Major d/d of Myofascial Pain Syndrome
1.complex regional pain syndrome,RSD,Causalgia
2.scapulocostal MPS.
3.Bursitis,enthesiopathy
4.Thoraco-abd.entrapment neuropathies.
5.hypothyroidism,polymyositis,fibrositis,fibromyositis
6.metabolic myopathies
7.hyperparathyroidism
8.connective tissue disorders,esp.early stages.
9.polymyalgia rheumatica(temporal arteritis)
10.oesteoarthritis
11.parkinsonìsm
12.pseudo pain syndrome(mania)
by Dr.Anshuman Chowdary
Some important radiological findings in gastrointestinal surgery:
Bird’s Beak deformity of lower
oesophagus – Achalsia cardia (Barium Swallow)
Rat tail tapering of lower
oesophagus – Carcinoma oesophagus (Barium Swallow)
Cork screw oesophagus – Diffuse oesophageal spasm (Barium Swallow)
Commonest radiological appearance of
gastric carcinoma (in barium meal
follow through) is – filling defect in
antrum / body of stomach
Trifoliate duodenum – Chronic duodenal ulcer with scarring (Barium
Meal)
Hour Glass stomach – Peptic ulcer Cup & Spill / Cascade stomach – Volvulus of stomach
Constriction of transverse duodenum – superior mesenteric artery syndrome
Bull’s eye lesion (in barium meal) – Leiomyosarcoma
Single-bubble appearance – pyloric stenosis
Double-bubble sign – Duodenal atresia, duodenal stenosis, annular pancreas
Triple-bubble sign – Jejunal atresia
Coffee bean sign – Strangulation of incompletely obstructed loop of small
intestine
String of Beads – Small bowel obstruction
Coiled spring appearance – Intussusception Pincer-shaped ending in barium enema…
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*HEADACHE:
As blood sugar levels become more abnormal, additional symptoms may include headaches, blurred vision, and fatigue.
……..
*INFECTIONS:
In most cases, type 2 diabetes is not discovered until it takes a noticeable toll on health. One red flag is troubling infections, such as:
• Cuts or sores that are slow to heal
• Frequent yeast infections or urinary tract infections
• Itchy skin, especially in the groin area.
…….
*THIRST:
People with type 2 diabetes frequently have no symptoms. When symptoms do appear, one of the first may be an increase in thirst. This is often accompanied by additional problems, including dry mouth, increased appetite, frequent urination — sometimes as often as every hour — and unusual weight loss or gain.
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