The Philippine General Hospital (also known as University of the Philippines–Philippine General Hospital or UP–Philippine General Hospital), simply referred to as UP–PGH or PGH, is a tertiary state-owned hospital administered and operated by the University of the Philippines Manila. It is designated as the National University Hospital, and the national government referral center. It stands within a 10-hectare (25-acre) site located at the UP Manila Campus in Ermita, Manila. PGH has 1,100 beds and 400 private beds, and has an estimated of 4,000 employees to serve more than 600,000 patients every year.The PGH, being the largest training hospital in the country, is the laboratory hospital of health science students enrolled in the University of the Philippines. This includes students of medicine, nursing, physical therapy, pharmacy, occupational therapy, dentistry, and speech pathology.There are 16 clinical departments under the Philippine General Hospital — Family and Community Medicine, Anesthesiology, Internal Medicine, Surgery, Neurosciences, Pediatrics, Otorhinolaryngology-Head & Neck Surgery, Ophthalmology, Orthopedics, Rehabilitation Medicine, Psychiatry, Radiology, Pathology, Emergency Medicine, Obstetrics & Gynecology, and Dermatology—all of which offer residency and fellowship training. It also offers various training for paramedical specialties such as nursing, physical therapy, occupational therapy, speech pathology, radiation technology, nutrition, hospital dentistry, medical technology and EMT training.
With the hazard brought by highly energetic gamma radiation, it is necessary to increase the effectiveness of the gamma shields by considering their internal geometry or the arrangement of the materials within the shield. The study primarily analysed the effectiveness of the gamma shield based on its geometry to suggest a different configuration for radiation protection. The two geometries are horizontal and vertical embedded lead sheets inside the concrete slab. A total of 10,000 particles were simulated to traverse different set-ups of gamma shields using a Monte Carlo simulation programmed in the MATLAB desktop software. In the simulation, a random walk method was used within the shield to determine the scattering of photons. The results show that the concrete slab containing horizontal lead sheets compared with the concrete slab containing vertical lead sheets produced a difference of 0.06-1.01% in the number of transmitted photons and a difference of 1.15-3.85% in the average transmitted energies. Between the two configurations, the horizontal geometry of the embedded lead sheets is more effective in attenuating gamma scattering.
An elderly Filipino female presented with a 5-year enlarging left nasolacrimal mass initially diagnosed as Inverted Papilloma of the Lacrimal Sac. Repeat biopsy revealed a papillomatous neoplasm with thick and thin papillae, solid invaginating lobules, and anastomosing trabeculae of monomorphic squamotransitional cells, briskly infiltrated by neutrophils. Mucocytes, respiratory epithelium, and microcysts, typical of Inverting Sinonasal Papilloma, are absent. Immunohistochemistry, including a validated AFF2 IHC, confirmed the diagnosis of DEK::AFF2 sinonasal carcinoma. Awareness of this emerging entity is essential to prevent misdiagnosis and prompt surgical management.
Background We encountered a case of hydrosalpinx in torsion associated with hydronephrosis and hydroureter in a 16-year-old non sexually active female adolescent with no prior surgeries. This is a rare clinical entity in this age group. Preoperatively, it presents as a challenge to be diagnosed accurately since the symptoms can point to several disease entities. Case or Series Hydrosalpinx is a collection of fluid in the lumen of the fallopian tube due to obstruction of the distal portion and commonly occurs secondary to infection. Isolated tubal torsion associated with hydrosalpinx is indeed a rare pathology. The underlying pathophysiology of hydrosalpinx in adolescents remains unclear and its management is mostly based on a few case reports. Locally, data is limited on the occurrence in the adolescent population.Diagnosis and management of hydrosalpinx in the adolescent population should be carefully considered as this can have impact on their future fertility. We are presenting a case of a non-sexually active adolescent who presented with abdominal pain and on imaging showed hydrosalpinx, hydroureter and hydronephrosis. Operative laparoscopy was done and revealed tubal torsion. Detorsion and salpingoneostomy was performed using the Bruhat technique achieving the goals of symptom resolution and fertility preservation for our adolescent patient. Comments Diagnosis requires a high index of suspicion, extensive clinical history and physical exam, appropriate imaging with use of ultrasonography or MRI as warranted. Management relies on the symptoms of the patient, with laparoscopy proving to be the most desirable approach as it less invasive, resulting in a smaller surgical scar. Although retaining future reproductive capacity is the goal of the clinician, the patient and parents must have full disclosure of the possibility of a unilateral salpingectomy. More research is needed, especially in the local setting, regarding this rare condition in an especially vulnerable age group.
Secundum atrial septal defect (ASD) can remain silent until adulthood, when chronic left-to-right shunting leads to right-sided volume overload, pulmonary hypertension (PH) and atrial arrhythmia. When mitral valve prolapse and mitral regurgitation coexist, haemodynamic strain becomes more complex. Hyperkinetic PH, a reversible form of PH driven by high pulmonary flow, is often overlooked and mistaken for pulmonary arterial hypertension. A 41-year-old Filipino woman with long-standing cardiomegaly presented with dyspnoea, chest heaviness and supraventricular tachycardia. Transoesophageal echocardiography showed a large secundum ASD with marked right-sided dilation and reduced right ventricular function, anterior mitral valve prolapse with severe mitral regurgitation and severe tricuspid regurgitation. Right heart catheterisation revealed a large shunt (Qp:Qs 3.7) and low pulmonary vascular resistance, confirming hyperkinetic PH. The patient underwent fenestrated ASD closure, bioprosthetic mitral valve replacement, tricuspid annuloplasty and left atrial appendage ligation, with notable postoperative improvement. Early recognition of hyperkinetic PH and comprehensive haemodynamic assessment are essential in guiding safe and successful ASD repair.
