Acute Vascular Insufficiency in the Elderly

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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…

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Extremity Injury

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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…

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Necrotizing Soft Tissue Infections

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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…

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Biliary

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Fig. 14.1 Plain abdominal radiograph of a patient with gallstone ileus. Note the presence of pneumobilia depicted in the circled area. Gallstones may not be present due to lack of…

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End-of-Life Care

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(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…

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Renal Replacement Therapy

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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…

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Diverticulitis

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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…

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Intestinal Hemorrhage in the Elderly

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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…

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