In clinical testing it is standard to determine the normal range, and then to determine if a test can differentiate normal from diseased patients. Now with the advent of uncooled staring array digital infrared imaging systems (Prism 2000; Bioyear Group, Houston, TX) and image analysis, numerical results (mean temperatures of the whole breast and quadrants of the breast) can be used to determine...

Figure 1 Her physical examination was remarkable for localized tenderness in the left lower quadrant. Her labs revealed a normal white blood cell count (5.8 K/ul) with normal differential. Computed tomography of the abdomen/pelvis was remarkable for a region of inflammation in the left mid quadrant with central fat and peripheral enhancement (Figure 1) consistent with a diagnosis of epiploic ap...

A 56-year-old Hispanic male presented to the emergency department (ED) complaining of right lower quadrant abdominal pain for two days. The pain was gradual in onset with a throbbing, burning quality, and 10 out of 10 severity. He reported diarrhea but denied fever, chills, nausea or vomiting. In the ED the patient was afebrile with normal vital signs, and his abdomen was soft and mildly tender...

A 20-year-old man was admitted to a regional hospital with fevers, rigors, anorexia and left upper quadrant pain. It was his fourth presentation to the emergency department in the preceding 10 days. On the first two presentations, he had been sent home with a provisional diagnosis of renal colic. After review by his general practitioner, he had undergone outpatient imaging that identified filli...

BACKGROUND AND OBJECTIVE Chronic pelvic pain affects 15% of women. Our objective was to evaluate empiric laparoscopic inguinal exploration and mesh placement in this population. METHODS Retrospective cohort with follow-up questionnaire of women with lateralizing chronic pelvic pain (right or left), ipsilateral inguinal tenderness on pelvic examination, no clinical hernia on abdominal examinat...

Mucocele of the appendix, a nonspecific and descriptive term for an abnormal mucous accumulation within the appendiceal lumen, regardless of the underlying cause, is a rare clinical disease that is not usual as a consideration in the differential diagnosis of right lower quadrant lesions. The reported prevalence of mucocele of the appendix in appendectomy specimens is 0.2-0.3 percent. Hematuria...

INTRODUCTION Primary segmental infarction of the greater omentum is an infrequent cause for right lower quadrant pain. The exact aetiology is unknown and the right side is more commonly involved. It usually presents like acute appendicitis and the diagnosis is made during exploration. CASE REPORT We report such a case which was diagnosed and managed by laparoscopy. A 27-year-old male presente...

OBJECTIVE To assess the sensitivity and specificity of ultrasonography in differentiating causes of acute right lower quadrant pain in women of child-bearing age by taking surgical outcome as the gold standard. METHODS The descriptive analytical study was conducted at PNS Shifa Hospital, Karachi, from July to December 2008, and comprised female patients of child-bearing age who presented with...