Unbounded Medicine

According to the World Health Organization there are currently 1.6 billion overweight adults in the world and that number is projected to grow by 40% over the next 10 years.

Naruru (94.5%)
Micronesia (91.1%)
Cook Islands (90.9%)
Tonga (90.8%)
Niue (81.7%
Samoa (80.4%)
Palau (78.4%)
Kuwait (74.2%)
United States (74.1%)
Kiribati (73.6%)

The list reflects the percentage of overweight adults aged 15 and over. These are […]

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Mesothelioma Aid

Mesothelioma Aid is a site for practical living with malignant mesothelioma. In addition to medical information, mesothelioma patients, their families, and their caregivers need support with real life and mesothelioma caregiving issues. Mesothelioma Aid’s focus is on providing answers to your questions and helping you best cope with what is […]

The brachial artery is the major artery that transverses the antecubital fossa; injury to the brachial artery will cause radiating pain, decreased skin temperature, decreased pulses, and pallor of the distal arm and may result in Volkmann contracture.
The Volmann’s ischemic contracture is a contracture of the flexor muscles and median and ulnar nerve palsies. a […]

Introduction
Leprosy has a rich history dating to biblical times.
“Leper” is an ancient term used to identify patients with leprosy who were severely stigmatized by the deformity that resulted from Mycobacterium leprae infection.
In the clinical context, the term Hansen’s disease should be used instead of leprosy. Gerhard Henrick Armauer Hansen, a Norwegian physician, discovered the microbe […]

The 2006 National Survey for Health and Nutrition in Mexico (Encuesta Nacional de Salud y Nutrición 2006, a.k.a. ENSANUT) revealed that among mexican adults, 70 percent have obesity or overweight.
There were not states in the Mexican Republic with smaller prevalence to 55 percent.
Campeche, Chihuahua, Durango, México City, Estado de México, Quintana Roo, Sonora, South Baja […]

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 […]

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 […]

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 […]

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 […]

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% […]

Purpura fulminans
It is a severe condition due to meningococcal sepsis, it occurs in 15 to 25% of those patients with meningococcemia.
The clinical picture is as follows: acute onset of cutaneous hemorrhage and necrosis secondary to vascular thrombosis and disseminated intravascular coagulation. Often there is pain followed by petechiae. Ecchymoses develop and evolve into painful […]

Yesterday at Health-Hack.com they made a list of six of the most evident symptoms of some serious illness, via WebMD:
From WebMD:
1. If you have unexplained weight loss and/or loss of appetite, you may have a serious underlying medical illness.
2. Slurred speech, paralysis, weakness, tingling, burning pains, numbness, […]

I’ve been asked –and consulted- about “rare chest pain” in several times. I could notice that people is always worried about any kind of chest pain because the fear of suffer a heart attack or a pulmonary problem. Chest pain is one of the most common symptoms that require medical attention. You –as physician- should […]

Insulinoma
Insulinoma is the most common functioning tumor of the pancreas, and affected patients present a tableau of symptoms referable to hypoglycemia (symptoms of catecholamine release), mental confusion and obtundation. Many patients have symptoms for years. Some have been greatly troubled by emotional instability and fits of rage, often followed by somnolence.
Incidence: This tumors are so […]