Dokter Blog: from the desk of Rahajeng Tunjungputri

Medicine et cetera by @ajengmd

Videos of worm in intestine!!!

Dear all,

This images may be disturbing for general audience, although medical students and doctors in particular may find this intriguing. It’s important to remember why and how parasitic diseases cause so much burden, and hopefully these videos can help us to understand that.

I had a great time watching these videos with the parasitology students today.

Video 1:

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Video 2:

12 year old girl presented with anemia and anorexia. Colonoscopy was performed.

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Video 3:

Case report: A 46-year-old woman presented with a history of 3 days of pruritus in the anal area and 1 day of excretion of tapelike materials. During the year before presentation, she had reported intermittent colicky abdominal pain and loose stool, which had been attributed to irritable bowel syndrome. Laboratory evaluation was unremarkable, with no evidence of anemia. Colonoscopy revealed a long, moving tapeworm, Diphyllobothrium latum, located in the terminal ileum and extending to the sigmoid colon. D. latum is a fish tapeworm that can infect humans after they consume infected undercooked or raw fish. The patient had a history of eating raw fish and recalled eating raw trout most recently 2 months before presentation. She was treated with a single dose of praziquantel. After administration, the abdominal pain resolved, but she continued to have intermittent loose stool.

Jae Hak Kim, M.D.
Jin Ho Lee, M.D.
Dongguk University College of Medicine
Goyang, South Korea
jhleemd@duih.org

From: http://content.nejm.org/cgi/content/full/362/11/e40

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Video 4:

A lady came in complaining of pain in her lower abdomen and she was suffering from severe bloating. Ultrasound was inconclusive, so exploratory surgery was performed.

The videos were available from http://www.symposier.com/ and I did not make them. No copyright infringement intended.

Enjoy!

Rahajeng

Other source:

http://www.symposier.com/library_detail/1474/Worm

Filed under: miscelaneous, , , , , , ,

Internet and Patient-Doctor Relationship

An article about patients, doctors, and the increasing use of internet as patient resource has just been published on NEJM. As physicians, most of us are no longer unfamiliar with internet and information technology. But then, what kind of care shall we provide patients with nowadays, given that they are already equipped with (sometimes reliable) information?

Best regards,

Rahajeng

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Untangling the Web — Patients, Doctors, and the Internet

http://content.nejm.org/cgi/content/full/362/12/1063

Filed under: miscelaneous,

Guide for new doctors

I found this very interesting document from doc2doc.bmj.com/ , may be very useful for new doctors.

The document is called “You will survive: doc2doc guide for newly qualified doctors”

The guide offers practical advice for new doctors working in the hospital, and put things in an interesting and motivating way. Though context in different countries may differ, generally new doctors worldwide face the same new situation.

http://doc2doc.bmj.com/assets/student-guide-sep-2009/youwillsurvive-guide-doc2doc.pdf

Regards,

Rahajeng

Filed under: miscelaneous,

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Disclaimer

Medicine is a growing field, and information presented here is reflective of the time of posting. Please refer to your physician for direct medical consultation. My views do not reflect those of my employers. --
Regards, Rahajeng

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