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Chronic abdominal pain: Imaging of bowel Sarangapani A, Shanmugam ...
Abdominal examination was normal. An upper gastrointestinal series with small-bowel follow-through and a double contrast barium enema was performed, which clinched the diagnosis [Figure 1] and [Figure 2]. ... Children and neonates with malrotation of the midgut normally present with bilious vomiting. Adults, however, present with vague symptoms such as vomiting, weight loss, and recurrent, colicky abdominal pain. Intestinal obstruction, diarrhea, malabsorption, ...
RiT radiology: Microcolon with Features of Low Intestinal Obstruction
If low obstruction is suspected, barium enema is performed. In this case, we see a lot of bowel gas in the neonate with clinical intestinal obstruction and a barium enema shows diffuse microcolon - the differential diagnoses are either ...
Gastrointestinal duplications: Experience in seven children and a ...
Unlike in the Chen et al. cases, where antenatal diagnosis with ultrasound allowed for the proper preparation of personnel and equipment in the management of those neonates during delivery even before clamping the umbilical cords, ... [3],6 ],[7],[9] None of our case was suspected clinically and this created a challenge intraoperatively. Nevertheless, two patients had positive barium enema findings, one of which had tubular duplication of both ileum and colon. ...
Intestinal Obstruction Of Neonates & Infants
83 INTESTINAL OBSTRUCTION OF NEONATES AND INFANTS
Richard J. Hendrickson M.D., Denis D. Bensard M.D.
1. What signs or symptoms suggest intestinal obstruction in the neonate?
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Signs and symptoms vary according to the level of obstruction. Proximal intestinal obstruction leads to the early onset of bilious emesis, generally with minimal abdominal distention. In contrast, neonates with distal intestinal obstruction present after the first day of life with bilious vomiting and pronounced abdominal distention. Bilious emesis should always be interrogated further in infants and children.
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j pediatr surg 37:909-911,Colorectal Carcinoma
54 COLORECTAL CARCINOMA
Kathleen Liscum M.D.
1. What are the top three causes of cancer deaths in the United States?
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Lung, breast or prostate, and colon cancer.
2. List a few of the presenting symptoms of patients with colorectal cancer.
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Intermittent rectal bleeding, vague abdominal pain, fatigue secondary to anemia, change in bowel habits, constipation, tenesmus, and perineal pain.
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Properties In Evaluation Of The Acute Abdomen
14 PRIORITIES IN EVALUATION OF THE ACUTE ABDOMEN
Alden H. Harken M.D.
1. What is the surgeon’s responsibility when confronted by a patient with an acute abdomen?
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1. To identify how sick the patient is
2. To determine whether the patient (a) needs to go directly to the operating room, (b) should be admitted for resuscitation or observation, or (c) can be sent safely home
Properties In Evaluation Of The Acute Abdomen. Lab Stadies
LABORATORY STUDIES
15. How is a complete blood count helpful?
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1. Hematocrit. If the hematocrit is high (> 45%), the patient is most likely dry or may have chronic obstructive pulmonary disease. If it is low (< 30%), the patient probably has a more chronic disease (associated with blood loss-always do a rectal and test the stool for blood).
2. White blood cell count. It takes hours for inflammation to release cytokines and elevate the white blood cell count. A normal white blood cell count is entirely consistent with significant abdominal trouble. Read more
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, acute abdomen lab, acute adbomen, lab activity on evaluation of the abdomen, labs air in stomach, recovery free air in abdomen, symptoms of mesh rejection, three way of the abdomen,Inflammatory Bowel Disease
50 INFLAMMATORY BOWEL DISEASE
Anthony J. LaPorta M.D., Gilbert Hermann M.D.
1. What two clinical entities encompass the diagnosis of inflammatory bowel disease?
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Crohn’s disease and ulcerative colitis (acute or chronic).
2. Although the two diseases often overlap, they usually can be distinguished by clinical criteria. What are the major clinical differences?
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Rectal bleeding is unusual in Crohn’s disease but common in chronic ulcerative colitis. An abdominal mass and anal complications (fissure, fistula) are more common in Crohn’s disease.
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UPPER GASTROINTESTINAL BLEEDING
51 UPPER GASTROINTESTINAL BLEEDING
G. Edward Kimm Jr. M.D., Allen T. Belshaw M.D.
1. What is upper gastrointestinal (GI) bleeding?
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Bleeding from proximal to the ligament of Treitz (the transition point between duodenum and jejunum).
2. What are the most common causes of upper GI bleeding?
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In descending order of frequency, they are gastritis, duodenal ulcer, esophageal varices, benign gastric ulcer, esophagitis, and Mallory-Weiss tear. All other causes account for < 5% of cases.
