Sunday, November 28, 2010

Ileocecal Intussusception

A 45-year-old man with no notable medical or surgical history presented with a 24-hour history of intense pain in the right side of the abdomen with associated nausea and vomiting. He reported having had similar but much less severe episodes during the previous 6 months. Results of initial laboratory tests were unrevealing.
Physical examination showed moderate abdominal distention. Computed tomographic scans of his abdomen revealed an ileocecal intussusception (Panel A, arrow) with a pathologic mass, 2.5 cm in diameter, at the apex, also known as the lead point (Panel B, arrow). Diagnostic laparoscopy was performed, and the diagnosis of intussusception was confirmed.

Laparoscopically assisted ileocecal resection with primary anastomosis was performed. Gross inspection of the specimen showed a pedunculated lipoma within the terminal ileum. The patient had a rapid recovery, with complete resolution of his symptoms.

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The Intensive Care Manual

With up-to-date guidance that is easy to find and practical, this original sourcebook helps ICU staff solve problems of critically ill patients quickly and effectively. Filled with convenient summary approaches, diagnostics, treatments, and needed lab standards and algorithms, The Intensive Care Manual simplifies finding ICU answers on:
Respiratory failure, oxygen delivery, and mechanical ventilation

Intravascular access and hemodynamic monitoring


Renal failure

Infectious diseases


Cardiac arrhythmias and acute myocardial infarction

Endocrine disease and hematologic disorders

Gastrointestinal problems


Sedation and airway management

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Swanton's Cardiology (Pocket Consultant) - 6th Edition

Cardiology is a rapidly changing and expanding field with management protocols changing regularly and newer categories of treatment options being discovered, with greater emphasis on the prevention of cardiovascular diseases.

Swanton’s Cardiology (formerly Pocket Consultant: Cardiology) is a highly practical, user-friendly reference and learning text which is of great value to a wide variety of staff working with cardiac patients. Now in its sixth edition, this best-selling book has been highly praised for its readability, conciseness and clear illustrations and offers a clear and didactic style, presenting information in the form of lists and tables for quick and easy reference.

The sixth edition now offers:

* a new design for easier navigation and use

* highly practical advice with clear tables for quick and easy reference

* five new chapters including Pregnancy and Heart Disease and Echocardiography

In addition, Swanton’s Cardiology covers some subjects in cardiology that are not well covered in clinical training, and this book will help fill any gaps in the reader’s clinical course, for example, sections on congenital heart disease, pacing, and cardiac investigations.

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Oil Cyst or Fat necrosis

A 34 years old female Patient that complains of breast lump and a history of breast trauma. Diagnosis was of an oil cyst.
Note............egg-shell calcification

So,What is oil cyst ?!............

Read more..............>>

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