Small Bowel Obstruction
•Download as PPT, PDF•
7 likes•2,388 views
An unusual cause of small bowel obstruction in a 49-year-old male was found to be mesenteric panniculitis, an inflammatory process involving the fatty tissue of the mesentery. He was also diagnosed with chronic myelomonocytic leukemia (CMML-2), an aggressive form of CMML. Treatment with high-dose steroids provided some improvement in symptoms but he continued to have persistent obstruction, malnutrition, and infections. He was transferred to the Mayo Clinic but passed away shortly after from complications of hemophagocytic syndrome.
Report
Share
Report
Share
![History of Present Illness ,[object Object],[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
Approach to acute abdomen
This document discusses acute abdomen, which denotes an underlying disorder requiring immediate medical attention. It may be caused by intra-abdominal or extra-abdominal conditions. Common intra-abdominal causes include inflammation, perforation, obstruction, hemorrhage, organ torsion or colic. A thorough history and physical exam are crucial, involving assessment of pain characteristics, vomiting, bowel habits, tenderness and rebound tenderness to determine the cause and guide treatment.
ACUTE ABDOMEN (SURGERY)
The document provides information on evaluating and diagnosing an acute abdomen. It describes how the causes of an acute abdomen vary by age and include appendicitis, biliary disease, bowel obstruction, and diverticulitis. A thorough history, physical exam, and lab tests are needed for diagnosis. The exam focuses on locating the pain and assessing for peritoneal irritation or inflammation. Common lab tests include complete blood count, electrolytes, and tests to check for conditions like pancreatitis or pregnancy. Imaging studies may also be used to diagnose the specific cause of the acute abdomen.
Mass in right hypochondrium.pptx
This document provides tips for using a PowerPoint presentation (PPT) for active learning sessions:
1. The PPT can be freely downloaded, edited, and modified.
2. Many slides are intentionally blank except for the title to facilitate discussion. The instructor should show blank slides, ask students what they know about the topic, and then show the content slide.
3. This process of blank slide + student input + content slide should be repeated for each topic across three revisions for optimal active learning. The PPT can also be used for self-study.
4. The notes section includes bibliographic references.
Lower gi bleeding
This document discusses lower gastrointestinal (GI) bleeding, which originates in the small or large intestine. Lower GI bleeding accounts for 20-33% of GI hemorrhages and can present with maroon or bright red stools depending on the bleeding source. Causes of lower GI bleeding include diverticular diseases, anorectal diseases like hemorrhoids and anal fissures, colorectal neoplasms, polyps, colitis, inflammatory bowel disease, and angiodysplasias. Management involves resuscitation, diagnostic tests to localize the bleeding source like endoscopy, and potentially surgery to control or resect the bleeding area.
Lower GI Bleeding
This document discusses lower gastrointestinal bleeding, including definitions, classifications, differential diagnoses, investigations, and treatments. It covers conditions such as hemorrhoids, carcinoma of the rectum, diverticular disease, peri-anal hematoma, and fissure-in-ano. For each condition, it describes symptoms, signs on examination, investigations, differential diagnoses, complications, and treatment approaches.
Understanding acute abdomen
This document discusses the diagnosis and management of acute abdominal pain. It defines acute abdomen as sudden abdominal pain lasting less than 24 hours. Common causes are appendicitis, cholecystitis, intestinal obstruction, and perforated viscus. A thorough history, physical exam, and lab/imaging workup is needed to diagnose the specific cause as treatment depends on the etiology. Laparoscopy can help diagnose unclear cases or distinguish surgical from non-surgical conditions. The goal is to determine if the patient requires immediate surgery, surgical observation, medical management, or further diagnostics.
Chronic and recurrent abdominal pain
Chronic abdominal pain is defined as pain persisting for more than 3 months. Up to 10% of children and 2% of adults experience chronic abdominal pain. The document outlines numerous potential physiologic causes of chronic abdominal pain involving various organ systems. It also discusses functional abdominal pain syndrome as a poorly understood cause involving altered pain signaling in the central nervous system and psychological factors. A thorough history and physical exam is important to identify potential causes and red flag findings warranting further testing. Initial testing should include basic labs and imaging may be considered depending on risk factors or abnormal findings.
Anorectal disorders
Anorectal Disorders including :
Anal canal & Rectum Anatomy
Haemorrhoids
Fissure in Ano
Pilonidal Sinus
Fistula in Ano
Rectal Prolapse
Recommended
Approach to acute abdomen
This document discusses acute abdomen, which denotes an underlying disorder requiring immediate medical attention. It may be caused by intra-abdominal or extra-abdominal conditions. Common intra-abdominal causes include inflammation, perforation, obstruction, hemorrhage, organ torsion or colic. A thorough history and physical exam are crucial, involving assessment of pain characteristics, vomiting, bowel habits, tenderness and rebound tenderness to determine the cause and guide treatment.
ACUTE ABDOMEN (SURGERY)
The document provides information on evaluating and diagnosing an acute abdomen. It describes how the causes of an acute abdomen vary by age and include appendicitis, biliary disease, bowel obstruction, and diverticulitis. A thorough history, physical exam, and lab tests are needed for diagnosis. The exam focuses on locating the pain and assessing for peritoneal irritation or inflammation. Common lab tests include complete blood count, electrolytes, and tests to check for conditions like pancreatitis or pregnancy. Imaging studies may also be used to diagnose the specific cause of the acute abdomen.
Mass in right hypochondrium.pptx
This document provides tips for using a PowerPoint presentation (PPT) for active learning sessions:
1. The PPT can be freely downloaded, edited, and modified.
2. Many slides are intentionally blank except for the title to facilitate discussion. The instructor should show blank slides, ask students what they know about the topic, and then show the content slide.
3. This process of blank slide + student input + content slide should be repeated for each topic across three revisions for optimal active learning. The PPT can also be used for self-study.
4. The notes section includes bibliographic references.
Lower gi bleeding
This document discusses lower gastrointestinal (GI) bleeding, which originates in the small or large intestine. Lower GI bleeding accounts for 20-33% of GI hemorrhages and can present with maroon or bright red stools depending on the bleeding source. Causes of lower GI bleeding include diverticular diseases, anorectal diseases like hemorrhoids and anal fissures, colorectal neoplasms, polyps, colitis, inflammatory bowel disease, and angiodysplasias. Management involves resuscitation, diagnostic tests to localize the bleeding source like endoscopy, and potentially surgery to control or resect the bleeding area.
Lower GI Bleeding
This document discusses lower gastrointestinal bleeding, including definitions, classifications, differential diagnoses, investigations, and treatments. It covers conditions such as hemorrhoids, carcinoma of the rectum, diverticular disease, peri-anal hematoma, and fissure-in-ano. For each condition, it describes symptoms, signs on examination, investigations, differential diagnoses, complications, and treatment approaches.
Understanding acute abdomen
This document discusses the diagnosis and management of acute abdominal pain. It defines acute abdomen as sudden abdominal pain lasting less than 24 hours. Common causes are appendicitis, cholecystitis, intestinal obstruction, and perforated viscus. A thorough history, physical exam, and lab/imaging workup is needed to diagnose the specific cause as treatment depends on the etiology. Laparoscopy can help diagnose unclear cases or distinguish surgical from non-surgical conditions. The goal is to determine if the patient requires immediate surgery, surgical observation, medical management, or further diagnostics.
Chronic and recurrent abdominal pain
Chronic abdominal pain is defined as pain persisting for more than 3 months. Up to 10% of children and 2% of adults experience chronic abdominal pain. The document outlines numerous potential physiologic causes of chronic abdominal pain involving various organ systems. It also discusses functional abdominal pain syndrome as a poorly understood cause involving altered pain signaling in the central nervous system and psychological factors. A thorough history and physical exam is important to identify potential causes and red flag findings warranting further testing. Initial testing should include basic labs and imaging may be considered depending on risk factors or abnormal findings.