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can a upper gi miss a duodenal ulcer, esophageal gastroduodenotomy with esophageal banding,Penetrating Neck Trauma
20 PENETRATING NECK TRAUMA
Clay Cothren M.D., Ernest E. Moore M.D.
1. Why are penetrating neck wounds unique?
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Although comprising only a small percentage of body surface area, the neck contains a heavy concentration of vital structures.
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Ethics In The Surgical Intensive Care Unit
102 ETHICS IN THE SURGICAL INTENSIVE CARE UNIT
Ricardo J. Gonzalez M.D.
1. What are the four principles of medical ethics?
1. Beneficence describes the active role of doing good by intervention.
2. Nonmaleficence is equivalent to saying, “First do no harm.”
3. Autonomy accounts for informed consent, competence, and the patient’s right to refuse treatment and to know what’s going on.
4. Justice means that all patients should receive fair and equal care but that one patient’s care should not squander limited resources for others.
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Urodynamics & Voiding Dysfunction
98 URODYNAMICS AND VOIDING DYSFUNCTION
Firouz Daneshgari M.D.
1. What is urodynamics?
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Urodynamic studies assess the functional aspects of the storage and emptying ability of the lower urinary tract (LUT). The principles of urodynamic studies originated from hydrodynamics. The components of urodynamic studies are cystometrogram, leak point pressures, urethral profile pressures, pressure-flow studies, uroflowmetry, and electromyography. These studies have evolved into videourodynamics with the addition of fluoroscopy (i.e., video).
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uroflow voiding time, voiding dysfunction, atonic bladder urodynamic study, cause of micturition dysfunction in ms, demonstration of the urodynamics procedure for men, demonstration of urodynamics procedure, erection during urodynamic, physiology 0f bladder storage and voiding 2010, urodynamic testing categorized as surgery, urodynamics erection, urodynamics procedure for men, voiding dysfunction unit surgery, voiding dysfunction urodynamics,Urinary Calculus Disease. Bonus Questions
BONUS QUESTIONS
11. Is there any type of stone that cannot be seen on helical CT scan?
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Patients taking indinavir sulfate (Crixivan) for HIV infection can form stones from the crystals of the medication; these stones are not seen on CT scan.
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calculus disease questions,Renal Cell Carcinoma. Bonus Question
BONUS QUESTION
9. What is Stauffer’s syndrome? Show answer
It is diagnosed with elevated liver function tests (LFTs) in the presence of renal cell carcinoma that normalize after nephrectomy and tumor removal. It is thought to be a type of paraneoplastic syndrome.
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, renal cell carcinoma elevated lfts, renal cell carcinoma from campbell urology,Renal Cell Carcinoma
95 RENAL CELL CARCINOMA
Brett B. Abernathy M.D.
1. How common is renal cell carcinoma?
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In the United States, 30,000 new cases of renal cell carcinoma are predicted for 2004 and 2005, about 3% of all adult malignancies.
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Urinary Calculus Disease
94 URINARY CALCULUS DISEASE
Bretat B. Abernathy M.D.
1. What are the most common types of urinary stones found in North America?
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* Calcium stones (calcium oxalate, calcium phosphate, or mixed calcium stones): 70%.
* Struvite or magnesium ammonium phosphate stones, often associated with infection: 20%.
* Uric acid stones (radiolucent): 5%
* Cystine stones, often with a genetic association: 5% Read more
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irest stent, abernathy wordpress calculus 3, calcium mixed stones eswl treatment, calculus disease, can urosepsis cause intractable vomiting, cystine stones radiolucent radiopaque, how long should i rest after stone blasting and stent, indication of urological disorders urinary calculus, should stone in distal ureter be removed, steinstrasse ct scan,Surgical Approach To Infertility
93 THE SURGICAL APPROACH TO INFERTILITY
Randall B. Meacham M.D., Alex J. Vanni
1. How common a problem is infertility?
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Infertility is the inability to establish a pregnancy during 1 year of well-timed intercourse. This affects 15% of all couples in the United States. In 50% of such couples, the woman is responsible; in 30% of couples, a male factor prevents pregnancy; and in 20% of couples, it is a combination of both.
Congenital Cysts & Sinuses Of The Neck
88 CONGENITAL CYSTS AND SINUSES OF THE NECK
Frederick M. Karrer M.D., Denis D. Bensard M.D.
1. What are branchial cleft anomalies?
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Cysts, sinuses, and fistulas that result from incomplete obliteration of the first, second, or third branchial clefts, and are present in early fetal development.
Abernathy’s Surgical Secrets, Updated Edition (Book w / Student Consult)
Author / s: Harken Alden H., Abernathy Charles, Moore Ernest Eugene
Year: 2004
Pages: 473
Publishers: Elsevier Mosby; 5th Bk & Acc edition
ISBN: 0323034160
