Liver Abscesses

Apr 6, 2017 by in CRITICAL CARE Comments Off on Liver Abscesses

Fig. 22.1 A 52-year-old Mexican male who presented with RUQ pain and jaundice with pyogenic abscess Treatment The initial treatment of any patient suspected of having a possible liver abscess…

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Gastric Outlet Obstruction

Apr 6, 2017 by in CRITICAL CARE Comments Off on Gastric Outlet Obstruction

Fig. 18.1 Evaluation of peptic ulcer disease (PUD)-associated benign GOO The classically described test for GOO (i.e., “gastric retention”) is the saline load test described by Goldstein et al. in…

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Acute Biliary Disease

Apr 6, 2017 by in CRITICAL CARE Comments Off on Acute Biliary Disease

Fig. 20.1 Acute gangrenous cholecystitis (operative photograph) On the other hand, even before the modern era of antibiotics and other interventions, acute cholecystitis did often enough certainly resolve spontaneously. In…

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Bile Duct Injury

Apr 6, 2017 by in CRITICAL CARE Comments Off on Bile Duct Injury

Fig. 21.1 (a–c) Algorithm for management of suspicion of BDI Epidemiology and Background Definitions BDI is a broad term used to describe a transection of, an excision of, a leak…

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Peptic Ulcer Disease for the Acute Care Surgeon

Apr 6, 2017 by in CRITICAL CARE Comments Off on Peptic Ulcer Disease for the Acute Care Surgeon

Medications/dose/frequency Duration PPI  +  Clarithromycin 500 mg bid  +  Amoxicillin 1,000 mg bid 10–14 days PPI  +  Clarithromycin 500 mg bid  +  Metronidazole 500 mg bid 10–14 days PPI  +…

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Surgical Site Infections

Apr 6, 2017 by in CRITICAL CARE Comments Off on Surgical Site Infections

Superficial incisional SSI Infection occurs within 30 days after the operation •and infection involves only skin or subcutaneous tissue of the incision •and at least one of the following: –Purulent…

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Obtaining a Surgical Airway

Apr 6, 2017 by in CRITICAL CARE Comments Off on Obtaining a Surgical Airway

, Spencer Skelton2, Krista Turner3   and Hassan Aijazi4 (1) Department of General Surgery, University of Texas Health Science Center, Houston, TX, USA (2) Department of General Surgery, The Methodist Hospital, Houston, TX, USA…

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Acute Mesenteric Ischemia

Apr 6, 2017 by in CRITICAL CARE Comments Off on Acute Mesenteric Ischemia

Fig. 27.1 Depiction of usual sites of SMA embolus versus thrombosis. Note sparing of proximal jejunal branches with more distal lodgment of an embolus. Reprinted with permission from Hassoun HT:…

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