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Interesting and relevant article that shows there is a neurophysiological basis for my inability to stick to New Year’s resolutions (to be published today, December 31, 2008) in the Journal of Neuroscience.
DOTmed.com - New Year’s Resolutions Are Even Harder for Risk-Takers to Keep.

For risk-takers and impulsive people, New Year’s resolutions often include being more careful, [...]

This is for the few people who stumble in here this week.
The reason my blog looks it’s usual unremarkable self (and loads as slow as ever*) is because I got an unexpected Christmas present from a dear friend. I screwed up. Rather, a horribly iffy internet connection screwed up a fairly routine WordPress upgrade from [...]

* Note: These images are obviously not from a single patient. I included all of them in one ‘case’ to continue with the ongoing theme of ultrasonography & scrotal swelling.
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Transverse section of right side of scrotum showing anechoic peritesticular fluid collection displacing the testis medially.
Diagnosis: Hydrocele.
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Longitudinal section of the scrotum showing a large heterogeneously echogenic [...]

I expect my blog to get it’s one hundred thousandth visitor by today going by Statcounter, the very first blog stat application that I installed back in 2006 when I started out.
That’s not a big number after nearly thirty-four months of irregular blogging. Especially compared to some of the more famous medbloggers that I am [...]

Note: The inspiration to try this experimental mind map comes from the excellent collection of allergy and immunology related mind maps created by my blog & twitter friend Dr. Ves Dimov, author of the Clinical Cases and Images Blog. It might help to see my previous two casebook posts - Testicular Torsion and Acute Orchitis [...]

A 40-year-old man presented with painful swelling of the right side of his scrotum and history of fever of two days duration. Swelling and tenderness in the right side of scrotum on local examination.
High resolution ultrasonography of the scrotum was done.
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Longitudinal section of the right side of scrotum shows the right Testis in normal axis [...]

The Evidence Gap - The Pain May Be Real, but the Scan Is Deceiving - NYTimes.com
Scans - more sensitive and easily available than ever - are increasingly finding abnormalities that may not be the cause of the problem for which they are blamed. It’s an issue particularly for the millions of people who go to [...]

A 15-year-old boy presented with acute severe scrotal pain of nearly twelve hours duration. Swelling and tenderness in the left side of scrotum on local examination.
High resolution ultrasonography of the scrotum was done.

Longitudinal section of the left side of scrotum shows abnormal axis of the left Testis (seen in cross section here, implying 90° rotation [...]