Abdominal Injury
Fig. 5.1 Extensive abdominal skin burns secondary to ileostomy effluent leaking onto abdominal skin He received fluid resuscitation, antibiotic therapy, anti-tetanus, and nutritional support, and underwent CT scan in order…
Acute Vascular Insufficiency in the Elderly
1. Organized chronic cardiac thrombus from atrial fibrillation 2. Subacute thrombus from ischemia endocardium of acute MI 3. Iatrogenic catheter induced thrombus 4. Paradoxical embolism from DVT, multiple PE with…
Extremity Injury
Fig. 30.1 AP pelvis X ray of a right displaced femoral neck fracture Plain radiographs with anteroposterior and lateral are sufficient to diagnose fracture in 98 % of cases. MRI…
Necrotizing Soft Tissue Infections
Gram-positive aerobic bacteria Bacillus sp. Coagulase-negative staphylococci Enterococci Group A, β-hemolytic streptococcus Group B streptococcus Staphylococcus aureus Gram-negative aerobic bacteria Acinetobacter spp. Citrobacter spp. Enterobacter spp. Escherichia coli Haemophilus influenzae…
Thoracic Diseases in the Elderly for Geriatric Trauma and Emergency Care
Fig. 21.1 Bronchoscopic removal of aspirated foreign body Complications associated with bronchoscopic foreign body removal occur in less than 10 % of patients and include bronchospasm, laryngospasm, pneumonia, pneumothorax, pneumomediastinum, and…
End-of-Life Care
(1) Department of Surgery, Oregon Health and Science University, Portland, OR, USA Mary Condron Email: brasel@ohsu.edu Summary Because of the high mortality rate in elderly patients with unplanned ICU…
Renal Replacement Therapy
Increase in serum creatinine level (mg/dL) Multivariable OR (95 % CI) Area under ROC curve Increase in total cost 0.3 4.1(3.1–5.5) 0.84 $4886 0.5 6.5(5.0–8.5) 0.86 $7499 1.0 9.7(7.1–13.2) 0.84…
Diverticulitis
Fig. 15.1 Colonoscopy showing multiple diverticula (white arrows) without evidence of diverticulitis Complicated Diverticulitis In contrast to uncomplicated diverticulitis, patients with acute, complicated diverticulitis typically present with localized or generalized…
Intestinal Hemorrhage in the Elderly
Upper GI bleeding Peptic ulcer disease Gastritis Esophageal/gastric varices Mallory-Weiss tear Boerhaave’s syndrome Malignancy Lower GI bleeding Diverticulosis Angiodysplasia Malignancy Inflammatory bowel disease Ischemic colitis Infectious colitis Hemorrhoids Anal fissure…
