Epidermal Inclusion Cyst Mimicking as Carcinoma Breast: A Rare Case Report

Epidermal inclusion cyst (EIC), a benign lesion occurs due to proliferation and implantation of epidermal elements in dermis. Usual sites are head and neck region, trunk and extremities;location on breast is extremely rare. It is a diagnostically challenging entity in breast because whenever a female patient presents with a solid painless nodule/mass in breast, malignancy is the first differential arising in a clinician’s mind. So it is recommended, although rare, EIC should always be considered among differentials in such cases

Fallopian tube prolapse after hysterectomy: A rare entity.

Prolapse of fallopian tube into the vaginal vault following hysterectomy is a rare complication and an underreported clinical entity as well. Cumulative incidence of fallopian tube prolapse is 0.5% and 0.06% with vaginal hysterectomy and abdominal hysterectomy respectively. Histopathology along with good clinical correlation is the only definite way to confirm its diagnosis

A Survey of Practitioner’s Knowledge of Psychiatric Medication Costs

Introduction. Escalating medical costs continue to be an issue facing contemporary medicine. One factor contributing to this escalation may be physicians’ knowledge of medication costs. As physicians increasingly face opportunities to treat a variety of symptoms and conditions in a single patient, including co-morbid psychiatric disorders or complications, accurate knowledge of medication costs becomes increasingly important. Methods. Resident and attending physicians (N = 16) across the disciplines of internal medicine, psychiatry, and combined internal medicine/psychiatry from a large, mid-western medical school were surveyed on the costs of several medications that are used to manage physical and psychiatric symptoms. Results. Differences were found in the perceived estimated cost of medications among practitioners particularly with specialty internal medicine training as compared to those with additional psychiatric training/experience. Trends also were noted across practitioners with psychiatric and internal medicine/psychiatry training. Conclusions. The breadth of training and experience can affect accuracy in estimating anticipated costs of medication regimens