A 26-yr-old woman, with an intrauterine pregnancy at 29 6⁄7 weeks’ gestation, presented to the emergency room of The Milton S. Hershey Medical Center reporting severe pain in the right flank. Abdominal ultrasound did not show a renal or ureteral calculus, but delayed contrast filling of the right urinary collecting system seen on an abdominal computed tomography scan was consistent with right u...

INTRODUCTION Magnesium exerts analgaesic effects in several animal pain models, as well as in patients affected by acute postoperative pain and neuropathic chronic pain. There is no evidence that magnesium can modulate pain in patients with peripheral arterial occlusive disease (PAOD). We describe the protocol of a single-centre randomised double-blind clinical trial aimed at assessing the effi...

Scrotal pain presentation has many differential diagnoses such as testicular torsion is surgical emergency. For this reason, it is necessary for surgeons to differentiate between diseases for choosing the best treatment approach. We have reported a rare condition of 19-year-old male case had an atypical scrotal pain presentation of appendicitis. He was admitted to emergency service with 4 days ...

Thoracic disk herniation comprises 0.15% of all disk herniation and has various and confusing manifestations.  Among them, radicular pain down the leg could be the rarest presentation, especially if it is the only complaint. On the other hand, finding the relationship between clinical and paraclinical needs require high index of suspension and it is demanding. A 34-year-old patient, who ha...

Objective: Acute chest pain is an important and frequently occurring symptom in patients. Chest pain is often a sign of ischemic heart disease. Chest pain due to suspected Acute Coronary Syndrome (ACS) is responsible for a large and ijncreasing number of hospital attendances and admissions. Current practice for suspected ACS involves troponin testing 10–12 hours after symptom o...

Case I.?May 5th.?Private H. D , age 28, service 9 ; has been in hospital for some time with symptoms which were set down as dyspeptic. 6th.?Discharged, improved. 18/7?, 1st day.?lie-admitted, complains of fixed pain in epigastrium, and a great sense of uneasiness in the same region; very despondent. Blister to epigastrium, chiretta and soda internally. 17th, 4th day.?Bilious voir.iting to-day. ...

Amitriptyline, a tricyclic antidepressant agent is used as one of the analgesic drugs in different kinds of pain. In the present study the effect of local (subcutaneous) injection of amitriptyline (50 and 100 µg) on the acute and chronic pain using formalin test, was investigated. Our data show that local injection of amitriptyline to the paw receiving formalin, causes a decrease in pain in bot...