Hernia

Mistakes are inevitable but it is what is done with those mistakes that determines whether or not one is a good doctor. Practicing is what doctors do in order to learn, one cannot learn if they are not practicing. When one practices they will make mistakes in order to become a better doctor. In the book Complications by Atul Gawande, Gawande gives his personal accounts of his seven year residency and the anecdotes from other doctor's careers to support the sundry of arguments he makes, the most…

HOPI This is a 45-year-old male with PMH of GERD and hernia repaired, who presented with ABD pain that started 5 hours ago. He had a large burger and fries last night and was not able to sleep d/t ABD pain. The pain is located in the RUQ and right shoulder or scapula. He rates the pain as 7/10. He describes the pain as a “constant and severe”, with associated symptoms of nausea, chills, and vomiting. He has vomited twice, which provided him some relief. He thinks the emesis was consist of…

1950s and 1990s (Shaw and Smith, 1994), with adolescents and children accounting for 65% of all purchases, with a reported per capita intake of 15 litres per person. Other reasons for erosive tooth wear may be associated with conditions such as hiatus hernia, or voluntary regurgitation as seen amongst patients presenting with eating disorders such as anorexia nervosa or bulimia nervosa. It can cause mild to severe damage to the tooth either alone or with combination of other etiological factors…

Introduction The subject of this case study is the Shouldice hospital which has specialized in treating hernias for almost 50 years. Shouldice Hospital’s success is based on the great atmosphere they have managed to create for its employees and its patients. This atmosphere facilitates a cordial relationship between the employees and the patients. This atmosphere creates a good relationship between the employees and the customers. It is obvious that this has brought out the best in the employees…

colon cancer and hypertension. Physical examination revealed: obesity; normotensive blood pressure; complaints of increased frequency of heartburn; complaints of chronic diarrhea; abdominal tenderness; non-reducible, left upper abdominal incisional hernia; continuous uncontrollable drooling; physical changes related to gunshot wound. MP denies current suicidal thoughts.…

conditions, is made through the abdomen. For this reason the left diaphragm is more difficult to assess, because the stomach, containing air, prevents the transmission of the ultrasound beam Diaphragm defects, either congenital, traumatic or hernias, are difficult ultrasound evaluation.Viewing is enhanced when associated with pleural effusion, since the fluid acts as an acoustic window Ultrasound examination allows real - time visualization of the movement of the diaphragm. Phrenic…

During my preoperative experience I noticed many safety checks were in place, not only for the patient, but also for the doctors, nurses, and surgical technicians. Upon entering the room during my perioperative experience, I immediately noticed steps in place that were being utilized to protect everyone within the room. All of the instruments were sterile. Nurses and surgical technicians were counting down to the very last suture to make sure all of the supplies were present. Everything touching…

KUB shows degenerative joint disease in the L4-5 apophyseal joints without significant interval change, and spot film of the right upper quadrant fails to reveal radiopaque biliary calculi. The gallbladder concentrates telepaque and is slightly enlarged, with erect compression spot films failing to show biliary calculi although the degree of concentration of the contrast and difficulty in separating the gallbladder from gas shadows leaves something to be desired. The gallbladder does contract…

Obesity is one of the most common health problems in the world. There are many options to get rid of obesity such as dietary intervention, physical activity and surgery. Bariatric surgery is procedure on stomach or intestines that help person with extreme obesity to lose weight, it recommended for people who have BMI with 40 or above, or a BMI of 35 with health problems. The most common types of bariatric surgeries are gastric bypass, sleeve gastrectomy and gastric banding. Each surgery has its…

Laparoscopic Roux-en-Y gastric bypass surgery [LRGB] is a very straightforward procedure. A person gains weight depending on how much food one eats before they feel satiated. If you eat too much before feeling full, you gain weight rapidly, and the opposite is also true. LRGB simply reduces the time it takes before a person starts feeling satiated. It reduces calorific intake and this leads to weight loss. Patients under the age of 18yrs are bound to have excellent results following surgery with…