Gallbladder torsion with gangrenous cholecystitis: a case report.

A woman in her nineties presented with a 7-day history of right upper quadrant pain, nausea and anorexia. Examination findings included tenderness in the right upper quadrant and a positive Murphy's sign. Laboratory studies were unremarkable with normal white cell count, C-reactive protein and liver functions tests.

Readability and Quality of Online Health Information Regarding Parathyroidectomy.

Objective: Assessment of the readability and quality of online health information regarding parathyroidectomy.

Study Design: Cross-sectional analysis.

Setting: Websites providing patient-oriented health information regarding parathyroidectomy obtained via the Google search engine.

Special type trocar-site hernia with evisceration of the appendix following laparoscopic repair of a perforated duodenal ulcer.

Trocar-site hernia is an uncommon complication of laparoscopic surgery and can be classified as early-onset, late-onset or special type. Special type hernias usually occur in the early postoperative period and result in evisceration of intra-abdominal contents through all layers of the abdominal wall without an overlying hernia sac. We present a case of special type herniation of the appendix through a 5-mm trocar site in the right iliac fossa following laparoscopic repair of a perforated duodenal ulcer.

Physician incentive plan boosts physician/patient satisfaction. 5-year-old plan at priority health shows success.

Physician involvement is crucial to creating a healthy physician incentive program. Look at how one large, Michigan-based managed care organization established their program.