2017/04/21 R1 歐宗頴. Case Discussion
|
|
|
- Cuthbert Kelley
- 5 years ago
- Views:
Transcription
1 2017/04/21 R1 歐宗頴 Case Discussion
2 Case Demography Name: 18143xxx Age: 14y/o Gender: boy Admission: 2017/04/07 Chief complaint: recurrent fever with RUQ pain for 6 weeks
3 Past History G3P3 full term NSD uneventful BW 52kg H 168cm Milestone: WNL Vaccination as scheduled influenza (-) TOCC (-) animal bite (-) bug bite (-) Underlying disease: deny Hospitalization: UTI and circumcise when 1+y/o
4 Present Illness Late Feb. 3/31 4/7 Fever (39 C) for 3 weeks Fever (39 C) for 1week Fever pattern near every day every 4-24hrs RUQ pain sharp breathing exaggerated by deep breath radiation (-)
5 Review Of System Late Feb. 3/31 4/7 CNS CV URI GIGU BW loss 1 kg in 1 m
6 Present Illness Late Feb. 3/31 4/7 Chi-Mei H.
7 04/06 1. portal vein thrombosis 2. partial SMV and splenic vein thrombosis 3. cavernous transformation over hepatic hilum
8 04/06 1. peri-portal linear infiltration 2. splenomegaly
9 Physical Examination flat, soft normative tenderness on RUQ Murphy s sign (+) rebound (-) hepatosplenomegaly (-) shifting dullness (-) knocking pain (-) T: 37.0 P: 70 R: 18 BP: 106/65 no injected eye no injected TM no ulcers, no throat injection clear breathing sounds RHB without murmur spider angioma (-) skin rash (-) wound (-) lower limb swelling no neck, axilla, inguinal lymphadenopathy
10
11 Impression portal vein thrombosis DDx: 1. Infection, suspect cholecystitis or intra-abdominal infection 2. Malignancy 3. Autoimmune disease 4. Thrombophilia
12 Autoimmune ANC, anti-ndna Ab, C3, C4 Cardiolipin IgM, IgG B2 glycoprotein I IgM, IgG IgG4 Malignancy HCG, AFP, CA125, CA199, CA153, CEA Infection HAV, HBV, HCV, ALK-P, r-gt, Bilirubin Thrombophilia Factor V/VIII, Protein C/S, antithrombin-iii
13 04/07
14 04/07
15 04/07 susp. Biliary Tract Infection Ceftriaxone Metronidazole
16 CT-guided biopsy 04/07 04/11 RUQ pain Murphy s sign
17 Autoimmune ANC, anti-ndna Ab, C3, C4 Cardiolipin IgM, IgG B2 glycoprotein I IgM, IgG IgG4 Malignancy HCG, AFP, CA125, CA199, CA153, CEA Infection HAV, HBV, HCV, ALK-P, r-gt, Bilirubin Thrombophilia Factor V, VIII, Protein C, Protein S
18 04/07 Protein C, Protein S acute phase reactant?
19 04/07 ceftriaxone and metronidazole 04/12
20 mild ductular reaction and sinusoid dilatation blood culture tissue culture
21 Diagnosis 1. portal vein thrombosis, suspect caused by Infection (pathogen?), suspect with underlying Thrombophilia (elevated factor VIII), chronic status, accompanied with splenomegaly and cavernous portal veins Ceftriaxone, Metronidazole Enoxaparin, then Rivaroxaban
22 Discussion portal vein thrombosis in children
23 common abdominal venous thrombosis?
24 Cerebral venous and sinus Retinal vein occlusion Upper extremity venous Jugular vein Superior vena cava Inferior vena cava Portal vein thrombosis Hepatic vein Mesenteric vein Splenic vein Renal vein Ovarian vein Penile vein thrombosis at Unusual sites Superficial vein thrombosis of the lower limb
25 Discussion
26 Venous Thrombosis At Unusual Sites systemic local autoimmune inherited thrombophilia acquired hypercoagulability: dehydration, myeloproliferative neoplasms(polycythemia vera, thrombocytosis), active malignancy (mucinous-secrecting), metabolic disorders, drugs (contraceptives, leunase), pregnancy
27 Venous Thrombosis At Unusual Sites systemic local infection, inflammation structure stenosis: thoracic outlet syndrome endothelium injury: surgery, catheter nephrotic syndrome
28 portal vein system!
