Queries 2
- Postoperative fever workup
- opss sepsis 14 days
- solitary pulmonary nodule breast cancer patient
- honeymoon period bochdalek
- relation between breathlessness and total thyroidectomy
- colon surgery diverticulitis
- Hematest-positive NGT
- nonoperative management of spleen injury
- when is the parental nutrion discontinued
- grading for splenic laceration
- having a solitary nodule with calcium flecks
- how many milliequivalents in gatorade
Hyperparathyroidism
57 HYPERPARATHYROIDISM
Robert C. McIntyre Jr., M.D.
1. What is the prevalence of hyperparathyroidism (HPT)?
Show answer
There are approximately 100,000 new cases of HPT annually in the United States. Primary HPT occurs in 1 in 500 women and in 1 in 2000 men older than 40 years. Approximately 10% of patients with primary HPT are referred for surgery.
ARTERIAL INSUFFICIENCY
69 ARTERIAL INSUFFICIENCY
Mark Nehler M.D., William C. Krupski M.D.
1. Describe claudication and its physiology.
Show answer
Intermittent claudication consists of reproducible lower extremity muscular pain induced by exercise and relieved by short periods of rest. It is caused by arterial obstruction to affected muscular beds, which restricts the normal exercise-induced increase in blood flow, producing transient muscle ischemia. Studies have shown that more than half of patients with intermittent claudication have never complained of this symptom to their physicians, assuming that difficulty with walking is a normal consequence of aging.
Dissecting Aortic Aneurysm. Controversies
CONTROVERSIES
13. Which is preferred: surgical or medical management of descending dissections?
Show answer
* Initial surgical managementApproximately 25% of patients initially treated medically need an operation eventually.
* Operative mortality is much lower today (20%) than in the past.
* Medical management has the same in-hospital mortality (20%).
* Initial medical managementThis avoids unnecessary operation and its attendant cost and complication rate.
