North Carolina medical journal
-
As evidenced by the Latino Health Task Force Report, Latinos living in North Carolina face numerous challenges when seeking healthcare services. Those of us who have had the privilege to serve Latinos in clinics and hospitals have been witnesses to the drama that unfolds every day for these families. Navigating through our healthcare system can be a very taxing process for Latino immigrants. ⋯ María tells her story to a nurse who speaks Spanish. Although these characters are entirely fictional, the events described here--and many others like them--have taken place all across the state and the country. Any similarities to actual people living or deceased is purely coincidental.
-
Children who have sustained a brain injury should receive specialized, coordinated, family-centered care from their primary care providers. By knowing more about the etiology, assessment, associated conditions, and prevention of pediatric TBI, medical providers can better address the multiple needs of the child and family as they cope with new challenges. The management of pediatric brain injury can be complex and time consuming, but we must all be responsive to the needs of these children and their families to ensure their good health, their welfare, and their happiness.
-
Case Reports
A woman with abdominal pain and bilious vomiting. A very late aftermath of Billroth II gastrectomy.
Patients with a history of Billroth II gastrojejunostomy who present with a symptom complex of postprandial nausea, fullness, and bilious vomiting leading to relief should be suspected of having an afferent loop syndrome. Diagnosis depends on barium radiography and upper intestinal endoscopy. ⋯ The current age of medical therapy has dramatically decreased the frequency and necessity of surgery for peptic ulcer disease. However, we should not forget the lessons of the past and fail to diagnose a patient who has a chronic complication of a previously common operation.