BACKGROUND The value of abdominal echography in primary care is great because it is innocuous, inexpensive, easy to perform and provides a great deal of information making this the first examination to be requested in cases of probable abdominal disease. However, too many abdominal echographies are probably requested overcrowding the Departments of Radiodiagnosis with not always justified petit...

INTRODUCTION Parasitic leiomyoma is an extremely rare variant of uterine leiomyoma occurring outside uterus. The aim of this study is to report a case of parasitic leiomyoma with brief literature report. CASE REPORT A 46-yearo-old lady presented with upper abdominal heaviness and swelling of about 6year duration. associated with nausea, shortness of breath and palpitation. There was large wel...

INTRODUCTION F ructose is a hexose that is present widely in the diet as free fructose, in the disaccharide, sucrose, and in fructans, which are chains of fructose with a terminal glucose. Fructans are also known as inulins (when the number of fructose molecules, or degree of polymerization or DP, is ≥10), or fructo-oligosaccharide (FOS) or oligofructose (when the DP is <10). Fructose has creat...

In adults, seizures manifesting with abdominal complaints are usually associated with complex partial or secondary generalized seizures. Also, seizure periodicity is not expected in postmenopausal women. We encountered a 72-year-old woman with episodic nausea and abdominal pain that usually occurred with predictable regularity. When symptoms persisted after extensive gastrointestinal investigat...

■ Evidence summary More than two thirds of people aged >50 years have experienced leg cramps. Though leg cramps are common, little is known about their actual causation. A small, retrospective chart review, limited to male patients, identified an association of vascular and neurologic diseases among patients taking quinine, presumably for leg cramps. Although commonly idiopathic, leg cramps are...

Thrombosis of the abdominal aorta is an uncommon event and usually occurs in a diseased vessel. We report a case of a 42-year-old male who presented with abdominal distension and was found to have tuberculosis-related ascites and was incidentally found to have aortic thrombosis. The patient improved with four-drug anti-tubercular therapy and anticoagulation. The occurrence of non-occlusive thro...

Abdominal computed tomography (CT) is widely used as a diagnostic tool in emergency medicine (EM) to accurately diagnose abdominal pain. EM residents must be able to offer preliminary interpretations of CT imaging. In this study, we evaluated the preliminary interpretation ability of a sample of emergency residents presented with adult abdominal CT images, and compared their results with those ...

Gastric disease is usually the result of inflammation, ulceration, neoplasia, or obstruction and manifests clinically as vomiting, hematemesis, melena, retching, burping, hypersalivation, abdominal distension, abdominal pain, or weight loss. The clinical approach is simplified by considering gastric diseases as a group of clinical syndromes based on the combination of etiology, pathology, and c...

BACKGROUND Irritable bowel syndrome (IBS) is a significant problem for primary care, as treatment options are limited and it can frequently develop into a chronic condition. Complementary and alternative medicine, including reflexology, is being turned to increasingly in an attempt to manage symptoms. There are currently no studies which address the effectiveness of reflexology for IBS. Despite...

BACKGROUND Warnings of deteriorating condition provided to patients at hospital discharge are highly subjective, based on conventional wisdom, and lack systematic implementation. We conducted a standardized Delphi process to achieve national consensus on warning indicators and recommended action plans for patients after colorectal surgery. STUDY DESIGN Expert panel eligibility was determined ...