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Of course, it's not about just avoiding nuts and seeds. However, do you know how many attacks you can endure before suggesting a resection? How to manage young or immunosuppressed patients with diverticulitis? How Eastern (asian)diverticulitis differs? The role of mesalamine in treatment? It's time to re-explore a disease that you thought you knew!
Diverticulitis: Popular Misconceptions and New Management
Diverticulitis: Popular Misconceptions and New Management
Patricia Raymond
1. Gallbladder polyps - Size of polyp - Risk factors for malignancy - Management of gallbladder polyps 2. Acute cholecystitis - Systematic review and meta-analysis of diagnostic modalities performance of imaging - Tokyo guideline 2013 3. Gallbladder wall thickening - Gallbladder Carcinoma VS complicated cholecystitis
Evidence-based gallbladder diseases
Evidence-based gallbladder diseases
Suchanar Rungrojanarak
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Pratap Tiwari
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Case of a rare inflammatory hepatic hilar mass mimicking cholangiocarcinoma
Case of a rare inflammatory hepatic hilar mass mimicking cholangiocarcinoma
Debdeep Banerjee
TOKYO GUIDELINES: TG 18 MANAGEMENT OF ACUTE CHOLECYSTITIS AND ACUTE CHOLANGITIS ( TG18), Comparison among other editions TG 07 vs TG13 vs TG18
TOKYO GUIDELINES: MANGEMENT OF ACUTE CHOLECYSTITIS AND ACUTE CHOLANGITIS ( TG18)
TOKYO GUIDELINES: MANGEMENT OF ACUTE CHOLECYSTITIS AND ACUTE CHOLANGITIS ( TG18)
Dr Sushil Gyawali
DIVERTICULAR DISEASES-ASSOCIATED COLECTOMY IN URBAN AFRICAN AMERICAN PATIENTS: A HOSPITAL BASED STUDY. S. Ghavimi, H. Brim, H, Ashkorab. Dept. of Medicine and Cancer Center, Howard University Hospital, Washington, DC. Diverticular Diseases (DD) are generally benign and are primarily detected as incidental finding during routine colonoscopies. However, in certain cases, DD might lead to colectomy. Method: We reviewed 2400 patients’ files that correspond to DD patients seen at Howard University Hospital from1996 to 2014. Clinical and pathological features of patients that ended up having colectomy were analyzed in details. Results: Among the 2400 DD cases, there were 59.8% females and 40.2%males, of which 2020 (60%) had diverticulosis while 380 (40%) had diverticulitis. Colectomy was performed in 174 (7.3%) patients of which 112 (64%) had Diverticulosis and 62 (36%) had Diverticulitis. Of the Diverticulosis/Colectomy patients, 92 (82%) had hemorrhage, of which 34 (40%) had massive GI bleeding. Of the Diverticulitis/Colectomy patients, only 14 (23%) had hemorrhage. From the 48 patients without hemorrhage, 31(65%) had recurrent diverticulitis and the remaining 17 (35%) fit the Hinechey Criteria with 5 cases at stage 1, 3 at stage 2, 5 at stage 3 and 4 at stage 4. Conclusion: This study reveals that a sizable portion of African Americans with DD undergo colectomy due primarily to hemorrhage in diverticulosis patients. Such patients will benefit from periodical FOBT to catch potential massive bleeding at early stages. This applies to diverticulitis patients as well, however, in these patients, recurrence of diverticulitis is the primary indicator for colectomy.
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Shima Ghavimi, MD
GIT J Club colon ischemia.
Git j club colon ischemia22
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Case records of Sulaymaniah General Teaching Hospital.
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Of course, it's not about just avoiding nuts and seeds. However, do you know how many attacks you can endure before suggesting a resection? How to manage young or immunosuppressed patients with diverticulitis? How Eastern (asian)diverticulitis differs? The role of mesalamine in treatment? It's time to re-explore a disease that you thought you knew!