Anorectal disorders
Anorectal Disorders including :
Anal canal & Rectum Anatomy
Haemorrhoids
Fissure in Ano
Pilonidal Sinus
Fistula in Ano
Rectal Prolapse
Lower GastroIntestinal Bleeding
This document discusses lower gastrointestinal (GI) bleeding, including its causes, presentation, evaluation, and management. Some key points:
- The most common causes of major LGI bleed are diverticulosis, colonic neoplasms, and angiodysplasias. Colonoscopy is the investigation of choice.
- Occult LGI bleeding is first evaluated with fecal occult blood testing (FOBT). CT angiography can help localize bleeding if it persists or patients are unstable.
- Evaluation involves history, physical exam including rectal exam, blood tests, stool tests, endoscopy, imaging studies like colonoscopy, angiography or nuclear scans depending on findings.
- Treatment depends on
Obstructive jaundice
1. Obstructive jaundice results from obstruction of bile flow from the liver to the duodenum, causing bilirubin levels to rise above 2.5mg/dL and resulting in jaundice.
2. The top 3 causes of obstructive jaundice are choledocholithiasis, strictures, and pancreatic cancer.
3. Evaluation involves clinical examination, blood tests of liver function and markers, ultrasound of the bile ducts, and CT or ERCP to visualize the biliary tree and determine the level and cause of obstruction.
Acute abdomen – general principles and approach in ED
A 35-year-old man presents to the emergency room with 3 days of crampy abdominal pain and diarrhea. On examination, he is tender to palpation in all abdominal quadrants but has no rebound or guarding. Acute abdomen refers to sudden severe abdominal pain of unclear cause lasting less than 24 hours that requires urgent intervention. It accounts for 10-15% of emergency room visits and almost 40% require surgery. Initial assessment of a patient with abdominal pain includes vital signs, inspection, palpation, and laboratory tests to determine the cause and severity of the condition and whether surgical intervention is needed.
Obstructive jaundice
1. The document discusses obstructive jaundice, providing details on gallbladder anatomy, the classification of jaundice, investigations for determining the cause of obstruction, and clinical classifications of obstructive jaundice.
2. Key investigations discussed are abdominal ultrasound, CT scan, MRCP, and endoscopic ultrasound, which can identify bile duct dilation, stones, strictures, and masses causing obstruction.
3. Clinical classifications include Benjamin's classification (type I-IV depending on completeness of obstruction) and Courvoisier's law (painless jaundice with enlarged gallbladder suggests cancer over stones).
Obstructive jaundice
This document discusses obstructive jaundice, including a case study of an 82-year-old male patient presenting with progressive jaundice, itching, weight loss, and other symptoms. It reviews the causes, pathophysiology, investigations, and management of obstructive jaundice. Common causes include gallstones, pancreatic cancer, and cholangiocarcinoma. Investigations may include blood tests, ultrasound, CT, MRCP, and ERCP. Management depends on the underlying cause but may involve surgical procedures like cholecystectomy, Whipple procedure, or stenting to relieve the obstruction.
Acute abdomen surgeons perspective
This document discusses a case of a 20-year-old man presenting with abdominal pain and diarrhea who was found to have elevated inflammatory markers and free fluid on ultrasound. It then provides a general overview of acute abdomen including common causes, diagnostic approach, important physical exam findings and signs, and appropriate imaging studies.
Adesiyakan sigmoid volvulus
This document provides an overview of the management of sigmoid volvulus. It discusses the epidemiology, relevant anatomy, pathophysiology, clinical presentation, investigations, and management approaches. Management involves resuscitation, endoscopic or surgical detorsion, and resection of the sigmoid colon via primary anastomosis or Hartmann's procedure. Outcomes depend on factors like age, comorbidities, presence of gangrene, and whether the case was emergency or elective. Recurrence rates after surgery can be over 50%.
PERITONEAL TUBERCULOSIS & TUBERCULOUS MESENTERIC LYMPHADENITIS
This document discusses peritoneal tuberculosis and tuberculous mesenteric lymphadenitis. It provides details on the clinical presentation, pathology, types, investigations and treatment for each condition. Peritoneal tuberculosis typically presents with abdominal distension, obstruction, pain and weight loss. Chronic cases can lead to ascites or adhesions. Tuberculous lymphadenitis most commonly involves the right mesenteric lymph nodes and may cause obstruction, presenting like appendicitis. Investigations include imaging, fluid analysis and Mantoux testing. Both conditions are generally treated with anti-tubercular drugs, and sometimes surgery is needed for complications like obstruction.
Disorders of Biliary System
This document contains information about a patient visit. A 42-year-old real estate agent named Fay approached the assistant at a charity function with abdominal problems and was advised to see the assistant at their surgery. The document then provides detailed information about Fay's medical history, symptoms, lab results, and differential diagnoses. It discusses conditions like gallstones, cholecystitis, liver disease, and more.
Anomalies of biliary tree
This document discusses various anomalies of the biliary tree that can occur during embryonic development, including choledochal cysts, anomalous pancreatobiliary junction, annular pancreas, and biliary atresia. It describes the embryology of the biliary system and pancreas. Common anomalies are discussed such as their presentation, diagnosis using imaging modalities, classification systems, and management approaches including various surgical procedures.
Colorectal and Anal diseases and their management
This document provides information about a case presentation of a 19-year-old male student named Ahmad who presented with rectal bleeding and anal pain and swelling. On examination, he was found to have hemorrhoids and signs of anemia. Sigmoidoscopy revealed hemorrhoids that were banded. He received a blood transfusion and IV fluids and was diagnosed with anemia secondary to bleeding hemorrhoids. The document also provides background information on hemorrhoids, appendicitis, colorectal polyps, and familial adenomatous polyposis.
3.peritonitis
Lavage of the peritoneal cavity with warm saline solution helps remove bacteria and toxins.
Acute abdominal pain evaluation in emergency department
Evaluation of acute abdominal pain in the emergency department can be challenging as there are many possible diagnoses ranging from life-threatening to self-limiting conditions. A thorough history and physical exam is important to identify "red flags" that suggest serious underlying causes of pain such as sudden onset, maximal intensity pain or migration of pain. The physical exam focuses on vital signs, inspection of the abdomen, auscultation, percussion and gentle palpation to help localize the source of pain and identify signs of peritoneal irritation. Recognition of surgical or life-threatening causes is prioritized over establishing a firm diagnosis.
Benign diseases of stomach and management
This document provides an overview of benign diseases of the stomach. It begins with the gross anatomy and congenital abnormalities of the stomach. It then discusses various types of gastritis including acute, chronic, autoimmune, and H. pylori-related gastritis. The document also covers hypertrophic gastropathies, peptic ulcer disease, gastric ulcer classification and symptoms, and other benign stomach diseases.
lower gastrointestinal bleeding ppt
Massive lower gastrointestinal bleeding is a life-threatening condition defined by transfusing at least 4 units of blood in 24 hours, hemodynamic instability, or a hematocrit of less than 6g/dl. The main causes are diverticulosis (60%), unknown (13%), hemorrhoids (11%), and neoplasia (9%). Management involves resuscitation, risk assessment, blood transfusions, endoscopy for diagnosis and treatment, and angiography for patients with ongoing bleeding or when endoscopy fails to identify the source. Colonoscopy has high sensitivity but requires bowel preparation, while angiography can localize active bleeding but the patient must be stable. Endoscopic treatments include clips, thermal coagulation, and injections.
Acute abdomen approach to managment-hazem
This document provides an overview of the management approach for acute abdomen. It begins with definitions and epidemiology, noting that acute abdomen is undiagnosed abdominal pain lasting less than 7-10 days. It then covers the surgical and medical causes, with etiological classifications including inflammatory/infective, perforation, obstruction, infarction, and spontaneous bleeding. Differential diagnoses are provided for different age groups. The management approach involves clinical evaluation, resuscitation, diagnostic tools like ultrasound and CT scan, and categorizing patients based on urgency of condition.
