clinical differential diagnosisthe organic acidemias are important in the differential diagnosis of metabolic and neurologic derangement in the neonate and of new-onset neurologic signs in the older child. a-organic aciduriaseveral disorders, not classified as primary disorders of organic acid metabolism, have a characteristic urinary organic acid profile that suggests the appropriate diagnosis...

BACKGROUND Giant retroperitoneal uterine leiomyomas are uncommon. Degenerative changes of a leiomyoma may lead to unusual presentation resulting in misdiagnosis preoperatively. The final diagnosis can be made either intraoperatively or histologically. CASE We report a 45-year-old multiparous women presented with abdominal distension and fatigue for six months. Abdominopelvic Sonography and co...

background: giant retroperitoneal uterine leiomyomas are uncommon. degenerative changes of a leiomyoma may lead to unusual presentation resulting in misdiagnosis preoperatively. the final diagnosis can be made either intraoperatively or histologically. case: we report a 45-year-old multiparous women presented with abdominal distension and fatigue for six months. abdominopelvic sonography and co...

introduction: delay in the diagnosis of tuberculosis increases the risk of death and enhances the transmission of disease in the community. this study aims to determine the patient and health service delay and factors affecting it in tuberculosis diagnosis. materials & methods: a cross-sectional survey that included all the public health centers was conducted in markazi province from march 2009...