29 Portal Vein Thrombosis systemic local infection, inflammation: pancreatitis, appendicitis, pylephlebitis structure stenosis: cirrhosis, liver cyst endothelium injury: surgery, catheter (Umbilical Vein)
30 Portal Vein Thrombosis systemic local autoimmune: antiphospholipid Ab, Paroxysmal nocturnal hemoglobinuria (PNH) inherited thrombophilia acquired hypercoagulability: myeloproliferative neoplasms, active malignancy
31 Portal Vein Thrombosis Clinical presentation, depend on the =extent of thrombosis =collateral circulation Acute PVT: intestinal congestion and ischemia pain, distention, N/V, fever, sepsis, lactacidosis, splenomegaly, perforation
32 Portal Vein Thrombosis Clinical presentation, depend on the =extent of thrombosis =collateral circulation Chronic PVT: collateral (+) esophageal varices, GI bleeding ascites hypersplenism (pancytopenia) cavernous transformation of portal vein (CTPV): (pseudocholangiocarcinoma sign) portal bioliopathy
33 Portal Vein Thrombosis - Treatments anticoagulant: no evidence Recommend: failure to spontaneous recanalization thrombophilic cases recurrent thrombosis thrombolytic therapy shunt surgery
34 Summary 14 y/o boy fever with RUQ pain for 3 weeks then subsided but recurred 2 weeks later Murphy s sign CT: portal vein thrombosis with cavernous transformation, suspect chronic status good response to empirical antibiotics, favor infection related extremely high factor VIII, can not rule out acute phase or underlying thrombophilia
35 Take Home Message thrombosis survey: provoked local factors with underlying thrombophilia common sites / unusual sites Learning Issue: Timing To Survey Thrombosis Factors
36 Thank you for your attention
بسم الله الرحمن الرحيم أوتيتم من العلم إال قليال وما
بسم الله الرحمن الرحيم أوتيتم من العلم إال قليال وما 1 2 Goals of the Lecture: What is the portal vein? How common is PVT? What conditions are associated with PVT? How does patient with PVT present? How
Are there still any valid indications for thrombophilia screening in DVT?
Carotid artery stenosis and risk of stroke Are there still any valid indications for thrombophilia screening in DVT? Armando Mansilha MD, PhD, FEBVS Faculty of Medicine of University of Porto Munich, 2016
A A U
PVD Venous AUC Rating Sheet 2nd Round 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Median I NI MADM Rating Agree Disagree Upper Extremity Venous Evaluation Table 1. Venous Duplex of the Upper Extremities for Patency
Clinical Case. Dr. Akif BAYYİĞİT Dr. İlker Nihat ÖKTEN Dr. Serkan DUMANLI
Clinical Case Dr. Akif BAYYİĞİT Dr. İlker Nihat ÖKTEN Dr. Serkan DUMANLI Case: Mr. A.D. 44 Male Abdominal pain and fever Past Medical History: Facial paralyses 20 years ago Splenomegaly? Family History:
Mabel Labrada, MD Miami VA Medical Center
Mabel Labrada, MD Miami VA Medical Center *1-Treatment for acute DVT with underlying malignancy is for 3 months. *2-Treatment of provoked acute proximal DVT can be stopped after 3months of treatment and
Cirrhosis and Portal Hypertension Gastroenterology Teaching Project American Gastroenterological Association
CIRRHOSIS AND PORTAL HYPERTENSION Cirrhosis and Portal Hypertension Gastroenterology Teaching Project American Gastroenterological Association WHAT IS CIRRHOSIS? What is Cirrhosis? DEFINITION OF CIRRHOSIS
Venous thrombosis in unusual sites
Venous thrombosis in unusual sites Walter Ageno Department of Medicine and Surgery University of Insubria Varese Italy Disclosures Employment Research support Scientific advisory board Consultancy Speakers
Approach to the Patient with Liver Disease
Approach to the Patient with Liver Disease Diagnosis of liver disease Careful history taking Physical examination Laboratory tests Radiologic examination and imaging studies Liver biopsy Liver diseases
Podcast (Video Recorded Lecture Series): Portal HTN and Derivatives for the USMLE Step One Exam. Ultrasound (w/ doppler) Reversal of flow Portal Vein
Podcast (Video Recorded Lecture Series): Portal HTN and Derivatives for the USMLE Step One Exam Hepatic Vein (Budd Chiari) Ultrasound (w/ doppler) Reversal of flow Portal Vein Howard J. Sachs, MD www.12daysinmarch.com
Chief complaint. A mass at right chest
Chief complaint A mass at right chest Present illness This 1-year-5-month-old girl had a mass at right side chest since one month ago. flat and not tender at first In the recent 2 days, the mass enlarged
Gastrointestinal System: Accessory Organ Disorders
Gastrointestinal System: Accessory Organ Disorders Mary DeLetter, PhD, RN Associate Professor Dept. of Baccalaureate and Graduate Nursing Eastern Kentucky University Disorders of Accessory Organs Portal
Early Klebsiella pneumoniae Liver Abscesses associated with Pylephlebitis Mimic
Early Klebsiella pneumoniae Liver Abscesses associated with Pylephlebitis Mimic Hepatocellular Carcinoma Chih-Hao Shen, MD 3, Jung-Chung Lin, MD, PhD 2, Hsuan-Hwai Lin, MD 1, You-Chen Chao, MD 1, and Tsai-Yuan
Liver Transplantation
1 Liver Transplantation Department of Surgery Yonsei University Wonju College of Medicine Kim Myoung Soo M.D. ysms91@wonju.yonsei.ac.kr http://gs.yonsei.ac.kr History Development of Liver transplantation
Severe β-lactam allergy. Alternative (use for mild-moderate β-lactam allergy) therapy
Recommended Empirical Antibiotic Regimens for MICU Patients Notes: The antibiotic regimens shown are general guidelines and should not replace clinical judgment. Always assess for antibiotic allergies.
