Monday, October 29, 2007
Wednesday, October 24, 2007
Loin to Groin pain
Such pain is usually indicative of kidney stones...
Classic pattern is described as radiating from the loin (from the renal angle below the ribs) down to the groin (suprapubic region, testis or labia). It follows the path of the stone as it travels down the ureter into the bladder...
Your approach when there is a loin to groin pain:
IS there any haematuria???
IS there any nausea & vomitting
What type of pain??? (intermittent or deep aching)
IS there any history of renal stones????
If it is suggestive:
Then do a urine labstick for blood in the urine
If it urine labstick is positive with blood, then order an KUB after patient pain is relief.
Pain relief usually could be intramuscular diclofenac or pethidine with intramuscular buscopan.
Admission is required only when pain is not relieved, pain recurrent, signs of infection from blood investigation, pyuria, stone more than 6mm, renal failure patient, or only 1 functional kidney patient.
If pain is relief then discharged with specialist clinic appointment.
Classic pattern is described as radiating from the loin (from the renal angle below the ribs) down to the groin (suprapubic region, testis or labia). It follows the path of the stone as it travels down the ureter into the bladder...
Your approach when there is a loin to groin pain:
IS there any haematuria???
IS there any nausea & vomitting
What type of pain??? (intermittent or deep aching)
IS there any history of renal stones????
If it is suggestive:
Then do a urine labstick for blood in the urine
If it urine labstick is positive with blood, then order an KUB after patient pain is relief.
Pain relief usually could be intramuscular diclofenac or pethidine with intramuscular buscopan.
Admission is required only when pain is not relieved, pain recurrent, signs of infection from blood investigation, pyuria, stone more than 6mm, renal failure patient, or only 1 functional kidney patient.
If pain is relief then discharged with specialist clinic appointment.
Torsion of testis
It is a condition when testis twists along its vertical axis, so that the twist is at the spermatic cord.
The vessels to the testis is occluded, & the testis then becomes ischemic.
Festures of torsion testis:
It happened in men under 25 years old.
Occurs in the awakening of the morning.
It is a quite sudden onset.
it may associated with vomitting and nausea.
1 sided testicular pain that radiates into thelower abdomen.
it resembles kidney stone.
The treatment is Surgical !!!
You have only 6 hours to save the testis !!!
The vessels to the testis is occluded, & the testis then becomes ischemic.
Festures of torsion testis:
It happened in men under 25 years old.
Occurs in the awakening of the morning.
It is a quite sudden onset.
it may associated with vomitting and nausea.
1 sided testicular pain that radiates into thelower abdomen.
it resembles kidney stone.
The treatment is Surgical !!!
You have only 6 hours to save the testis !!!
Acute Appendicitis
Appendicitis is a condition in which the appendix becomes inflamed and filled with pus.
Appendix is a finger-shaped pouch that projects out from your colon on the lower right side of your abdomen.
This small structure has no known essential purpose.
The main symptom of appendicitis is pain that typically begins around your umbilicus region
that shifts to your lower right abdomen.
The pain of appendicitis usually increases over a period of 6 to 12 hours,
eventually it may become very severe.
Anyone may develop appendicitis, but it commonly strikes people between the ages of 10 and 30.
The standard treatment for appendicitis is surgical removal of the appendix.
Appendicitis cause a variety of symptoms that may change over time:
As the inflammation spreads to nearby tissues, the pain may become sharper and more severe.
Eventually, the pain tends to settle in your lower right abdomen — near your appendix known as McBurney point.
It is about halfway between your umbilicus and the top of your right pelvic bone.
But the locations of the pain may vary, depending on age factor and the position of your appendix.
Young children or pregnant women, especially, may have the pain in different areas.
What makes pain worse???
If you apply gentle pressure to the area that hurts, it will feel tender.
As you release the pressure, especially if you do it suddenly, you will often feel rebound tenderness.
It will also tend to get worse if you cough, walk or make other jarring movements especially if the inflamed appendix is
touching the peritoneum — the silk-like membrane that lines the inner abdominal wall and enfolds the intestines.
The pain may get lessen if you lie on your side and curled your knees up toward your chest.
In addition to pain, you may have other appendicitis symptoms:
Such as,
Nausea and vomiting
Loss of appetite
A low-grade fever that starts after other symptoms appear
Constipation
Bloatedness
Diarrhea
Abdominal distension
Appendix is a finger-shaped pouch that projects out from your colon on the lower right side of your abdomen.
This small structure has no known essential purpose.
The main symptom of appendicitis is pain that typically begins around your umbilicus region
that shifts to your lower right abdomen.
The pain of appendicitis usually increases over a period of 6 to 12 hours,
eventually it may become very severe.
Anyone may develop appendicitis, but it commonly strikes people between the ages of 10 and 30.
The standard treatment for appendicitis is surgical removal of the appendix.
Appendicitis cause a variety of symptoms that may change over time:
As the inflammation spreads to nearby tissues, the pain may become sharper and more severe.
Eventually, the pain tends to settle in your lower right abdomen — near your appendix known as McBurney point.
It is about halfway between your umbilicus and the top of your right pelvic bone.
But the locations of the pain may vary, depending on age factor and the position of your appendix.
Young children or pregnant women, especially, may have the pain in different areas.
What makes pain worse???
If you apply gentle pressure to the area that hurts, it will feel tender.
As you release the pressure, especially if you do it suddenly, you will often feel rebound tenderness.
It will also tend to get worse if you cough, walk or make other jarring movements especially if the inflamed appendix is
touching the peritoneum — the silk-like membrane that lines the inner abdominal wall and enfolds the intestines.
The pain may get lessen if you lie on your side and curled your knees up toward your chest.
In addition to pain, you may have other appendicitis symptoms:
Such as,
Nausea and vomiting
Loss of appetite
A low-grade fever that starts after other symptoms appear
Constipation
Bloatedness
Diarrhea
Abdominal distension
Wednesday, October 10, 2007
Welcome to my facebook...
You will get to know me more & more in facebook...
Inside got my favourite friends... hobbies... room... books.... music...magazines...
heeheehee
Come & take a look... you will begin to understand who am I... heehee...
Inside got my favourite friends... hobbies... room... books.... music...magazines...
heeheehee
Come & take a look... you will begin to understand who am I... heehee...
Monday, October 8, 2007
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