RESUMO
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.
Assuntos
Neoplasias do Colo/cirurgia , Pâncreas/anormalidades , Neoplasias Pancreáticas/secundário , Colangiopancreatografia Retrógrada Endoscópica , Neoplasias do Colo/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Pâncreas/patologia , Pancreatectomia , Neoplasias Pancreáticas/patologia , Neoplasias Pancreáticas/cirurgiaRESUMO
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.
Assuntos
Fraturas Ósseas/diagnóstico por imagem , Adolescente , Adulto , Criança , Difosfonatos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Compostos de Organotecnécio , Dor/etiologia , Radiografia , Cintilografia , Compostos Radiofarmacêuticos , Estudos Retrospectivos , Inquéritos e Questionários , Fatores de TempoRESUMO
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.
Assuntos
Relações Hospital-Paciente , Marketing de Serviços de Saúde/métodos , Análise Multivariada , Satisfação do Paciente/estatística & dados numéricos , Projetos de Pesquisa , Coleta de Dados/normas , Modelos Lineares , Marketing de Serviços de Saúde/estatística & dados numéricos , Estados UnidosRESUMO
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.