Cancer and Thrombosis
Cancer and Thrombosis The close relationship between venous thromboembolism and cancer has been known since at least the 19th century by Armand Trousseau. Thrombosis is a major cause of morbidity and mortality
Clinical Radiological Pathological Conference
Clinical Radiological Pathological Conference CASE 1: A 59-year-old female Housekeeper Live in Phuket, Thailand Progressive dyspnea for 1 year Present illness 1 year PTA : She developed dyspnea on exertion
Imaging abdominal vascular emergencies. V.Stoynova
Imaging abdominal vascular emergencies V.Stoynova Abdominal vessels V. Stoynova 2 Acute liver bleeding trauma anticoagulant therapy liver disease : HCC, adenoma, meta, FNH, Hemangioma Diagnosis :CT angiography
Venous thrombosis is common and often occurs spontaneously, but it also frequently accompanies medical and surgical conditions, both in the community
Venous Thrombosis Venous Thrombosis It occurs mainly in the deep veins of the leg (deep vein thrombosis, DVT), from which parts of the clot frequently embolize to the lungs (pulmonary embolism, PE). Fewer
Hemostasis. PHYSIOLOGICAL BLOOD CLOTTING IN RESPONSE TO INJURY OR LEAK no disclosures
Hemostasis PHYSIOLOGICAL BLOOD CLOTTING IN RESPONSE TO INJURY OR LEAK no disclosures Disorders of Hemostasis - Hemophilia - von Willebrand Disease HEMOPHILIA A defect in the thrombin propagation phase
A Review of Liver Function Tests. James Gray Gastroenterology Vancouver
A Review of Liver Function Tests James Gray Gastroenterology Vancouver Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted
Abdominal Pain. Luke Donnelly, MD Emergency Medicine
Abdominal Pain Luke Donnelly, MD Emergency Medicine Objectives Approach to abdominal pain Evaluation Critical diagnoses and treatments Abdominal Pain Most Common ER Complaint Broad Differential Can often
Jaundice. Agnieszka Dobrowolska- Zachwieja, MD, PhD
Jaundice Agnieszka Dobrowolska- Zachwieja, MD, PhD Jaundice definition Jaundice, as in the French jaune, refers to the yellow discoloration of the skin. It arises from the abnormal accumulation of bilirubin
Visit ER at 10:43. Case conference. Past history. Present illlness. Physical examination. Impression
Visit ER at 10:43 Case conference Supervisor: VS 吳柏衡 Presentor: R1 劉邦民 102.12.16 60 y/o male Chief complaint: syncope Triage: I T/P/R:33.2/81/18, BP=78/41mmHg, SpO2=92% Conscious: E4V5M6 Present illlness
Appendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound
EFSUMB Newsletter 87 Examinations should encompass the full range of pathological conditions listed below A log book listing the types of examinations undertaken should be kept Training should usually
Approach to Thrombosis
Approach to Thrombosis Theera Ruchutrakool, M.D. Division of Hematology Department of Medicine Siriraj Hospital Faculty of Medicine Mahidol University Approach to Thrombosis Thrombosis: thrombus formation
ESIM 2014 Clinical Case Presentation Israel. Ben-Sasson Maayan Bnei-Zion medical center Haifa
ESIM 2014 Clinical Case Presentation Israel Ben-Sasson Maayan Bnei-Zion medical center Haifa Presentation A 24 YO male,a ping-pong player, presented to the ER with acute onset of right upper extremity
Causes of abdominal pain Doctors in the ED spend lots of time and money diagnosing abdominal pain. They still often do not know the exact cause
1 2 3 What's Going On in There? EMS and Abdominal Pain Kevin McFarlane BSN,RN,CEN,CPEN,EMT Southwest Emergency Education and Consulting What is going on in there Acute Abdomen Sudden onset of pain within
Thrombosis. By Dr. Sara Mohamed Abuelgasim
Thrombosis By Dr. Sara Mohamed Abuelgasim 1 Thrombosis Unchecked, blood coagulation would lead to dangerous occlusion of blood vessels if the protective mechanisms of coagulation factor inhibitors, blood
Varicose Veins Vascular Tumors
Varicose Veins Vascular Tumors Varicose veins: Dilated tortuous increased intraluminal pressure incompetence of the venous valves. superficial veins of the upper and lower leg (m.c, high venous pressures,
