non-somatic causes of pain may aggravate painful complaints and complicate the conservative management of diseases such as lumbo-sacral disk root disease. the two-point discrimination test has been used for assessment of diseases, which change patients' skin sensation. this study aims to find out how applicable is two-point discrimination test in the conservative treatment of lumbo-sacral disk ...

A parotid fistula is a rare, but extremely unpleasant disease. It may be due to chronic pathologies of the facial soft tissues, trauma (tangential injury to face), infection or congenital. Various treatment modalities are surgical and conservative management to treat this disease. Conservative management plays a vital role in patients who are systemically compromised and unfit for surgery. In t...

3. The two cohorts did not differ significantly in the baseline characteristics. Gestational age, birth weight (except for a 40g difference), gender, SGA, obstetric complications, Apgar scores at 1 and 5 minutes were comparable between the two groups. The only two factors that might have had an impact is the use of antenatal steroids and surfactant therapy. 4. We agree that the rates of mechani...

A 30-year-old woman presented to the emergency department complaining of abdominal discomfort. An abdominal radiograph was done, revealing ten rectangular razor blades measuring 5 × 2 cm. The patient was taken to the operating room and a flexible esophago-gastroduodenoscopy was performed. Attempts at retrieval, using both a gastric overtube and an inverted hood, were unsuccessful due to the sha...

Case reports of transdiaphragmatic fistulas connecting subphrenic collections and empyemas are uncommon. We report the rare complication of a fistulous connection between a subphrenic collection and the bronchial tree.

Urinary incontinence in women has a high prevalence and causes significant morbidity. Given that urinary incontinence is not generally a progressive disease, conservative therapies play an integral part in the management of these patients. We conducted a nonsystematic review of the literature to identify high-quality studies that evaluated the different components of conservative management of ...

OBJECTIVE To review the current management of acute mastoiditis with critical emphasis on the role of myringotomy. DESIGN A retrospective chart review. SETTING Tertiary-care, university affiliated children's hospital. PATIENTS One hundred and forty-four consecutive children hospitalized for acute mastoiditis between the years 1991 and 2002. INTERVENTIONS All children were treated with p...