General surgeons frequently handle patients who present with an unknown neck mass. Due to the nature of diseases, medial neck soft tissue masses often manifest with variable etiologies and clinical signs and symptoms. Establishing a thorough evaluation of neck masses based on differential diagnoses is essential. The clinical evaluation of neck masses usually includes a thorough history and physical examination, advanced imaging techniques such as magnetic resonance imaging (MRI), ultrasonography, contrastenhanced computed tomography (CT), and fine-needle aspiration biopsy. From a surgeon's standpoint, proper knowledge of tissue structure, anatomy, and pathology, and applying fundamental surgical principles ensure a successful management of such lesions. This case report intends to reveal the pathological and clinical nature of an unknown neck mass in a 60-year-old female, which was postoperatively diagnosed as an epidermal inclusion cyst (EIC). This report also intends to indicate the significance of surgical intervention to prevent EIC complications and improve patient's life quality.
Emphysematous cholecystitis (EC) is an acute infection caused by gas-forming organisms and is considered a surgical emergency. The presenting symptoms of EC are often difficult to distinguish from those of uncomplicated acute cholecystitis, necessitating the use of CT for diagnosis. EC is associated with higher rates of gangrene and perforation of the gallbladder compared to typical acute cholecystitis. It is also associated with significantly higher rates of mortality.In this report, we discuss the case of a 57-year-old African American female who presented to the emergency room with nausea, non-bloody vomiting, and abdominal pain for three days. Physical examination showed a soft but tender abdomen, especially in the right upper quadrant, and labs showed leukocytosis of 15.5/mm 3 . A CT of the abdomen and pelvis was ordered, which demonstrated air in the gallbladder lumen with extraluminal air adjacent indicating ruptured EC.
Resumo:Este artigo se propõe a refletir sobre a adaptação de Hamlet em Os Simpsons no episódio Do the bard, man, a fim de observar aspectos importantes dessa recriação contemporânea. A releitura de Hamlet apresentada em Os Simpsons é uma peça dentro de outra, em que os personagens do seriado assumem os papéis dos personagens de Shakespeare. O artigo enfatiza a inclusão de tantos elementos da peça de Shakespeare em uma adaptação de apenas cinco minutos e sugere uma solução de storyboard para incluir aspectos dos famosos solilóquios. Palavras-chave: Hamlet. Os Simpsons. Shakespeare. Adaptação. Tradução. THE SIMPSONS IN HAMLET: A TASTE OF SHAKESPEAREAbstract: This article proposes to reflect on the adaptation of Hamlet by The Simpsons in the episode Do the bard man, with the aim of observing important aspects of this contemporary recreation. The reframing of Hamlet in The Simpsons presents a play-within-a-play where the series´ characters act out the roles of Shakespeare´s characters. The inclusion of so many elements from Shakespeare´s play in a five-minute adaptation is emphasized and a storyboard is suggested to include aspects of the famous soliloquies.
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