Always Consider the Possibility of Opioid Induced Respiratory Depression in Patients Presenting with Hypercapnic Respiratory Failure Who Fail to Improve as Expected with Appropriat... by Martin Steynor, Andrew MacDuff

“…The two causes may coexist leading to diagnostic confusion and consequent delay in optimal management. …”
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Primary Paratesticular Leiomyosarcoma: A Case Report and Literature Review by Zeineb Naimi, Semia Zarraa, Salma Kammoun, Safia Yahyaoui, Maha Driss, Chiraz Nasr

“…With only few cases reported in the literature, data regarding diagnostic and management of these tumors are limited. …”
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Caecal Perforation from Primary Intestinal Tuberculosis in Pregnancy by Soe Lwin, Nina Lau Lee Jing, Haris Suharjono, Mardiana binti Kipli, Tin Moe Nwe, Myat San Yi, Lucas Luk Tien Wee

“…The diagnosis of extrapulmonary TB (EPTB) can often present as a diagnostic conundrum, due to its nonspecific and varied presentation, often mimicking inflammatory bowel disease or malignancy. …”
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Improvement of anal sphincter function before preventive stoma closure: modern options by O. Yu. Fomenko, S. I. Achkasov, A. Yu. Titov, D. V. Aleshin, A. I. Kalashnikova, S. V. Belousova, D. V. Yegorova

“…Overall 23 patients with preventive stoma were included in original investigation. Diagnostic profilometry and sphincterometry were carried out. …”
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Giant Dermatofibroma: A Rare Presentation as a Large Scaly Plaque by T. Iqbal, V. Mudaliar

“…Due to the rarity and distinct presentation that can be confused with more sinister skin tumours, these can cause diagnostic uncertainty and require clinicopathologic correlation. …”
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Crohn’s Disease Diagnosed in a Man with Sarcoidosis: Coincidence or Correspondence? by Krystal Mills, Shaheen Fatima, Norberto Fas

“…Their coexistence presents a diagnostic challenge as they are often classified as clinically separate, despite their similarities. …”
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Autoimmune Chronic Active Hepatitis (Lupoid Hepatitis) and Primary Sclerosing Cholangitis in Two Young Adult Females by Gerald Y. Minuk, Lloyd R. Sutherland, S. Chris Pappas, James K. Kelly, Sue E. Martin

“…The observation that there may be a striking overlap in the features of these two diseases and recent improvements in diagnostic imaging of the biliary tract suggest that the association of these two diseases in the same individual may be more common than is presently appreciated.…”
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European Society for Neurogastroenterology and Motility Consensus on Gastroparesis: What Issues Remain Unresolved? by A. A. Sheptulin, A. S. Trukhmanov, O. A. Storonova, D. E. Rumyantseva

“…The evaluation of the voting results on the submitted statements of the consensus meeting shows that there is a high level of agreement among the experts regarding the definition of gastroparesis, the main diseases in which it occurs, and the existing diagnostic methods. At the same time, there is a divergence of views regarding the role of individual pathogenetic factors of gastroparesis and their relationship with clinical symptoms, as well as the effectiveness of drugs of various groups and other treatment methods.Conclusion. …”
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Bone Metastasis as the Only Metastatic Site in a Patient with Pancreatic Cancer following Distal Pancreatectomy by Muhammad Wasif Saif, Natalie Galanina, L. Ravage-Mass, Kristin Kaley, Daniel Cornfeld, Lynne Lamb, David Chhieng

“…Pancreatic cancer remains a challenge both diagnostically and therapeutically. The typical sites of metastases in pancreatic cancer include the liver and peritoneum. …”
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Vulva Fibroadenoma Associated with Lactating Adenoma in a 26-Year-Old Nigerian Female by C. C. Anunobi, F. J. N. Obiajulu, A. A. F. Banjo, A. O. E. Okonkwo

“…The rarity of vulva ectopic breast tissue can present a diagnostic challenge for both the clinician and the anatomical pathologist. …”
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Dyspnea and Wheezing after Adenosine Injection in a Patient with Eosinophilic Bronchitis by Rodrigo Cartin-Ceba, Marie Christine Aubry, Kaiser Lim

“…After an initial work-up, the patient was diagnosed to have chronic cough due to eosinophilic bronchitis. The diagnostic work-up for eosinophilic bronchitis and bronchial biopsy is discussed. …”
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Regarding the Practical Guide Updating for the Treatment of Acute Pericarditis in Cienfuegos by René Mick Cabrera Núñez

