Sarcomatous Change in Polyostotic Paget's Disease-A Diagnostic Conundrum

Xiphodynia: A diagnostic conundrum

This paper presents 3 case reports of xiphodynia that presented to a chiropractic clinic. The paper examines aspects of xiphodynia including relevant anatomy of the xiphoid, as well as the incidence, aetiology, symptoms, diagnosis, and treatment. A brief overview of the mechanism of referred pain is presented.

Wilson’s disease and diagnostic conundrum in a low income country

Wilson's disease is a well-known leading cause of chronic liver disease in children. However it may remain undiagnosed in a resource limited setting for a long period. We describe a six year male child diagnosed Wilson's disease with extreme elevation of liver enzymes which is not reported earlier. The diagnosis was also baffling because of inconsistency of other laboratory parameters.

Hemophagocytic Lymphohistiocytosis: A Diagnostic Conundrum

Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of excessive immune activation causing widespread inflammation and tissue destruction leading to multi-organ dysfunction and failure. Making the diagnosis of HLH could be quite challenging due to the broad range of presenting symptoms and their lack of specificity. After ruling out considerations for differential diagnoses, recognizing the ...

Cecal Diverticulitis: A Diagnostic Conundrum

Section Editor: Sean O. Henderson, MD Submission history: Submitted December 17, 2014; Accepted January 13, 2015 Electronically published March 6, 2015 Full text available through open access at http://escholarship.org/uc/uciem_westjem DOI: 10.5811/westjem.2015.1.25119 [West J Emerg Med. 2015;16(2):316–317.] St. George’s Hospital, Department of Surgery, London, England, United Kingdom Royal Gwe...

Pagets Disease Of The Nipple