Acute appendicitis
Thank you for the summary. Acute appendicitis is a common surgical emergency that requires timely diagnosis and management to prevent complications. A high index of suspicion is needed given its varied presentations.
Osce surgery.pdf
This document provides a summary of the differential diagnosis and clinical presentation of common abdominal conditions. It includes:
1. A table listing the differential diagnosis of abdominal pain by location, including surgical and medical causes of acute and chronic pain.
2. Details on the clinical exam and differential diagnosis of specific conditions like cholecystitis, appendicitis, vomiting, diarrhea, and jaundice.
3. For cholecystitis, it provides an example clinical case examination, outlining the steps to analyze the main complaint including location, onset, character, radiation, relieving factors, aggravating factors, associated symptoms, time course, severity and systemic review.
Approach to abdominal pain
This document discusses the diagnosis and management of abdominal pain in pediatric patients through a series of case studies and discussions. It begins with an introduction on abdominal pain in children and objectives. It then presents 5 case studies of children presenting with abdominal pain and asks the reader to make a diagnosis. Following this, it discusses the causes, history, examination, investigations and management of abdominal pain in children at different ages. It provides details on recognizing red flag signs, systemic causes, and approaching the diagnosis of acute abdominal pain.
Intestinal Obstruction
The document discusses different types of intestinal obstruction including dynamic, adynamic, and paralytic ileus. Dynamic obstruction can be intraluminal, intramural, or extramural. Common causes are adhesions, hernias, strictures, and tumors. Clinical features of dynamic obstruction are colicky pain, distension, vomiting, and constipation. Treatment involves nasogastric decompression, IV fluids, antibiotics, and surgery to relieve the obstruction. Paralytic ileus is a failure of peristalsis due to neuromuscular dysfunction. It can be treated by addressing the underlying cause, nasogastric decompression, and IV fluids. Acute intussusception occurs when one segment of
Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
The systemic vasculitides are characterized by immune inflammation affecting blood vessels, which can lead to organ and tissue damage.
One study showed that 8% of Wegener's granulomatosis (WG) patients had some degree of AATD (Alpha-1 antitrypsin deficiency). It's perhaps wise for all WG patients to be tested for AATD, especially if they're having bronchiectasis or similar conditions affecting breathing. Some rheumatologists order a lab test for AATD whenever a WG patient is diagnosed.
This presentation, reviews this topic and hypothesize the role of replacement therapy in patients affected by both conditions.
Lecture samy- 2-4-16
1. Vasculitis is defined as inflammation of blood vessel walls and can be classified by the size of vessels involved - large, medium, or small.
2. Some examples of large vessel vasculitis include giant-cell arteritis, which commonly involves the temporal artery in older patients, and Takayasu arteritis, which usually occurs in younger patients.
3. Medium vessel vasculitis encompasses diseases like polyarteritis nodosa, characterized by necrotizing inflammation of renal arteries, and Kawasaki disease, an arteritis that can cause coronary aneurysms in children.
4. Small vessel vasculitis includes Wegener's granulomatosis, Churg-Stra
More Related Content
What's hot
Lower GastroIntestinal Bleeding
This document discusses lower gastrointestinal (GI) bleeding, including its causes, presentation, evaluation, and management. Some key points:
- The most common causes of major LGI bleed are diverticulosis, colonic neoplasms, and angiodysplasias. Colonoscopy is the investigation of choice.
- Occult LGI bleeding is first evaluated with fecal occult blood testing (FOBT). CT angiography can help localize bleeding if it persists or patients are unstable.
- Evaluation involves history, physical exam including rectal exam, blood tests, stool tests, endoscopy, imaging studies like colonoscopy, angiography or nuclear scans depending on findings.
- Treatment depends on
Obstructive jaundice
1. Obstructive jaundice results from obstruction of bile flow from the liver to the duodenum, causing bilirubin levels to rise above 2.5mg/dL and resulting in jaundice.
2. The top 3 causes of obstructive jaundice are choledocholithiasis, strictures, and pancreatic cancer.
3. Evaluation involves clinical examination, blood tests of liver function and markers, ultrasound of the bile ducts, and CT or ERCP to visualize the biliary tree and determine the level and cause of obstruction.
Acute abdomen – general principles and approach in ED
A 35-year-old man presents to the emergency room with 3 days of crampy abdominal pain and diarrhea. On examination, he is tender to palpation in all abdominal quadrants but has no rebound or guarding. Acute abdomen refers to sudden severe abdominal pain of unclear cause lasting less than 24 hours that requires urgent intervention. It accounts for 10-15% of emergency room visits and almost 40% require surgery. Initial assessment of a patient with abdominal pain includes vital signs, inspection, palpation, and laboratory tests to determine the cause and severity of the condition and whether surgical intervention is needed.
Obstructive jaundice
1. The document discusses obstructive jaundice, providing details on gallbladder anatomy, the classification of jaundice, investigations for determining the cause of obstruction, and clinical classifications of obstructive jaundice.
2. Key investigations discussed are abdominal ultrasound, CT scan, MRCP, and endoscopic ultrasound, which can identify bile duct dilation, stones, strictures, and masses causing obstruction.
3. Clinical classifications include Benjamin's classification (type I-IV depending on completeness of obstruction) and Courvoisier's law (painless jaundice with enlarged gallbladder suggests cancer over stones).
Obstructive jaundice
This document discusses obstructive jaundice, including a case study of an 82-year-old male patient presenting with progressive jaundice, itching, weight loss, and other symptoms. It reviews the causes, pathophysiology, investigations, and management of obstructive jaundice. Common causes include gallstones, pancreatic cancer, and cholangiocarcinoma. Investigations may include blood tests, ultrasound, CT, MRCP, and ERCP. Management depends on the underlying cause but may involve surgical procedures like cholecystectomy, Whipple procedure, or stenting to relieve the obstruction.
Acute abdomen surgeons perspective
This document discusses a case of a 20-year-old man presenting with abdominal pain and diarrhea who was found to have elevated inflammatory markers and free fluid on ultrasound. It then provides a general overview of acute abdomen including common causes, diagnostic approach, important physical exam findings and signs, and appropriate imaging studies.
Adesiyakan sigmoid volvulus
This document provides an overview of the management of sigmoid volvulus. It discusses the epidemiology, relevant anatomy, pathophysiology, clinical presentation, investigations, and management approaches. Management involves resuscitation, endoscopic or surgical detorsion, and resection of the sigmoid colon via primary anastomosis or Hartmann's procedure. Outcomes depend on factors like age, comorbidities, presence of gangrene, and whether the case was emergency or elective. Recurrence rates after surgery can be over 50%.
PERITONEAL TUBERCULOSIS & TUBERCULOUS MESENTERIC LYMPHADENITIS
This document discusses peritoneal tuberculosis and tuberculous mesenteric lymphadenitis. It provides details on the clinical presentation, pathology, types, investigations and treatment for each condition. Peritoneal tuberculosis typically presents with abdominal distension, obstruction, pain and weight loss. Chronic cases can lead to ascites or adhesions. Tuberculous lymphadenitis most commonly involves the right mesenteric lymph nodes and may cause obstruction, presenting like appendicitis. Investigations include imaging, fluid analysis and Mantoux testing. Both conditions are generally treated with anti-tubercular drugs, and sometimes surgery is needed for complications like obstruction.
Disorders of Biliary System
This document contains information about a patient visit. A 42-year-old real estate agent named Fay approached the assistant at a charity function with abdominal problems and was advised to see the assistant at their surgery. The document then provides detailed information about Fay's medical history, symptoms, lab results, and differential diagnoses. It discusses conditions like gallstones, cholecystitis, liver disease, and more.
