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Differential Diagnosis in Internal Medicine: From Symptom to Diagnosis Walter Siegenthaler
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Endometriosis staging was carried out according to the classification of The American Society for Reproductive Medicine(ASRM) [22]. The most frequently Thus, jet lag or internal desynchronization of physiologic and endocrine rhythms -- such as core body temperature, cortisol, and melatonin -- from each other, or from the ambient light-dark cycle, have been implicated in both depression and PMDD. DSM-IV diagnostic criteria emphasize cyclic symptoms, the sine qua non of both PMS and PMDD. Fifty-seven patients aged between 25 and 48 years-old submitted to laparoscopy because of CPP were evaluated for quality of life and depressive symptoms. 3 2nd Department of Propedeutic Surgery, They tend to spread submucosally, and by the time they cause symptoms the extent of invasion is usually beyond surgical cure. How can the preliminary diagnosis be confirmed? This Expert Column provides a succinct overview of diagnostic criteria and treatment approaches for PMDD. 2 Department of Internal Medicine, Athens Navy Hospital, Athens, Greece. Do they correspond with the symptoms in question? The etiology of the disease is unknown. The differential diagnosis included neuroendocrine neoplasm, gastrointestinal stromal tumor (GIST), paragangglioma and neoplasm of melanocytic origin. Quality of life The aim of this study was to evaluate the influence of CPP on the quality of life and evaluate if endometriosis diagnosis per se adds a negative effect in patients' quality of life. No accompanying symptoms are required.