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Case Report  |   Volume 2, Issue 2

Efficacy of Early Laparoscopic Surgery in Acute Abdomen Secondary to Perforated Jejunal Diverticulitis

Ramiro Galvez-Valdovinos, Ernesto Marin Y Santillan and Gustavo Lopez-Ambriz
Abstract

A 39-year-old man with abdominal pain, fever and general poor state. Physical examination showed fever, Tachycardia, Left basal hypoventilation and acute surgical abdomen. A Abdominal X-Ray showed accumulation of calcifications in mesogastric. The laboratory test showed leukocytosis and the abdominal CT-Scan showed the cause of the acute surgical abdomen. The laparoscopic surgery was recommended and performed.

PDF   |    Full Text | DOI: 10.23937/2474-3674/1510020

Review Article  |   Volume 2, Issue 2

Pre-Hospital Ultrasound: Current Indications and Future Perspectives

Mirko Zanatta, Piero Benato and Vito Cianci
Abstract

The mission of pre-hospital medical service is to provide rapid and high quality life support. The development of specific protocols, the availability of new diagnostic tools have determined a significant improvement of pre-hospital care. The use of ultrasound in the pre-hospital medical service is a new and reliable diagnostic device.

PDF   |    Full Text | DOI: 10.23937/2474-3674/1510019

Research Article  |   Volume 2, Issue 2

Aetiology and Presentation of Intestinal Obstruction among Patients Presenting to a Tertiary Hospital in Uganda

Arlene Muzira Nakanwagi, Stephen C Kijjambu, Peter Ongom and Tonny Stone Luggya
Abstract

Intestinal Obstruction is the impairment of normal flow of intestinal contents from mouth to anal canal with aetiology that varies depending on various factors. Understanding aetiology of a country's surgical services has proven to aid better planning for its emergency surgical conditions. Mulago, which is Uganda's National Referral Hospital, is resource constrained with a surgical burden of 33% due to acute abdomen with Intestinal Obstruction. This study aimed to determine the current presentation pattern and etiological factors of Intestinal Obstruction at Mulago.

PDF   |    Full Text | DOI: 10.23937/2474-3674/1510018

Review Article  |   Volume 2, Issue 2

Arginine in the Critically Ill: Can we Finally Push Past the Controversy?

Martin D Rosenthal, Cameron Rosenthal, Jayshil Patel, Janeen Jordan, Kristina Go and Frederick A Moore
Abstract

Arginine is a conditional amino acid that has a wide breadth of metabolic activity and applications when supplemented. During critical illness, high stressed states, and increased metabolic demand arginine becomes an essential amino acid. It is during this time that supplementation benefits the host. Arginine supplementation during sepsis, however, has remained controversial as there is theoretical harm stemming from arginine serving as a substrate for nitric oxide production. In this review we discuss the literature both in support of and against the use of arginine in all critically ill patients, as well as, advocate for ongoing research to better understand appropriate dosage of arginine in relation to the arginine: asymmetric dimethylarginine ratio.

PDF   |    Full Text | DOI: 10.23937/2474-3674/1510017

Commentary  |   Volume 2, Issue 2

How to Deal With Febrile Neutropenia in Chemotherapy - Treated Cancer Patients? A Comprehensive Approach to Prevention and Therapy

Jean A Klastersky
Abstract

Chemotherapy-induced neutropenia in patients with cancer were comprehensively discussed recently by Bennett et al. While similar appraisals are available in the literature, evaluation of the problem on a national basis is useful for practicing physicians as it take into consideration local aspects relating to microbiological epidemiology and general medical practice that can modulate international guidelines.

PDF   |    Full Text | DOI: 10.23937/2474-3674/1510016


Volume 2
Issue 2