Diverticulitis: Popular Misconceptions and New Management
Diverticulitis: Popular Misconceptions and New Management
Patricia Raymond
1. Gallbladder polyps - Size of polyp - Risk factors for malignancy - Management of gallbladder polyps 2. Acute cholecystitis - Systematic review and meta-analysis of diagnostic modalities performance of imaging - Tokyo guideline 2013 3. Gallbladder wall thickening - Gallbladder Carcinoma VS complicated cholecystitis
Evidence-based gallbladder diseases
Evidence-based gallbladder diseases
Suchanar Rungrojanarak
Brief review on the topic of Acute cholangitis, focussing on the Tokyo Guidelines
Acute cholangitis
Acute cholangitis
Pratap Tiwari
TTUSHC Amarillo Student Research Day April 2016
Case of a rare inflammatory hepatic hilar mass mimicking cholangiocarcinoma
Case of a rare inflammatory hepatic hilar mass mimicking cholangiocarcinoma
Debdeep Banerjee
TOKYO GUIDELINES: TG 18 MANAGEMENT OF ACUTE CHOLECYSTITIS AND ACUTE CHOLANGITIS ( TG18), Comparison among other editions TG 07 vs TG13 vs TG18
TOKYO GUIDELINES: MANGEMENT OF ACUTE CHOLECYSTITIS AND ACUTE CHOLANGITIS ( TG18)
TOKYO GUIDELINES: MANGEMENT OF ACUTE CHOLECYSTITIS AND ACUTE CHOLANGITIS ( TG18)
Dr Sushil Gyawali
DIVERTICULAR DISEASES-ASSOCIATED COLECTOMY IN URBAN AFRICAN AMERICAN PATIENTS: A HOSPITAL BASED STUDY. S. Ghavimi, H. Brim, H, Ashkorab. Dept. of Medicine and Cancer Center, Howard University Hospital, Washington, DC. Diverticular Diseases (DD) are generally benign and are primarily detected as incidental finding during routine colonoscopies. However, in certain cases, DD might lead to colectomy. Method: We reviewed 2400 patients’ files that correspond to DD patients seen at Howard University Hospital from1996 to 2014. Clinical and pathological features of patients that ended up having colectomy were analyzed in details. Results: Among the 2400 DD cases, there were 59.8% females and 40.2%males, of which 2020 (60%) had diverticulosis while 380 (40%) had diverticulitis. Colectomy was performed in 174 (7.3%) patients of which 112 (64%) had Diverticulosis and 62 (36%) had Diverticulitis. Of the Diverticulosis/Colectomy patients, 92 (82%) had hemorrhage, of which 34 (40%) had massive GI bleeding. Of the Diverticulitis/Colectomy patients, only 14 (23%) had hemorrhage. From the 48 patients without hemorrhage, 31(65%) had recurrent diverticulitis and the remaining 17 (35%) fit the Hinechey Criteria with 5 cases at stage 1, 3 at stage 2, 5 at stage 3 and 4 at stage 4. Conclusion: This study reveals that a sizable portion of African Americans with DD undergo colectomy due primarily to hemorrhage in diverticulosis patients. Such patients will benefit from periodical FOBT to catch potential massive bleeding at early stages. This applies to diverticulitis patients as well, however, in these patients, recurrence of diverticulitis is the primary indicator for colectomy.
Diverticular disease and coloectomy.
Diverticular disease and coloectomy.
Shima Ghavimi, MD
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Git j club colon ischemia22
Git j club colon ischemia22
Case records of Sulaymaniah General Teaching Hospital.
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Case records of Sulaymaniah General Teaching Hospital.
