Stoma creations are common procedures in surgical specialties. They can be created either as a temporary or a permanent measure. Despite advancements in surgical technique and stoma care, complications are common. Patients experiencing stoma-related complications often present to the emergency department. Emergency physicians are not expected to be stoma experts, yet they are often the first point of contact for patients experiencing stoma-related complications. Accordingly, emergency physicians should be familiar with the types of stomas and complications and emergencies associated with them so that they can appropriately address the problems related to stomas. This article will provide a review of emergencies and complications associated with ileostomies, colostomies, and urostomies.
Child abuse is a global public health concern. Not only is it appalling that children should suffer unnecessarily, but also children who have been abused are at increased risk of recurrent abuse and may proceed to be abusers in later life. Early and prompt recognition of signs and features of abuse is crucial to alleviate the presenting condition and to prevent future harms. The aim of this article is to present the current advice and recommendations for the recognition and management of child abuse from a primary care perspective.
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