A 67-year-old black woman with hypertension and adult-onset diabetes mellitus presented to Hermann Hospital, Houston, Tex, with complaints of intermittent chest pain and shortness of breath. She stated that 5 days before presentation she had begun walking for exercise, starting with one block, and increasing by one block daily. During the past 2 days, she noted a pressure-type pain under the le...

Two experiments were conducted to determine the viability of porcine embryos transferred after long-term in vitro culture. In Exp. 1, four-cell embryos were kept in culture for 120 h. Embryos that were exposed to fresh culture medium every 12 h survived better than embryos kept in the same medium throughout the culture period. In Exp. 2, four- and eight-cell embryos were cultured in vitro for 7...

BACKGROUND AND OBJECTIVES Postoperative pneumoperitoneum following laparoscopic surgery is self-limited, typically resolving within days. METHODS We analyzed the case of a 48-y-old woman who presented with acute abdominal pain 48 d after a total laparoscopic hysterectomy. Imaging studies revealed free air under the diaphragm suggesting a perforated viscus. RESULTS An exploratory laparotomy ...

Fracture shaft of humerus is a relatively common long bone fracture accounting for 10 percent of long bone fractures. But unlike other long bone fractures, the uniqueness of this fracture is that most fractures are managed conservatively rather than operatively. Excellent functional outcomes and high rates of bony union have been reported by numerous studies for conservatively managed fractures...

BACKGROUND Post-operative morbidity affects up to 36% of cardiac surgical patients. However, few countries reliably record morbidity outcome data, despite patients wanting to be informed of all the risks associated with surgery. The Cardiac Post-Operative Morbidity Score (C-POMS) is a new tool for describing and scoring (0-13) total morbidity burden after cardiac surgery, derived by noting the ...