International Archives of

Internal MedicineISSN: 2643-4466

Archive

 Open Access DOI:10.23937/2643-4466/1710013

Phases of the Diagnostic Journey: A Framework

Linda N Geng, Oliver Sum Ping and Yong-Jian Geng

Article Type: Commentary Article | First Published: May 20, 2019

Diagnostic journeys begin when patients first present to a healthcare provider for their symptoms and end when they receive the correct diagnosis for these symptoms. In many cases, the diagnosis can be made promptly, but patients with rare, complex, or unusual conditions often embark on odysseys spanning years to sometimes even decades in search of a diagnosis. This prolonged process can often result in excessive costs, preventable medical errors and iatrogenesis, as well as feelings of frustrat...

 Open Access DOI:10.23937/2643-4466/1710012

Acute Epiploic Appendagitis: Report of Six Cases and Review of Literature

Antoine El Khoury, Majd Roustom, Henri Azar, Georges Chaer and Tony El Murr

Article Type: Case Report | First Published: May 01, 2019

Appendagitis has always been considered as a diagnosis of exclusion. Most of the times it is diagnosed incidentally. The majority of patients present flank pain, right and/or left iliac fossa pain with few other symptoms. These findings lead usually the physician toward a surgical disease. Imaging is very important to confirm the diagnosis of appendagitis and to avoid unnecessary hospitalizations and surgeries. In this article, we present five cases of acute appendagitis that have had nearly sim...

 Open Access DOI:10.23937/IAIM-2017/1710011

Spontaneous Coronary Artery Dissection: An up to Date

Dario Buccheri and Daniele Adorno

Article Type: Commentary article | First Published: February 20, 2019

Spontaneous dissection of the coronary artery (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and is defined as a dissection of the coronary artery not associated with an atherosclerotic process, plaque rupture and/or thrombus formation and, by definition, not iatrogenic. The resulting myocardial damage is determined not by the rupture of a plaque indeed, but by the formation of an intramural hematoma (IMH) or intimal/medial disruption that determines the dissection of the arterial ...

Volume 3
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