Gastroenterology an illustrated colour text - part 10 pptx

... 33 anti-diarrhoeals 48 anti-endomysial antibodies (AEA) 44, 68 antimitochondrial antibodies (AMA) 92 antinuclear antibodies (ANA) 104 antispasmodics 33 a -antitrypsin deficiency 8 6-8 7 antrum, ... 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...

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

... 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 filling ... movements. There is an operating or biopsy channel, and a separate channel which passes air to distend the organ under examination. Water can also be passed down this channel to w...

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 ... 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

... 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 ... from 10 to less than 3 days. Cholangitis Acute cholangitis is a serious infection which may be life-threatening. Anti- biotics such as t...

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 ... 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 surge...

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 ... shock < ;100 Normal None Mallory-Weiss tear No lesion None 6 0-7 9 Tachycardia > ;100 > ;100 - All other diagnoses — 2 >80 Hypotension -...

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, ... liver dis- ease. Aspects of the recent, middle and distant past can all be relevant in these patients and probing and reminding patients of things that they may have for- gotten...

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