Chronic intestinal pseudo-obstruction (CIPO) is a rare gastrointestinal motility disorder that presents with symptoms, physical exam, and imaging findings of mechanical bowel obstruction without an anatomical obstruction. Multiple etiologies, including enteric or extr insic neuropathic dysfunction, myopathic dysfunction, or dysfunction of the interstitial cells of Cajal, cause CIPO’s pathogenesis. The presentation of CIPO may be idiopathic or caused by underlying diseases. The most common presentation is abdominal pain, bloating, and distension. Here, we present a patient with an end-stage case of CIPO who failed medical therapy. Her distension progressed over a decade, requiring emergency surgery due to intestinal pneumatosis.
{"title":"End-Stage Chronic Intestinal Pseudo-Obstruction Resulting in Intestinal Pneumatosis","authors":"Justin Bilello, MD, Amman Bhasin, MD, Phoebe Chun, MD, Aaron Martin, MD","doi":"10.29046/tmf.024.1.009","DOIUrl":"https://doi.org/10.29046/tmf.024.1.009","url":null,"abstract":"Chronic intestinal pseudo-obstruction (CIPO) is a rare gastrointestinal motility disorder that presents with symptoms, physical exam, and imaging findings of mechanical bowel obstruction without an anatomical obstruction. Multiple etiologies, including enteric or extr insic neuropathic dysfunction, myopathic dysfunction, or dysfunction of the interstitial cells of Cajal, cause CIPO’s pathogenesis. The presentation of CIPO may be idiopathic or caused by underlying diseases. The most common presentation is abdominal pain, bloating, and distension. Here, we present a patient with an end-stage case of CIPO who failed medical therapy. Her distension progressed over a decade, requiring emergency surgery due to intestinal pneumatosis.","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129055392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Harrison Bell, MD, Akash Patel, DO, Benjamin Tasevac, MD
{"title":"From the Editors","authors":"Harrison Bell, MD, Akash Patel, DO, Benjamin Tasevac, MD","doi":"10.29046/tmf.024.1.003","DOIUrl":"https://doi.org/10.29046/tmf.024.1.003","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122543874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
gastroparesis showed symptomatic improvement after surgical resection, chemotherapy, or radiation treatment of underlying malignancy in 6 of 14 cases reviewed 5 . Traditional therapies for gastroparesis
14例胃轻瘫患者中有6例在手术切除、化疗或放射治疗后症状得到改善。胃轻瘫的传统疗法
{"title":"Severely Impaired Gastric Emptying in the Setting of an Extensive Malignancy History: A Case of Paraneoplastic Gastroparesis","authors":"Gregory Habig, MD, Justin Robbins, MD","doi":"10.29046/tmf.022.1.007","DOIUrl":"https://doi.org/10.29046/tmf.022.1.007","url":null,"abstract":"gastroparesis showed symptomatic improvement after surgical resection, chemotherapy, or radiation treatment of underlying malignancy in 6 of 14 cases reviewed 5 . Traditional therapies for gastroparesis","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134603372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
panel and complete blood count were otherwise within normal limits. Chest and abdominal computed tomography (CT) imaging revealed a large loculated right-sided pleural effusion, large-volume ascites (Figure 1) without cirrhosis and a 5 cm multicystic right adnexal mass (Figure 2). Thoracentesis and paracentesis were performed, both yielding grossly bloody fluid. Cultures and gram and acid-fast stains of both fluid samples revealed no organisms, and cytology was negative for malignancy; HIV and hepatitis serologies were negative and the serum-ascites albumin gradient was less than 1.0. A right-sided chest tube was placed to facilitate further drainage (Figure 3); this was subsequently removed after several days of minimal drainage. A transvaginal pelvic ultrasound revealed a cystic right ovarian mass with thickened, nodular internal septations. CA 125 was mildly elevated, but CEA and CA 19-9 were normal. INTRODUCTION
{"title":"Hemothorax and Hemorrhagic Ascites: A Rare Presentation of Endometriosis","authors":"Harry Wang","doi":"10.29046/tmf.020.1.014","DOIUrl":"https://doi.org/10.29046/tmf.020.1.014","url":null,"abstract":"panel and complete blood count were otherwise within normal limits. Chest and abdominal computed tomography (CT) imaging revealed a large loculated right-sided pleural effusion, large-volume ascites (Figure 1) without cirrhosis and a 5 cm multicystic right adnexal mass (Figure 2). Thoracentesis and paracentesis were performed, both yielding grossly bloody fluid. Cultures and gram and acid-fast stains of both fluid samples revealed no organisms, and cytology was negative for malignancy; HIV and hepatitis serologies were negative and the serum-ascites albumin gradient was less than 1.0. A right-sided chest tube was placed to facilitate further drainage (Figure 3); this was subsequently removed after several days of minimal drainage. A transvaginal pelvic ultrasound revealed a cystic right ovarian mass with thickened, nodular internal septations. CA 125 was mildly elevated, but CEA and CA 19-9 were normal. INTRODUCTION","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131218168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Desk of the Residency Program Director","authors":"Emily A. Stewart","doi":"10.29046/tmf.019.1.001","DOIUrl":"https://doi.org/10.29046/tmf.019.1.001","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133072797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Dong, MD, Tudor Sturzoiu, MD, Fred Karaisz, Max Ruge, MD
{"title":"Internal Medicine Residents’ Experience with using Handheld Ultrasound Machines in Point-of-Care Ultrasonography","authors":"Michael Dong, MD, Tudor Sturzoiu, MD, Fred Karaisz, Max Ruge, MD","doi":"10.29046/tmf.023.1.015","DOIUrl":"https://doi.org/10.29046/tmf.023.1.015","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"93 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133523520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sameep Thapa, MD, Max Ruge, MD, Tamar Wolinsky, MD
{"title":"Spontaneous Tumor Lysis Syndrome in Undifferentiated Pelvic Solid Tumor with Associated New Onset Atrial Flutter: A Case Report","authors":"Sameep Thapa, MD, Max Ruge, MD, Tamar Wolinsky, MD","doi":"10.29046/tmf.023.1.013","DOIUrl":"https://doi.org/10.29046/tmf.023.1.013","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"62 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131049079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Dong, MD, Rebecca Davis, MD, Jonathan Foster, MD, Jillian Cooper, MD, Frances Mae West, MD
{"title":"A Guide to Point of Care Ultrasound Examination of Acute Decompensated Heart Failure","authors":"Michael Dong, MD, Rebecca Davis, MD, Jonathan Foster, MD, Jillian Cooper, MD, Frances Mae West, MD","doi":"10.29046/tmf.024.1.012","DOIUrl":"https://doi.org/10.29046/tmf.024.1.012","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114601217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Desk of the Residency Program Director","authors":"Christopher Henry, MD, FACP","doi":"10.29046/tmf.024.1.002","DOIUrl":"https://doi.org/10.29046/tmf.024.1.002","url":null,"abstract":"","PeriodicalId":246494,"journal":{"name":"The Medicine Forum","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127101937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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