BACKGROUND Food challenge tests are the gold standard in diagnosing food allergy. Guidelines provide scoring systems to classify symptoms during challenge and typically recommend that challenges are considered positive when objective symptoms occur. However, currently no standard criteria for the definition of a positive challenge outcome exists and interpretation of food challenges mainly depe...

Rudimentary horn pregnancies are rare, and are associated with a high rate of maternal morbidity and mortality. The standard treatment is laparotomy, as patients usually experience massive abdominal hemorrhage or pregnancies too large to attempt laparoscopic removal. In our patient, early sonographic discovery facilitated laparoscopic management.

Pregnancy with amyotrophic lateral sclerosis (ALS) is rare and generally considered dangerous. Riluzole is the only drug approved for use in ALS, but the effect on maternal and fetal health is unknown. We describe the case of an ALS patient taking riluzole throughout pregnancy. A 34-year old Japanese woman, who had been diagnosed with probable ALS 4 years earlier, visited our hospital for abdom...

BACKGROUND Cramps are involuntary painful muscle contractions that mainly affect older people. Cramps may cause severe pain and sleep disturbance. Little information exists on the prevalence and the main features of cramps in primary care settings. The objective of this study was to estimate the prevalence and the main features of cramps among primary care patients aged 60 years and older. ME...

Abdominal cerebrospinal fluid (CSF) pseudocyst is a rare complication of ventriculoperitoneal shunting. It is well known in children but uncommon in adults. We present a 30-year-old woman with abdominal distension, vomiting and confusion caused by her developing an abdominal CSF pseudocyst, 13 years after her last shunt revision. Adult neurologists need to be aware of this late complication.

Pentastomiasis is an emerging snake-borne parasitic zoonosis in the tropics. We describe a molecular and morphological study to diagnose a cluster of asymptomatic abdominal human infections caused by Armillifer grandis. The findings may indicate a silent epidemic in a rural area where severe symptomatic ocular cases with the same parasite species have recently surfaced. Molecular diagnostics ar...

% Asst. Surgn. Rai Sahib CHHAGAN NATH, Officiating Residency Surgeon, Mcwar, Udaipur. Cases of ovarian cysts, though not very comin this part of the country, are met with now an(1 again in hospital practice. The Patl<r" Usually presents herself with a considera c abdominal enlargement, as admission to a hospita ls ^nly sought when all sorts of quack remedies, P?tion for ascites, and even waitin...

We exploit an exogenous process change at two emergency departments (EDs) within a health system to test the theory that increasing capacity in a discretionary work setting increases wait times due to additional services being provided to customers as a consequence of reduced marginal costs for a task. We find that an increase in physician’s capacity for ordering ultrasounds (U/S) resulted in a...

Previous research has demonstrated a relationship between the regularity of motor production and the ability to make accurate perceptual judgments. The current study investigated the temporal abilities of two groups of patients with known movement problems (musicians' and writers' cramp), some of whom have had many years of training in temporal discrimination. Patients and controls (musician an...

The author is reporting a case of torsion of gallbladder. The patient used to have episodes of intermittent torsion and there was no acute presentation. Patient was presented with abdominal swelling which was misdiagnosed as a mesenteric cyst. Distended gallbladder, free floating type, tortuous cystic artery with the mesentry were factors responsible for torsion. Gallbladder exhibited 180 degre...