Geophagia is a frequent cause of chronic constipation. It often associated with iron-deficiency anemia, which may be the cause. We describe case 4 year-old suffering from In radiographic examination revealed presence sand like stools and thus making an orientation for geophagia. This article come as reminder utility first line abdominal exploration in symptoms.

• In the awake, asymptomatic patient who is without neck pain or tenderness, who has a normal neurological examination, is without an injury detracting from an accurate evaluation, and who is able to complete a functional range of motion examination; radiographic evaluation of the cervical spine is not recommended. • Discontinuance of cervical immobilization for these patients is recommended wi...

Simple radiography is the best diagnostic tool for rib fractures caused by chest trauma, but it has some limitations. Thus, other tools are also being used. The aims of this study were to investigate the effectiveness of ultrasonography (US) for identifying rib fractures and to identify influencing factors of its effectiveness. Between October 2003 and August 2007, 201 patients with blunt chest...