Unbounded Medicine

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BEWARE! Gory image

A 45 year old male with history of chronic reducible hemorrhoidal disease came to the emergency department with excruciating pain, rectal bleeding and an anal non-redicible mass after a bowel movement.
On examination, we found this:

In this case, the only way to reduce the prolapse is a procedure for prolapsing hemorrhoids (PPH) which is […]

Grand Rounds is up this week at Medical Humanities.

This garden edition is great! Medicine is also art.
Regards,
Jon Mikel Iñarritu, M.D.

I’ll like to thank you for participating in this democratic exercise. Here we have the results of the last poll:

Thanks again.
Regards,
Jon Mikel Iñarritu, M.D.

With a “very cheap” subscription rate of $995 (OMG!!) you can have access to Access Surgery, inside you can find this stuff:

Surgical Videos: Columbia University College of Physicians and Surgeons Surgical
Animations: Adapted from Zollinger’s Atlas of Surgical Operations, 8th Edition
Textbook: Schwartz’s Principles of Surgery, 8th Edition
Textbook: CURRENT Surgical Diagnosis & Treatment, 12th Edition
Surgical Atlas: Zollinger’s […]

In the next couple of weeks I will be updating this site (style, layout, design, features).
From time to time there could be errors on displaying its new features or contents.
So please feel free to report any inconvenience when you are browsing Unbounded Medicine.
Thanks.
Update 07/24/06: While we finish the design, I will be posting on regular […]

From Annals of Surgery
A randomized trial that compares (subjectively and objectively) the laparoscopic versus conventional Nissen fundoplication in 5 years.
The comparision was made with 148 (79 laparoscopic vs 69 patients who were requested to fill in a questionnarie and to undergo esophageal manometry and 24 hours pH-metry.
Results: At 5 years follow-up, 20 patients had undergone […]

Grand Rounds is up at Chronic Babe with a nice layout and great categorization.

Via MAKE; from wellcome trust
In a lovely contest called Biomedical Image Awards 2006 I have found this image of human colon cancer cells in culture.
Look how beautiful, but how bad when a patient has it.

Regards,
Dr. Jon Mikel Iñarritu

Via JAMA. 2006;296:283-291.
Migraine with aura is associated with increased risk of major cardiovascular disease (CVD), myocardial infarction, ischemic stroke, and death due to ischemic CVD, coronary revascularization and angina. Active migraine without aura was not associated with increased risk of any CVD event.
This prospective cohort-type study enrolled 27,840 women aged 45 years or older who […]

Intussusception is the invagination of a part of the intestine into itself, in other words is the prolapse of one part of the intestine into the lumen of an immediately adjoining part. It is the most common abdominal emergency in early childhood.
Epidemiology: Most episodes of intussusception occur in otherwise healthy and well-nourished children. Approximately 60% […]

From Annals of Surgery
This article reminds me the risk of intraabdominal infections with a drain left there more than 4 days on the PO.
For patients with pancreatic head resection, a drain should be removed as early as the 4th PO day. This reduce the incidence of PO intraabdominal infection.
Methods: A total of 104 consecutive patients […]