GASTROINTESTINAL IMAGING STUDY GUIDE
GASTROINTESTINAL IMAGING STUDY GUIDE Pharynx Diverticula Foreign bodies Trauma o Motility Disorders Esophagus Diverticula Trauma Esophagitis Barrett esophagus Rings, webs, and strictures Varices Benign
Patient Information. Age: 8 y/o Sex: Female. Date of Admission: Date of Discharge:
Patient Information Age: 8 y/o Sex: Female Date of Admission: 92-10-08 Date of Discharge: 92-10-18 Chief Complaint Severe admominal pain and vomiting with dysuria since last afternoon Present Illness Lower
Liver failure &portal hypertension
Liver failure &portal hypertension Objectives: by the end of this lecture each student should be able to : Diagnose liver failure (acute or chronic) List the causes of acute liver failure Diagnose and
Supplemental Appendix. 1. Protocol Definition of Sustained Virologic Response. A patient has a sustained virologic response if:
Supplemental Appendix 1. Protocol Definition of Sustained Virologic Response A patient has a sustained virologic response if: 1. The patient is a responder at the end of treatment and all subsequent planned
Updates in Diagnosis & Management of VTE
Updates in Diagnosis & Management of VTE TRACY MINICHIELLO, MD CHIEF, ANTICOAGULATION& THROMBOSIS SERVICE-SAN FRANCISCO VAMC PROFESSOR OF MEDICINE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO Financial Disclosures-NONE
Disclosures. DVT: Diagnosis and Treatment. Questions To Ask. Dr. Susanna Shin - DVT: Diagnosis and Treatment. Acute Venous Thromboembolism (VTE) None
Disclosures DVT: Diagnosis and Treatment None Susanna Shin, MD, FACS Assistant Professor University of Washington Acute Venous Thromboembolism (VTE) Deep Venous Thrombosis (DVT) Pulmonary Embolism (PE)
Job Task Analysis for ARDMS Abdomen Data Collected: June 30, 2011
Job Task Analysis for ARDMS Abdomen Data Collected: June 30, 2011 Reported: Analysis Summary for: Abdomen Examination Survey Dates 06/13/2011-06/26/2011 Invited Respondents 6,000 Surveys with Demographics
Guidance for the management of venous thrombosis in unusual sites
J Thromb Thrombolysis (2016) 41:129 143 DOI 10.1007/s19-015-1308-1 Guidance for the management of venous thrombosis in unusual sites Walter Ageno 1 Jan Beyer-Westendorf 2 David A. Garcia 3 Alejandro Lazo-Langner
Chapter 32 Gastroenterology General Pathophysiology General Risk Factors for GI emergencies: Excessive Consumption Excessive Smoking Increased
1 2 3 4 5 6 7 Chapter 32 Gastroenterology General Pathophysiology General Risk Factors for GI emergencies: Excessive Consumption Excessive Smoking Increased Ingestion of Caustic Substances Poor Bowel Habits
Epidemiologia e clinica del tromboembolismo venoso. Maria Ciccone Sezione di Ematologia e Fisiopatologia della Coagulazione
Epidemiologia e clinica del tromboembolismo venoso Maria Ciccone Sezione di Ematologia e Fisiopatologia della Coagulazione Thrombophilia may present clinically as one or more of several thrombotic manifestations
INCREASED resistance to blood flow in the liver or portal venous system results
EFFECTIVE SPONTANEOUS PORTACAVAL VENOUS SHUNT Report of Two Cases B. H. SULLIVAN, JR., M.D., CHARLES H. BROWN, M.D., Department of Gastroenterology THOMAS F. MEANEY, M.D., Division of Radiology and EARL
Hepatology cases for the generalist. Will Gelson Consultant Hepatologist Addenbrooke s Hospital
Hepatology cases for the generalist Will Gelson Consultant Hepatologist Addenbrooke s Hospital 30 y o man with upper GI haemorrhage Background heavy alcohol use Hxof 3 pint haematemesis P 100, BP 90/40,
PORTAL HYPERTENSION. Tianjin Medical University LIU JIAN
PORTAL HYPERTENSION Tianjin Medical University LIU JIAN DEFINITION Portal hypertension is present if portal venous pressure exceeds 10mmHg (1.3kPa). Normal portal venous pressure is 5 10mmHg (0.7 1.3kPa),
Risk factors for DVT. Venous thrombosis & pulmonary embolism. Anticoagulation (cont d) Diagnosis 1/5/2018. Ahmed Mahmoud, MD
Risk factors for DVT Venous thrombosis & pulmonary embolism Ahmed Mahmoud, MD Surgery ; post op especially for long cases, pelvic operations (THR), Trauma ; long bone fractures, pelvic fractures (posterior
