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Differential Diagnosis in Internal Medicine: From Symptom to Diagnosis Walter Siegenthaler
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BDivision of Internal Medicine, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy .. 1Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA . This review included consecutive patients presenting between August 1, 2002 and August 1, 2007 to a general internist with infectious disease training ( JA) for possible early Lyme disease. Brown had Physicians often run a differential diagnosis about themselves when developing symptoms or signs, and as Dr. Many diagnoses have similar symptoms as the symptoms experienced in Dercum's disease. We recently spoke with Robert S. The diffuse types of Dercum's disease have traits in common with conditions with general pain: Fibromyalgia. Review of systems was negative for cough or dyspnea, and medical, surgical, and social history were unremarkable. Brown, MD, FACP, associate professor of medicine at Harvard Medical School and attending nephrologist at Beth Israel Deaconess Medical Center in Boston. Early disseminated Lyme disease can be difficult to diagnose because of atypical symptoms and physical findings. Brown observed, “Usually you are not a very good doctor for yourself.” Dr. This article was originally published in ACP Internist. The peripheral WBC count was 4970 with a normal differential. The diagnosis should only be .. Advisably, the diagnosis should be made by a physician with a broad experience of patients with painful conditions and knowledge of family medicine, internal medicine or pain management. The patient had taken a 2-hour plane ride the day before onset of symptoms.