introduction: delay in the diagnosis of tuberculosis increases the risk of death and enhances the transmission of disease in the community. this study aims to determine the patient and health service delay and factors affecting it in tuberculosis diagnosis. materials & methods: a cross-sectional survey that included all the public health centers was conducted in markazi province from march 2009...

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purpose: to report the clinical, paraclinical and histopathologic features of eyelid mass lesions in a patient with tuberous sclerosis. case report: a 14 year old boy with a slowly progressive right upper lid mass and history of seizures, mental retardation and multiple skin lesions on the face and body was referred to labbafinejad medical center. cortical tubers and subepandimal nodules were r...

conclusions: in this study, delay in diagnosis was similar to other studies. educating physicians to careful history taking especially in the case of ibp, non-musculoskeletal symptoms such as uveitis and precise physical examination are important in early diagnosis. patients and methods: sixty patients, (53 males, 7 females) with a diagnosis of as according to the modified new york criteria wer...

conclusions a small diaphragmatic tear due to blunt trauma to the abdomen is difficult to diagnosis in acute settings due to ragged margins and possibly no herniated contents and usually present with a delayed complication. therefore a careful examination of the entire traumatized area is the best approach in treating delayed presentation of traumatic diaphragmatic hernia prior to development o...

background: undescended testis (udt) is the most common endocrine disorder in male children. delayed diagnosis and treatment of udt lead to complications such as infertility, malignancy and testis rotation. objective: the aim of this study was to evaluate the causes of delay in proper treatment of patients with undescended testis in our population. materials and methods: an observational, descr...

tuberculosis (tb), once a disease confined to undeveloped or developing nations is currently in resurgence, which is attributable to pandemic human immunodeficiency virus (hiv) infection and immigration from endemic areas. tuberculous arthritis is difficult to diagnose early because of its atypical insidious clinical manifestations and nonspecific imaging findings. tb is also known as the ‘grea...

conclusions this phenomenon has been reported as a rare complication of septic arthritis and osteomyelitis. treatment of these patients is controversial and the long term results are unknown but efforts must be done for early diagnosis and anatomic reduction of femoral epiphysis. introduction slipped capital femoral epiphysis (scfe) is one of the complications of septic arthritis that occurs ra...

1. Define the ages at which puberty is considered delayed in boys and girls. 2. Discuss the typical presentation and natural history of constitutional delayed puberty. 3. Compare the differential diagnosis of delayed puberty for causes other than constitutional delay in girls versus boys. 4. Recognize the psychological consequences of pubertal delay. 5. Describe the evaluation and treatment of ...