Venous thrombosis & pulmonary embolism. Ahmed Mahmoud, MD
Venous thrombosis & pulmonary embolism Ahmed Mahmoud, MD Risk factors for DVT Surgery ; post op especially for long cases, pelvic operations (THR), Trauma ; long bone fractures, pelvic fractures (posterior
International Journal of Pharma and Bio Sciences AN INTERESTING CASE OF SUBACUTE BUDD-CHIARI SYNDROME ABSTRACT
Case Report Biotechonology International Journal of Pharma and Bio Sciences ISSN 0975-6299 AN INTERESTING CASE OF SUBACUTE BUDD-CHIARI SYNDROME DR. SAKTHI SELVA KUMAR *1, DR. VINOTH KUMAR 2, DR. BALAKISHNAN
Case conference. Welcome Dr. Lawrence Tierney
Case conference Welcome Dr. Lawrence Tierney Case: 18 year-old male CC) hamatomesis, Fever and cough HPI) 1 st admission One month ago, he admitted to our hospital because of hematemesis. He had weight
Introduction to Evidence Based Medicine:
Introduction to Evidence Based Medicine: General Abdominal Examination o Inspection Cullen s sign and Grey Turner s sign are indications of intraperitoneal or retroperitoneal hemorrhage. Traditionally,
58 year old male complaining of 3-week history of increasing epigastric pain
Peptic Ulcer Disease 58 year old male complaining of 3-week history of increasing epigastric pain Has had dyspepsia in the past for which he took Tums, but this is much worse and only partially relieved
Abdominal Examination Benchmarks
Abdominal Examination Benchmarks Preparation and Positioning: Stand on the right side of the patient. The patient should be supine and double draped so only the abdomen is exposed o To relax the abdominal
Obliterative hepatocavopathy ultrasound and cavography findings
doi:10.2478/v10019-008-0020-6 case report Obliterative hepatocavopathy ultrasound and cavography findings Ramazan Kutlu Department of Radiology, Inonu University School of Medicine, Malatya, Turkey ackgound.
Imaging of liver and pancreas
Imaging of liver and pancreas.. Disease of the liver Focal liver disease Diffusion liver disease Focal liver disease Benign Cyst Abscess Hemangioma FNH Hepatic adenoma HCC Malignant Fibrolamellar carcinoma
NYU School of Medicine Department of Radiology Rotation-Specific House Staff Evaluation
Vascular & Interventional Radiology Rotation 1 Core competency in vascular and interventional radiology during the first resident rotation consists of clinical objectives, technical objectives and image
Tranjugular Intrahepatic Portosystemic Shunt
Tranjugular Intrahepatic Portosystemic Shunt Christopher Selhorst July 25, 2005 BIDMC Radiology Overview Portal Hypertension Indications, Contraindications The Procedure Case Review Complications Outcomes
CLINICAL CASE PRESENTATION
European Winter School of Internal Medicine 2015 Riga, Latvia, 26-30 January CLINICAL CASE PRESENTATION Vasiliy Chulkov South Ural State Medical University (Chelyabinsk, Russia) CHELYABINSK CLINICAL HISTORY
Portal vein thrombosis: when to anticoagulate?
Portal vein thrombosis: when to anticoagulate? Dr Aurélie Plessier Centre National de Référence, Maladies Vasculaires du Foie, Service d Hépatologie, Université Paris-Diderot, CRB3 INSERM U773 Hôpital
Primary mesenteric venous thrombosis: a study from western India. Deepak N Amarapurkar, Nikhil D Patel, Jignesh Jatania
Original Article : a study from western India Deepak N Amarapurkar, Nikhil D Patel, Jignesh Jatania Gastroenterology Department, Bombay Hospital and Medical Research Center, Mumbai 400 020 Introduction:
Case Discussion Splenic Abscess
Case Discussion Splenic Abscess Personal Data Gender: male Birth Date: 1928/Mar/06th Allergy: Mefenamic Smoking: 0.5 PPD for 55 years Alcohol: negative (?) 4 Months Ago Abdominal pain: epigastric area
Lung Cancer - Suspected
Lung Cancer - Suspected Shared Decision Making Lung Cancer: http://www.enhertsccg.nhs.uk/ Patient presents with abnormal CXR Lung cancer - clinical presentation History and Examination Incidental finding
Index. Note: Page numbers of article numbers are in boldface type.
