Posts Tagged ‘surgery’

A Woman with a Pleural Effusion

Posted by • June 16th, 2016

A 52-year-old woman presented with a unilateral pleural effusion. Several weeks later, uterine bleeding, pelvic fullness, and bloating developed. Magnetic resonance imaging revealed a large pelvic mass. Diagnostic procedures were performed. A new Case Record of the Massachusetts General Hospital summarizes. Clinical Pearl • What is the most common benign solid ovarian tumor? Although only 4% of all ovarian masses… Read More…

A Woman with Dyspnea

Posted by • June 10th, 2016

Bronchiolitis is a disease of the small airways, which are defined as airways less than 2 mm in diameter and without cartilage. The bronchioles are especially vulnerable to infectious or inhalational insults because of their narrow diameter. A 60-year-old woman was seen in a pulmonary clinic because of increasing dyspnea. Chest imaging revealed bronchiectasis and mild,… Read More…

Surgery for Lumbar Spinal Stenosis

Posted by • April 14th, 2016

Lumbar spinal stenosis has become the most common indication for spinal surgery, and studies have shown that surgical treatment in selected patients is more successful than conservative alternatives. The aim of the Swedish Spinal Stenosis Study was to investigate whether fusion surgery as an adjunct to decompression surgery resulted in better clinical outcomes at 2… Read More…

A Man with Dyspnea and Chest Pain

Posted by • March 25th, 2016

In every patient with a large pulmonary embolus, one may consider the possibility that the embolus is caused by a benign cardiac tumor, primary cardiac cancer, or a metastasis to the heart. A 29-year-old man presented with severe dyspnea and chest pain on the right side. Computed tomographic angiography revealed a filling defect in the main and… Read More…

A Girl with Abdominal Pain

Posted by • January 29th, 2016

A Case Records of the Massachusetts General Hospital summarizes torsion of an accessory spleen is most commonly reported in children but can also occur in adults. Patients with torsion may present with acute abdominal pain, but intermittent or chronic pain has also been described, and infarction or rupture leading to acute abdominal hemorrhage can occur. A 9-year-old girl… Read More…

Got Skills? In Surgery, It Matters.

Posted by • October 9th, 2013

In the science fiction film “Prometheus,” set in the year 2093, surgery is depicted as a purely automated process. A woman climbs into a capsule-shaped machine; with the touch of a few buttons, the machine sets to work preparing a sterile field, making an incision, extracting a specimen, and stapling her back up. No surgeon… Read More…

Watch the NEJM Documentary, Getting Better

Posted by • May 2nd, 2012

In our continuing celebration of 200 years of NEJM, a new documentary is now available on the 200th anniversary website. Getting Better: 200 Years of Medicine is a three-part, 45-minute film that explores three remarkable stories of medical progress that have taken place over the course of the long history of NEJM. When NEJM was founded… Read More…

Facing the Future of Face Transplants

Posted by • February 22nd, 2012

There were many reasons to believe that face transplants wouldn’t work.  The blood supply was too complex.  The nerves were too difficult to rewire.  The body’s immune system would reject a face it didn’t recognize as its own. But at least eighteen face transplants have now been performed world wide, with apparently encouraging results.  And in… Read More…

Blissfully Unaware…or Not Quite?

Posted by • August 17th, 2011

Imagine one day waking up to find that you are strapped to a narrow table. Strangers wearing masks loom over you with scalpels in their hands.  You know what is happening – but there is nothing you can do about it. More than the premise of lurid science fiction films, intra-operative awareness is a serious medical… Read More…

The Knife and the Cutting Edge

Posted by • July 29th, 2010

The NEJM Archive is a vital resource for teaching and research. With over 150,000 articles, 8,657 issues, 478,000 pages, 85,316 images, and 610,000 references an array of search, filter, and sort features, the NEJM Archive makes it easy to find what you’re looking for quickly. Articles are fully searchable, tabbed for easy access, and available… Read More…