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Colon Diverticulosis and Diverticulitis
If the patient is diagnosed with diverticulitis, oral antibiotics will be required to neutralize the infection. However, in an extreme case, the patient may need to undergo surgery for diverticulitis. ...
I recently had a colonscopy results given at that time suggest ...
There is nothing that can be done for it, and in severe cases surgery is required if there is potential for one of them to perforate, or blow a hole in your colon. Diverticulitis can cause discomfort when food (stool) gets trapped in ...
Colonic Diseases: Diverticulosis; Diverticulitis; and Diverticula
In the case of more severe conditions (abscess, peritonitis, blockage, or significant tears in the colon wall) surgery may be recommended. An abscess is drained, any complete blockage is cleared, and peritonitis much be tended to ...
Diverticular Disease Of The Colon
48 DIVERTICULAR DISEASE OF THE COLON
Gregory P. Victorino M.D., Jyoti Arya M.D., Lawrence W. Norton M.D.
1. What is a colonic diverticulum?
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A protrusion of mucosa and submucosa through the muscular layers of the bowel wall. It has no muscular covering. Because diverticula do not involve all layers of the bowel wall, they are really “false” diverticula. Diverticulum formation may be related either to weakness of the bowel wall at the sites of vessel perforation or to increased intraluminal pressure caused by low dietary fiber and constipation.
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Trauma To The Colon & Rectum. Colon Trauma
28 TRAUMA TO THE COLON AND RECTUM
W. Andrew Lawrence M.D., Jon M. Burch M.D.
COLON TRAUMA
1. How do most colon injuries occur?
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Nearly all (> 95%) colon injuries are caused by penetrating trauma from gunshot, stab, iatrogenic, or sexual injury. Blunt colonic trauma is rare and usually results from seat belts during motor vehicle accidents.
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RECTAL TRAUMA
9. How do rectal injuries occur?
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Similar to colon injuries, most rectal injuries result from penetrating trauma. Blunt pelvic fractures should be assessed with a strong suspicion for rectal (and urethral) injury.
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colon rectal trauma, rectal injuries, trauma of the colon, colon trauma and antibiotics, demetriades d penetrating colon injuries requiring resection: diversion or primary anastomosis? an aast prospective multicenter study, principles of rectal trauma, recovery time for rectal trauma, rectal trauma, rectum trauma, suspection rectal injury, thorough examination in rectal trauma, trauma colorectal, trauma de recto extraperitoneal, trauma to the colon,Thoracic Surgery For Non-Neoplastic Disease. Tuberculosis
TUBERCULOSIS
1. What are the clinical manifestations of pulmonary tuberculosis?
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They can be almost anything or nothing (it has been stated that if you know tuberculosis, you know all of medicine), but the most common symptoms and signs are chronic fever; weight loss; night sweats; and cough, sometimes with hemoptysis. Chest radiograph typically shows upper lobe infiltrates, with or without cavitation, and can be misdiagnosed as a neoplastic process. HIV-positive or immunocompromised patients usually have mediastinal adenopathy, pleural effusions, and a miliary pattern.
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mdr tb surgery, mdrtb surgical, whats neoplastic surgery,Thoracic Surgery For Non-Neoplastic Disease. Empyema
EMPYEMA
10. What is an empyema, and what causes it?
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An empyema is a purulent (infected) effusion. Fluid or blood in the pleural space can be directly innoculated (with bugs) during surgery or trauma (33%) or by contamination from contiguous sites (50%) such as bronchopulmonary infection (most common). Most empyemas are parapneumonic, and the most commonly involved organisms are Staphylococcus aureus, enteric gram-negative bacilli, and anaerobes. Many times, infections are polymicrobial. Often there is no growth of an empyema culture because of effective antibiotic therapy or inadequate culture techniques, particularly with anaerobes.
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ARE YOU READY FOR YOUR SURGERY ROTATION?
Surgery is a participatory, team, and contact sport. Present yourself to patients, residents, and attendings with enthusiasm (which covers a multitude of sins), punctuality (type A people do not like to wait), and cleanliness (you must look, act, and smell like a doctor). Read more
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being ready for surgery rotation, is surgery rotation hard,1 Are You Ready For Your Surgery Rotation?
Unlike medical rounds, where in order to “keep up” you need to “one up” by quoting a current (preferably yesterday’s) journal article, in surgery, you can flourish by knowing the following references-but you need to know them cold.
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Thoracic Surgery For Non-Neoplastic Disease. Pleural Effusion
PLEURAL EFFUSION
6. What is a pleural effusion?
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Pleural fluid is generated in normal adults at a rate of 5-10 L per 24 hours in the combined hemithoraces, but normal adults have only 20 mL of pleural fluid present at any time. Pleural effusions develop when there is either increased production or decreased resorption. Pathologic conditions leading to effusions include increased capillary permeability (inflammation, tumor), increased hydrostatic pressure (e.g., in congestive heart failure [CHF]), decreased lymphatic drainage (tumor, radiation fibrosis), decreased oncotic pressure (hypoalbuminemia), or combinations of these.
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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
Acute Large Bowel Obstruction
49 ACUTE LARGE BOWEL OBSTRUCTION
Elizabeth C. Brew M.D.
1. What are the mechanical causes of large bowel obstruction?
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The three most common mechanical causes are carcinoma (50%), volvulus (15%), and diverticular disease (10%). Extrinsic compression from metastatic carcinoma is another cause of obstruction. Less frequent causes include stricture, hernia, intussusception, benign tumor, and fecal impaction.
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gastrografin enema detorsion of sigmoid volvulus,Anorectal Disease. Pilonidal Sinus Disease
PILONIDAL SINUS DISEASE
29. What is the most common clinical presentation of a pilonidal sinus?
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Pain and swelling in the sacrococcygeal region, which typically are associated with a (sometimes several) chronic draining sinus tract.
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pilonidal sinus and anorectal pain,Appendicitis
37 APPENDICITIS
Alden H. Harken M.D.
1. What is the classic presentation of acute appendicitis?
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Periumbilical pain that migrates to the right lower quadrant (RLQ) in a patient who is anorexic.
2. Where is McBurney’s point?
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One third the distance between the anterosuperior iliac spine and the umbilicus.
3. What is McBurney’s point?
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The point of maximal tenderness in acute appendicitis.
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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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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
