagnosis, physical examination, and laboratory findings. 

Fever, night sweats, weight loss, fatigue, and a productive cough are the classic symptoms of TB.1,2,6,16 Onset may be gradual, and the diagnosis is easily missed if the symptoms are muted, such as in the elderly.2,6,16 Progressive pulmonary disease leads to cavitation visible on x-ray. Physical examination... 

Patient Encounter, Part 2 Medical History, Physical Examination, and Diagnosis ... 

Pelvic examinations are effective in detecting obvious tumors with a sensitivity of 67% for detecting all tumors minimal or microscopic disease cannot be detected on physical examination.9 Pelvic examinations are non-invasive and well accepted, but they do not usually detect ovarian cancer until it is in an advanced stage. Therefore, routine pelvic examinations will not improve earlier diagnosis or help to decrease overall mortality.9... 

A 72 year-old man presents to his primary care physician for his yearly check-up. He reports feeling fine over the past year. A physical examination appears normal, but the patient had an abnormal WBC count of 20 x 1 03/pL (20 x 1 09/L) with 80% (0.80) lymphocytes. The bone marrow examination reports 60% (0.60) lymphocytes, and the diagnosis of CLL is made. 

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