ABSTRACT
The authors report the case of a 45-year-old woman who suffered from epigastric pain and was operated on 3 years before for colon cancer. The clinical investigation revealed that the patient had colon cancer metastasis to the dorsal pancreas of a pancreas divisum.
Subject(s)
Colonic Neoplasms/surgery , Pancreas/abnormalities , Pancreatic Neoplasms/secondary , Cholangiopancreatography, Endoscopic Retrograde , Colonic Neoplasms/pathology , Female , Humans , Middle Aged , Pancreas/pathology , Pancreatectomy , Pancreatic Neoplasms/pathology , Pancreatic Neoplasms/surgeryABSTRACT
Occult fractures of the scaphoid bone occur frequently and may lead to non-union. The use of three-phase bone scintigraphy in patients with normal x-rays of the scaphoid after carpal injury is widely advocated.In this study, 40 patients with negative radiographs but clinically suspected scaphoid fracture, all had rapid bone scintigraphy with images taken 15 min after intravenous injection of 99 m-Technetium Hydroxymethylene diphosphonate. The scan was performed approximately 2 weeks after the trauma. We found 8 fractures of the scaphoid bone and 13 fractures of other carpal bones. In 5 cases the images were inconclusive. At follow-up 6 months to 2 years later we found no patients with non-union. We find this rapid version of the bone scan useful as a second line investigation for continuing wrist pain following trauma in the presence of normal radiography. This can result in a reduction in both time and costs required for the diagnostic process. If the results are inconclusive we recommend a delayed image. CT or MRI could also be considered. In rare cases a wrist arthroscopy may be considered.
Subject(s)
Fractures, Bone/diagnostic imaging , Adolescent , Adult , Child , Diphosphonates , Female , Humans , Male , Middle Aged , Organotechnetium Compounds , Pain/etiology , Radiography , Radionuclide Imaging , Radiopharmaceuticals , Retrospective Studies , Surveys and Questionnaires , Time FactorsABSTRACT
The measurement of patient satisfaction is now an integral part of hospital market research. Just as consumer satisfaction is a function of the extent to which providers do things right, the value of consumer-oriented market research is directly related to whether the research itself is done right. The use of poorly designed consumer research instruments, no matter how well executed, can cause multicollinearity among the independent variables, which, in turn, can result in misleading conclusions.
Subject(s)
Hospital-Patient Relations , Marketing of Health Services/methods , Multivariate Analysis , Patient Satisfaction/statistics & numerical data , Research Design , Data Collection/standards , Linear Models , Marketing of Health Services/statistics & numerical data , United StatesABSTRACT
Cutaneous larva migrans (CLM) is a parasitic disease of the skin produced by skin-penetrating larvae, mainly the filariform larvae of cat and dog hookworms. Three cases of CLM diagnosed in Copenhagen are reported and the clinical manifestations, pathogenesis, diagnosis and treatment are described.