Anomalies of biliary tree
This document discusses various anomalies of the biliary tree that can occur during embryonic development, including choledochal cysts, anomalous pancreatobiliary junction, annular pancreas, and biliary atresia. It describes the embryology of the biliary system and pancreas. Common anomalies are discussed such as their presentation, diagnosis using imaging modalities, classification systems, and management approaches including various surgical procedures.
Colorectal and Anal diseases and their management
This document provides information about a case presentation of a 19-year-old male student named Ahmad who presented with rectal bleeding and anal pain and swelling. On examination, he was found to have hemorrhoids and signs of anemia. Sigmoidoscopy revealed hemorrhoids that were banded. He received a blood transfusion and IV fluids and was diagnosed with anemia secondary to bleeding hemorrhoids. The document also provides background information on hemorrhoids, appendicitis, colorectal polyps, and familial adenomatous polyposis.
3.peritonitis
Lavage of the peritoneal cavity with warm saline solution helps remove bacteria and toxins.
Acute abdominal pain evaluation in emergency department
Evaluation of acute abdominal pain in the emergency department can be challenging as there are many possible diagnoses ranging from life-threatening to self-limiting conditions. A thorough history and physical exam is important to identify "red flags" that suggest serious underlying causes of pain such as sudden onset, maximal intensity pain or migration of pain. The physical exam focuses on vital signs, inspection of the abdomen, auscultation, percussion and gentle palpation to help localize the source of pain and identify signs of peritoneal irritation. Recognition of surgical or life-threatening causes is prioritized over establishing a firm diagnosis.
Benign diseases of stomach and management
This document provides an overview of benign diseases of the stomach. It begins with the gross anatomy and congenital abnormalities of the stomach. It then discusses various types of gastritis including acute, chronic, autoimmune, and H. pylori-related gastritis. The document also covers hypertrophic gastropathies, peptic ulcer disease, gastric ulcer classification and symptoms, and other benign stomach diseases.
lower gastrointestinal bleeding ppt
Massive lower gastrointestinal bleeding is a life-threatening condition defined by transfusing at least 4 units of blood in 24 hours, hemodynamic instability, or a hematocrit of less than 6g/dl. The main causes are diverticulosis (60%), unknown (13%), hemorrhoids (11%), and neoplasia (9%). Management involves resuscitation, risk assessment, blood transfusions, endoscopy for diagnosis and treatment, and angiography for patients with ongoing bleeding or when endoscopy fails to identify the source. Colonoscopy has high sensitivity but requires bowel preparation, while angiography can localize active bleeding but the patient must be stable. Endoscopic treatments include clips, thermal coagulation, and injections.
Acute abdomen approach to managment-hazem
This document provides an overview of the management approach for acute abdomen. It begins with definitions and epidemiology, noting that acute abdomen is undiagnosed abdominal pain lasting less than 7-10 days. It then covers the surgical and medical causes, with etiological classifications including inflammatory/infective, perforation, obstruction, infarction, and spontaneous bleeding. Differential diagnoses are provided for different age groups. The management approach involves clinical evaluation, resuscitation, diagnostic tools like ultrasound and CT scan, and categorizing patients based on urgency of condition.
Acute appendicitis
Thank you for the summary. Acute appendicitis is a common surgical emergency that requires timely diagnosis and management to prevent complications. A high index of suspicion is needed given its varied presentations.
Osce surgery.pdf
This document provides a summary of the differential diagnosis and clinical presentation of common abdominal conditions. It includes:
1. A table listing the differential diagnosis of abdominal pain by location, including surgical and medical causes of acute and chronic pain.
2. Details on the clinical exam and differential diagnosis of specific conditions like cholecystitis, appendicitis, vomiting, diarrhea, and jaundice.
3. For cholecystitis, it provides an example clinical case examination, outlining the steps to analyze the main complaint including location, onset, character, radiation, relieving factors, aggravating factors, associated symptoms, time course, severity and systemic review.
Approach to abdominal pain
This document discusses the diagnosis and management of abdominal pain in pediatric patients through a series of case studies and discussions. It begins with an introduction on abdominal pain in children and objectives. It then presents 5 case studies of children presenting with abdominal pain and asks the reader to make a diagnosis. Following this, it discusses the causes, history, examination, investigations and management of abdominal pain in children at different ages. It provides details on recognizing red flag signs, systemic causes, and approaching the diagnosis of acute abdominal pain.
Intestinal Obstruction
The document discusses different types of intestinal obstruction including dynamic, adynamic, and paralytic ileus. Dynamic obstruction can be intraluminal, intramural, or extramural. Common causes are adhesions, hernias, strictures, and tumors. Clinical features of dynamic obstruction are colicky pain, distension, vomiting, and constipation. Treatment involves nasogastric decompression, IV fluids, antibiotics, and surgery to relieve the obstruction. Paralytic ileus is a failure of peristalsis due to neuromuscular dysfunction. It can be treated by addressing the underlying cause, nasogastric decompression, and IV fluids. Acute intussusception occurs when one segment of
What's hot (20)
Acute abdomen – general principles and approach in ED
Acute abdomen – general principles and approach in ED
PERITONEAL TUBERCULOSIS & TUBERCULOUS MESENTERIC LYMPHADENITIS
PERITONEAL TUBERCULOSIS & TUBERCULOUS MESENTERIC LYMPHADENITIS
Acute abdominal pain evaluation in emergency department
Acute abdominal pain evaluation in emergency department
Viewers also liked
Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
The systemic vasculitides are characterized by immune inflammation affecting blood vessels, which can lead to organ and tissue damage.
One study showed that 8% of Wegener's granulomatosis (WG) patients had some degree of AATD (Alpha-1 antitrypsin deficiency). It's perhaps wise for all WG patients to be tested for AATD, especially if they're having bronchiectasis or similar conditions affecting breathing. Some rheumatologists order a lab test for AATD whenever a WG patient is diagnosed.
This presentation, reviews this topic and hypothesize the role of replacement therapy in patients affected by both conditions.
Lecture samy- 2-4-16
1. Vasculitis is defined as inflammation of blood vessel walls and can be classified by the size of vessels involved - large, medium, or small.
2. Some examples of large vessel vasculitis include giant-cell arteritis, which commonly involves the temporal artery in older patients, and Takayasu arteritis, which usually occurs in younger patients.
3. Medium vessel vasculitis encompasses diseases like polyarteritis nodosa, characterized by necrotizing inflammation of renal arteries, and Kawasaki disease, an arteritis that can cause coronary aneurysms in children.
4. Small vessel vasculitis includes Wegener's granulomatosis, Churg-Stra
Mouse Model of Allergy
This document summarizes a study that investigated the transcriptome profile of mouse mesenteric lymph nodes and allergic reactions in response to common food allergens. Mice were sensitized to peanut agglutinin, ovalbumin, or beta-lactoglobulin and challenged after two weeks. Gene expression was analyzed using microarrays and real-time RT-PCR. Several pathways and genes were differentially expressed, including T-cell receptor signaling and IL-7 signal transduction pathways. The study identified potential biomarker genes for assessing food allergen responses.
Neurodevelopmental consequences of prenatal alcohol exposure behavioural and...
This document describes a study examining the neurodevelopmental consequences of prenatal alcohol exposure using a mouse model. Pregnant mice were injected with ethanol on gestational days 8 and 11 (equivalent to the first trimester in humans), or on days 14 and 16 (equivalent to the second trimester). Resulting offspring underwent behavioural testing from birth to adulthood to assess FASD-relevant behaviours. At postnatal day 70, whole brain tissue was extracted for genome-wide expression analysis using microarrays. Gene expression changes were examined at both short-term (2 hours post-injection on day 16) and long-term (postnatal day 70) time points. Differentially expressed genes were analyzed to identify
Case presentation volvulus in geriatric patient
1. The document presents a case of intestinal obstruction in a geriatric patient, discussing the etiology, pathophysiology, signs and symptoms, and nursing care for intestinal obstruction.
