Medical Student Corner A

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" rowspan="2" width=10.375% BGCOLOR="#FFFFFF" TEXT="#080000" background="0070ce82egerdp.png"> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Middleton Ambulance Station"><U><B>Home</B></U></A></div> <bR> <div> <A HREF="id64.htm" TARGET="_top" TITLE="Humour 4"><U><B>Back</B></U></A></div> <bR> <bR> </td> <td valign="top" colspan=2 height=70 BGCOLOR="#CC99CC" TEXT="#080000" background="00626611ezuady.png"> <div> <B>Middleton Ambulance Station</B></div> <bR> <bR> <div> </div> </td> </tr><tr> <td valign="top" height=410 colspan=2 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B>Humour</B></div> <bR> <div> <I><B><IMG SRC="6fe64650.jpg" border=0 width="100" height="101" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <bR> <div> <B> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="618" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 719 WIDTH="612"><div> <B> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="167" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" BGCOLOR=#FFFF00 > <tR> <tD VALIGN=TOP HEIGHT= 17 ><NOBR><div> <B>Medical Student Corner</B></div> </NOBR></tD> </tR> </TABLE></B></div> <bR> <div> <I><B>Abdominal Pain  (Diagnosis)</B></I></div> <bR> <div> <I>A abdominal x-ray, shows the following:</I></div> <bR> <div> <I><B><IMG SRC="701c8f70.jpg" border=0 width="200" height="247" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <bR> <div> <I><B>Answer:  Large Vowel Obstruction</B></I></div> <bR> <div> <I>This patient, a 39 year old woman who works for a sign and placard company, has a large vowel obstruction. </I></div> <div> <I>The presence of a large vowel in the colon on plain film of the abdomen is pathognomic for this disorder, and clinches the diagnosis.</I></div> <div> <I>Large vowel obstruction is difficult to diagnose on physical exam alone, but the presence of "E to A" changes during auscultation of the abdomen is highly suggestive, and should prompt experienced clinicians to order abdominal films at their earliest convenience.</I></div> <div> <I>On further questioning, it was discovered that the patient had recently been involved in an untoward incident at work involving a "FOR SAL" sign. </I></div> <div> <I>A colonoscopy was performed, and the offending vowel was removed without complications. Vowel rest was advised, and the patient recovered fully.</I></div> <bR> <bR> <bR> <div> <A HREF="id64.htm" TARGET="_top" TITLE="Humour 4"><U><B><IMG SRC="4aa50230.gif" border=0 width="80" height="35" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <bR> <bR> <bR> </tD> </tR> </TABLE></B></div> <bR> <bR> <bR> <div> <B>               </B></div> <bR> <div> <B>                                                                                                                     </B></div> </td> </tr></table></body>