Woman with fullness in the lower abdomen

A 53-year-old woman with abdominal pain and fullness.

Diagnostic challenge: a 79-year-old woman with calcified lower abdomen mass.

Quiz A 79-year-old woman presented with fever, diarrhoea, vomiting and abdominal pain for several hours. Her temperature was 39.2°C, pulse 102 beats/minute, respiratory rate 19 breaths/minute, and blood pressure 149/74 mmHg. A physical examination revealed diffuse abdominal tenderness. Her white blood cell count was 5600/μL (band 20%, neutrophil 60%), blood urea nitrogen (BUN) was 48 mg/dL, cre...

In the Fullness of Time

Lister had been interested in wound infection, or “hospital gangrene” as it was known then, for many years. When operating on tuberculous changes in the wrist, he noted good results when the wound did not become infected. On the other hand, when infection set in, he encountered a high incidence of gangrene and blood poisoning.1 In Lister’s time, wound infection was generally thought to arise fr...

Rectal examination in patients with pain in the right lower quadrant of the abdomen.

OBJECTIVE To determine whether rectal examination provides any diagnostic information in patients admitted to hospital with pain in the right lower quadrant of the abdomen. DESIGN Casualty officer or surgical registrar recorded symptoms and signs on admission on detailed forms. Final diagnosis was noted on discharge from hospital. SETTING District general hospital. PATIENTS 1204 Consecuti...

the past hospitalization and its association with suicide attempts and ideation in patients with mdd and comparison with bmd (depressed type) group

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