This article presents the case of a terminal stage cancer patient who lived alone and had a detached relationship with his family, and negative behaviors such as: depression, passivity, silence, refusal of treatment, and inability to trust others because of lack of family care during hospitalization. We cared for the patient with direct personal nursing care, using skillful physical evaluation,...

Lung transplantation has been available as a therapeutic option for patients with end-stage cystic fibrosis lung disease for over 15 years, but the outcome following transplantation remains poor, and the supply of organs limited. For this reason some children opt to continue with medical treatment followed by terminal care rather than undergo transplantation. This article summarizes the current...

Cecal volvulus is characterized by an axial torsion of the cecum, terminal ileum and ascending colon, being third cause bowel obstruction with incidence 2%, considered a rare pathology. We presented case patient secondary to cecal found during exploratory laparotomy.

gastric bezoars are gastric masses, which rarely cause intestinal obstruction by passing through the small bowel. in this article, we report a 56 year-old man with no history of gastric surgery who presented with intestinal obstruction. the obstruction seemed to be in terminal ileum. colonoscopy was done and a movable mass was noted, which was extracted from the cecum by colonoscope resulting i...

a 54 year old man with history of cardiomyopathy and chronic fibrillation first presented with bloody diarrhea. then during the assessment of his abnormal lab. data revealed cast nephropathy in renal biopsy, gamma peak in protein electrophoresis and fine lytic lesions in skull graphy. his bone marrow aspiration showed multiple myeloma and blood smear revealed plasma cell leukemia. our patient w...