Index Note: Page numbers of article numbers are in boldface type. A Abdomen, acute, as cancer emergency, 381 399 in cancer patients, etiologies unique to, 390 392 in perforation, 388 surgery of, portal
Case 1. Case Discussion. History. Present Illness. Impression. Physical Examination
Case 1 Case Discussion R1 林吉倡 2013 / 01 / 02 13-yo Male BW: 45 kg DAY1 16:35 pm C/C: Epigastric pain since this morning TPR: 36.5/94/18 BP:133/83 SpO2: 100% GCS: 15 Triage: 2 Present Illness Sudden-onset
DVT and Pulmonary Embolus. Dr Piers Blombery BSc(Biomed), MBBS (Hons), FRACP, FRCPA Consultant Haematologist Peter MacCallum Cancer Centre
DVT and Pulmonary Embolus Dr Piers Blombery BSc(Biomed), MBBS (Hons), FRACP, FRCPA Consultant Haematologist Peter MacCallum Cancer Centre Overview Structure of deep and superficial venous system of upper
Thrombophilia: To test or not to test
Kenneth Bauer, MD Harvard Medical School, Boston, MA Professor of Medicine VA Boston Healthcare System Chief, Hematology Section Beth Israel Deaconess Medical Center, Boston, MA Director, Thrombosis Clinical
Gastrointestinal Emergencies CEN REVIEW 2017 MARY RALEY, BSN, RN, CEN, TCRN, TNSCC
Gastrointestinal Emergencies CEN REVIEW 2017 MARY RALEY, BSN, RN, CEN, TCRN, TNSCC Gastrointestinal Emergencies is 7% of the CEN A. Acute abdomen B. Bleeding C. Cholecystitis D. Cirrhosis E. Diverticulitis
Adv Pathophysiology Unit 9: GI Page 1 of 10
Adv Pathophysiology Unit 9: GI Page 1 of 10 Learning objectives for this file: 1. Recognize positive physical and lab findings that point to the diagnosis 2. Appreciate the appearance of the affected organ
Deep Vein Thrombosis and Pulmonary Embolism: Patient Information
Deep Vein Thrombosis and Pulmonary Embolism: Patient Information A Deep Vein Thrombosis (DVT) and a Pulmonary Embolism (PE) are both disorders of unwanted blood clotting. Unwanted blood clots can occur
Transjugular Intrahepatic
Transjugular Intrahepatic Portosystemic Shunt (TIPS): A Clinical and Procedural Review Mark R. Werley, M.D. and John Briguglio, M.D. Lancaster Radiology Associates, Ltd. INTRODUCTION This article reviews
GASTRO-INTESTINAL TRACT INFECTIONS - ANTIMICROBIAL MANAGEMENT
GASTRO-INTESTINAL TRACT INFECTIONS - ANTIMICROBIAL MANAGEMENT Name & Title Of Author: Dr Linda Jewes, Consultant Microbiologist Date Amended: December 2016 Approved by Committee/Group: Drugs & Therapeutics
Hematologic Malignancies of the Liver : Spectrum of Disease. Zhou Jian
Hematologic Malignancies of the Liver : Spectrum of Disease Zhou Jian 2015-7-8 Hematologic malignancies include a wide spectrum of lymphoproliferative and myeloproliferative disorders with nodal and extranodal
Case 5 15-year-old male
Case 5 15-year-old male Present illness: Six months ago, abnormality of ECG was incidentally detected by annual health check. His blood level of γ-gtp, HbA1c and norepinephrine were elevated; however,
CASE-BASED SMALL GROUP DISCUSSION MHD II SESSION 6. Friday, MARCH 18, 2016 STUDENT COPY
MHD II, Session 6, STUDENT Copy Page 1 CASE-BASED SMALL GROUP DISCUSSION MHD II SESSION 6 Friday, MARCH 18, 2016 STUDENT COPY Resource for cases: ACP Medicine (Scientific American Medicine) - Vaginitis
Safe Answers For The American Board of Surgery Certifying Exam & Recertifying Exam
Safe Answers For The American Board of Surgery Certifying Exam & Recertifying Exam By Sarmad Aji, MD., FACS. A comprehensive review of the most commonly asked questions on the American Board of Surgery
CrackCast Episode 28 Jaundice
CrackCast Episode 28 Jaundice Episode overview: 1) Describe heme metabolism 2) List common pre-hepatic/hepatic/post-hepatic causes of jaundice Wisecracks: 1) What are clinical signs of liver disease? 2)
Esophageal Disorders. Gastrointestinal Diseases. Peptic Ulcer Disease. Wireless capsule endoscopy. Diseases of the Small Intestine 7/24/2010
Esophageal Disorders Gastrointestinal Diseases Fernando Vega, MD HIHIM 409 Dysphagia Difficulty Swallowing and passing food from mouth via the esophagus Diagnostic aids: Endoscopy, Barium x ray, Cineradiology,
Sample page. POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com.
