A differential diagnosis of uterine fibroids is performed with sarcoma or cancer of the uterus, with a malignant or benign formation in the ovary. In addition, one should distinguish between this pathology and tumor-like formations of an inflammatory nature in the appendages, pregnancy.
Against the background of prolonged discharge with bloody impurities, a differential diagnosis of uterine fibroids should be carried out with body cancer of this organ. In this case, it is necessary to consider the possibility of their combined course. The diagnosis is clarified using additional studies (hysteroscopy, hysterosalpingography), curettage.
Separately from the uterus, oval or spherical formations with a tight-elastic consistency, which are benign ovarian tumors, are clearly palpable.
In case of difficulty in determining the area from which the tumor originates, with the help of bullet forceps , the cervix is displaced downward. If a tumor moves with it, then it comes from the uterus. Such cases involve the use of radiography of organs in the pelvis in conditions of pneumoperitoneum (gas filling), ultrasound, endoscopic examination.
The subperitoneal myomatous nodular formation on the leg can easily be mistaken 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 nature with the presence of adhesions or ovarian cancer is rather complicated. In this case, the tumors are soldered into a single whole. In some cases, this formation is very similar to uterine fibroids. If it is not possible to clarify the pathology, a trial gluttony is indicated.
When minor submucous uterine fibroids are detected, hormone therapy is often prescribed, linking bleeding with impaired ovarian function. Before prescribing treatment, additional diagnostic measures should be taken.
It is advisable to make a differential diagnosis of uterine fibroids using hysterosalpingography or hysteroscopy using water-soluble contrast agents. In the absence of such a possibility, sounding is recommended. This method of research in some cases allows you to identify myomatous submucosal nodular formation. If there are even walls of the uterus, diagnostic curettage is performed .
Differential diagnosis of pneumonia
Pneumonia is differentiated with a number of pathologies, which manifest symptoms similar to it. However, other diseases have their essence and require the use of other therapeutic methods.
The most common interstitial processes in the lungs. They are difficult to differentiate from pneumonia.
It is possible to suspect the interstitial process in the absence of clinical, as well as radiological signs of the development of a local lesion. In this case, the patient may experience symptoms such as shortness of breath, cough, fever. First of all, pulmonary vasculitis, interstitial pulmonary edema, reaction to viral infections are excluded.
The differential diagnosis of bronchial asthma (infectious-dependent) is carried out with a chronic form of obstructive bronchitis. Manifestations of pathologies can have a similar character. However, bronchial asthma is indicated by eosinophilia in sputum and blood, the presence of polyposis or allergic rhinosinusitis, therapeutic efficacy of anti-asthma drugs, as well as a positive result in the detection of latent bronchospasm.