ECG V

Sep 23, 2017 by in Uncategorized Comments Off on ECG V

Fig. 21.1 12-lead ECG 1. What is concerning about this ECG?   2. What factors contribute toward this presentation?   3. How do you emergently correct this abnormality?   4….

read more

ECG III

Sep 23, 2017 by in Uncategorized Comments Off on ECG III

Fig 19.1 EKG showing dissociated pattern for P waves and QRS pattern   2. Can you determine the site of block in the AV conduction system by looking at the…

read more

ECG II

Sep 23, 2017 by in Uncategorized Comments Off on ECG II

Fig. 18.1 Observed EKG in obstetrics operating theater A parturient, gravida 7 para 6 at 38 weeks gestation, was placed under general anesthesia for an emergent C-section secondary to fetal bradycardia…

read more

Fetal Heart Rate Monitoring

Sep 23, 2017 by in Uncategorized Comments Off on Fetal Heart Rate Monitoring

Fig. 14.1 Fetal heart tracing Answers 1. This tracing contains multiple decelerations. Decelerations are characterized by a decrease from baseline of at least 15 beats per minute (BPM), lasting at…

read more

Small Bowel Obstruction

Sep 23, 2017 by in Uncategorized Comments Off on Small Bowel Obstruction

Fig. 21.1 Classic X-ray finding of SBO-dilated small bowel with air–fluid level within the bowel. © Dale Dangleben, MD Fig. 21.2 CT scan with extensive small bowel dilatation and fluid filled consistently…

read more

Toxic Megacolon

Sep 23, 2017 by in Uncategorized Comments Off on Toxic Megacolon

Fig. 23.1 A patient with fulminant C. difficile colitis developed toxic megacolon with marked thickening of the colonic wall. © Dale Dangleben, MD Complications Toxic megacolon is a serious disease. Complications…

read more

Paraesophageal Hernia

Sep 23, 2017 by in Uncategorized Comments Off on Paraesophageal Hernia

Fig. 16.1 This CT scan illustrates a gastric volvulus of a paraesophageal hernia. The “swirl” is seen within the stomach in the chest. © Dale Dangleben, MD Fig. 16.2 Large paraesophageal hernia…

read more

Small Bowel Perforation

Sep 23, 2017 by in Uncategorized Comments Off on Small Bowel Perforation

Category Specific causes Trauma Penetrating Blunt Infection Cytomegalovirus Salmonella Tuberculosis Ascaris lumbricoides Entameba histolytica Obstruction Adhesions Hernia Neoplasm Closed-loop obstruction Medication related NSAIDs Potassium chloride Steroids Chemotherapy Immune modulators (bevacizumab)…

read more

Peptic Ulcer Disease

Sep 23, 2017 by in Uncategorized Comments Off on Peptic Ulcer Disease

Fig. 25.1 Active bleeding from the base of an ulcer. © Dale Dangleben, MD Fig. 25.2 Blood clot overlying an ulcer. © Dale Dangleben, MD For bleeding duodenal ulcers, longitudinal duodenotomy should…

read more

Lower Gastrointestinal Bleeding

Sep 23, 2017 by in Uncategorized Comments Off on Lower Gastrointestinal Bleeding

Fig. 9.1 Small bowel AVM seen on mesenteric angiography. © Dale Dangleben, MD Fig. 9.2 a, b Endoscopic view of AV malformation. © Dale Dangleben, MD Fig. 9.3 a, b Colon adenocarcinoma. ©…

read more
Get Clinical Tree app for offline access