Download 50 Gastrointestinal Cases and Associated Imaging by Abdullah A. Shaikh, Syed M. Hussain, David J. Desilets, Tara PDF

By Abdullah A. Shaikh, Syed M. Hussain, David J. Desilets, Tara M. Catanzano

Clinical scholars and junior medical professionals are an essential component of the healthcare method. On an instructional gastroenterology provider, they generally at first overview the sufferers which are then staffed by way of the consulting health care provider. like several scientific specialties, the purchase of clinical wisdom is needed to realize services. There are numerous assets reminiscent of textbooks and evidence-based articles which are to be had for this objective. encouraged from sufferer care, this publication deals a clean method of medical educating. this can be a assorted type of e-book. It contains a gamut of instances for which gastroenterologists are in general consulted for within the medical institution and outpatient surroundings. each one case is gifted from preliminary background and work-up together with imaging (various modalities together with endoscopy), by way of a quick dialogue on administration. Questions are provided to the reader in each one case through a solution. due to the fact every one case is exclusive, the pertinent instructing issues are established in a query layout in the case narrative. just like real-life situations, this is helping the reader to keep an important details. Why purchase this booklet? not like directory proof as such a lot assessment books do, instructing issues are built-in into reasonable medical situations. scientific scholars to residents/registrars in inner drugs, emergency medication, GI medication, radiology and surgical procedure would receive advantages from this booklet alike. Secondary audiences will contain nurses and common practitioners who are looking to comprehend the presentation of universal GI circumstances and linked imaging. furthermore, it can even be in all probability used as a coaching software a invaluable academic source for senior colleagues who take pleasure in instructing. eventually, this publication could make a great prerequisite ahead of beginning any gastroenterology rotation.

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Extra resources for 50 Gastrointestinal Cases and Associated Imaging

Sample text

GEN No obvious distress. Looks healthy. HEENT Moist mucous membranes. No scleral icterus. No lymphadenopathy. CVS Normal S1, S2. No murmurs, rubs, or gallops. RESP Clear to auscultation. ABD Soft and non-tender. There is a palpable firm mass in the right mid-clavicular line, below the costal margin, noticeable only on deep palpation. The liver, by palpation and percussion, measures 15cm. No splenomegaly. No rigidity, guarding, or rebound tenderness. Bowel sounds are normal. Rectal examination reveals guaiacnegative stool.

There is a considerable degree of surrounding inflammatory reaction (yellow arrow) in the mesentery of the right lower quadrant. There is edema of the base of the cecum and terminal ileum, and of the right psoas muscle (green arrow). There is no focal abscess or extraluminal gas. The remainder of the visualized colon is unremarkable. Free fluid is noted within the pelvis and left paracolic gutter. qxd 11-05-2013 00:29 Page 27 Case 9 What is the next step? A surgical consultation will need to be obtained, as this patient has clinical and radiographic findings consistent with acute appendicitis.

5 or 6: 40% mortality. 7 or 8: 100% mortality. qxd 11-05-2013 00:29 Page 22 Case 8 A 74-year-old man presents to the emergency room with upper abdominal and chest pain, along with shortness of breath. For the past 2-3 days the patient has had general malaise, weakness, and loss of appetite. He has vomited at least eight times in the past 24 hours, and says that after the last episode of vomiting he developed intense upper abdominal and retrosternal pain. He describes it as being sharp, 10/10 in severity, and is only now starting to ease.

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