Peptic Ulcer Disease for the Acute Care Surgeon
Medications/dose/frequency Duration PPI + Clarithromycin 500 mg bid + Amoxicillin 1,000 mg bid 10–14 days PPI + Clarithromycin 500 mg bid + Metronidazole 500 mg bid 10–14 days PPI +…
The Careful Art of Resuscitation
I II III IV Blood loss (ml) Up to 750 750–1,500 1,500–2,000 >2,000 Blood loss (% blood volume) Up to 15 15–30 30–40 >40 Pulse rate (per minute) <100…
Surgical Site Infections
Superficial incisional SSI Infection occurs within 30 days after the operation •and infection involves only skin or subcutaneous tissue of the incision •and at least one of the following: –Purulent…
Obtaining a Surgical Airway
, Spencer Skelton2, Krista Turner3 and Hassan Aijazi4 (1) Department of General Surgery, University of Texas Health Science Center, Houston, TX, USA (2) Department of General Surgery, The Methodist Hospital, Houston, TX, USA…
Acute Mesenteric Ischemia
Fig. 27.1 Depiction of usual sites of SMA embolus versus thrombosis. Note sparing of proximal jejunal branches with more distal lodgment of an embolus. Reprinted with permission from Hassoun HT:…
Hemorrhage and Transfusions in the Surgical Patient
Fig. 12.1 An example of a massive transfusion protocol. Adapted from reference [5] Even before the transfusions take place, MTPs call for the rapid mobilization of blood components by having…
Acute Colonic Obstruction
Neoplasms (polyps, adenoma, and carcinoma) Volvulus (cecal, transverse, and sigmoid) Diverticulitis Incarcerated hernia Inflammatory bowel disease Intussusception Ischemic colitis Pseudo-obstruction (Ogilvie’s syndrome) Fecal impaction Benign stricture Foreign body Clinical Presentation…
Diverticulitis
Fig. 26.1 Diverticular disease: (left) diverticulosis, (right) diverticulitis Diverticulitis refers to inflammation or infection of a diverticulum. The patient with diverticulitis will commonly present with fever, leukocytosis, and left lower…
Nutrition in the Surgical Patient
Fig. 9.1 Enteral nutrition protocol algorithm Determining Caloric Needs Caloric needs can be calculated using one of many formulas such as the Harris–Benedict equation, or measured with indirect calorimetry. Harris–Benedict…
Lower Gastrointestinal Bleeding
Fig. 29.1 Initial assessment of lower gastrointestinal bleeding An important diagnostic caveat must be kept in mind in the evaluation of lower gastrointestinal bleeding, specifically that multiple sources of bleeding…
