| Uploader: | Stylin99 |
| Date Added: | 15.01.2019 |
| File Size: | 12.67 Mb |
| Operating Systems: | Windows NT/2000/XP/2003/2003/7/8/10 MacOS 10/X |
| Downloads: | 39906 |
| Price: | Free* [*Free Regsitration Required] |
(PDF) OnlineMedEd Surgery pdf | Melissa Fang - blogger.com
Download. OnlineMedEd Surgery pdf. Melissa Fang. General Surgery [ACUTE ABDOMEN] Categorization of Abdominal Pain Obstruction is usually colicky (comes and goes) with contraction Peritoneal Signs of the obstructed lumen. The pain is localized - generally near the 1) Abdominal Pain area of the affected organ (gallbladder, kidney).Estimated Reading Time: 11 mins Download Free PDF. OnlineMedEd QuickTables Preview. Shanthi Potla. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 37 Full PDFs related to this paper. Read Paper. OnlineMedEd QuickTables Preview. Download. Related Papers. GENERAL MEDICINE. By Kariana blogger.comted Reading Time: 5 mins Onlinemeded pdfs - YPT
Onlinemeded pdf download free
To browse Academia. edu and the wider internet faster and more securely, please take a few seconds to upgrade your browser. Skip to main content. edu no longer supports Internet Explorer. edu uses cookies to personalize content, tailor ads and improve the user experience. By using our site, you agree to our collection of information through the use of cookies. To learn more, view our Privacy Policy. Log In Sign Up. Download Free PDF. OnlineMedEd Surgery pdf. Melissa Fang. Download PDF. Download Full PDF Package This paper.
A short summary of this paper. READ PAPER. General Surgery [ACUTE ABDOMEN] Categorization of Abdominal Pain Obstruction is usually colicky comes and goes with contraction Peritoneal Signs of the obstructed lumen. The pain is localized - generally near the 1 Abdominal Pain area of the affected organ gallbladder, kidney. The onlinemeded pdf download free will 2 Involuntary Guarding SURGERY!
squirm to try to find comfort, but will find none. If there are signs 3 Rebound of peritoneal irritation though there are often none they will be localized. Systemic Findings of Inflammation 1 Fever Perforation presents with a sudden onset of abdominal pain that 2 Leukocytosis is both vague and persistent.
It is severe. This person will lay 3 Tachycardia motionless in fear that any movement will slosh fluid around and aggravate their pain, onlinemeded pdf download free. There will be obvious peritoneal signs.
Ischemia of visceral organs causes necrosis. This presents with a sudden onset abdominal pain that is out of proportion to the physical exam. There are no signs of peritoneal irritation; there may be bloody stool if the gut is affected.
Look for the old guy whose status is post MI shock or with Afib arterial emboli. Intervene early rather than later. Management If the acute abdomen is more than just abdominal pain, in that there are peritoneal findings, onlinemeded pdf download free, the only option is Ex-Lap.
An upright X-ray will demonstrate free air under the diaphragm and a CT scan can likely give the correct diagnosis. Finally, if the patient is at risk for spontaneous bacterial peritonitis larger amount of ascitesa paracentesis may be done in conjunction with treatment against the bacteria.
All other causes of abdominal pain are covered in their respective sections. The first is through estrogen. The first is the asymptomatic screen the way we should find breast cancer. The third is obvious cancer with the skin dimpling, onlinemeded pdf download free, fixed, firm axillary nodes, and an obvious large, fixed breast mass. Regardless Conflicting Recommendations of how the diagnosis is arrived at, onlinemeded pdf download free, the therapy will depend USPTF: Start at 50, screen every 2 years, 50q2y on the stage and the biopsy.
Other options exist, however. The MRI is the best screen but is cost prohibitive. MRI should be chosen as a screening rather than diagnostic tool in patients with extremely high risk. That is, onlinemeded pdf download free, people with a super strong family history or those who have received radiation. Self-exams and clinical exams do NOT BENEFIT anyone. Just screen with mammograms and MRI. But which? A fine needle aspiration Then 4.
An excisional biopsy is the But if at any time…. Ultrasound shows mass diagnosis of breast cancer, onlinemeded pdf download free, is the core-needle biopsy. It OR 3. Aspirate is bloody takes a large piece of tissue and allows for lots of stains OR 4, onlinemeded pdf download free.
Mammogram diagnostic à Biopsy Patient screens positive on mammogram? In a young woman start with reassurance watch and wait to see if a lump goes away. If the ultrasound shows a cyst, aspirate it. If it goes away or shows an infection, done. Chemo is often anthracycline-based Keep in mind this is trying onlinemeded pdf download free SUPER simplify things Doxorubicin-Cyclophosphamide with a taxane Paclitaxel.
