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18601“…One negative TAB should not discourage performing repeat TAB in this instance if there is high degree of clinical suspicion. Temporal artery biopsy is commonly negative and there is a growing role for the use of ultrasound in the diagnosis of GCA, the combination of these two investigations could increase the diagnostic yield. …”
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18602“…Patients presenting with an inflammatory response, fever and organ dysfunction are usually (and appropriately) managed as sepsis until proven otherwise. However, a suspicion should be maintained for alternative diagnoses when there is no improvement with conventional antimicrobial therapy. …”
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18603“…But the preceding typical GCA symptoms and recent strokes raised the suspicion of a more systemic vasculitis. Working off others’ diagnosis can be misleading. …”
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18604por Ndiaye, D., Bachellier, L., Vuagnat, A., Sunder, S., Talarmin, J., Dubée, V., Lemaignen, A., Bernard, L.“…Un formulaire clinique standardisé a été proposé à tous les patients vus en consultation pour suspicion de COVID-19 entre le 15 mars et le 30 avril 2020. …”
Publicado 2020
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18605por Onac, Ioana, Ali, Saadia, Mahto, Arti, Rutherford, Andrew, Galloway, James, Nagra, Deepak“…CASE REPORT - DISCUSSION: This is a severe case of COVID-19 infection who despite 9 negative PCR tests, on day 53, had positive IgG for SARS-CoV-2 infection, confirming our clinical suspicion. Particularly in the ICU setting, individuals are approximately ten times more likely to have secondary bacterial/fungal infections with more frequent detection of multidrug-resistant Gram- negative pathogens. …”
Publicado 2020
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18606por Skayem, C., Cassius, C., Ben Kahla, M., Fiani, C., Frumholtz, L., Mra, M., Petit, A., Zuelgaray, E., Bagot, M., Bouaziz, J.D., Duong, T.A.“…Pour ces 2 établissements : le nombre de consultations UD, le nombre d’avis de téléexpertise et le nombre de cas liés ou non à une lésion suspecte de COVID-19 ont été recueillies. Aux UD, la suspicion était celle des patients, alors qu’en TD, il s’agissait de celle des médecins demandeurs. …”
Publicado 2020
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18607“…Conclusions Hematologic consultation patterns during the peak of the COVID-19 pandemic in New York City were characterized by frequent requests for assistance with anticoagulation management, further corroborated by a high incidence of acute thrombotic events. The early suspicion of thrombosis and laboratory derangements on hospital admission appeared to drive widespread use of empiric anticoagulation. …”
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18608por Warrior, Surbhi, Behrens, Elizabeth, Gezer, Sefer, Venugopal, Parameswaran, Jain, Shivi“…Patients with intermediate or high suspicion for HIT, based on 4T score of 4 or higher, underwent IgG-specific platelet factor 4(PF4)-dependent enzyme immune assay (EIA). …”
Publicado 2020
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18609por Al-Haddad, Fatemah, Ali, Abdullah, Al-Sharrah, Danah, Atyani, Suha, Saleh, Hadeel, Mullah-Ali, Ali M.A.“…Until more data reporting manifestations of SARS-CoV-2 in pediatric cancer patients are available, physicians should keep high index of suspicion for leukemia in presence of pancytopenia and HSM in spite of (+)SARS-CoV-2. …”
Publicado 2020
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18610por Galllastegui Crestani, Nicolas, Zhou, Jenny Y, von Drygalski, Annette, Morris, Timothy A“…The same two authors reviewed the full text of the remaining articles and excluded those that met the following exclusion criteria: 1) not peer-reviewed; 2) not written in English; 3) did not include unique primary data; 4) no defined study time interval; 5) did not describe and quantify hospitalized patients with confirmed diagnosis of COVID-19; 6) did not describe a consecutive case series or consecutive cohort studies or controlled trials with consecutive enrollment of subjects that met specific inclusion criteria; 7) study inclusion criteria were related to the clinical suspicion for VTE; 8) did not describe a method whereby clinically detected VTE was tabulated; 9) did not report the VTE incidence (PE, DVT, or both) among the specified study population. …”
Publicado 2020
