Reply: Rectal Palpation Should of course Be Performed in Some Cases [Swedish]
Although there are no evidence for routine rectal palpation in patients with acute abdomen, there are other cases in which rectal palpation should be performed.
Although there are no evidence for routine rectal palpation in patients with acute abdomen, there are other cases in which rectal palpation should be performed.
A digital rectal examination (DRE) is standard practice in cases of acute abdomen in adult patients. We analyzed the evidence for this by a systematic literature search, and identified 16 relevant original studies. These studies showed that there is no evidence for a diagnostic value of DRE in adult patients with acute abdomen. We should…
An article on why the medical education should be shortened.
Background There is a circadian and circaseptal (weekly) variation in the onset of acute coronary syndrome (ACS). The aim of this study was to elucidate whether the likelihood of ACS among emergency department (ED) chest pain patients varies with the time of presentation. Methods All patients presenting to the Lund ED at Skåne University Hospital…
Overcrowding at the emergency department impairs the quality of care and patient safety. A standardized definition of the degree of burden is needed, linked to support for decisions on measures.
The mandatory medical training for medical students after their education, should be scraped.
Background Pre-hospital electrocardiogram (ECG) transmission to an expert for interpretation and triage reduces time to acute percutaneous coronary intervention (PCI) in patients with ST elevation Myocardial Infarction (STEMI). In order to detect all STEMI patients, the ECG should be transmitted in all cases of suspected acute cardiac ischemia. The aim of this study was to…
Gastrointestinal Stromal Tumor (GIST) belongs to the low-frequency gastrointestinal tumors. Most hospitals, however, have a few cases of patients with GIST each year. The therapy is often conducted by or in consultation with a regional sarcoma team.
Presentation patterns were quite similar for men and women with a large likelihood of Acute Coronary Syndrome (ACS) for those presenting in the morning. This may be related to changes in the thrombolytic activity, platelet aggregability and sympathetic system activation. In patients with ECG signs of ST elevation ACS, the likelihood for ACS was much…