Gastroenterology an illustrated colour text - part 9 pps
Gastroenterology an illustrated colour text - part 9 pps
... 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
Gastroenterology an illustrated colour text - part 6 pps
... 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-inflammat...
Ngày tải lên: 10/08/2014, 15:20
Gastroenterology an illustrated colour text - part 1 doc
... accordance with the Copyright, Designs and Patents Act 198 8. 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 fi...
Ngày tải lên: 10/08/2014, 15:20
Gastroenterology an illustrated colour text - part 2 pot
... 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...
Ngày tải lên: 10/08/2014, 15:20
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 ... a fluid-filled cavity makes other sides protrude Percussion wave across a large fluid-filled cavity Clear fluids can be transillumina...
Ngày tải lên: 10/08/2014, 15:20
Gastroenterology an illustrated colour text - part 4 pptx
... 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
Gastroenterology an illustrated colour text - part 5 pot
... 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 ... release Sulphasalazine Asacol (e-c mesalazine) Salofalk (e-c mesalazine) Pentasa (m-r mesalazine) Dipenlum (olsalazine) Colazide (balsalazide) 5-ASA linked to sulphapyridine...
Ngày tải lên: 10/08/2014, 15:20
Gastroenterology an illustrated colour text - part 7 pot
... 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, ... dominant APCgene/MLH1 Autosomal dominant STK11gene(19p) Autosomal dominant PTENgene(IOq) Autosomal dominant (in some families) COLORECTAL CANCER I 75 developed and screening too late when ca...
Ngày tải lên: 10/08/2014, 15:20
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
Gastroenterology an illustrated colour text - part 10 pptx
... disease) 99 liver tumours 9 6 -9 7 obstructive jaundice 9 4 -9 5 paracetamol overdose 79 peri-hepatitis 99 portal hypertension 8 8 -9 1 in pregnancy 10 6-1 07 primary biliary cirrhosis 9 2 -9 3 see ... laxatives 59 antibiotics, cholestasis 101 anticholinergics 33 antidepressants 33 anti-diarrhoeals 48 anti-endomysial antibodies (AEA) 44, 68 antimitochondrial...
Ngày tải lên: 10/08/2014, 15:20