The Evaluation of the Acute Abdomen
Fig. 2.1 (a) Common causes of the acute abdomen based on quadrant. (b) Common causes of the acute abdomen based on region. Illustrations courtesy of Briana Dahl The majority of…
EMTALA Review
7. McCormick B. CO public hospital dumps patients. Hospitals 1986;60(23):76 8. US House of Representatives. H.R. Rep No 241, 99th Cong, 1st Sess 5 (1985) 9. The Consolidated Omnibus Budget…
Advanced Directives
5. Rabkin MT, Gillerman G, Rice NR. Orders not to resuscitate. N Engl J Med. 1976;295(7):364–6.PubMedCrossRef 6. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960;173:1064–7.PubMedCrossRef 7. Symmers…
Palliative Care in the Acute Care Surgery Setting
Fig. 39.1 Palliative care model. Adapted from United States Department of Health and Human Services Surgeon’s Role in Palliative Care Prior to the start of the hospice movement in the…
The Open Abdomen
Moore [9] • Medical bleeding due to coagulopathy • Inaccessible major venous injury • Need for a time-consuming procedure in an under-resuscitated patient • Need for control of extra-abdominal, life-threatening injury • Inability to close…
Metabolic and Anatomic Complications Following Bariatric Surgery
Complications of bariatric surgery Short-term (first 30–90 days) Long-term Nausea/vomiting Fistulae •Gastro-gastric, gastro-cutaneous, etc. Dehydration Diarrhea •Maldigestion, malabsorption, bacterial overgrowth Fatigue Dumping Anastomotic stricture Reactive hypoglycemia Leaks/sepsis Failure to maintain…
Complications of Laparoendoscopic Surgery
5. Tait IS, Krige JE, Terblanche J. Endoscopic band ligation of esophageal varices. Br J Surg. 1999;86(4):437–46.PubMedCrossRef 6. Barkun AN, Bardou M, Kuipers EJ, Sung J, Hunt RH, Martel M,…
Early Management of Sepsis, Severe Sepsis, and Septic Shock in the Surgical Patient
Systemic inflammatory response syndrome (SIRS) criteria Two or more of the following criteria must be present: •Body temperature less than 36°C or greater than 38°C •Heart rate greater than 90…
Upper Gastrointestinal Bleeding
Etiology Frequency (%) Duodenal ulcer 33.2 Gastric ulcer 16.9 Varices 11.5 Gastric erosions 10.4 Neoplasms 5.2 Esophagitis 4.3 Mallory–Weiss lesions 3.2 Anastomotic ulcer 3.0 Vascular malformations 2.8 Rare causes, including…
Incarcerated Paraesophageal Hernia
Fig. 16.1 Paraesophageal hernia types. A type I hernia is characterized by an upward dislocation of the gastroesophageal (GE) junction and the cardia of the stomach through the attenuated phrenoesophageal…
