Gastroenterology an illustrated colour text - part 3 pdf

... 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 9 100 Relative cost £ ££ ££££* £££££* £££££* Dyspepsia • Non-ulcer dyspepsia is a diagnostic ... large fluid-filled cavity Clear fluids can be transilluminated Gas-filled - resonant; fluid-filled/solid - dull Arteries/aneurysms Gentle pr...

Ngày tải lên: 10/08/2014, 15:20

... ST LOUIS SYDNEY TORONTO 20 03 Gastroenterology AN ILLUSTRATED COLOUR TEXT Examination of the patient begins as he or she enters the consult- ing room, and continues whilst taking ... 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 fi...

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... 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 ... and an LOS which does not readily relax. This is another case where barium swallow can be helpful (Fig. 3) . Oesophageal manom- etry has characteristic changes with aperistalsis...

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 ... dicyclomine and hyoscine may help pain and diar- rhoea but can have side-effects with uri- nary retention and effects on intraocular pressures. Antispasmodics such as mebeverine...

Ngày tải lên: 10/08/2014, 15:20

... 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, white cell scanning outlines ... phase reac- tants and an inflammatory mass have relapse rates of 30 % per year. Smoking, the oral contraceptive pill, non-steroidal anti-inflammatory drugs and bacteri...

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 ... bowel • Antibiotics • Promotility agents - metoelopramide • Proton pump inhibitors - omeprazole, lansoprazole • Non-steroidal anti-inflammatory drugs •...

Ngày tải lên: 10/08/2014, 15:20

... abdominal and perineal incisions and a permanent sig- moid colostomy is fashioned. Rectal lesions can also be dealt with via the rec- tum using transanal microsurgical tech- niques, ... Withdrawal seizures - 'rum fits' ( 8-4 8 hours after last drink) • Full-blown DTs - delirium, hallucinations, hypertension, paranoia and clouding of consciousness...

Ngày tải lên: 10/08/2014, 15:20

... 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 other low protein states, and normal or high ... duodenum and pancreatic head with anastomosis of stomach remnant, CBD and pancreatic tail onto the jejunum (Fig. 4). Unfortunately, pancreatic cancer often pre...

Ngày tải lên: 10/08/2014, 15:20

... positive anti-smooth-muscle antibody present in 60%, and antinuclear antibody and LKM-1 antibody may be present. • Long-term immunosuppression is required with corticosteroids and often ... infectious mononucleosis, autoantibodies for anti- smooth muscle antibodies and anti-mito- chondrial antibodies. Liver ultrasound may demonstrate fatty liver, gallstones and an obst...

Ngày tải lên: 10/08/2014, 15:20

... 33 antidepressants 33 anti-diarrhoeals 48 anti-endomysial antibodies (AEA) 44, 68 antimitochondrial antibodies (AMA) 92 antinuclear antibodies (ANA) 104 antispasmodics 33 a -antitrypsin ... 2 0-2 1 gallbladder cancer 30 'porcelain' 30 gallstones 3 0 -3 1 acute pancreatitis and 39 aetiology 30 clinical features 23, 30 conditions resulting from 3...

Ngày tải lên: 10/08/2014, 15:20