2. Intestinal obstruction can be caused by adhesions, hernias, tumors, or volvulus and results in a blockage of intestinal contents that increases pressure and risk of ischemia in the bowel.
3. Nursing care focuses on pain management, fluid resuscitation, monitoring for complications like peritonitis, and supportive care until the obstruction can be resolved medically or surgically.
Vasculitides AND ANTI-GBM
download link : https://www.dropbox.com/s/5c69pkpkass8sk1/Vasculitides%20AND%20ANTI-GBM.ppt?m
Join us on our facebook group: NephroTube...............Follow our blog: www.nephrotube.blogspot.com
66 mesenteric lymph node enlargement
This document discusses enlargement of mesenteric lymph nodes seen on clinical imaging and presents various potential causes as demonstrated by different imaging findings:
1) Lymphoma can appear as a homogeneous conglomerate mass formed by coalescent mesenteric and retroperitoneal lymph nodes surrounding but not occluding mesenteric vessels.
2) Metastases from gastric or colon carcinoma appear as mesenteric lymphadenopathy more easily seen against intra-abdominal fat.
3) Leukemia can cause extensive bulky lymphadenopathy throughout the mesentery.
Cryoglobulinemia ppt
This document discusses cryoglobulinemic vasculitis and renal disease. It begins with objectives and history of cryoglobulins and cryoglobulinemic disease. It then covers definitions, classifications, etiology, epidemiology, pathogenesis, clinical features, diagnosis, prognosis, and management of cryoglobulinemic vasculitis. The pathogenesis involves cryoglobulin precipitation, immune complex formation, and inflammation mediated by infections like HCV, autoimmune diseases, and malignancies. Clinical features commonly include purpura, arthralgia, weakness, and renal involvement.
Update on vasculitis
The document provides an update on vasculitis, including definitions, classifications of different types based on vessel size, pathogenesis involving inflammation of blood vessels, clinical signs and symptoms depending on type of vasculitis, and treatments focusing on glucocorticoids and immunosuppressants. Specific vasculitic syndromes discussed in more detail include giant cell arteritis, Takayasu arteritis, and Wegener's granulomatosis.
Git signs
This document provides a list of over 50 gastrointestinal signs seen on imaging with brief descriptions. Some of the signs included are:
- Windsock sign which indicates intraluminal duodenal diverticulum.
- Cobblestone sign seen in Crohn's disease which is characterized by a granular mucosa.
- String sign seen in Crohn's disease presenting as longitudinal ulcers.
- Pearl necklace sign seen with adenomyomatosis of the gallbladder appearing as dilated biliary radicles.
- Hourglass or collar sign indicating a diaphragmatic hernia.
The document serves as a reference for various imaging findings or "signs" seen in gastrointestinal diseases and
Viewers also liked (10)
Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
Neurodevelopmental consequences of prenatal alcohol exposure behavioural and...
Neurodevelopmental consequences of prenatal alcohol exposure behavioural and...
Similar to Small Bowel Obstruction
Leukemia2011
This document provides an overview of several types of leukemia, including acute myeloid leukemia (AML), chronic myelogenous leukemia (CML), acute lymphoid leukemia (ALL), and chronic lymphoid leukemia (CLL). It describes the pathophysiology, clinical presentation, diagnostic workup, management, and prognosis for each. Case studies are presented to demonstrate physical exam findings, labs, diagnosis, and treatment for patients presenting with acute or chronic leukemia. Key differences between the acute and chronic forms are highlighted.
Monstering Humans.Ppt 2003
A 49-year-old female PLHA presented with a rapidly enlarging swelling on the right side of her neck over the past 9 months. FNAC and biopsy results showed findings suggestive of lymphoma. She was diagnosed with NHL stage 1 on the right side of the neck and WHO stage 4. Treatment options including chemotherapy first versus starting HAART first were discussed, along with using chemotherapy and HAART simultaneously or treating any OIs first before starting HAART. Sea vegetables were also discussed as a potential complementary treatment due to their anti-cancer properties.
Moeez
A 22-year-old female presented with 3 months of fever, productive cough, and shortness of breath. Examination found pallor, lymphadenopathy, and hepatomegaly. Testing showed pancytopenia, blasts in the peripheral smear, and an enlarged liver and spleen on ultrasound. Bone marrow biopsy confirmed the diagnosis of acute myeloid leukemia (AML). Treatment for AML typically involves induction chemotherapy with cytarabine and an anthracycline, followed by consolidation chemotherapy or stem cell transplant to prevent relapse. Supportive care including transfusions, antibiotics, and managing complications is also important.
testicular tumor
A 26-year-old male presented with a 3-month history of abdominal pain and a 3-week history of an enlarging epigastric swelling. On examination, a large firm mass was found in the epigastric region extending to the left side. Imaging revealed a left testicular mass with enlarged abdominal and supraclavicular lymph nodes. A biopsy showed a left testis seminoma. The patient underwent a left radical orchidectomy and was referred for chemotherapy. Testicular seminoma commonly presents as a painless testicular lump but can spread through the lymphatic system to cause abdominal or supraclavicular masses. Staging involves tumor markers, imaging, and pathological examination to determine the extent of the primary
Chronic myeloid leukemia genetics гбйт ягш
This document provides an overview of chronic myeloid leukemia (CML), including its molecular genetics, clinical manifestations, diagnosis, treatment options and outcomes. CML results from a fusion of the BCR and ABL genes, forming the Philadelphia chromosome and BCR-ABL fusion protein. It progresses through chronic, accelerated and blast crisis phases if left untreated. Tyrosine kinase inhibitors are now the standard first-line treatment and can control the disease long-term in chronic phase, while allogeneic stem cell transplant remains the only potential cure. Resistance and disease progression remain challenges.
Colorectal ca
1. Colorectal cancer is the second most common malignancy in females and third most common in males. It is also the fourth most common cause of cancer death.
2. Risk factors include red meat, obesity, smoking, alcohol, family history, and inflammatory bowel disease. Most cases are sporadic but some are hereditary.
3. Symptoms depend on the location of the cancer in the colon but may include blood in stool, changes in bowel habits, abdominal pain, weight loss, and anemia.
4. Treatment involves surgery, chemotherapy, radiation therapy, targeted therapy, and immunotherapy depending on the stage and characteristics of the cancer. The type of surgery performed also depends on the location and
Immunotherapy and Heme/Onc Emergencies for Emergency Medicine
A primer on Immunotherapy, SVC Syndrome, and Blast Crisis for Emergency Medicine resident physicians. Delivered May 15, 2019. #EMconf
Hereditary Non-Polyposis Colorectal Cancer
This patient presented with rectal bleeding and weight loss and was found to have stage III adenocarcinoma. Given his family history of colorectal cancer in a first-degree relative at a young age, he is at high risk for hereditary non-polyposis colorectal cancer (HNPCC). HNPCC accounts for 5-7% of colorectal cancers and results from a mutation in DNA mismatch repair genes. Individuals with HNPCC have an increased lifetime risk of colorectal and other cancers. The patient was counseled on genetic testing and increased screening for relatives is recommended.
A Case of Biphenotypic Acute Leukemia
1. The patient, a 20-year-old woman, was admitted with fever, left leg swelling and pain, and easy fatigability. Testing showed bilateral acute leukemia with involvement of both lymphoblastic and myeloblastic cells.
2. Deep vein thrombosis is a known complication in acute leukemia, likely due to hypercoagulability, hyperleukocytosis, and effects of treatment. Management involves anticoagulation but this poses challenges in thrombocytopenic patients.
3. The patient's prognosis is poor given her diagnosis of biphenotypic acute leukemia, which is resistant to treatment and has a high risk of relapse.