2018 Complete Guide for Interventional Radiology An in-depth guide to interventional radiology coding, billing, and reimbursement for facilities and physicians POWER UP YOUR CODING with Optum360, your
Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University. Systematic Anatomy. Angiology Part 4. Veins. Dr.Hongqi Zhang ( 张红旗 )
Systematic Anatomy Angiology Part 4 Veins Dr.Hongqi Zhang ( 张红旗 ) Email: zhanghq58@126.com 1 General introduction of the veins Vessel which return the blood back to atrium No pulsation,veneous blood, metabolic
9/21/15. Joshua Pruitt, MD, FAAEM Medical Director, LifeGuard Air Ambulance Iowa PA Society Fall CME Conference September 29, 2015
Unless they prove otherwise. ~Every ED attending ever Joshua Pruitt, MD, FAAEM Medical Director, LifeGuard Air Ambulance Iowa PA Society Fall CME Conference September 29, 2015 AAA with rupture Mesenteric
DVT - initial management NSCCG
Background information Information resources for patients and carers Updates to this care map Synonyms Below knee DVT and bleeding risks Patient with confirmed DVT Scan confirms superficial thrombophlebitis
CT abdomen and pelvis
CT abdomen and pelvis General indications: Assessment of vague abdominal symptoms (pain, colics,distenstion,...) Varifecation of a lesion discovered by other diagnostic modalities as US, barium,ivp, Staging
Jordan M. Garrison, MD FACS, FASMBS
Jordan M. Garrison, MD FACS, FASMBS Peripheral Arterial Disease (PAD) Near or Complete obstruction of > 1 Peripheral Artery Peripheral Venous reflux Disease Varicose Veins Chronic Venous Stasis Ulcer Disease
LIVER CIRRHOSIS. The liver extracts nutrients from the blood and processes them for later use.
LIVER CIRRHOSIS William Sanchez, M.D. & Jayant A. Talwalkar, M.D., M.P.H. Advanced Liver Disease Study Group Miles and Shirley Fiterman Center for Digestive Diseases Mayo College of Medicine Rochester,
Breathing. Heart Rate
Breathing Heart Rate Inspiration Expiration (Pressos not Stretched) Heart Rate increases with inspiration (Pressos Stretched) Heart Rate decreases with expiration Upside Down (Pressos Stretched) HR Decreases
A CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM
A CASE REPORT OF SPONTANEOUS BILOMA - AN ENIGMATIC SURGICAL PROBLEM *Sumanta Kumar Ghosh and Biswajit Mukherjee ESIC Medical College, Joka, Kolkata, India *Author for Correspondence ABSTRACT Occurrence
TRACE A DROP OF BLOOD FROM RIGHT EAR TO LEFT OCULOMOTOR NERVE
TRACE A DROP OF BLOOD FROM RIGHT EAR TO LEFT OCULOMOTOR NERVE KEY: TRACE A DROP OF BLOOD FROM RIGHT EAR TO LEFT OCULOMOTOR NERVE RIGHT EAR RIGHT ATRIUM LEFT SUBCLAVIAN ARTERY RIGHT EXTERNAL JUGULAR VEIN
Department of Medicine, Armed Forces Medical Hospital, Muscat, Oman 2. Department of Medicine, Sultan Qaboos Hospital, Salalah, Oman 3
brief communication Oman Medical Journal [2017], Vol. 32, No. 6: 522-527 Portal Vein Thrombosis in Adult Omani Patients: A Retrospective Cohort Study Khalid Al Hashmi 1 *, Lamya Al Aamri 2, Sulayma Al
LOKUN! I got stomach ache!
