Some rules for interns

Some of your job as an intern is only indirectly related to patient care. While the rules below don’t tell you how to operate better, they will help you to be a more effective team member and

A couple of cases of acute diverticulitis

I have had a couple of cases of acute diverticulitis over the past several weeks and am interested in how everyone approaches this subject:

Spontaneous “perforation” of the liver

62 y. o. f. patient admitted for obstructing jaundice. 2 days after ERCP, the day before planned surgery sudden bout of intense pain relieved by common analgesics. No decline in general status, but slight increase of jaundice

“Spilled” gallstones and gallstone ileus

A cannibalized “spilled” stone causing gallstone-ileus following laparoscopic cholecystectomy.

Examining for a hernia

How do others examine for a hernia? Do you just look at and palpate with the patient standing up? Do you also invaginate the scrotum with the little fingerinserted up through the external inguinal ring?

Fecal impaction

Fecal impaction causing mega-rectum – a cause of colorectal catastrophes.

Laparoscopic hernia repair

Last week I had a case of a 54-year-old obese woman who went to the Emergency Room with right lower quadrant/groin pain. She is a medical biller who used to work in my office. She thought she

Recurrent Metastatic Breast Carcinoma

Medical Summary Mrs. ARC was first seen at the Tata Memorial Hospital on 18.5.10 with complaints of lump in the left breast. She was investigated and diagnosed as a case of carcinoma left breast and underwent left

Sclerosing peritonitis

Is sclerosing peritonitis a foreign body response? This week I (plus two colleagues) operated a case of sclerosing peritonitis. It is an unusual entity of which I have previously operated 3 or 4 cases. Viewing it as

Anopexia – stapled hemorrhoidectomy

I wish to find out how many of you have heard of stapled hemorrhoidectomy, or have done it yourself.  A short introduction follows.