Lymphomas2011
This document discusses lymphomas and multiple myeloma. It describes the pathophysiology, clinical presentation, diagnosis, treatment and prognosis of Hodgkin's lymphoma, non-Hodgkin's lymphoma, and multiple myeloma. Key points include that Hodgkin's lymphoma presents with painless lymphadenopathy along the central axis while non-Hodgkin's involves peripheral nodes, and multiple myeloma involves bone pain and monoclonal paraproteins. Diagnosis involves biopsy and testing, while treatment depends on disease stage and includes chemotherapy, radiation and stem cell transplants.
Childhood acute lympocytic leukemia
This document provides an outline for a course on childhood acute lymphoblastic leukemia (ALL). It covers the definition and epidemiology of ALL, risk factors, clinical presentation, diagnosis, management including treatment phases, complications, prognosis, and prevention. ALL is the most common childhood cancer characterized by excessive lymphoblasts. It peaks between ages 2-3 and has a survival rate over 85% with current treatments over 2-3 years consisting of induction, intensification, and maintenance chemotherapy, along with intrathecal therapy targeting the central nervous system. Complications can include tumor lysis syndrome, infections, and secondary cancers. Prognosis depends on risk factors like age and white blood cell count. Prevention focuses on limiting environmental exposures like benz
13 liver cancer
1. Liver cancer is a major health problem in China, being the fourth most common cause of cancer death, with high rates in Eastern and Southeastern China.
2. The main risk factors for liver cancer are chronic hepatitis B and C infections, along with aflatoxin exposure and heavy alcohol use.
3. Treatment options for liver cancer include surgical resection, liver transplantation, and percutaneous ablation techniques like radiofrequency ablation for early stage disease. Transcathelial arterial chemoembolization is often used for unresectable tumors.
Carcinoma stomach
This document discusses gastric cancer, including its incidence, risk factors, pathogenesis, clinical presentation, diagnostic evaluation, staging, and treatment approaches. Some key points include:
- Gastric cancer has a poor prognosis with only 20% 5-year survival. Early diagnosis is key.
- Risk factors include H. pylori infection, smoking, low socioeconomic status, and diets high in salt/preserved foods.
- Diagnosis involves endoscopy with biopsy. Staging evaluates tumor invasion and metastasis using CT, PET, and laparoscopy.
- Surgery offering total or subtotal gastrectomy is the only curative option, while chemotherapy and radiation are palliative.
Chronic myeloid leukemia magdi sasi 2019 ramadan
Chronic myelogenous leukemia (CML) is a myeloproliferative disorder characterized by increased proliferation of granulocytic cells without loss of differentiation capacity. It accounts for 20% of adult leukemias. Diagnosis is based on markedly elevated white blood cell count, left shifted myeloid series with low promyelocytes/blasts, and presence of the Philadelphia chromosome. CML progresses through chronic, accelerated, and blast crisis phases, with blast crisis resembling acute leukemia and carrying a poor prognosis of about 6 months.
Testicular Cancer
A 23-year-old Mexican American male presented with a right testicular mass and lesions in his lungs and retroperitoneum. A biopsy revealed nonseminomatous germ cell tumor of the right testis that had metastasized. He underwent chemotherapy with bleomycin, etoposide, and cisplatin but experienced complications including febrile neutropenia and pulmonary embolism. His treatment plan was adjusted based on his complications and response to therapy.
Nrsg 200 leukemia
This document provides an overview of cancers of the hematopoietic system, including leukemia and lymphoma. It discusses the etiology, pathophysiology, signs and symptoms, diagnostic findings, treatment approaches, nursing considerations, and outcomes for various types of leukemia (acute myeloid leukemia, chronic myelogenous leukemia, acute lymphocytic leukemia, chronic lymphocytic leukemia) and lymphomas (Hodgkin's lymphoma, non-Hodgkin's lymphoma, multiple myeloma). It also covers bone marrow transplantation as a treatment option.
A Case of Pure Red Cell Aplasia
The document describes a case of a 42-year-old man presenting with breathlessness and anemia who was diagnosed with a mediastinal mass (thymoma) and pure red cell aplasia (PRCA) based on bone marrow findings. He underwent thymectomy and was treated with steroids for his PRCA. PRCA is a rare cause of normocytic normochromic anemia characterized by absence of erythroblasts in the bone marrow that can be associated with thymoma and treated with steroids, IVIG, or surgery.
1 Introduction To Oncology
The document provides an overview of cancer biology, including key terminology, epidemiology, etiology, prevention, screening, diagnosis, staging, treatment, and biomarkers. It defines various types of cancers and neoplasms, describes the cellular and genetic events leading to cancer development, and outlines the general principles and goals of cancer treatment, which may include surgery, chemotherapy, radiation therapy, and palliative care.
Multiple Myeloma (Case presentation)
This case presentation describes a 55-year-old male referred for management of severe anemia. He has a history of recurrent kidney stones, hypertension, diabetes, and back pain. Laboratory tests reveal severe anemia with rouleaux formation. Further workup shows evidence of a gammopathy. A bone marrow biopsy is needed to confirm a diagnosis of multiple myeloma, which can cause anemia and kidney damage through paraprotein production and bone lesions. Treatment involves supportive care, chemotherapy, and stem cell transplantation in eligible patients.
GI and Liver Malignancies
The document discusses a case of a 45-year-old man referred for new onset dysphagia. An upper GI study showed a mass in the distal esophagus. The incorrect statement is that squamous cell cancer is unlikely in this location, as adenocarcinoma would be more likely given the patient's history of smoking, heartburn, and potential Barrett's esophagus. Biopsy would likely show adenocarcinoma at the gastroesophageal junction.
Similar to Small Bowel Obstruction (20)
Immunotherapy and Heme/Onc Emergencies for Emergency Medicine
Immunotherapy and Heme/Onc Emergencies for Emergency Medicine
More from jcm MD
Abd Pain and Drug Dependence
This case involves a 56-year-old man with a history of heroin use who presented with abdominal pain. He was initially treated for opioid withdrawal with methadone and morphine. However, his abdominal pain worsened and he was later found to have a perforated colon requiring surgery. The failure to properly evaluate the source of his pain and worsening condition despite treatment for withdrawal led to delays in diagnosis and appropriate care. Opioid dependence is a chronic medical condition and providers should be aware of atypical withdrawal presentations and avoid biases that could impact diagnosis and treatment.
Sudden Cardiac Death
Sudden cardiac death is defined as a natural death from cardiac causes within one hour of the onset of symptoms. It occurs in about 300,000 cases per year in the United States. Common causes include long QT syndrome, Brugada syndrome, hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, commotio cordis, and coronary artery anomalies. Diagnosis involves electrocardiograms, cardiac imaging, and application of diagnostic criteria. Treatment depends on the underlying cause but may include medications, implantable cardioverter-defibrillators, ablation procedures, and lifestyle modifications.
Internal Medicine Board Review
This document contains 15 clinical vignettes asking about appropriate diagnosis and management. The correct answers are provided after each question. Key themes include appropriate treatment for conditions like Lyme disease, fungal infections, meningitis, sexually transmitted infections, neutropenic infections, and rabies exposure.
Cardiology Board Review 2008
1. The document discusses treatment guidelines for a 55-year-old male presenting with chest pain, including administering aspirin, heparin, beta blockers, and transferring the patient for primary angioplasty within 90 minutes.
2. It provides an overview of guidelines for various treatments of acute coronary syndromes, including thrombolytics, primary PCI, facilitated PCI, and rescue PCI.
3. The document reviews evidence and recommendations for therapies like beta blockers, analgesics, and anticoagulants in treating acute coronary syndromes.
Pulmonary Board Review 2008
A 46-year-old woman with persistent asthma is stable on high-dose inhaled corticosteroids and a long-acting beta-agonist. At her follow-up visit, her therapy should be continued at the current doses as she is pleased with the control and only uses her rescue inhaler 1-2 times per week.
