Gastroenterology an illustrated colour text - part 1 doc

... accordance with the Copyright, Designs and Patents Act 19 88. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, ... spider naevi and (in men) the pres- ence of gynaecomastia. ABDOMEN Inspect for distension and previous surgical scars, and note dis- tended veins - if emanating and f...

Ngày tải lên: 10/08/2014, 15:20

... confirming significant pancre- atic exocrine dysfunction. NBT-PABA test (N-benzoyk-tyrosyl-para- amino benzoic acid) NBT-PABA is cleaved by pancreatic chy- motrypsin and PABA measured in ... presentation and need palliation. Flexible metal stents can be placed easily and offer reasonable palliation. THE CLINICAL APPROACH 11 and easier to perform and analyse with sol...

Ngày tải lên: 10/08/2014, 15:20

... Gl/liver disease. Sensitivity (%) 8 8-9 9 9 0-9 7 8 9-9 8 9 3-9 9 7 7-9 2 Specificity (%) 8 6-9 5 9 0 -1 00 9 3-9 8 9 5-9 9 10 0 Relative cost £ ££ ££££* £££££* £££££* Dyspepsia • Non-ulcer dyspepsia is a diagnostic ... than ten-fold variation in incidence between low areas such as the USA and Europe, and high areas as such as Japan, China and Russia. Ta...

Ngày tải lên: 10/08/2014, 15:20

... peppermint-based products (particu- larly for constipation-dominant IBS) may help pain and bloating and are widely used as they do not have anticholinergic side-effects. Antidepressants ... disease is an HLA-associated condition, particu- larly with HLA-DQ2, -DQ8 and -DQ4. It is not clear why individuals with these associations should develop clinical coeliac disease,...

Ngày tải lên: 10/08/2014, 15:20

... cleavage e-c - enteric-coated; m-r = modified-release chronic intermittent course to their disease (the majority), a chronic continuous course ( 5 -1 0%), or surgery (1 5-2 5%), and a ... perforation. If neces- sary, an 'instant' enema (with an unpre- pared bowel) can help determine disease extent (Fig. 3). More elegantly, and with- out risk, whi...

Ngày tải lên: 10/08/2014, 15:20

... spurting vessel 3 _ - - - Renal failure Any malignancy - - SBP = Systolic blood pressure THE CLINICAL APPROACH IRON DEFICIENCY ANAEMIA 69 bin reacting with substrate on guaiac- impregnated paper and ... Polyps of 1- 2 cm often have a higher villous component and up to 10 % may exhibit malignant change. • Polyps larger than 2 cm have a 50% chance o...

Ngày tải lên: 10/08/2014, 15:20

... for 2 days 10 mg, 5 mg, 5 mg, 10 mg (8 a.m., 1 p.m., 6 p,m., 11 p.m.) for 2 days 5 mg, 5 mg, 5 mg, 10 mg for 2 days 5 mg, 10 mg (8 am, 11 p.m.) for 2 days 10 mg (11 p.m.) for ... dominant APCgene/MLH1 Autosomal dominant STK11gene (19 p) Autosomal dominant PTENgene(IOq) Autosomal dominant (in some families) COLORECTAL CANCER I 75 developed and screening too...

Ngày tải lên: 10/08/2014, 15:20

... copper (mmol /1) Urinary copper mmol/day) Liver copper (mg/g) 0-2 00 3 -1 0 >250 20 0-3 50 1 1- 2 4 <0.6 2 0-5 0 Catches: Serum caeruloplasmin can be low in fulminant hepatic failure, and various ... usually show an ele- vated alkaline phosphatase and gamma glutamyl transpeptidase (GOT), and spe- cific markers, such as carcinoembryonic antigen (CEA) in...

Ngày tải lên: 10/08/2014, 15:20

... acid) Vitamin B 12 3 ncg Major minerals Sodium 10 0 -1 50 mmol Potassium 6 0 -1 00 mmol Magnesium 5 -1 5 mmol Calcium 5 -1 5 mmol Phosphorus 2 0-6 0 mmol Trace elements Iron 1- 1 .5 mg Zinc 2. 5-4 mg Copper ... positive anti-smooth-muscle antibody present in 60%, and antinuclear antibody and LKM -1 antibody may be present. • Long-term immunosuppression...

Ngày tải lên: 10/08/2014, 15:20

... 23 dysmotility-like 24 gastritis 24 non-ulcer (NUD) 2 4-2 5 reflux-like 24 ulcer-like 24 dysphagia 1 0 -1 7 ,17 causes 10 , 1 6 -1 7 examination and investigation 1 0 -1 1 history-taking 2, 10 infections 1 6 -1 7 investigative ... disease 10 0 -1 01 acute hepatitis 98 cholestatic 10 1 chronic hepatitis 10 1 fatty liver 10 1 fibrosis 10 1 granuloma...

Ngày tải lên: 10/08/2014, 15:20