Fig. 17.1 CXR showing elevated left hemidiaphragm with permission from Kadian et al. [9, Fig. 2] The clinical management of a bleeding splenic injury in a complicated surgical patient should, as in…

Religion Mean ISS Type of injury Case of injury (%) Mortality (%) Jehovah’s Witnesses 10.3 ± 9 (NS) Blunt (82) MC (39) 11.0 (NS) Catholic 10.3 ± 11 Blunt (68) MVC (39) 6.9 Baptist 8.9 ± 10…

Fig. 9.1 The assistant grasps the fundus cephalad and retracts this toward the patient’s right shoulder. This reduces redundancy in the infundibulum and exposes the cystic duct. A second grasper retracts…

Fig. 20.1 Leak demonstrated on UGI 2 weeks after laparoscopic sleeve gastrectomy Of note, many practices obtain routine UGI as part of postoperative algorithm for management, whether the patient is or is not…

Fig. 21.1 Full-thickness ischemia of stoma While edema and venous engorgement in the immediate postoperative period is common, this was a case of stoma necrosis, which is one of the more…

Abscess type Causative organism Patient population Treatment Pyogenic Polymicrobial (biliary and enteric organisms most likely); Klebsiella spp. increasing in incidence Recent biliary intervention; Multiple medical comorbid conditions; Immunocompromised Broad-spectrum antibiotics;…

  Small intestine Large intestine Proximal Distal Competent ileocecal valve Non-competent ileocecal valve Anorexia Present Variable Variable Variable Vomiting Present: bilious, large quantity, non-malodorous Usually present: feculent/particulate, small volume, foul…

Fig. 7.1 A management algorithm for parapneumonic effusion. Reproduced with permission from Moore et al. [63, Fig. 1], with permission courtesy of Wolters Kluwer Health, Inc After tube placement, vigilant follow-up of…

Organ system Pathophysiologic effects Clinical manifestations Threshold IAP (mmHg) Cardiovascular Decreased preload/venous return Increased afterload Compression of inferior vena cava Decreased cardiac output Increased susceptibility to hypovolemia 10 Pulmonary Increased…