Right dorsal colitis (RDC) is an ulcerative inflammatory bowel disorder of the horse that has been associated with the administration of non-steroidal anti-inflammatory drugs (NSAIDs), particularly in horses treated when dehydrated or toxaemic. The acute form of RDC may result in profuse diarrhoea, severe colic, dehydration, endotoxic shock and even death; the chronic form may be manifest by mild to moderate intermittent colic, ventral oedema and weight loss with or without diarrhoea. The most consistent laboratory findings are anaemia, hypoproteinaemia, hypoalbuminaemia and hypocalcaemia. Medical management of RDC requires avoidance of NSAIDs, of stressful experiences and of large-volume diets. Specific medications such as sucralfate and metronidazole have been used to treat RDC in the horse. The use of dietary additions such as psyllium and corn oil has been mentioned in the literature.RDC has not been reported previously in Ireland or Britain; here we report that the condition was diagnosed in three horses in Ireland on the bases of a history of phenylbutazone therapy, clinical signs, clinical pathology and ultrasonography. In two of the three horses the diagnosis was confirmed by direct inspection of the affected colon at celiotomy.
The Oncologist Schwartz Center Rounds
PRESENTATION OF CASE: MALE SEXUALITY
Male SexualityMr. A is a 70-year-old man who has had nocturia for approximately two years. Prostatic specific antigen (PSA) was initially measured at 2.7 ng/ml, but rose over a period of approximately two years to 3.5 ng/ml and then 4.5 ng/ml. Transrectal biopsy performed in 1999 was negative for cancer. Repeat PSA in March of this year was 5.0 ng/ml.Repeat biopsy was performed which revealed a single microscopic focus of Gleason six prostate cancer in the left lobe of the prostate and chronic active prostatitis on the right. The urologist recommended radical prostatectomy for this vigorous gentleman with organ-confined disease. The patient was to be seen at this hospital to consider radiation therapy as another option. However, he suffered a myocardial infarction and with persistent angina required angioplasty and stenting. Subsequently he has been pain-free. His
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