Sandbox Maliha
History and Symptoms | Physical Examination | Laboratory Findings | Imaging | Other Diagnostic Tests | Features on Biopsy | |||
---|---|---|---|---|---|---|---|---|
Pilocytic Astrocytoma | ||||||||
Diffuse Astrocytoma | Acute | 10-20 minutes | Same as stable angina but often more severe | Same as stable angina | Same as stable angina but occurs with lower levels of exertion & rest | Same as stable angina | Same as stable angina | Same as stable angina |
Anaplastic Astrocytoma | Acute | Commonly > 20 minutes | Same as stable angina but often more severe | Same as stable angina | Same as stable angina but occurs with lower levels of exertion & rest | Usually unrelieved by nitroglycerine and rest | Same as stable angina | Same as stable angina |
Glioblastoma | Acute, recurrent episodes of angina | Same as stable angina | Same as stable angina | Same as stable angina | Same as stable angina | Same as stable angina | Same as stable angina | Not specific |
Oligodendroglioma | Sudden severe progressive pain (common) or chronic (rare) | Variable | Tearing, ripping sensation, knife like | Depends on area of dissection | Variable | Unrelenting pain, unrelieved by nitroglycerine and rest | Radiating to back, between shoulder blades (dissection in ascending aorta) | Trauma, Surgical manipulation, pregnancy, hypertension, connective tissue disease like marfan's syndrome (cystic medial degeneration) |
Pericarditis | Acute or subacute | May last for hours to days | Sharp, localized | Retrosternal | Increases with coughing, deep breathing, supine position | Relieved by sitting up and leaning forward | Radiation to shoulder, neck, back abdomen | Not specific |