Unbounded Medicine

Like those nice posts of Kidney Notes called Hilarious Journal Articles I have read in the September issue of Annals of Surgery an article wich concludes the following:
For some complex procedures, surgeons older than 60 years, particularly those with low procedure volumes, have higher operative mortality rates than their younger counterparts. For most procedures, however, […]

Three fisheremen survive nine months at sea.
Salvador Ordoñez Vázquez, Jesús Vidaña López and Lucio Rendón Becerra, are the fishermen who drifted 8,000 kilometres (4,971 miles) across the Pacific Ocean in an open boat for nine months are the toast of Mexico.
They survived rawing fish, seabirds and rain water.
From San Blas, Nayarit (Mexico), to Marshall Islands, […]

What is this?
Necrotizing Enterocolitis (NEC) is a syndrome wich consists in intestinal infarction.
What part of the intestine is affected?
Terminal ileum and colon, although the entire GI tract is affected in severe cases.
Why is NEC important?
Because NEC is the most common gastrointestinal emergency in the newborn infant and NEC accounts for substantial long-term morbidity in survivors […]

Active bleeding of esophageal varices can be difficult to treat, it really represents a life-threatening condition when not treated, because just 50% of patients with acute variceal hemorrhage stop bleeding spontaneously.
Endoscopic therapy is currently the definitive treatment of choice for active variceal hemorrhage and it can be performed at the same time as diagnostic […]

(via)
The first laparoscopic liver surgery in a child, was performed in Mexico.
Mark Thomas, a pediatric surgeon performed the world’s first laparoscopic liver surgery in a pediatric patient. The procedure was on May 24 at the National Medical Center, La Raza in Mexico City. The patient is 2 years old and has liver cancer, on the […]

Change of Shift, the Nursing Blog Carnival is up at Its a Nursing Thing with a nice Tour edition.
Be sure to visit her site.
Dr. Jon Mikel Iñarritu

Via Wired News
Is it possible to train yourself in a virtual patient?
A short answer is Yes.
In India, Professor Suvranu De is developing a surgery simulator with help of this couple of devices:

Cyberglove & Phantom devices
Sounds nice, but… I personally believe that you cannot train yourself in a virtual environment because there are not […]

Several times, some people have asked me what causes death to mexicans.
On the last mortality statistics (2004) of general population, the main causes of death were [independently of sex]:

Heart disease - 16.4%
Complications of Diabetes Mellitus - 13.1%
Cancer - 12.9%
Traumatic injuries - 7.4%
Liver disease (alcoholic and non-alcoholic) - 6.2%
Stroke - 5.7%
Perinatal complications - 3.5%
COPD - 3.0%
Pneumonia […]

Enrico, from Mexico Medical Student hosts this week edition of Grand Rounds.
A nice theme with Culture Convergence and Music (embeded!).
Be sure to visit Enrico’s GR who came with this fancy edition.
Dr. Jon Mikel Iñarritu

From Medical News Today
Medical Center Accreditated by the American College of Surgeons:
The Beth Israel Deaconess Medical Center’s Carl J. Shapiro Simulation and Skills Center has been formally accredited as a Level 1 facility by the American College of Surgeons (ACS), the first in Boston and New England - and one of only six inaugural certified […]

Elisa Camahort wrote at Healthy Concerns a Frequently Asked Question: What are the best preventative screeinngs -of cancer- we all should do?
By now, there is evidence for three types of cancer, the recommendations of the US Preventive Services Task Force are the following:
Breast Cancer

Screening mammography, with or without clinical breast examination, every 1-2 years […]

I was reading at Patient Plus an article of what to put in the Doctor’s Bag and I wonder:
In the past, the vast majority of doctors used a Doctor’s Bag, in fact there are museums with different kinds of Doctor’s Bags… but things are changing.
Some physicians still use a Doctor’s Bag to deal with all […]

Gallstone Ileus is an infrequent cause of mechanical bowel obstruction. It is caused by an impaction of a gallstone in the terminal ileum by passing through a billiary-enteric fistula (often from duodenum). It occurs more frequently in women with average age of 70 years.
Clinical picture: Episodic subacute obstruction in an elderly female. Abdominal pain and […]

The following pictures are from different clinical cases.
In Blunt Trauma the spleen and the liver are injuried in 40 and 20 percent, respectively.
In the ER, you have three four options in the Work-Up of a patient with blunt abdominal trauma

Peritoneal Lavage: Now just performed if you haven’t access to ultrasound (lack of money or lack […]

With new look, new content and new features appears the new ePOCRATeS Rx.
I’ve been trying this brand new version of ePOCRATeS and I think that it’s quite better than the previous version.
The main features are:

My Epocrates personalized homepage

Go straight to the drug monographs you recently viewed

Create shortcuts to get to your favorite applications faster

Launch MobileCME […]