[What is the value of clinical symptoms in the diagnosis of nonspecific XXXX ?].

@entity1 @entity697 @entity31 @entity29 @entity158 @entity30
Due to controversial evaluation of the contribution of clinical signs for the diagnosing of non-specific @entity29 , as well as due to the lack of similar data, we tried to find our own answer to the question as to whether the clinical signs of @entity31 ( @entity31 ) and @entity30 (MC) are helpful, unhelpful, or even confusing for the diagnosis. A group of @entity1 with MC and @entity31 was analyzed from this aspect. Individuals in their twenties and thirties prevailed in the sample, mostly intellectual workers, the number of males and females was equal. Our attempt to analyze all the available diagnostic methods originated in an observation that a long period of health problems precedes the diagnosis of MC, namely 1.5 y in males and as long as 4 y in females. Other striking information was that surgery represented the initial treatment in 66% of cases and the correct diagnosis was made peroperatively only in 56% of cases. We compared our results with those of the OMGE study, one of the largest projects which evaluated positively the contribution of clinical signs to the diagnosing of MC and @entity31 . We found that the main signs of CU have not changed in the last century, and some additional signs occur rather due to complications than due to the disease per se. Frequency of @entity158 increased by 25% in our @entity1 , and approximately 1/3 of it represented intermittent @entity158 caused by tenesms. @entity158 in MC must be properly analyzed in order to discriminate @entity697 . Other indicators did not differ from the OMGE study. In accordance with its results, we confirmed the importance of correct evaluation of clinical signs for the diagnosis and differential diagnosis of @entity31 and MC. The number of diagnostic methods still increases. Their validity must be continuously re-evaluated, however the clinical examination in the dynamic process stays to be of crucial value.