“…They deal with a specific topic to help doctors select the best possible treatment strategy for a particular patient, who suffers a certain disease, not only taking into account the final result, but also weighing the risks and benefits of a diagnostic procedure or specific therapeutic. For these reasons, the clinical practice guide for the treatment of acute pericarditis, which was reviewed and endorsed by the specialists, has recently been updated in the Cardiology Department of the Dr. …”
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Gymnema phuquocense (Apocynaceae, Asclepiadoideae), a new species from Vietnam by Thu Ha Bui, Ngoc Han Le, The Bach Tran

“…Gymnema phuquocense differs from G. yunnanense by the length of peduncle (3–4 mm vs. 10–13 mm), hairs on corolla lobe margin (absent vs. present), shape of seed (broadly ovate vs. ovate-oblong), shape of scale with 2 prominent longitudinal ridges on corolla tube (lanceolate vs. linear), and length of seeds (9–10 mm vs. 13–15 mm). A diagnostic key of the Gymnema species in Vietnam is also provided.…”
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Secondary Hemophagocytic Syndrome: The Importance of Clinical Suspicion by Cristina Oliveira, Sérgio Chacim, Isabel Ferreira, Nelson Domingues, José Mário Mariz

“…The authors present three clinical cases of this syndrome, with a brief review of the diagnostic criteria and treatment.…”
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Spontaneous Rupture of Uterine Artery in a 14-Week Pregnant Woman by João Paulo Mancusi de Carvalho, Luciano Augusto de Carvalho Severo, Maria Helena Mancusi de Carvalho, Marina de Paula Andres, Mariano Tamura Vieira Gomes, Sergio Podgaec

“…We report a case of uterine artery rupture in a woman at 14 weeks’ gestation who presented with abdominal pain, tachycardia, and hypotension and underwent a diagnostic laparoscopy. During this procedure, a spontaneous rupture of the left uterine artery was diagnosed and the surgery was converted into a laparotomy. …”
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A Rare Association: Hereditary Hemorrhagic Telangiectasia with Liver Cirrhosis Causing Portal Hypertension by Denisse Morales-Tovar, Froylan D. Martínez-Sánchez, Alejandro Gabutti-Thomas, Rodolfo Rivera-Martínez, Jacqueline Córdova-Gallardo

“…The presence of oronasopharyngeal telangiectasias and hepatomegaly raised suspicion of HHT. The diagnostic workup confirmed the presence of angiodysplasia in the gastric region, portal arteriovenous malformation, and a pulmonary shunt.…”
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Four Cases of Myeloproliferative Disorders Associated With Down Syndrome: Distinguishing ML-DS From TAM-DS by Kévin Boumeghar, Sylvie Daliphard, Nimrod Buchbinder, Catherine Boutet, Dominique Penther, Pascaline Etancelin, Julien Bourgain, Gérard Buchonnet, Elsa Bera, Victor Bobée

“…Here, we report four cases with educational significance, highlighting typical diagnostic features that facilitate the differentiation between these two conditions, thereby assisting clinicians and medical laboratory professionals in effectively managing and monitoring these patients.…”
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Traumatic Diaphragmatic Hernia. A Case Report by Daniel Olivera Fajardo, Jorge Luis Estepa Pérez, Tahiluma Santana Pedraza, Moisés Carillo Pérez

“…Its diagnosis poses a real challenge to internists, surgeons and radiologists since it requires a high level of suspicion and appropriate use of diagnostic imaging. Surgical treatment is always needed. …”
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Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features by Ehtasham Ahmad, Mohamed Mohamed, Apostolos Vrettos

“…Imaging studies revealed diffuse thickening of the leptomeninges and serial CSF analysis showed raised opening pressures and increased protein levels. A diagnostic biopsy of the lower thoracic dura confirmed the diagnosis of primary diffuse leptomeningeal gliomatosis (PDGL). …”
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Clinical use of 3D computed tomography in diagnosis and therapy of tail necrosis in a ball python (Python regius) by Ts. Chaprazov

“…The main musculoskeletal diseases in reptiles diagnosed through computed tomography (CT) are vertebral malformations and disorders. This diagnostic imaging technique is crucial for the outcome and prognosis of applied treatment. …”