Chinle
The document provides information about the Chinle Service Unit of the Navajo Nation located in northeast Arizona. It serves approximately 34,000 patients across several facilities including the Chinle Comprehensive Health Care Facility, Tsaile Health Center, and Pinon Health Center. Key facts about the Navajo Nation and population served are presented, including high rates of poverty and lack of infrastructure per 1990 and 2000 Census data.
Liver Failure Case
This document presents a case study of a 63-year-old male who developed fatal cholestatic liver failure. He had undergone surgery for bladder cancer and cholecystectomy. His liver function tests continued rising after surgery. Extensive testing found no clear cause of cholestasis. Liver biopsies showed features of obstruction or drug effect. He was exposed to imipramine and amoxicillin-clavulanic acid, both known to cause cholestasis. Literature review found rare cases of progressive cholestasis and liver failure from these drugs. The patient's declining condition was treated supportively but he ultimately died of sepsis.
Riddler Q9
A 24-year-old former injection drug user presented with elevated blood and urine tests. Tests were positive for HIV but negative for hepatitis. Kidney ultrasound showed normal sized kidneys. A renal biopsy was performed. The most likely pattern of glomerular injury given these findings is collapsing focal and segmental glomerulonephritis, which is seen in HIV nephropathy.
Riddler Q6
A 20-year-old female in her first trimester of pregnancy is referred for progressive dyspnea. An echocardiogram shows severe pulmonary hypertension with right ventricular systolic pressure of 90 mmHg and systemic pressure of 110 mmHg. There is no evidence of pulmonary embolism or intracardiac shunt. Termination of pregnancy carries the lowest risk of maternal mortality given her new diagnosis of primary pulmonary hypertension, which carries a 30-50% risk. She should be counseled on termination and started on prostacyclin or bosentan therapy if she refuses. Anticoagulation should also be considered.
Riddler Q5
Magnesium depletion causes hypocalcemia through two main mechanisms: 1) Resistance to parathyroid hormone when magnesium levels fall below 0.8 meq/L, and 2) Decreased secretion of parathyroid hormone in patients with more severe hypomagnesemia. Severe hypermagnesemia above 6 mg/dL can also cause hypocalcemia by suppressing parathyroid hormone secretion.
Riddler Q9 Answer
The document describes a 76-year-old woman admitted with chest pain. Her medical history includes peripheral vascular disease, hypertension, high cholesterol, and diabetes. Her EKG shows ST-segment elevation. The question asks for medications that can lower her mortality risk in the ED and whether thrombolytics should be given if the cath lab is not available for 2 hours. Her 30-day mortality risk if reperfused within 4 hours is also asked.
Riddler Q4
The document discusses three separate topics. It mentions pericarditis presenting with diffuse ST elevations and PR depression on an ECG. It provides a historical fact that the first "White House" was a rented mansion in New York City that was later demolished for the Brooklyn Bridge. It also describes a case of a homeless man found down with hypocalcemia and hypomagnesemia who had a very high blood alcohol level and low magnesium level.
Riddler Q3
The document discusses several medical cases and conditions:
1) Hypercalcemia is a systemic disease caused by increased calcitriol that can lead to kidney stones and failure.
2) Bilateral anterior uveitis is an eye inflammation that is usually treated with topical or injected steroids.
3) Erythema nodosum skin lesions and fever from sarcoidosis usually resolve within 6 weeks without treatment.
4) Persistent cough can be treated with inhaled steroids and bronchodilators.
Riddler Q1
A 33-year-old male presents for a scheduled appointment about GERD and asks about colon cancer screening. He has no risk factors like smoking or drinking, but his father died of colon cancer at age 54 after being diagnosed two years prior. Based on these factors and guidelines from cancer organizations, the doctor should recommend beginning colon cancer screening for the patient now at age 40.
Abd Pain ER Case Presentation
An 85-year-old man presented with 5 days of abdominal pain and worsening mental status. On exam, he had a suprapubic mass. Labs showed elevated creatinine. A renal ultrasound found right hydronephrosis. Inserting a Foley catheter drained 2500cc of urine and resolved the mass. He was diagnosed with urinary retention from an enlarged prostate and treated with catheterization, hydration, and medications for his prostate and urinary symptoms.
Myocarditis
This document summarizes the case of a 20-year-old male presenting with new onset dilated cardiomyopathy. Endomyocardial biopsy revealed lymphocytic infiltrates consistent with viral myocarditis. He was initially stabilized with supportive therapies including an LVAD and ECMO. While his EF improved, he suffered multiple complications during his hospital stay including cardiac tamponade, hemorrhagic stroke, and infections, leaving him with residual deficits.
Acute Pancreatitis Management Conference
This document summarizes key points about the management of acute pancreatitis. It discusses the epidemiology, etiology, clinical presentation, diagnostic evaluation, determination of severity, treatment approaches, and complications of acute pancreatitis. Management depends on determining if the pancreatitis is mild, moderate, or severe based on the presence of organ failure or local complications on imaging. Nutritional support, antibiotics, and drainage of fluid collections are addressed.
Vasculitis Overview
This document provides an overview of vasculitis, including:
1) Vasculitis is inflammation and necrosis of blood vessels that can lead to occlusion, ischemia, and multi-system organ dysfunction.
2) It is classified based on the size of affected vessels as well as the organ systems involved.
3) Diagnosis involves determining which organ systems are affected, excluding other potential causes, and obtaining biopsies of involved tissues when possible. Laboratory tests including ANCA can also provide clues to diagnosis.
More from jcm MD (18)
Recently uploaded
Satta Matka Dpboss Kalyan Matka Results Kalyan Chart
SATTA MATKA DPBOSS KALYAN MATKA RESULTS KALYAN CHART KALYAN MATKA MATKA RESULT KALYAN MATKA TIPS SATTA MATKA MATKA COM MATKA PANA JODI TODAY BATTA SATKA MATKA PATTI JODI NUMBER MATKA RESULTS MATKA CHART MATKA JODI SATTA COM INDIA SATTA MATKA MATKA TIPS MATKA WAPKA ALL MATKA RESULT LIVE ONLINE MATKA RESULT KALYAN MATKA RESULT DPBOSS MATKA 143 MAIN MATKA KALYAN MATKA RESULTS KALYAN CHART
The APCO Geopolitical Radar - Q3 2024 The Global Operating Environment for Bu...
The Radar reflects input from APCO’s teams located around the world. It distils a host of interconnected events and trends into insights to inform operational and strategic decisions. Issues covered in this edition include:
The Most Inspiring Entrepreneurs to Follow in 2024.pdf
In a world where the potential of youth innovation remains vastly untouched, there emerges a guiding light in the form of Norm Goldstein, the Founder and CEO of EduNetwork Partners. His dedication to this cause has earned him recognition as a Congressional Leadership Award recipient.
Dpboss Matka Guessing Satta Matta Matka Kalyan Chart Satta Matka
Dpboss Matka Guessing Satta Matta Matka Kalyan Chart Satta Matka➒➌➎➏➑➐➋➑➐➐Dpboss Matka Guessing Satta Matka Kalyan Chart Indian Matka
Dpboss Matka Guessing Satta Matta Matka Kalyan Chart Indian Matka Indian satta Matka Dpboss Matka Kalyan Chart Matka Boss otg matka Guessing Satta The latest Heat Pump Manual from Newentide
𝐔𝐧𝐯𝐞𝐢𝐥 𝐭𝐡𝐞 𝐅𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐄𝐧𝐞𝐫𝐠𝐲 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐰𝐢𝐭𝐡 𝐍𝐄𝐖𝐍𝐓𝐈𝐃𝐄’𝐬 𝐋𝐚𝐭𝐞𝐬𝐭 𝐎𝐟𝐟𝐞𝐫𝐢𝐧𝐠𝐬
Explore the details in our newly released product manual, which showcases NEWNTIDE's advanced heat pump technologies. Delve into our energy-efficient and eco-friendly solutions tailored for diverse global markets.
