Practice Management
Several state health departments are actively investigating a growing outbreak of cyclosporiasis. In late June, Michigan reported 177 cases of cyclosporiasis, then by July 4, the case count more than tripled to 572 cases, then grew again on July 9 to 1,251, according to local news reports. The figure represents more than 10 times the usual case counts for the state at this time of year. Ohio, Illinois, and New York are beginning to see …
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Urgent Message: Careful history and examination are required when assessing patients presenting with rectal pain. Clinicians should maintain a high index of suspicion for accidental foreign-body ingestion when assessing unexplained rectal discomfort. Ivan Koay, MBChB, MRCS, FCUCM, FRNZCUC, MD; Cameron Olphert, BSc (Hons), MSc Key Words: rectal pain; foreign body; proctoscopy; fishbone ingestion; hemorrhoids; gastrointestinal issues Abstract Clinical Presentation: A 50-year-old male with a history of type 2 diabetes mellitus and hemorrhoids presented to urgent …
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