The Three Ps of Pyloric Stenosis
​The back story of pyloric stenosis is fascinating. It is a relatively minor surgical condition today, but the disease had a mortality of 100 percent before 1904, when only five operative cases were known to have been performed in the United States. The dying process was slow and painful, and parents watched their infants slowly starve to death.The pyloromyotomy procedure currently used to treat pyloric stenosis was introduced by Conrad Ramstedt, MD, in 1911 at the Children's Hospital of Munster, and is still called the Ramstedt procedure. Before surgical management was introduced for this gastric outlet obstruction, mul...
Source: M2E Too! Mellick's Multimedia EduBlog - October 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Midgut Volvulus CT
Discussion by Dr MGK Murthy, Dr Pritam, Dr GA PrasadIntestinal malrotation is described as abnormal positioning of the bowel loops within the peritoneal cavity in the intrauterine life. It is caused by defective rotation of primitive intestinal loop around the axis of SMA during embryogenesis.Midgut volvulus is a complication of malrotation in which clockwise twisting of the bowel around the superior mesenteric artery axis occurs because of the narrowed mesenteric attachment. Degree of twisting is variable& determines symptoms. Severe volvulus = 3& ½ turns, can lead to bowel necrosis.Age at presentation – usuall...
Source: Sumer's Radiology Site - November 24, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Doctors Do Know Best. Exhibit A: The Charlie Gard Case.
By SAURABH JHA, MD For American conservatives, Britain’s NHS is an antiquated Orwellian dystopia. For Brits, even those who don’t love the NHS, American conservatives are better suited to spaghetti westerns, such as Fistful of Dollars, than reality. The twain is unlikely to meet after the recent press surrounding Charlie Gard the infant, now deceased, with a rare, fatal mitochondrial disorder in which mitochondrial DNA is depleted – mitochondrial depletion disorder (MDD). In this condition, the cells lose their power supply and tissues, notably in the brain, die progressively and rapidly. The courts forbade Charlieâ...
Source: The Health Care Blog - July 31, 2017 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Patients Source Type: blogs

Winning the Doctor Lottery
By ANISH KOKA, MD A poignant piece recently appeared in the journal Health Affairs and was rapidly devoured on social media by the health policy community. The story is a harrowing first person account of a woman’s multiple interactions with doctors. The doctors in the story are either very good or very bad. One pediatrician turns the author and her sick son away on three consecutive days with colic, only to have a more careful partner sound the alarm and discover pyloric stenosis. The author then recounts the tale of her father’s death at age 42 due to a surgeon who operated for diverticulitis unnecessarily. ...
Source: The Health Care Blog - May 30, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

LITFL Review 241
Welcome to the 241st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Rob Mac Sweeney’s Critical Care Reviews will showcase upcoming trials of interest in critical care. Its inaugural podcast is on Paul Young and the ICU-ROX trial. [SO]   The Best of #FOAMed Emergency Medicine The Core EM Podcast reviews t...
Source: Life in the Fast Lane - July 24, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

The LITFL Review 117
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 117th edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and Chris Nickson [C...
Source: Life in the Fast Lane - November 26, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Emergency Medicine Featured LITFL review LITFL R/V Source Type: blogs

absite as myth
I’ve been thinking: the surgery in-training exam is really like a recitation of legends, orally recounted histories, not too closely related to facts, that define our community. The test runs through a long series of stories, which are so familiar to surgeons and surgeons-in-training, that we only have to mention a few words of the story, to have the whole thing immediately recognized and understood. These are some of the legends: gallbladder cancer, incidentally discovered after lap chole, invading through the lamina propria (snap answer: resect a surrounding rim of normal liver tissue); projectile vomiting in a 4wk...
Source: Cut On The Dotted Line - February 2, 2010 Category: Surgery Authors: Dr. Alice Tags: medical education Source Type: blogs