Unbounded Medicine

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 [...]

Here in Mexico there is a similar exam to the USMLE, who is proposed to select those medicine graduated into residents to get a speciality.
This exam is called “Examen Nacional de Aspirantes a Residencias Médicas - ENARM” (National Exam of Aspirings to Medical Residences). This exam was on September 3rd and 4th this year, it [...]