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Diagnostic Laparoscopy for Chronic Abdominal Pain Richmond University Hospital, July 2012 David A Vivas, MD www.downstatesurgery.org Case Presentation HPI • 25 y/o female with no significant PMH who was seen in clinic c/o intermittent, moderate to severe, dull abdominal pain, located in epigastric area and right abdomen for the last 3 years. Patient denied any other symptoms (N/V, weight loss) • PMH: None • PSH: None www.downstatesurgery.org Case Presentation • Work up: • EGD: No pathologic findings • RUQ US: No gallstones or other biliary or liver pathology • Pelvic US: No GYN pathology www.downstatesurgery.org Case Presentation • Work up: • CT scan abdomen and pelvis with PO/IV contrast: • Probable diverticulum in the ascending colon • Otherwise unremarkable www.downstatesurgery.org Case Presentation • Work up: • Colonoscopy: • 0.5 cm sessile, friable mass in the distal ascending colon • Mass was removed with cold technique • Area was tattooed with India ink and sent to pathology • Rest of the study was unremarkable for any pathology
To put it briefly, Kerala excursion features coronary heart robbing in addition to eye popping magnificence, hence justifies to be the lord's unique land. There are numerous paper hearts throbbing journey desired destination with Indian, causing you to plus your getaway some sort of unforgettable a single. Trivandrum - Referred by Mahatma Gandhi as "Evergreen City of India" Thiruvananthapuram basically referred to as Trivandrum would be the funds area on the talk about. Sri Padmanabhaswamy Brow, Kowdiar Building, NapierMuseum, and so forth usually are Significant sites within the location tend to be: Alleppey - The Venice of the East Alleppey is probably the favourite spots pertaining to houseboat travels inside Kerala, which often truly entice the earth vacationer quite definitely. Sites on the area are usually backwaters, houseboats, character elegance in addition to in your community built coir solutions. http://www.indiakeralatourspackages.in/
Agra -- Household to help The planet's Ponder: The town, which in turn households one of many miracles in the planet Taj Mahal, can be Agra. Is it doesn't 2nd many crucial area associated with Amazing Fantastic Triangle Visit. This Taj Mahal -- Immortal Enjoy mark, which is an acronym seeing that symbolic representation associated with really like by means of Mughal Emperor Shah Jehan's with regard to his or her spouse Mumtaz Mahal. Your unparallel monument associated with Taj Mahal appears inside the ram connected with the dearest Mumtaz Mahal. Visitors by many edges from the world ensure it is for the area to try out the actual beauty associated with on the list of amazing things with the earth. Fantastic Triangle Agra Tour's allure greatly improves having a trip to some other impressive traditional projects such as Agra Fortification, Itma-ud-daulah's grave along with Chini ka Rauza and many others. http://www.goldentriangletourspackages.in/
ACE Group India,gives you Luxurious Residential Project In Noida Expressway may be the best Real estate investment Builder inside Noida Extension, that's definitely employed inside developing high-class residential qualities.
Mutual funds are becoming a very popular way for individuals to invest in India. Instead of buying shares in individual stocks, people are opting for mutual funds these days says Sachin Karpe.
India is a developing country with most of the transactions now being on the internet. This change was brought about with the use of the e commerce which is already established in the western countries.
Ramesh Shivakumaran is a Chartered Accountant (FCA) with a Graduate degree in Commerce from India, a Certified Public Accountant (CPA) from USA, an Associate Member of the Information Systems, Audit and Control Association (ISACA), USA an Associate member of Certified Fraud Examiners, USA and certified in Logistics Management from North West Kent College, UK.
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