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The Next Era in GI Surgery  BioDynamix TM Anastomosis The Colon Ring Clinical Training Team DIAGNOSIS
History and Physical Examination <ul><ul><li>The first and often most important step in the diagnosis of a surgical proble...
History and Physical Examination <ul><li>Physical Examination (pertinent to GI problem): </li></ul><ul><ul><li>Abdominal e...
Additional Studies <ul><li>Hemoccult test – check for occult (hidden) blood </li></ul><ul><li>Endoscopy – proctoscopy, sig...
Additional Diagnostic Tests <ul><li>Blood work—CBC, WBC, CEA, Liver function tests </li></ul><ul><li>X-rays: </li></ul><ul...
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Combined 10 clinical training--diagnosis

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Transcript of "Combined 10 clinical training--diagnosis"

  1. 1. The Next Era in GI Surgery BioDynamix TM Anastomosis The Colon Ring Clinical Training Team DIAGNOSIS
  2. 2. History and Physical Examination <ul><ul><li>The first and often most important step in the diagnosis of a surgical problem is the performance of a detailed and accurate history and physical examination. </li></ul></ul><ul><ul><li>An accurate history will alert the physician regarding: </li></ul></ul><ul><ul><ul><li>Significant personal signs and symptoms </li></ul></ul></ul><ul><ul><ul><li>Significant personal and family history ( eg. Cancer, polyps, etc.) </li></ul></ul></ul><ul><ul><ul><li>Risk factors </li></ul></ul></ul><ul><ul><ul><li>Co-morbid conditions </li></ul></ul></ul><ul><ul><ul><li>Previous surgeries (especially GI) </li></ul></ul></ul>
  3. 3. History and Physical Examination <ul><li>Physical Examination (pertinent to GI problem): </li></ul><ul><ul><li>Abdominal exam </li></ul></ul><ul><ul><ul><li>Palpate for masses </li></ul></ul></ul><ul><ul><ul><li>Distension </li></ul></ul></ul><ul><ul><ul><li>Listen for abnormal sounds </li></ul></ul></ul><ul><ul><ul><li>Organ enlargement </li></ul></ul></ul><ul><ul><ul><li>Tenderness </li></ul></ul></ul><ul><ul><li>Rectal exam </li></ul></ul><ul><ul><ul><li>Digital exam for anal sphincter problems (stenosis) </li></ul></ul></ul><ul><ul><ul><li>Digital exam for masses </li></ul></ul></ul><ul><ul><ul><li>Stool for rectal bleeding (obvious or occult) </li></ul></ul></ul>
  4. 4. Additional Studies <ul><li>Hemoccult test – check for occult (hidden) blood </li></ul><ul><li>Endoscopy – proctoscopy, sigmoidoscopy or colonoscopy </li></ul><ul><li>Abdominal x-rays </li></ul><ul><ul><li>Routine films – mostly diagnostic of complications </li></ul></ul><ul><ul><li>Contrast studies – </li></ul></ul><ul><ul><ul><li>Barium enemas </li></ul></ul></ul><ul><ul><ul><li>Water-soluble contrast studies </li></ul></ul></ul><ul><ul><ul><li>CT scans </li></ul></ul></ul><ul><ul><li>Ultrasound studies – </li></ul></ul><ul><ul><ul><li>Transcutaneous </li></ul></ul></ul><ul><ul><ul><li>Endoscopic </li></ul></ul></ul>
  5. 5. Additional Diagnostic Tests <ul><li>Blood work—CBC, WBC, CEA, Liver function tests </li></ul><ul><li>X-rays: </li></ul><ul><ul><li>Abdominal flat plate (KUB) </li></ul></ul><ul><ul><li>Barium enema (double contrast) </li></ul></ul><ul><ul><li>CT scan w/ & w/o contrast (IV, rectal) </li></ul></ul><ul><ul><li>MRI ??? </li></ul></ul>
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