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18611por Sen, Mrittika, Honavar, Santosh G, Bansal, Rolika, Sengupta, Sabyasachi, Rao, Raksha, Kim, Usha, Sharma, Mukesh, Sachdev, Mahipal, Grover, Ashok K, Surve, Abhidnya, Budharapu, Abhishek, Ramadhin, Abhishek K, Tripathi, Abhishek Kumar, Gupta, Adit, Bhargava, Aditya, Sahu, Animesh, Khairnar, Anjali, Kochar, Anju, Madhavani, Ankita, Shrivastava, Ankur K, Desai, Anuja K, Paul, Anujeet, Ayyar, Anuradha, Bhatnagar, Aparna, Singhal, Aparna, Nikose, Archana Sunil, Bhargava, Arun, Tenagi, Arvind L, Kamble, Ashish, Nariani, Ashiyana, Patel, Bhavin, Kashyap, Bibbhuti, Dhawan, Bodhraj, Vohra, Busaraben, Mandke, Charuta, Thrishulamurthy, Chinmayee, Sambare, Chitra, Sarkar, Deepayan, Mankad, Devashi Shirishbhai, Maheshwari, Dhwani, Lalwani, Dilip, Kanani, Dipti, Patel, Diti, Manjandavida, Fairooz P, Godhani, Frenali, Agarwal, Garima Amol, Ravulaparthi, Gayatri, Shilpa, Gondhi Vijay, Deshpande, Gunjan, Thakkar, Hansa, Shah, Hardik, Ojha, Hare Ram, Jani, Harsha, Gontia, Jyoti, Mishrikotkar, Jyotika P, Likhari, Kamalpreet, Prajapati, Kamini, Porwal, Kavita, Koka, Kirthi, Dharawat, Kulveer Singh, Ramamurthy, Lakshmi B, Bhattacharyya, Mainak, Saini, Manorama, Christy, Marem C, Das, Mausumi, Hada, Maya, Panchal, Mehul, Pandharpurkar, Modini, Ali, Mohammad Osman, Porwal, Mukesh, Gangashetappa, Nagaraju, Mehrotra, Neelima, Bijlani, Neha, Gajendragadkar, Nidhi, Nagarkar, Nitin M, Modi, Palak, Rewri, Parveen, Sao, Piyushi, Patil, Prajakta Salunkhe, Giri, Pramod, Kapadia, Priti, Yadav, Priti, Bhagat, Purvi, Parekh, Ragini, Dyaberi, Rajashekhar, Chauhan, Rajender Singh, Kaur, Rajwinder, Duvesh, Ram Kishan, Murthy, Ramesh, Dandu, Ravi Varma, Kathiara, Ravija, Beri, Renu, Pandit, Rinal, Rani, Rita Hepsi, Gupta, Roshmi, Pherwani, Ruchi, Sapkal, Rujuta, Mehta, Rupa, Tadepalli, Sameeksha, Fatima, Samra, Karmarkar, Sandeep, Patil, Sandeep Suresh, Shah, Sanjana, Shah, Sankit, Shah, Sapan, Dubey, Sarika, Gandhi, Saurin, Kanakpur, Savitha, Mohan, Shalini, Bhomaj, Sharad, Kerkar, Sheela, Jariwala, Shivani, Sahu, Shivati, Tara, Shruthi, Maru, Shruti Kochar, Jhavar, Shubha, Sharma, Shubhda, Gupta, Shweta, Kumari, Shwetha, Das, Sima, Menon, Smita, Burkule, Snehal, Nisar, Sonam Poonam, Kaliaperumal, Subashini, Rao, Subramanya, Pakrasi, Sudipto, Rathod, Sujatha, Biradar, Sunil G, Kumar, Suresh, Dutt, Susheen, Bansal, Svati, Ravani, Swati Amulbhai, Lohiya, Sweta, Rizvi, Syed Wajahat Ali, Gokhale, Tanmay, Lahane, Tatyarao P, Vukkadala, Tejaswini, Grover, Triveni, Bhesaniya, Trupti, Chawla, Urmil, Singh, Usha, Une, Vaishali L, Nandedkar, Varsha, Subramaniam, Venkata, Eswaran, Vidya, Chaudhary, Vidya Nair, Rangarajan, Viji, Dehane, Vipin, Sahasrabudhe, Vivek M, Sowjanya, Yarra, Tupkary, Yashaswini, Phadke, Yogita“…Awareness of red flag symptoms and signs, high index of clinical suspicion, prompt diagnosis, and early initiation of treatment with amphotericin B, aggressive surgical debridement of the PNS, and orbital exenteration, where indicated, are essential for successful outcome.…”
Publicado 2021
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18612por Marty-Ane, A., Sarfati, M., Thomas, T., Berenbaum, F., Marotte, H., Jachiet, V., Guillot, C., Al Sabty, I., Moldovan, A.M., Grardel, B., Giraud-Morelet, A., Basch, A., Flipo, R.M., Vieillard, M.H.“…RÉSULTATS: Cette étude comprend 15 patients ayant présenté une infection à SARS-CoV-2 avec haute suspicion clinique et cas contact confirmé (n = 2), confirmée par PCR nasale (n = 8), trachéale (n = 2), test salivaire (n = 1) ou sérologie (n = 2). …”
Publicado 2021
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18613por Naing, Phyu Thin, Elshakh, Hadya, Elreda, Lauren, Woo, Joon Ha, Karass, Michael, Prudenti, John, Wu, Alan“…During that study period, therapeutic anticoagulants were used in hospitalized patients with COVID-19 with high clinical risk or suspicion for venous thromboembolism (VTE). As per hospital protocol, heparin continuous infusion with a target activated partial thromboplastin time of 50 to 70 seconds or enoxaparin 1mg/kilogram(kg) twice a day for creatinine clearance (CrCl) above 30 ml/min or once a day for CrCl below 30 ml/min were used to achieve therapeutic anticoagulation. …”
Publicado 2021
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18614por Naqvi, Syed Mujtaba, Schwartz, Carrisa, Whittaker, Rachel, Hammad, Ghayth, Agarwal, Rishi“…ADAMTS13 was 43% and there was no clinical suspicion for TTP. The patient's Cr continued to worsen up to 8.1 during admission, prompting renal biopsy. …”
Publicado 2021
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18615“…Generally, it is important to have high index of suspicion to diagnose TB uveitis. There are certain ocular features that are highly predicative of TB uveitis. …”
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18616“…CASE REPORT - KEY LEARNING POINTS: Our case demonstrates the importance of keeping a high index of suspicion for cAPS as up to 46% will have this as their first presenting feature of APS — including our patient. …”
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18617“…Coexisting cutaneous lupus on the scalp biopsy further complicated the diagnosis but strong clinical suspicion led to the confirmation of the diagnosis of Sezary Syndrome on further skin biopsy and blood tests. …”
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18618“…Moreover, clinicians should have high index of suspicion for VTE in these patients with multiple risk factors to arrange early appropriate investigations and treatment plan.…”
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18619“…KEY LEARNING POINTS/CONCLUSION: A high index of suspicion is crucial to reach the diagnosis and to avoid irreversible damage in children with SS. …”
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18620“…KEY LEARNING POINTS/CONCLUSION: Although very rare, have a high index of suspicion of LEn in SLE patients who present with GI symptoms and typical radiological findings. …”
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