Acute deep vein thrombosis can be seen by pain and swelling. Usually acute deep vein thrombosis is occlusive where the clots already obstruct the blood flow. Chronic deep vein thrombosis can be label when there are no symptoms but it found by screening such as ultrasound doppler, CT Scan and blood
The first description of the etiology and surgical approach to Hirschsprung 's disease was by Dr Ovar Swenson in 1948. Swenson 's operation was difficult to carry out in early infancy also extensive dissection of the pelvis occasionally caused complications, therefore several methods including those proposed by Duhamel, Soave, and their modifications have been devised aiming at minimizing pelvic dissection, preserving the rectal wall and maintaining rectal sensation. Many problems, however, appeared due to leaving aganglionic tissues for example, fecaloma formation in the residual blind anterior rectal pouch  and functional obstruction of the pull through caused by the Soave cuff [5, 6]. Recently, M.A. Levitt et al.
This findings are concerning enough to prompt the surgeon to consider operative exploration. After stabilizing the fluid and electrolyte imbalance, the surgery was taken. Exploratory laparotomy showed extended stomach and first two parts of the duodenum, free cecum in the upper part of the abdomen, malrotation with Ladd's band extending from the colon to the liver pressing the second part of the duodenum. The bands were cut freeing the duodenum. Interior duodenal stenosis also was found so Duodenoduodenostomy (diamond) was performed with Ladd's procedure after Gastro-jejunostomy (Omega) was made.
GINGIVAL BLEEDING AS PRESENTING SIGN OF ADVANCED HIV/AIDS – A CASE REPORT ABSTRACT: Introduction: Acquired immune deficiency syndrome (AIDS) caused by human immunodeficiency virus (HIV), remains as a significant health care problem since its discovery in 1981. Oral manifestations are considered as the earliest and important indicators of HIV infection. Most of the oral manifestations of HIV are due to immunosuppression and related opportunistic infections. Case presentation: A 43 year old female patient reported to our department with a chief complaint of bleeding gums for 4 days. Based on the history and clinical examination, necessary investigations has been done and she was diagnosed as clinical stage IV HIV disease with pancytopenia, disseminated tuberculosis and tuberculoma brain.
The history of the headache An acute onset of the headache of the patient’s life associated with a stiff neck. Figure 3 CT-scan & MRI An ill appearing patient on physical examination typically lead the health care practitioner to consider the diagnosis and order a CT (computerized tomography) scan of the head. If the CT scan is performed within 72 hours of the onset of the headache it will detect 93% to 100% of all aneurysms. Figure 4 Lumbar Puncture In the few cases that are not recognized by CT the health care practitioner may consider performing a lumbar puncture to identify blood in the cerebrospinal fluid that runs in the subarachnoid space. Angiography If the CT or the LP reveals the presence of blood angiography is performed to identify where the aneurysm is located and to plan treatment.
They are: (1) Clinicians should conduct a focused history and physical examination to help place patients with low back pain, nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis. (2) Clinicians should not routinely obtain imaging or others diagnostic tests in patients with nonspecific low back pain. (3) Clinicians should perform diagnostic imaging and test when sever or progressive neurologic deficits. (4) Clinicians should evaluate patients with persistent low back pain and sign and symptom of radiculopathy or spinal stenosis with magnetic resonance imaging (preferred). (5) Clinicians should provide patients with evidence based information on low back pain with regard to their expected course.
DISCUSSION The Main anesthetic goal in Intraocular surgery is the maintenance of a stable intraocular pressure, as the sudden raise in Intraocular pressure during open eye surgery can cause prolapse of iris or lens and vitreous loss leading to permanent loss of vision. Conventional laryngoscopy with general anesthesia is usually practised in paediatric patients coming for Intraocular procedure. This causes sympathetic stimulation with resultant increase in IOP, with associated raise in MAP & HR. There are few studies conducted in children to compare the effect of insertion of LMA with endotra-cheal intubation on IOP. But there are a number of studies done on adults, to confirm that LMA serves as an effective alternative to endotracheal intubation.
Assessment of undifferentiated problems: Approach to haemoptysis Haemoptysis is defined as the expectoration of blood from bronchi, larynx, trachea or lung parenchyma. It is important to differentiate if the patient has non-massive or massive haemoptysis, as the latter can be a surgical emergency. The cutoff value ranges from 100 to 600 mL of blood expectorated in a 24-hour period. If the patient coughs up blood, it is also important to differentiate between haemoptysis, pseudohaemoptysis and haematemesis. The differentiating features may be elicited through the history or physical examination.
Intracranial pressure monitoring practice in patients with diffuse axonal injury and GCS under 8. Place the intracranial through a drill hole in the fiber optic catheter, which measures the pressure. Pressure measurement adjustments help correct treatment of cerebral edema. The existence of post traumatic increased intracranial pressure is a serious progrostic sign. Such patients often benefit from treatment with mannitol, deep sedation, hyperventilation or cerebrospinal fluid drainage by