• Save
007 Non Acute Abdominal Conditions - Introduction to Clinical Surgery Lectures
Upcoming SlideShare
Loading in...5
×
 

007 Non Acute Abdominal Conditions - Introduction to Clinical Surgery Lectures

on

  • 3,305 views

Lecture on non-acute abdominal conditions from a series of lectures on an introduction to clinical surgery. It has been devised with medical students in mind.

Lecture on non-acute abdominal conditions from a series of lectures on an introduction to clinical surgery. It has been devised with medical students in mind.

Statistics

Views

Total Views
3,305
Views on SlideShare
3,292
Embed Views
13

Actions

Likes
0
Downloads
0
Comments
0

3 Embeds 13

http://www.slideshare.net 9
http://cliffclash.blogspot.com 2
http://cliffclash.blogspot.nl 2

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

007 Non Acute Abdominal Conditions - Introduction to Clinical Surgery Lectures 007 Non Acute Abdominal Conditions - Introduction to Clinical Surgery Lectures Presentation Transcript

  • Non-acute Abdominal Conditions Nick Harvey
  • Non-acute Abdominal Conditions: Dyspepsia Indigestion Oesophageal Gastroesophageal Reflux Gastrodudenal Acute Gastritis/Gastric Ulcer Duodenal Ulcer/Ca Stomach Biliary Gallstones Retrosternal Pain Burning Increased on lying down Relieved by antacids NSAIDS Haematemesis Melaena Weight loss RUQ pain Colicky Radiates to back Referred to shoulder Vomiting Jaundice OGD + Biopsy 24 hours pH monitoring Manometry OGD + Biopsy CT USS
  • Non-acute Abdominal Conditions: Dyspepsia Indigestion Oesophageal Gastroesophageal Reflux Gastrodudenal Acute Gastritis/Gastric Ulcer Duodenal Ulcer/Ca Stomach Biliary Gallstones Retrosternal Pain Burning Increased on lying down Relieved by antacids NSAIDS Haematemesis Melaena Weight loss RUQ pain Colicky Radiates to back Referred to shoulder Vomiting Jaundice OGD + Biopsy 24 hours pH monitoring Manometry OGD + Biopsy CT USS
  • Non-acute Abdominal Conditions: Dyspepsia Indigestion Oesophageal Gastroesophageal Reflux Gastrodudenal Acute Gastritis/Gastric Ulcer Duodenal Ulcer/Ca Stomach Biliary Gallstones Retrosternal Pain Burning Increased on lying down Relieved by antacids NSAIDS Haematemesis Melaena Weight loss RUQ pain Colicky Radiates to back Referred to shoulder Vomiting Jaundice OGD + Biopsy 24 hours pH monitoring Manometry OGD + Biopsy CT USS
  • Non-acute Abdominal Conditions: Jaundice Jaundice Pre-hepatic Haemolytic Hepatocellular Post-hepatic Obstructive Pale stools Dark urine ?pale stools ?dark urine Urine & stools Normal colour
  • Non-acute Abdominal Conditions: Obstructive Jaundice Causes
    • Benign
      • CBD stones
        • Female
        • Biliary colic
        • Fluctuating jaundice
        • No weight loss
      • Benign biliary stricture
    • Malignant
      • Ca pancreas
        • Male
        • Painless
        • Progressive jaundice
        • Weight loss
      • Cholangiocarcinoma
  • Non-acute Abdominal Conditions: Obstructive Jaundice Investigations History & Examination FBC / U&Es / LFTs / INR USS Dilated Biliary Tree Normal Biliary Tree MRCP ERCP CT PTC
  • Non-acute Abdominal Conditions: Obstructive Jaundice Investigations History & Examination FBC / U&Es / LFTs / INR USS Dilated Biliary Tree Normal Biliary Tree MRCP ERCP CT PTC
  • Non-acute Abdominal Conditions: Obstructive Jaundice Investigations History & Examination FBC / U&Es / LFTs / INR USS Dilated Biliary Tree Normal Biliary Tree MRCP ERCP CT PTC
  • Non-acute Abdominal Conditions: Suspected Bowel Cancer Clinical Presentation
    • Right Colon
      • Anaemia
      • RIF Mass
      • Acute Appendicitis!
    • Left Colon
      • Change in bowel habit
      • PR bleeding
      • Mass
    • Rectum
      • PR bleeding
      • Tenesmus
      • ‘ Morning diarrhoea’
  • Non-acute Abdominal Conditions: Suspected Bowel Cancer Other Features
    • PR Bleeding
    • Change in Bowel Habit
    • Mucous
    • Weight loss
    • Sense of incomplete evacuation
    • History of IBD
    • FH of bowel cancer
  • Non-acute Abdominal Conditions: Suspected Bowel Cancer PR Bleeding
    • Colour?
    • Mixed?
    • Pan?
    • Paper?
    • Mucous?
  • Non-acute Abdominal Conditions: Suspected Bowel Cancer Change in Bowel Habit
    • Constipation
    • Diarrhoea
    • Morning diarrhoea
    • 6 weeks
  • Non-acute Abdominal Conditions: Suspected Bowel Cancer Investigations
    • FBC / U&Es / LFTs ?CEA
    • Rigid sigmoidoscopy
    • Flexible sigmoidoscopy
    • Barium enema
    • Colonoscopy
    • CT colonography
    • Pre-op staging: Bx, CXR, U/S, CT, MRI