Business storytelling: key ingredients to a story
Storytelling is an incredibly valuable tool to share data and information. To get the most impact from stories there are a number of key ingredients. These are based on science and human nature. Using these elements in a story you can deliver information impactfully, ensure action and drive change.
Ellen Burstyn: From Detroit Dreamer to Hollywood Legend | CIO Women Magazine
In this article, we will dive into the extraordinary life of Ellen Burstyn, where the curtains rise on a story that's far more attractive than any script.
2024-6-01-IMPACTSilver-Corp-Presentation.pdf
IMPACT Silver is a pure silver zinc producer with over $260 million in revenue since 2008 and a large 100% owned 210km Mexico land package - 2024 catalysts includes new 14% grade zinc Plomosas mine and 20,000m of fully funded exploration drilling.
Sustainable Logistics for Cost Reduction_ IPLTech Electric's Eco-Friendly Tra...
Sustainable Logistics for Cost Reduction_ IPLTech Electric's Eco-Friendly Transport Solution
TIMES BPO: Business Plan For Startup Industry
Starting a business is like embarking on an unpredictable adventure. It’s a journey filled with highs and lows, victories and defeats. But what if I told you that those setbacks and failures could be the very stepping stones that lead you to fortune? Let’s explore how resilience, adaptability, and strategic thinking can transform adversity into opportunity.
Unlocking WhatsApp Marketing with HubSpot: Integrating Messaging into Your Ma...
50 million companies worldwide leverage WhatsApp as a key marketing channel. You may have considered adding it to your marketing mix, or probably already driving impressive conversions with WhatsApp.
But wait. What happens when you fully integrate your WhatsApp campaigns with HubSpot?
That's exactly what we explored in this session.
We take a look at everything that you need to know in order to deploy effective WhatsApp marketing strategies, and integrate it with your buyer journey in HubSpot. From technical requirements to innovative campaign strategies, to advanced campaign reporting - we discuss all that and more, to leverage WhatsApp for maximum impact. Check out more details about the event here https://events.hubspot.com/events/details/hubspot-new-delhi-presents-unlocking-whatsapp-marketing-with-hubspot-integrating-messaging-into-your-marketing-strategy/
Best Competitive Marble Pricing in Dubai - ☎ 9928909666
Stone Art Hub offers the best competitive Marble Pricing in Dubai, ensuring affordability without compromising quality. With a wide range of exquisite marble options to choose from, you can enhance your spaces with elegance and sophistication. For inquiries or orders, contact us at ☎ 9928909666. Experience luxury at unbeatable prices.
Kirill Klip GEM Royalty TNR Gold Copper Presentation
Tesla Energy rEVolution And The Golden Age For Copper: Kirill Klip GEM Royalty TNR Gold Copper Presentation
Industrial Tech SW: Category Renewal and Creation
Every industrial revolution has created a new set of categories and a new set of players.
Multiple new technologies have emerged, but Samsara and C3.ai are only two companies which have gone public so far.
Manufacturing startups constitute the largest pipeline share of unicorns and IPO candidates in the SF Bay Area, and software startups dominate in Germany.
Digital Transformation Frameworks: Driving Digital Excellence
[To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
This presentation is a curated compilation of PowerPoint diagrams and templates designed to illustrate 20 different digital transformation frameworks and models. These frameworks are based on recent industry trends and best practices, ensuring that the content remains relevant and up-to-date.
Key highlights include Microsoft's Digital Transformation Framework, which focuses on driving innovation and efficiency, and McKinsey's Ten Guiding Principles, which provide strategic insights for successful digital transformation. Additionally, Forrester's framework emphasizes enhancing customer experiences and modernizing IT infrastructure, while IDC's MaturityScape helps assess and develop organizational digital maturity. MIT's framework explores cutting-edge strategies for achieving digital success.
These materials are perfect for enhancing your business or classroom presentations, offering visual aids to supplement your insights. Please note that while comprehensive, these slides are intended as supplementary resources and may not be complete for standalone instructional purposes.
Frameworks/Models included:
Microsoft’s Digital Transformation Framework
McKinsey’s Ten Guiding Principles of Digital Transformation
Forrester’s Digital Transformation Framework
IDC’s Digital Transformation MaturityScape
MIT’s Digital Transformation Framework
Gartner’s Digital Transformation Framework
Accenture’s Digital Strategy & Enterprise Frameworks
Deloitte’s Digital Industrial Transformation Framework
Capgemini’s Digital Transformation Framework
PwC’s Digital Transformation Framework
Cisco’s Digital Transformation Framework
Cognizant’s Digital Transformation Framework
DXC Technology’s Digital Transformation Framework
The BCG Strategy Palette
McKinsey’s Digital Transformation Framework
Digital Transformation Compass
Four Levels of Digital Maturity
Design Thinking Framework
Business Model Canvas
Customer Journey Map
欧洲杯投注-欧洲杯投注外围盘口-欧洲杯投注盘口app|【网址🎉ac22.net🎉】
【网址🎉ac22.net🎉】欧洲杯投注是体育博彩和在线赌场之一，得益于UKGC的三项许可。 成立之初是三名博彩公司将40家博彩商店的合并的结果，共同创建一家名为欧洲杯投注的公司。 欧洲杯投注在线赌场为游戏爱好者提供了300多种游戏，其中200多种老虎机，其他游戏包括二十一点，轮盘，真人荷官和真人赌场等。
Satta Matka Dpboss Kalyan Matka Results Kalyan Chart
SATTA MATKA DPBOSS KALYAN MATKA RESULTS KALYAN CHART KALYAN MATKA MATKA RESULT KALYAN MATKA TIPS SATTA MATKA MATKA COM MATKA PANA JODI TODAY BATTA SATKA MATKA PATTI JODI NUMBER MATKA RESULTS MATKA CHART MATKA JODI SATTA COM INDIA SATTA MATKA MATKA TIPS MATKA WAPKA ALL MATKA RESULT LIVE ONLINE MATKA RESULT KALYAN MATKA RESULT DPBOSS MATKA 143 MAIN MATKA KALYAN MATKA RESULTS KALYAN CHART
Recently uploaded (20)
Satta Matka Dpboss Kalyan Matka Results Kalyan Chart
Satta Matka Dpboss Kalyan Matka Results Kalyan Chart
The APCO Geopolitical Radar - Q3 2024 The Global Operating Environment for Bu...
The APCO Geopolitical Radar - Q3 2024 The Global Operating Environment for Bu...
The Most Inspiring Entrepreneurs to Follow in 2024.pdf
The Most Inspiring Entrepreneurs to Follow in 2024.pdf
Dpboss Matka Guessing Satta Matta Matka Kalyan Chart Satta Matka
Dpboss Matka Guessing Satta Matta Matka Kalyan Chart Satta Matka
Ellen Burstyn: From Detroit Dreamer to Hollywood Legend | CIO Women Magazine
Ellen Burstyn: From Detroit Dreamer to Hollywood Legend | CIO Women Magazine
Sustainable Logistics for Cost Reduction_ IPLTech Electric's Eco-Friendly Tra...
Sustainable Logistics for Cost Reduction_ IPLTech Electric's Eco-Friendly Tra...
Unlocking WhatsApp Marketing with HubSpot: Integrating Messaging into Your Ma...
Unlocking WhatsApp Marketing with HubSpot: Integrating Messaging into Your Ma...
Best Competitive Marble Pricing in Dubai - ☎ 9928909666
Best Competitive Marble Pricing in Dubai - ☎ 9928909666
Kirill Klip GEM Royalty TNR Gold Copper Presentation
Kirill Klip GEM Royalty TNR Gold Copper Presentation
Digital Transformation Frameworks: Driving Digital Excellence
Digital Transformation Frameworks: Driving Digital Excellence
Satta Matka Dpboss Kalyan Matka Results Kalyan Chart
Satta Matka Dpboss Kalyan Matka Results Kalyan Chart