Caecal diverticulitis: presentation and management
This study aims to determine the incidence of caecal diverticulitis in patients presenting with colonic diverticulitis, as well as identify the symptoms and clinical features that may aid in making a pre-operative diagnosis. Methods Data was collected using the Queen Elizabeth II Hospital medical records database identifying patients diagnosed with colonic diverticulitis and, more specifically, those with caecal diverticulitis from January 2007 to December 2013. Only those patients who had confirmed caecal diverticulitis on imaging studies or at laparoscopy on their first admission were included in this study. Results A total of 632 patients with colonic diverticulitis were admitted to our institution over a seven-year period, of which 13 patients had caecal diverticulitis (2.06%). Of the 13 patients, twelve were of Asian background and ten were considered young (≤50 years of age). The main complaints were right sided abdominal pain (n = 11, 84.6%) and diarrhoea (n = 5, 38.5%). Nine were diagnosed using computed tomography (n = 9/10, 90%), three on laparoscopy and one using ultrasound (n = 1/2, 50%). Ten patients were treated successfully by conservative means. Discussion A high index of suspicion in Asian patients with atypical symptoms of appendicitis, especially diarrhoea, may provide the diagnosis of caecal diverticulitis.
Publication date: December 2019Source: LWT, Volume 116Author(s): Yabin Feng, Cunshan Zhou, Abu ElGasim A. Yagoub, Yanhui Sun, Patrick Owusu-Ansah, Xiaojie Yu, Xule Wang, Xin Xu, Jin Zhang, Zifei RenAbstractThis paper investigated the effects of different pretreatments on the drying process and quality characteristics of catalytic infrared (CIR) dried garlic slices. Different garlic samples, including a control (un-pretreated), and samples pretreated with alcohol, alcohol-ultrasound (US + Alcohol) and water-ultrasound (US + Water) were prepared. The effect of different pretreatments on microstructure of ...
Authors: Nuhmani S Abstract Patellar tendinopathy, or jumper's knee is a common musculoskeletal condition characterized by progressive activity-related pain on the anterior aspect of the knee and tenderness on the patellar tendon. A conservative method is often the first choice of treatment, which can include anti-inflammatory medication, injection therapies, physiotherapy, eccentric exercises, extra corporeal shock wave therapy, orthosis, etc. Although there are several treatment options available, the management of patellar tendinopathy is still controversial. The literature reveals many different injection metho...
Conclusion: When a patient suffers from upper cervical tumor, the leiomyosarcoma should be kept in mind as possible diagnoses despite its low occurring ratio. Early detection, early diagnosis, and early treatment must be the goal of the strategy. PMID: 31539318 [PubMed - as supplied by publisher]
Conclusions. This study identified the unique role of demographic and clinical variables in mental illness stigma among patients with schizophrenia. Nurses should consider these variables when implementing anti-stigma intervention programs. Impact Statement Both clinical and demographic variables are associated with perceived stigma toward mental illness among patients diagnosed with schizophrenia. PMID: 31535959 [PubMed - as supplied by publisher]
Authors: Beita AKV, Whayne TF Abstract This review is directed at increasing awareness of two diverse rare upper gastrointestinal problems that occur at opposite ends of the age spectrum and are difficult to diagnose and treat. The superior mesenteric artery syndrome (SMAS) likely involves a young patient, especially female, and is especially associated with rapid weight loss, resulting in relative strangulation of the duodenum by a narrowing of the angle between the superior mesenteric artery (SMA) and the aorta. On the other hand, atherosclerosis of the SMA is associated most likely with postprandial upper intest...
Publication date: September 2019Source: European Urology Supplements, Volume 18, Issue 6Author(s): B.A. Penev, S.A. Ahmed, E.B. Peneva, J.F. Donohue
Publication date: September 2019Source: European Urology Supplements, Volume 18, Issue 6Author(s): A. Recio Ayesa, J. Estébanez Zarranz, P. Melendo Tercilla, L. Busto Leis, A. Cuevas Garro, J. Belloso Loidi, J.P. Sanz Jaka
Publication date: September 2019Source: European Urology Supplements, Volume 18, Issue 6Author(s): N. Peixoto, C. Iselin, J. Klein
Publication date: September 2019Source: European Urology Supplements, Volume 18, Issue 6Author(s): F.O. Onol, M. Covas Moschovas, B. Seetharam, T. Rogers, V. Patel
Publication date: September 2019Source: European Urology Supplements, Volume 18, Issue 6Author(s): G. Cochetti, A. Paladini, M. Del Zingaro, J.A. Rossi De Vermandois, A. Nepi, P. Guiggi, A. Tiezzi, L. Brunaud, L. Bresler, B. Dousset, E. Mearini