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

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

Scientific scholars and junior medical professionals are an essential component of the healthcare procedure. On a tutorial gastroenterology carrier, they typically at the start overview the sufferers which are then staffed through the consulting health professional. like every scientific specialties, the purchase of scientific wisdom is needed to achieve services. There are a number of assets corresponding to textbooks and evidence-based articles which are on hand for this objective. encouraged from sufferer care, this booklet deals a clean method of scientific instructing. this can be a assorted form of e-book. It includes a gamut of situations for which gastroenterologists are typically consulted for within the health facility and outpatient surroundings. every 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 every one case by way of a solution. considering the fact that every one case is exclusive, the pertinent instructing issues are demonstrated in a query layout in the case narrative. just like real-life situations, this is helping the reader to preserve crucial info. Why purchase this booklet? in contrast to directory evidence as so much evaluate books do, educating issues are built-in into life like medical instances. clinical scholars to residents/registrars in inner medication, emergency drugs, GI medication, radiology and surgical procedure would receive advantages from this e-book alike. Secondary audiences will contain nurses and common practitioners who are looking to comprehend the presentation of universal GI instances and linked imaging. in addition, it may well even be most likely used as a coaching instrument a priceless academic source for senior colleagues who take pleasure in educating. eventually, this e-book could make a great prerequisite ahead of beginning any gastroenterology rotation.

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There are no other associated symptoms such as hematemesis. He has had normal bowel movements and his stools are brown. His past medical history is significant for peripheral vascular disease and high cholesterol. The patient drinks occasionally, is a former smoker, and has no history of gastric ulcers. What is your differential diagnosis? The differential diagnosis includes gastroenteritis, pyloric channel ulcer, perforated esophagus, aortic dissection, and viral syndrome. 5°F, HR 110 bpm, BP 100/60mmHg, respiratory rate 26 breaths per minute, oxygen saturation 91% on RA.

IV analgesics are administered with some relief. The physician next orders a CT scan of the abdomen and pelvis (Figures 41 and 42). What initial blood test(s) will you order? 7% 330 x 103/µL 28mm/h Figure 41. qxd 11-05-2013 00:39 Page 49 Case 17 Management Epiploic appendagitis is a benign condition that does not require hospitalization. The patient will need NSAIDs such as ibuprofen 600mg three times a day for up to a week, along with other pain-control medication if needed. The patient should be advised to return to the emergency room or his primary-care physician if his symptoms do not improve in the next few days.

Free fluid is noted in the pelvis. These findings are consistent with ‘shock bowel’ followed by aggressive fluid resuscitation. ’ From a GI standpoint, what is the next step in management? Figure 25. The next step is supportive management. The bowel took an insult during the resuscitation and demonstrates marked edema from the reperfusion. qxd 11-05-2013 00:29 Page 30 50 Gastrointestinal Cases and Associated Imaging examinations, monitor lactate levels, and watch the patient for signs of infection.

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