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 […]

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 […]

At Quinn Lab, San Diego Supercomputer Center, doctor Quinn, has an outstanding project called Patient Notes with mobile devices.
The famous and enthusiastic project of Dr. Quinn and Dr. Wright, consists in the transmission of medical data to mobile devices such as PDAs and cell phones to enable medical workers in the field to instantaneously gain […]

If you consider the info annotated here is useful, please add me to your trusted annotators at Google Co-op.
This program of Google, improves your health and medicine searches and its objective is to help people to find medicine and health related topics. The fact is that most of the people gets here, use google as […]

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% […]