To conclude, short course radiation therapy regimes are optimum in our local circumstances where RT resources are limited and patients have to travel long distances to attend hospital. However for all 3 procedures, anxious patients were significantly younger by a mean of 10 years. The more sophisticated ERCP seemed to instil greater anxiety amongst Malay patients. Doctors were significantly more likely to explain the indication for OGD and colonoscopy than how it would be done. This discrepancy was not seen with ERCP where the endoscopies tend to adopt a more personal approach.
Most patients prefer to be sedated.
It is commonly seen in adults but also occurs in the paediatric age group. The most common underlying conditions were septicemia annd pneumonia. Death most often occurred during the early phase of the disease. Treatment of ARDs included elimination of the cause of ARDs, early institution of mechanical ventilation with PEEP, prompt recognition and treatment of superimposed infection and careful management of additional organ failure. FRCS, Taiping Medical Centre, 45-49, Jalan Medan Taiping 2, Taiping Summary Most patients presenting with acute right sided peritonitic pain are diagnosed and managed as acute appendicitis.