“…CONCLUSION: Water reflex epilepsy can mimic a range of other conditions, and a high index of suspicion is required to establish the diagnosis. Children with water reflex epilepsy can achieve a good quality of life with modified bathing and appropriate antiepileptic medication.…”
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“…Ulcerative variant particularly over nose causes destruction of cartilage, leading to irreversible deformities and contracture. High-index of suspicion is required for early diagnosis and prevention of cosmetic deformity. …”
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“…A high index of clinical suspicion, the past and recent history of the patient, and imaging studies can be helpful in diagnosing the disease. …”
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“…CONCLUSION: In cases of blunt abdominal trauma by animals is necessary to have a low threshold of suspicion for acute abdomen.…”
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“…Our findings suggest that the first step in the diagnosis of tuberculous knee arthritis is to have a high index of suspicion.…”
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“…CONCLUSION: A high index of suspicion is required to identify such fractures. Identification and treatment of the predisposing factors are a very important part of treatment.…”
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“…Eventually, the presence of renal angle tenderness on clinical examination and a low random-cortisol level lead to the suspicion of primary adrenal insufficiency. A computed tomography scan of his abdomen demonstrated new bilateral adrenal haemorrhages. …”
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“…Diagnosis of septic shoulder arthritis is rare and difficult, requiring a high index of suspicion. KEY WORDS: septic arthritis, infection, scapular osteomyelitis…”
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“…When suffering from ankylosing spondylitis, a small force can develop into vertebral fracture and an adjacent structural injury, and lead to diaphragm hernia without accompanying concomitant thoracoabdominal injury. A high level of suspicion may be a most reliable diagnostic tool in the detection of a diaphragm injury, and we need to keep in mind a possibility in a patient with ankylosing spondylitis and a thoracolumbar fracture, even in the case of minor trauma.…”
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“…New onset skin ulcers in an immunosuppressed individual, especially with recent changes in immunosuppressive regimen, should raise the suspicion of reactivation of CMV.…”
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“…A high degree of clinical suspicion coupled with comprehensive cytology with fine needle aspiration cytology is fruitful in the diagnosis of HLH, a potentially fatal disease and help in the delineation of therapeutic regimen.…”
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“…Faced with severe post operative repeated vomiting, clinical suspicion and correct use of all para-clinical tools should help delineate the cause. …”
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“…These cases highlight how a high index of clinical suspicion and prompt diagnosis is very much essential for better outcome. …”
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“…The absence of Howell–Jolly bodies on the blood smear in a patient who had previously undergone surgical splenectomy raised the suspicion of splenosis. The immunological features as well as non-invasive evaluation of these ill-defined splenic tissue sites are discussed.…”
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“…In patients with pulmonary tuberculosis, the occurrence of tubercular lesions in atypical locations may further confound the clinical picture if only one of the pathogens is isolated, initially leading to a suboptimal therapeutic response. A strong index of suspicion and additional diagnostic testing may be required for diagnosis and treatment of the second infection. …”
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“…Shock caused death in 75% of those cases; high respiratory frequency and elevated creatinine plasma level were independent factors associated with death. Early clinical suspicion, especially in rural areas, should prompt urgent transfer to a hospital with an intensive care unit and might help decrease the high case-fatality rate.…”
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“…Laparoscopic examination of the abdomen confirmed the presence of ruptures and successful repair of both defects were done laparoscopically. High index of suspicion and early diagnosis are crucial for a better outcome in the management of diaphragmatic rupture. …”
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“…These patients presented with rapidly enlarging extremity soft tissue masses and were referred to a tertiary sarcoma center with clinical suspicion of a primary soft tissue neoplasm. The occurrence of injection site granulomas secondary to leuprorelin acetate administration is rarely known outside the urological and dermatological communities, and their recognition is important due to the spectrum of clinical differential diagnoses and potential for diagnostic confusion with metastatic prostatic cancer and primary sarcoma and in order to avoid unnecessary stress and clinical intervention for patients.…”
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“…This case highlights the importance of maintaining a high index of clinical suspicion for GUTB.…”
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“…Diagnosis of urea cycle disorders is based on clinical suspicion and determination of blood ammonia in suspected patients with neurological symptoms in the intensive care setting. …”
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