It can be neoadjuvant before surgery or after Carcinoma In Situ: Breast Conserving Therapy surgery adjuvant. Part of the biopsy is to determine if the Invasive Carcinoma — Systemic therapy lesions have tumor markers. Trastuzumab inhibits Onlinemeded pdf download free. It causes a dose- - Inflammatory breast cancer independent reversible CHF, and therefore q3month - Locally Advanced Stage IIIa Echocardiograms are required for patients receiving this medication.
Adjuvant Chemo after surgery - Stage I and II Estrogen ER and Progesterone PR onlinemeded pdf download free allow for endocrine therapy.
Which therapy the patient gets is Local Control: dependent on menopause. For premenopausal women, - Surgery use Selective Estrogen Receptor Modulators Onlinemeded pdf download free - Radiation such as tamoxifen stronger, causes DVT, causes endometrial cancer or raloxifene weaker, no DVT, no Systemic therapy endometrial cancer.
For postmenopausal women, use - Chemotherapy aromatase inhibitors like anastrozole. Get Treatment based on biopsy and stage Echocardiograms throughout treatment. Diagnosis comes in the form of a biopsy, achieved with colonoscopy.
Screening begins at 50 years old or or any Age Man with Iron Constipation, pencil thin 10 years before the first degree relative. Do surgery to remove the anal mucosa which is always involved through the entire affected mucosa. Surveillance, q1y Total Biopsy CT scan colonoscopy, is needed at year 8 from diagnosis. This comes CIS in the form of an infection or abscess ischiorectal which are treated with drainage and antibiotics.
The other time a surgeon is Cancer needed is for fistulas. Fistulas can be anywhere - the ones we care More Frequent about are to the vagina, onlinemeded pdf download free, urethra, skin, or bladder.
Because of Screening chronic inflammation, fistulas will not heal. Patients will present with fecal soiling. Surgery is NOT curative. bowel Hemorrhoids There are two types of hemorrhoids - External hurt while Internal Bleed bright red blood on toilet paper or stool. When medical therapy sitz baths, lidocaine jelly fails, you can resect external or band internal. Be cautious to leave endogenous mucosa so as to prevent stenosis of the anal opening.
Anal Fissures Caused by an abnormally tight sphincter, the mucosa tears with passage of stools. It presents as pain on defecation that lasts for hours. A physical exam which may need to be done under anesthesia will reveal the fissure. Try sitz baths, NTG paste, or Botulism. After that fails and it usually doesdo a lateral internal sphincterotomy to release the tension. Anal Cancer A squamous cell carcinoma caused by HPV. An anal pap can be done for high risk patients.
Diagnosis is made by biopsy. Treat with the Nigro Protocol chemo- radiation followed by resection if necessary, usually surgery is not needed. Pilonidal Cyst An abscess of an infected follicle found on the small of the back. Treat with drainage followed by resection. It improves with antacids. This is a medical Pt: Burning retrosternal CP worse when laying down, bad problem treated first with Proton Pump Inhibitors and taste in the mouth, onlinemeded pdf download free, better with antacids lifestyle adjustments.
Cancer adeno requires resection. Options are dilate with a balloon, Tx: Dilation, onlinemeded pdf download free, Botox, Myotomy is best relax with botox, or cut the sphincter with a Heller Myotomy. Confirm with an EGD with Bx and CT scan staging assess stage with a CT Scan. Treatment is resection. Tx: Resection Mallory-Weiss Onlinemeded pdf download free A mucosal superficial tear of the esophagus that occurs after Path: Submucosal Tear, Minor Bleeding forceful vomiting, usually at the GE junction, onlinemeded pdf download free.
It will present as Pt: Forceful vomiting à Hematemesis à Resolution bright red emesis which resolves spontaneously. Nothing need Dx: None needed, though EGD would onlinemeded pdf download free be done for it.
Treat a GI bleed if the person is still bleeding. Tx: Spontaneously Resolves Reassurance if the bleeding is stopped or the EGD reveals this. Boerhaave An esophageal perforation caused by prolonged retching.
High Yield Internal Medicine - Emma Holiday
, time: 2:00:09Onlinemeded pdf download free
OnlineMedEd. Videos are always free for. students. Period. We want to make better doctors. Let's get started Download Free PDF. OnlineMedEd QuickTables Preview. Shanthi Potla. Download PDF. Download Full PDF Package. This paper. A short summary of this paper. 37 Full PDFs related to this paper. Read Paper. OnlineMedEd QuickTables Preview. Download. Related Papers. GENERAL MEDICINE. By Kariana blogger.comted Reading Time: 5 mins Download. OnlineMedEd Surgery pdf. Melissa Fang. General Surgery [ACUTE ABDOMEN] Categorization of Abdominal Pain Obstruction is usually colicky (comes and goes) with contraction Peritoneal Signs of the obstructed lumen. The pain is localized - generally near the 1) Abdominal Pain area of the affected organ (gallbladder, kidney).Estimated Reading Time: 11 mins
No comments:
Post a Comment