0071643192.pdf

TREATMENT ■ Discontinue ASA, NSAID, or alcohol use. ■ Test for presence of H. pyloriand treat with triple therapy if present (se ...

TREATMENT ■ Proton pump inhibitors ■ Resect local disease if found before it has metastasized to the liver. Gastric Cancer Adeno ...

DIFFERENTIAL IBS, ulcerative colitis, infectious enterocolitis (Yersiniasp., TB, Entamoeba histolytica, etc), celiac sprue, lymp ...

TREATMENT ■ Initial treatment in the ED includes fluid resuscitation and electrolyte replacement, NGT placement if obstruction o ...

SYMPTOMS ■ The site and cause of the obstruction will determine presentation. ■ Crampy and intermittent abdominal pain, bilious ...

■ Ileus: NGT suction, bowel rest, and removal or correction of precipitating factors COMPLICATIONS Strangulation of blood supply ...

TREATMENT Treatment consists of large-bore IV placement, vigorous fluid resuscitation with crystalloid and blood products, cardi ...

DIFFERENTIAL ■ Metastasis from distant site ■ Invasion of malignancy from adjacent organ ■ Benign polyp ■ Endometrioma DIAGNOSIS ...

ABDOMINAL AND GASTROINTESTINAL EMERGENCIES TABLE 11.6. Common Causes of Noninvasive Gastroenteritis CAUSATIVEAGENT INCUBATION AN ...

ABDOMINAL AND GASTROINTESTINAL EMERGENCIES TABLE 11.7. Common Causes of Invasive Gastroenteritis CAUSATIVEAGENT INCUBATION ANDTR ...

DIAGNOSIS ■ Diagnosis is based on history and physical. ■ If the causative agent is invasive, stool testing will reveal fecal le ...

bowel wall may result, causing inflammation. Finally, arterial stasis and tissue infarction occur with perforation of the append ...

TREATMENT ■ Appendectomy is the standard of care. ■ Clinical observation with serial abdominal exams may be warranted if diagnos ...

Course involves repeated flares and remissions. More common among non- smokers, Ashkenazi Jews, and those with a family history. ...

Hirshprung Disease Disease characterized by functional obstruction of the colon due to failure of cephalocaudal migration of par ...

DIFFERENTIAL Crohn disease, ulcerative colitis, infectious enterocolitis, colorectal cancer, celiac sprue, endometriosis DIAGNOS ...

ABDOMINAL AND GASTROINTESTINAL EMERGENCIES TABLE 11.9. Common Causes of Large Bowel Obstruction ETIOLOGY PATHOPHYSIOLOGY DIAGNOS ...

COMPLICATIONS ■ Bowel perforation carries up to 40% risk of mortality. ■ Acute colitis may occur due to bowel ischemia. ANORECTA ...

Pilonidal Cyst Pilonidal abscesses are acquired, chronic infections of gluteal cleft hair folli- cles over the sacral/perianal r ...

ABDOMINAL AND GASTROINTESTINAL EMERGENCIES FIGURE 11.6. Perianal condylomata acuminata. (Reproduced, with permission, from Gonza ...