Gastroenterology an illustrated colour text - part 8 ppt

... usually show an ele- vated alkaline phosphatase and gamma glutamyl transpeptidase (GOT), and spe- cific markers, such as carcinoembryonic antigen (CEA) in colonic cancer and oc- fetoprotein ... duodenum and pancreatic head with anastomosis of stomach remnant, CBD and pancreatic tail onto the jejunum (Fig. 4). Unfortunately, pancreatic cancer often presents late a...

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...

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... 70 Peutz-Jeghers 7 0-7 1 pseudopolyps 70 porphyria cutanea tarda 84 , 85 portal blood flow 88 portal hypertension 83 , 8 8- 9 1 ascites 9 0-9 1 causes 8 8- 8 9 cirrhosis 89 massive splenomegaly 89 oesophageal/gastric ... 67 management 8 2 -8 3 pancreatitis, acute 38 alcoholic hepatitis 82 , 83 alcoholic liver disease 8 0 -8 3 alcoholic hepatitis...

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... accordance with the Copyright, Designs and Patents Act 1 988 . 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...

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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 ... that pancre- atic enzymes and bicarbonate can be aspi- rated and assayed. Pancreatic secretion is stimulated by cholecystokinin (CCK) and secretin. This is probably the most accu- rate...

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... 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 ... a fluid-filled cavity makes other sides protrude Percussion wave across a large fluid-filled cavity Clear fluids can be transilluminated...

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... 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 bacterial i...

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

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... 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...

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... 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