A case of Chronic Constipation found to have Colonic Mass

A-65-year-old man is transferred from the local psychiatric hospital as an emergency and is said to be suffering with abdominal pain and constipation. He is unable to provide a meaningful history and the only notes supplied are a drug chart containing a number of psychiatric medications and laxatives. Examination reveals a distended but minimally tender abdomen with a hyper-resonant percussion note. What is the diagnosis? A) Caecal volvulus B) Colonic carcinoma C) Diverticular disease D) Sigmoid volvulus E) Small bowel obstruction

History A 54-year-old man presents to the emergency department with a 4-day history of abdominal distension, central colicky abdominal pain, vomiting and constipation. On further questioning he says he has passed a small amount of flatus yesterday but none today. He has had a previous right-sided hemicolectomy 2 years ago for colonic carcinoma. He lives with his wife and has no known allergies. Examination His blood pressure and temperature are normal. The pulse is irregularly irregular at 90/min. He has obvious abdominal distension, but the abdomen is only mildly tender centrally. The hernial orifices are clear. There is no loin tenderness and the rectum is empty on digital examination. The bowel sounds are hyperactive and high pitched. Chest examination finds reduced air entry bibasally. Questions • What is the diagnosis? • What features on the x-ray point towards the diagnosis? • How should the patient be man- aged initially? • What are the common causes of this condition?

Identify this long-term complication of gastroesophageal reflux disease in a 55 year old male. Discuss the work up and management

26 year old male with no known co-morbidites presents with oral ulcers of 8 days duration.no history of trauma,no history of fever no h/o ulcers anywhere else in body foriegn body h/o spicy foods (+) gives past history of mouth ulcers 3 months back. took candid cream and dolo gel for L/A O/E reddish ulcers on palate does nt bleed on touch please help with the diagnosis is it simple aphthous ulcer and what is the reason for the recurrence

Patient complains of frquent ulcer with history of 8years..no sharp cusp..no gastritis..no systemic disease..age 17years..no habits..patient had vit B Complex from long time..no changes seen..kenacort or mucopain? Is it recurrent apthous ulcer..its frequent..he is suffering from 8long years..what should be done..i just wrote some blood test.. suggestion are welcome