Differential diagnosis of uterine fibroids and some other pathologies

Differential diagnosis of uterine fibroids is performed with sarcoma or cancer of the uterus body, with malignant or benign formation in the ovary. In addition, it is necessary to distinguish this pathology and tumor-shaped inflammatory structures in the appendages, pregnancy.

Against the background of prolonged discharge with bloody impurities, a differential diagnosis of uterine fibroids should be carried out with the cancer of the body of this organ. In this case, it is necessary to take into account the possibility of their combined flow. Specification of the diagnosis is carried out using additional studies (hysteroscopy, hysterosalpingography), scraping.

Separately from the uterus, oval or globular formations with a tightly elastic consistency - ovarian tumors of benign character - are clearly felt.

In case of difficulty in determining the site from which the tumor originates, the bullet forceps move the cervix downwards. If a tumor is displaced along with it, then it comes from the uterus. Such cases involve the use of organ x-ray in the pelvis in conditions of pneumoperitoneum (gas filling), ultrasound, endoscopy.

The subperitoneal myomatous nodular formation on the pedicle can be easily taken for an ovarian tumor. In both cases, surgical intervention is indicated.

The differential diagnosis of uterine fibroids with tumors in the ovaries of a benign character with the presence of an adhesion process or ovarian cancer is quite complicated. In this case, the tumors are soldered into a single whole. In some cases, this formation is very similar to the uterine myoma. If the pathology can not be clarified, it is possible to perform trial tricepsis.

When small submucosal myomas are detected, the uterus is often prescribed hormonal therapy, linking bleeding with ovarian failure. Before the appointment of treatment should conduct additional diagnostic measures.

Differential diagnosis of uterine fibroids in such cases is advisable to produce using hysterosalpingography or hysteroscopy with the use of water-soluble contrast agents. In the absence of such an opportunity, sounding is recommended. This method of investigation in some cases makes it possible to identify myomatous submucosal nodular formation. In the presence of flat walls of the uterus, diagnostic scraping is performed .

Differential diagnosis of pneumonia

Pneumonia is differentiated with a number of pathologies that manifest similar symptoms to it. However, other diseases have their own essence and require the use of other therapeutic methods.

The most common interstitial processes in the lungs. They are difficult to differentiate from pneumonia.

Suspect the interstitial process is possible in the absence of clinical, as well as radiographic signs of the development of local lesions. In this case, the patient may have symptoms such as shortness of breath, cough, fever. First of all, pulmonary vasculitis, interstitial pulmonary edema, and reaction to viral infections are excluded.

Differential diagnosis of bronchial asthma (infectious-dependent) is carried out with a chronic form of obstructive bronchitis. Manifestations of pathologies can have a similar nature. However, bronchial asthma is indicated by eosinophilia in sputum and blood, the presence of polyposis or allergic rhinosinusitis, the therapeutic effectiveness of using antiasthmatics, as well as a positive result in the detection of latent bronchospasm.