RESUMO
A laparoscopic jejunostomy was performed in a patient for long-term feeding purposes. The more important details of the surgical technique are described, as well as a description of a new laparoscopic needle holder, for the suturing in the peritoneal cavity.
Assuntos
Nutrição Enteral/métodos , Jejunostomia/métodos , Laparoscópios , Adulto , Humanos , Laparoscopia/métodos , Masculino , Cavidade Peritoneal/cirurgia , Técnicas de SuturaRESUMO
Unlike the general public, quadriplegics are prone to various urological complications as a direct/indirect result of spinal cord lesions. These complications include neurogenic bladder, urinary tract infections, renal and bladder calculi, obstructive uropathy, renal failure, and bladder neoplasms. A significant portion of upper urinary tract disease, including pyelonephritis, hypernephrosis, and calculi are usually secondary to neurogenic bladder related to detrusor sphincter dysfunction. These complications will be discussed in some detail in the following report.
RESUMO
The initial experiences of a four-week clinical undergraduate attachment in diagnostic radiology are described. The course is divided into (1) a series of prepared lecture programmes which cover aspects of diagnostic radiology in a systematic manner, (2) experience in hospital X-ray departments, observing special investigations and routine reporting, attending clinicoradiological conferences and receiving informal and formal tuition from radiologists, and (3) visits to specialised radiological and other imaging departments, namely ultrasound, nuclear medicine, neuroradiology and paediatrics. The aims of the courses are: (i) to provide a means of teaching clinical subjects and pathology in a dimension which crosses the tightly compartmentalised undergraduate curriculum; (ii) to instil basic principles of radiological interpretation, (iii) to teach undergraduates how to use the facilities of diagnostic imaging departments effectively and efficiently when they have qualified; (iv) to increase interest in the specialty, and insight into student opinion. There are difficulties involved in this large teaching commitment, for instance, understaffing, and the development of the course has been geared to counteracting these problems.
Assuntos
Educação de Graduação em Medicina , Radiografia/educação , Currículo , Inglaterra , EnsinoRESUMO
The physical arrangement of radiographs and a method for their retrieval is discussed. The aim is to facilitate access to examples of various conditions from several possible approaches by a method of specific classification of each item and a comprehensive card index. A system to maintain consistency and to achieve relevance for the potential user is described.
