HAPPY HOLI TO U ALL
Holi, also called the Festival of Colours, is a spring festival celebrated by Hindus, Buddhist
Author Archive for drprakash
Asperger syndrome
Asperger syndrome also called as Asperger disorder or Asperger’s in an autism spectrum (Characterized by widespread abnormalities of social interactions and communication,
Feb 17, 2010 | 0 comments | View Post
A Randomized Phase III Study Comparing Adjuvant 5-fluorouracil/Folinic Acid with FOLFIRI in Patients Following Complete Resection of Liver Metastases from Colorectal Cancer
Abstract Background: Studies indicate that adjuvant 5-fluorouracil (5-FU) with folinic acid (FA) in colorectal cancer patients with completely resectable liver-limited metastases (LMCRC) offers clinical benefit over surgery alone. This phase III trial compared FOLFIRI with simplified 5-FU/FA in this setting. Patients and methods: LMCRC patients were randomized to receive every 14 days, FA, 400 mg/m2 [...]
Feb 12, 2010 | 0 comments | View Post
Advances in the Diagnosis and Treatment of Small Bowel Lesions with Crohn’s Disease using Double-balloon Endoscopy
Crohn’s disease was first reported by Crohn et al. in 1932 as ‘regional ileitis’ with chronic granulomatous inflammation of the terminal ileum [Chron et al. 2000].
Feb 09, 2010 | 0 comments | View Post
In the Neo-adjuvant Treatment of Gastro-esophageal Cancers
Pre- and peri-operative strategies are becoming standard for the management of Localized gastro-esophageal cancer. For localized gastric/gastro-esophageal junction (GEJ) cancer there are conflicting data that a peri-operative approach with cisplatin-based chemotherapy improves survival, with the benefits seen in esophageal cancer likely less than a 5—10% incremental improvement. Further trends toward improvement in local control and [...]
Feb 06, 2010 | 0 comments | View Post
Painless macroscopic hematuria
A 60-year-old woman is referred to the emergency department (ED) because of a recent event of painless macroscopic hematuria. She reports having experienced several similar episodes during the past year, all of which resolved spontaneously. She regards these episodes as being of gynecologic origin because she is 5 years postmenopausal. She describes a general feeling [...]
Early Physiotherapy May Help Prevent Lymphedema After Breast Cancer Surgery
“”Efforts have been made to reduce the risk of secondary lymphoedema by preoperative and postoperative counselling and education and by early detection.” The goal of this study was to assess the efficacy of early physiotherapy in reducing the risk for secondary lymphedema after surgery for breast cancer. At a university hospital in Madrid, Spain, 120 [...]
Feb 03, 2010 | 0 comments | View Post
Guideline on Surgical Management of Stress Urinary Incontinence
“This Guideline advises physicians to counsel their patients and set expectations prior to undergoing treatment,” AUA Guideline Panel Chair Roger Dmochowski, MD, said in a news release. “This is very important because often the patient thinks that surgery will completely cure their incontinence, when in reality, it may only make modest improvements.” The new recommendations [...]
Recurrent Abdominal Pain .
A 51-year-old woman presents to an outpatient surgical consultation for abdominal pain. She first noted the pain 9 months ago. She states that the pain occurs about every 3-4 weeks, and that each episode lasts 2-3 days at a time. The pain is described as “excruciating” when it occurs, causing her to double over, and [...]
Jan 18, 2010 | 4 comments | View Post
A 77-Year-Old Man With Suddenly Worsened Abdominal Pain
A 77-year-old man presents to the emergency department (ED) in the early morning with a 4-hour history of severe, generalized abdominal pain. He describes some “cramp-like” abdominal pain and bilious vomiting yesterday, but states he simply “got on with things”. His condition had worsened considerably by late evening. He describes the sudden onset of generalized, [...]
Jan 14, 2010 | 7 comments | View Post
QUIZ
A 3-year-old child presents with a petechial rash but is otherwise well and without physical findings. Platelet count is 20,000/μL; hemoglobin and WBC count are normal. Which of the following is the most appropriate therapy for this patient’s likely diagnosis? A. High-dose aspirin B.Therapeutic doses of iron C.Intravenous immunoglobulins D.Bone marrow transplant E.L-asparaginase which one is [...]
Jan 07, 2010 | 2 comments | View Post
Radioembolization With Systemic Therapy
The majority of patients with advanced colorectal cancer die from hepatic metastases caused by disease progression; therefore, several novel technologies are in clinical development to potentially improve local control of liver disease. Radioembolization is a technique for administering radiotherapy internally to unresectable primary or secondary hepatic malignancies in a single procedure. This technique involves the [...]