LOKUN! I got stomach ache! Mr L is a 67year old Chinese gentleman who is a non smoker, social drinker. He has a medical history significant for Hypertension, Hyperlipidemia, Type 2 Diabetes Mellitus, Chronic
Treatment of acute thrombosis of axillo-subclavian vein
Treatment of acute thrombosis of axillo-subclavian vein Yang Jin Park Vascular Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine CASE A 32-year-old male patient 3-day history of
Autoimmune Hepatobiliary Diseases PROF. DR. SABEHA ALBAYATI CABM,FRCP
Autoimmune Hepatobiliary Diseases PROF. DR. SABEHA ALBAYATI CABM,FRCP Autoimmune hepatobiliary diseases The liver is an important target for immunemediated injury. Three disease phenotypes are recognized:
Disorders of the Liver, Gallbladder and Pancreas
Disorders of the Liver, Gallbladder and Pancreas Objectives: Disorders of the liver Disorders of the gall bladder Disorders of the pancreas Part 1: Disorders of the Liver 1 Jaundice: is a manifestation
Management of Portal Vein Thrombosis With and Without Cirrhosis
Management of Portal Vein Thrombosis With and Without Cirrhosis Dominique-Charles Valla Service d Hépatologie,Hôpital Beaujon, APHP, Université Paris-Diderot, Inserm CRB3 Extrahepatic Portal Vein Obstruction
Alice Fung, MD Oregon Health and Science University
Alice Fung, MD Oregon Health and Science University Disclosure Comments The speaker Alice Fung, MD Has relevant financial relationships to disclose. Received honorarium from (Guerbet). This individual
Management of Cirrhotic Patients Undergoing Non-Transplant Surgery
Management of Cirrhotic Patients Undergoing Non-Transplant Surgery Jason S. Wakakuwa, M.D. Assistant Professor of Anesthesia Director, Transplant Anesthesia Beth Israel Deaconess Medical Center I have
Suspected Deep Vein Thrombosis (DVT) Assessment
CHI no... First name... DOB... /... /... Last name... Sex: c M c F Address...... Telephone... or attach addressograph label here Hospital/Location: c Hairmyres c Monklands c Wishaw Other (specify)... Ward/Base...
Documentation Dissection
History of Present Illness: Documentation Dissection The patient is a 50-year-old male c/o symptoms for past 4 months 1, severe 2 bloating and stomach cramps, some nausea, vomiting, diarrhea. In last 3
Michele Bettinelli RN CCRN Lahey Health and Medical Center
Michele Bettinelli RN CCRN Lahey Health and Medical Center Differentiate the types of varices Identify glue preparations utilized when treating gastric varices Review the process of glue administration
IVC FILTERS: A CASE REPORT REVIEWING THE INDICATIONS FOR PLACEMENT, RETRIEVAL AND ANTICOAGULATION
IVC FILTERS: A CASE REPORT REVIEWING THE INDICATIONS FOR PLACEMENT, RETRIEVAL AND ANTICOAGULATION Resident(s): George Athanasatos Attending(s): Daniel Golwyn Program/Dept: Interventional Radiology CHIEF
Appropriate Imaging Tests Lead to Meaningful Results. Dr. Richard Wasley May 2011
Appropriate Imaging Tests Lead to Meaningful Results Dr. Richard Wasley May 2011 Summarize the advantages and limitations of specific imaging tests and why clinical information is so important to radiologists
Case Report Sport-Related Portal Vein Thrombosis: An Unusual Complication
Hindawi Case Reports in Hepatology Volume 2017, Article ID 9324246, 4 pages https://doi.org/10.1155/2017/9324246 Case Report Sport-Related Portal Vein Thrombosis: An Unusual Complication Igor Dumic, 1,2
Case Report Isolated Splenic Vein Thrombosis: 8-Year-Old Boy with Massive Upper Gastrointestinal Bleeding and Hypersplenism
Case Reports in Pediatrics Volume 2015, Article ID 480507, 4 pages http://dx.doi.org/10.1155/2015/480507 Case Report Isolated Splenic Vein Thrombosis: 8-Year-Old Boy with Massive Upper Gastrointestinal
Inferior Vena Cava Filter for DVT
Inferior Vena Cava Filter for DVT Deep Vein Thrombosis A deep vein thrombosis (DVT) is a blood clot that forms in a deep vein. This is a serious condition that occurs more often than you might think. If
Splanchnic vein thrombosis refers to the thrombotic process. Survival and Recurrence in Patients With Splanchnic Vein Thromboses
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2010;8:200 205 Survival and Recurrence in Patients With Splanchnic Vein Thromboses MALLIKARJUN R. THATIPELLI,* ROBERT D. MCBANE,*, DAVID O. HODGE, and WALDEMAR