o bjectives: to determine  the effects of meperidine (pethedine®)  on pain intensity, clinical findings, final diagnosis and management of patients with acute abdominal pain. m e thods: this was a randomized clinical trial including 100 patients, with lower abdominal pain lasting for less than 48 hours who were referred to the emergency department of imam khomeini hospital affiliated with ilam ...

with an occurrence of 7%, appendicitis is one of the most common abdominal emergencies requiring surgery. since the variation in positions and length of the appendix may produce varying symptoms and signs which mimic other diseases, having knowledge of the variations in the position of the appendix is of significant importance. here, we present a 77-year-old man with acute appendicitis presenti...

context low back pain (lbp) is among the most prevalent musculoskeletal conditions in the developed countries. it is a common problem causing disability and imposing a huge economic burden to individuals and state organizations. imaging plays an important role in diagnosis of the etiology of lbp. evidence acquisition the electronic databases included: pubmed (1950 to present), ovid sp medline (...

conclusions: in this study, delay in diagnosis was similar to other studies. educating physicians to careful history taking especially in the case of ibp, non-musculoskeletal symptoms such as uveitis and precise physical examination are important in early diagnosis. patients and methods: sixty patients, (53 males, 7 females) with a diagnosis of as according to the modified new york criteria wer...

herein, we report a 40-year old man who presented with flank and abdominal pain with dilatation of the bilateral pyelocalyceal system detected in ultrasonography. computed tomography (ct) scan showed a soft tissue mass at the level of the fourth and fifth lumbar vertebrae in the retroperitoneal region. there were no blood flow signals in 64-slice multidetector ct (mdct) which confirms the retro...

pain is one of the most important and sometimes difficult problems, that patients and physicians are encountered. it may be clinically acute or chronic, acute pain has usually definite cause and favourable response to treatment. on the other hand there are difficulties in diagnosis and management of chronic pain. peripheral and cranial nerves convey pain impulses toward central nervous system, ...

during last ten years i have been one the guest speakers who presented the principles of foot and ankle radiology in details since 2006 - 2015 in iranian congress radiology. in this presentation i am focusing on one the specific problems of the foot which is very common practice in the field of radiology and orthopaedic surgery. chronic foot pain has a broad spectrum of potential causes and ima...

appendicitis is the most common abdominal disease that requires surgery in the emergency ward. it usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (luq) pain due to congenital anatomical abnormalities of the intestine. we report a patient who complained of persistent luq abdominal pain and was finally diagnosed by computed tomography (ct) as congenita...