Articles

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More than 200 results
Article

Perianal abscess

Perianal abscess refers to a formed infective-inflammatory collection within the perianal region. It forms part of the broader group of anorectal abscesses. They are often associated with perianal fistulae and are components of grades 2 and 4 fistulae of the St James’ University Hospital classif...
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Transient ischemic attack

Transient ischemic attacks (TIAs) describe a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction. Terminology  In the past, transient ischemic attack was arbitrarily distinguished from stroke by the duration of neurolo...
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Vein of Galen aneurysmal malformation

Vein of Galen aneurysmal malformations (VGAMs), probably better termed median prosencephalic arteriovenous fistulas, are uncommon intracranial anomalies that tend to present dramatically during early childhood with features of a left-to-right shunt and high-output cardiac failure. Epidemiology ...
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Septate gallbladder

Septate gallbladder is a congenital variant where there may be a single septum or multiple septa in the gallbladder splitting its lumen into several parts. Terminology When there are multiple septa subdividing the gallbladder the condition is also known as multiseptate or honeycomb gallbladder...
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Wirsungocele

Wirsungocele refers to a cystic dilatation of the pancreatic duct of Wirsung, which is the portion of ventral duct between the dorsal-ventral junction and major duodenal papilla. It is believed to be analogous to a choledochocele and santorinicele. Clinical presentation It may be an incidental...
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Periapical granuloma

Periapical granuloma (plural: granulomas or granulomata) refers to a localized mass-like region of chronic granulation tissue in relation to teeth formed in response to infection. It often results in relation to chronic apical periodontitis. Terminology The name of this condition is a misnomer...
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FABER test

The FABER (Flexion, ABduction and External Rotation) test and also sometimes called the Patrick test) is a diagnostic test for pathology of the hip joint or sacroiliac joint. It is done by having the leg flexed and thigh abducted and externally rotated with the patient lying supine. The knee a...
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Orbital epidermoid cyst

Orbital epidermoid cysts are a rare cause of an orbital mass.  Clinical presentation Patients most commonly present with a mass and lid swelling 1.  Pathology Orbital epidermoid cysts can be congenital, acquired (e.g. post-surgery, trauma), or lacrimal gland duct obstruction 3. They can be a...
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Strasberg classification of bile duct injury

The Strasberg classification of bile duct injury is a widely used system to anatomically define bile duct injuries occurring during laparoscopic surgery. The classification is based on the location of injury 1,4,5.  Classification The classification is divided into five types, with type E inco...
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Renal transplant torsion

Renal transplant torsion is a very rare complication of renal transplant, occurring mostly in intraperitoneal transplants because of the increased mobility compared to extraperitoneal transplants, which are less mobile.  Clinical presentation Non-specific clinical symptoms such as nausea, abdo...
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Peritoneal loose body

Peritoneal loose bodies or peritoneal mice are calcified pieces of necrotic tissue in the peritoneal cavity. They are usually asymptomatic and small, ranging from 0.5 to 2.5 cm in size, but rarely may be up to 5 to 10 cm.  Clinical presentation Loose bodies are usually asymptomatic 1. Patholo...
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Celiac artery dissection

Celiac artery dissection is a type of arterial dissection. Dissection of the celiac artery is rarely seen as a primary phenomenon and is most often encountered due to propagation of an aortic dissection. Epidemiology Celiac artery dissection is usually iatrogenic but may also be secondary to: ...
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Necrobiotic pulmonary nodules

Necrobiotic pulmonary nodules are sterile cavitating lung nodules associated with rheumatoid arthritis and inflammatory bowel disease (more often with ulcerative colitis than Crohn disease).  Epidemiology They are more common in men 5.  Associations Caplan syndrome Clinical presentation Us...
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Rubinstein-Taybi syndrome

Rubinstein-Taybi syndrome (RTS) is a very rare genetic multi-system disorder primarily characterized by intellectual disability, broad and often angulated thumbs and halluces, and distinctive facial features. Epidemiology The estimated incidence is 1 in 100,000-125,000 live births 5. Clinical...
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Empty sella

An empty sella, also known as an empty pituitary fossa, refers to the appearance of the sella turcica when the pituitary gland appears shrunken or invisible and CSF fills the space instead. It is commonly an incidental finding of no clinical significance, but there exists a well-established asso...
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Temporal lobe epilepsy

Temporal lobe epilepsy (TLE) is the most common type of focal epilepsy syndrome, with often characteristic imaging and clinical findings. It is divided into two broad groups: medial epilepsy most common involves the mesial temporal lobe structures most frequently due to mesial temporal scler...
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Congenital neuroblastoma

Congenital neuroblastoma is defined as neuroblastoma identified within a month of birth, and is divided into: fetal neuroblastoma neonatal neuroblastoma In most cases they present as stage 1, 2 or 4S (see neuroblastoma staging). Fetal neuroblastoma In 90% of cases, fetal neuroblastomas aris...
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Childhood malignancies

Unfortunately the pediatric population is susceptible to malignancies. The most common entities, in overall order of frequency, are 1-4: leukemia/lymphoma: ~35% * acute lymphoblastic leukemia: 23% Hodgkin disease: 5% acute myelogenous leukemia: 4% central nervous system malignancies: ~20% ...
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Target sign (pyloric stenosis)

The target sign of pyloric stenosis is a sign seen due to hypertrophied hypoechoic muscle surrounding echogenic mucosa, seen in pyloric stenosis. This is likened to a target. See also antral nipple sign (pyloric stenosis) cervix sign (pyloric stenosis) shoulder sign (pyloric stenosis)
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Cervix sign (pyloric stenosis)

The cervix sign of pyloric stenosis describes the indentation of the pylorus into the fluid-filled antrum, seen in pyloric stenosis on ultrasound examination. See also antral nipple sign (pyloric stenosis) target sign (pyloric stenosis)
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