Sigmoid and Cecal Volvulus

Apr 6, 2017 by in CRITICAL CARE Comments Off on Sigmoid and Cecal Volvulus

Fig. 30.1 “Bent inner tube” sign associated with sigmoid volvulus. Published with permission from William Herring, MD, FACR, learningradiology.com Fig. 30.2 “Omega” sign associated with sigmoid volvulus. Published with permission…

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Necrotizing Soft Tissue Infections

Apr 6, 2017 by in CRITICAL CARE Comments Off on Necrotizing Soft Tissue Infections

Fig. 37.1 Anatomy of skin and soft tissue and infectious processes associated with each layer Epidemiology Incidence The incidence of NSTIs in the United States has been estimated from large…

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Anorectal Emergencies

Apr 6, 2017 by in CRITICAL CARE Comments Off on Anorectal Emergencies

Fig. 31.1 Acute presentation of massive thrombosed external hemorrhoids. This patient was brought to the operating room for emergent hemorrhoidectomy Internal hemorrhoids, on the other hand, rarely present with pain…

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Acute Appendicitis

Apr 6, 2017 by in CRITICAL CARE Comments Off on Acute Appendicitis

Gastrointestinal origin Appendicitis Mesenteric adenitis Intussusception Terminal ileitis Cecal diverticulitis Epiploic appendagitis Typhlitis Inflammatory bowel disease Constipation Urogenital Ureteral stone Urinary tract infection Gynecologic Tubo-ovarian abscess Ovarian torsion Ectopic pregnancy…

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Esophageal Perforation

Apr 6, 2017 by in CRITICAL CARE Comments Off on Esophageal Perforation

Type Causes Clinical findings Anatomic External compression from an aberrant right subclavian artery  Pyriform sinus Singing, yelling, trumpet playing, recent endoscopy Marked mediastinal and cervical subcutaneous emphysema Anastomotic Leakage at…

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Liver Abscesses

Apr 6, 2017 by in CRITICAL CARE Comments Off on Liver Abscesses

Fig. 22.1 A 52-year-old Mexican male who presented with RUQ pain and jaundice with pyogenic abscess Treatment The initial treatment of any patient suspected of having a possible liver abscess…

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Gastric Outlet Obstruction

Apr 6, 2017 by in CRITICAL CARE Comments Off on Gastric Outlet Obstruction

Fig. 18.1 Evaluation of peptic ulcer disease (PUD)-associated benign GOO The classically described test for GOO (i.e., “gastric retention”) is the saline load test described by Goldstein et al. in…

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Acute Biliary Disease

Apr 6, 2017 by in CRITICAL CARE Comments Off on Acute Biliary Disease

Fig. 20.1 Acute gangrenous cholecystitis (operative photograph) On the other hand, even before the modern era of antibiotics and other interventions, acute cholecystitis did often enough certainly resolve spontaneously. In…

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Bile Duct Injury

Apr 6, 2017 by in CRITICAL CARE Comments Off on Bile Duct Injury

Fig. 21.1 (a–c) Algorithm for management of suspicion of BDI Epidemiology and Background Definitions BDI is a broad term used to describe a transection of, an excision of, a leak…

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