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The stomach J-shaped. It has two surfaces (the anterior & posterior), two curvatures (the greater & lesser), two orifices (the cardia & pylorus). It has fundus, body and pyloric antrum. Blood supply The left gastric artery Right gastric artery Right gastro-epiploic artery Left gastro-epiploic artery Short gastric arteries Stomach cancer begins when cancer cells form in the inner lining of your stomach. These cells can grow into a tumor. Also called gastric cancer, the disease usually grows slowly over many years. It could be: malignant or benign primary or secondary
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Appendicle abscess Siedah Telesford MD Dr. Griffith Team History CC: H.M. age 42 M p/w vomiting and diarrhea for 3 days. HPI: Pt p/w vomiting and diarrhea for 3 days. Pt was diagnosed with gastroenteritis at Arima General after 1 day of vomiting and diarrhea. Pt admitted to diffuse abdominal pain x 2 weeks. Initially 5/10, took antiemetics and panadol had some relief for 1 day. 1 day later, abdominal pain got progressively worse, 8/10, diffuse, took panadol but no relief 42 yo M came to the ED with vomiting and diarrhea x3days. 2 week h/o diffuse abd pain. Diagnosed as gastro 2 days before admission. Pt had pain relief with antiemetics and panadol initially. Physical 2 History Exacerbated by movement and cough Vomiting (3/7) 2 episodes/day of food bilious, nonbloody Anorexia Diarrhea Subjective Fever Tenesmus – he described wanting to pass stool but unable to Denies urinary symptoms No trauma PMHx: Denies Medications: Denies PSx: Denies Allergies: NKDA ROS- Noncontributory Tenesmus 3 Physical Exam General appearance: Young male in mild painful distress V/s: P- 96 O2- 98 T- 36.4 RR- 24 BP- 131/67 Abdomen: +BS, Nondistended, firm Tenderness in lower abd; ++RLQ , +rebound, +guarding +Rovsing sign, -Obturator sign,+iliopsoas sign, -DRE Respiratory: CTAB CVS: RRR, S1/S2 heard. Labs and ED course WBC- 16.9 Hb- 12 Plt- 290 RFT, LFT, amylase, lipase, UA- WNL CXR and AXR-WNL ED course: Pt received 4mg Buscopan 50mg Gravol 50mg zantac 1L IVF NS Imaging Appendix measuring 1.6cm 4.5mm appendicolith within its tip Small amount of free fluid in RIF Fat stranding around appendix 5.1cm x 4.2cm collection with enhancing walls at tip of appendix Fat stranding around the sigmoid colon Working diagnosis: Appendicitis with appendicular abscess Procedure General anesthesia. Open lap and appendectomy. 24 French was left. 7 Post op POD # 1 V/S: WNL Intake: 2L RL/24 hrs Urine output: 600 ml/24 hrs J-vac: 100 ml WBC 14.82 - Abd: +BS, distended, tenderness at incision site. Post op WBC: 14.8—>13.7—>12.6 Remained NPO, IVF, pain meds Antibiotic tx with Flagyl and Zinacef for 8 days and removal of the drain on POD #7 Management of appendicitis with abscess or mass Management of appendicitis presenting with abscess In acute appendicitis patients, the proportion of cases associated with an abscess or a tumor in the periappendix has been reported to be approximately 2% to 7%. 3 approaches: Emergency surgery Early conservative treatments followed by elective surgery Conservative treatments and follow-up observation only If surgery is performed under the condition that inflammation due to appendicitis has spread to adjacent areas, the inflammation may have spread over a wide area. In addition, because of edema and the vulnerability of the adjacent small intestine and large intestine, secondary fistulas, etc., may have developed. In our case, there was inflammation of the sigmoid and rectum. For.
Appendicle abscess Siedah Telesford MDDr. Griffith Team .docx
Appendicle abscess Siedah Telesford MDDr. Griffith Team .docx
rossskuddershamus
complete detail about the IBD has been tried to explain along with the differences between the CD and UC
Inflammatory bowel disease
Inflammatory bowel disease
DrPoojaPandey4
We present a patient at the age of 45, who visited a doctor because of pain in the stomach, nausea, and vomiting and weight loss of more than 20 kg. Clinical, biochemical, endoscopic, pathohistological, radiological and imaging studies (US and CT) have been performed. The radiological examination was performed using a monocontrast and double-contrast technique. The US examination was performed with a 3.75 MHz convex probe, using a standard overview technique. CT was made after oral administration of 700 ml of water, i.v. application of a non-ionic contrast agent of 90 ml in bolus, in hypotonia achieved by i.v. glucagon application, with a scanning width of 10 mm.
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semualkaira
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Colorectal cancer
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GastroIntestinal Stromal tumors.
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Inflammatory bowel disease
Inflammatory bowel disease
Appearance_of_Krukenberg_Tumor_from_Gast.pdf
Appearance_of_Krukenberg_Tumor_from_Gast.pdf
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