Clinical Study of a New Modified Early Warning Scoring System for Rapidly Evaluating Shock in Adults.

Background: Shock is one of the most common severe syndromes requiring emergency treatment. Acute myocardial infarction guidelines, the surviving sepsis campaign, and low blood volume resuscitation guidelines indicate the prioritization of early identification of shock. APACHE II (Acute Physiology and Chronic Health Evaluation II), SOFA (Sequential Organ Failure Assessment), and MEWS (Modified Early Warning System) scores are used to predict mortality in ICU (intensive care unit) patients.

Association of serum calcium levels with infarct volume and stroke scores in acute ischemic stroke patients: An observational study.

Background: Stroke vastly contributes to death and disability worldwide. Acute ischemic stroke (AIS) is caused by a reduction in supply of blood to the brain. Accumulation of unnecessary intracellular serum calcium in AIS induces the cytotoxic actions that activates enzymes involved in cell death.

A Comparative Analysis of Risk Scoring Systems in Predicting Clinical Outcomes in Upper Gastrointestinal Bleed.

Background Upper gastrointestinal bleed (UGIB) is a life-threatening condition that presents as hematemesis (fresh blood), coffee-ground vomiting, or melena. Multiple scoring systems are developed to predict different clinical outcomes, which are important to managing UGIB and are essential to determining low and high-risk patients. The study aimed to compare the sensitivity and specificity of risk scoring systems and their optimum cut-off values in the assessment of UGIB.

Ampullary carcinosarcoma with osteosarcomatous, small cell neuroendocrine carcinoma and conventional adenocarcinoma components; First report.

Caracinosarcomas are tumours with diverse epithelial and mesenchymal differentiation. They most commonly occur in the female reproductive organs and upper aero digestive tract. They are relatively rare in the gastrointestinal tract and affect the oesophagus most commonly.

Femoroacetabular impingement: presence of FAI-like features on conventional radiography in young patients presenting to primary care with hip pain.

Background: Femoroacetabular impingement (FAI) is a recognized major cause of early osteoarthritis in the hip and tends to present in young and active patients. The presence of morphological parameters associated with, or predisposing to FAI on radiographs can guide referral to a hip specialist for further assessment.

Purpose: To determine the presence of radiographic findings with a known association with FAI in young patients presenting to primary care with hip pain.

Cam and pincer femoroacetabular impingement: CT findings of features resembling femoroacetabular impingement in a young population without symptoms.

Objective: The purpose of this study was to use CT to determine the presence of radiologic parameters associated with cam and pincer femoroacetabular impingement (FAI) in a young population without symptoms.

Materials And Methods: A retrospective review of 50 patients (age range, 20-40 years) with no current or previous hip disorder who underwent CT of the abdomen and pelvis was conducted. Multiplanar images were reformatted with a soft-tissue and bone algorithm and assessed for the presence of parameters associated with FAI; alpha angle greater than 55°, femoral head-neck offset less than 8 mm, angle of acetabular version less than 15°, lateral center edge angle greater than 40°, acetabular index less than 0°, pistol-grip deformity, acetabular crossover, and prominent posterior wall signs.

Calcified fecolith--a rare cause of large bowel obstruction.

The authors present a rare case of colonic obstruction caused by a fecolith in a 59-year-old female who presented with symptoms suggestive of intestinal obstruction. The computed tomography (CT) confirmed the diagnosis. The patient was managed by laparotomy and colotomy to remove the fecolith.