Combined 10 clinical training--diagnosis

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