By Tadataka Yamada, David H. Alpers, Anthony N. Kalloo, Neil Kaplowitz, Chung Owyang, Don W. Powell
Actual, top quality photos are particularly important for gastrointestinal therapy.
The Atlas of Gastroenterology is a gold-standard instrument that gives experts with a very good array of pictures protecting all points of the sector. With endoscopic ultrasonographs, computed tomography scans, magnetic resonance photos, radionuclide photographs, and angiograms demonstrating each scientific situation from liver abscess, to endocrine neoplasms of the pancreas, to motility issues of the esophagus, this atlas is just a must-own source for all gastroenterologists.
Showing the diversity of the latest imaging applied sciences and incorporating over 1700 full-color photos, this re-creation is a perfect instructing software, and the precise better half to the Textbook of Gastroenterology
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Extra info for Atlas of Gastroenterology
Sorbitol intolerance: an unappreciated cause of functional gastrointestinal complaints. Gastroenterology 1983;84:30. From Ewe K, Karbach U. Factitious diarrhea. Clin Gastroenterol 1986;15:723. 17 Findings suggestive of factitious diarrhea Investigation Characteristic findings Cause Sigmoidoscopy Barium enema Stool electrolytes and osmolality (if volume > 500 mL/d and other causes are excluded) Melanosis coli “Cathartic” colon (Na+ + K+) × 2 < osmolality (Na+ + K+) × 2 = osmolality Anthraquinones Diphenolic laxatives and anthraquinones Osmotic laxatives, urine contamination Secretory laxatives (anthraquinone and diphenolic laxatives) Osmolality < 200 mOsm/L From Ewe K, Karbach U.
In the case of partial small bowel obstruction, they may be able to identify underlying problems (Fig. 10). However, barium-containing contrast can trigger severe peritonitis in cases of perforation and can inspissate, which should be considered prior to performing the test. Conversely, water-soluble contrast typically is diluted significantly in the often distended and fluid-filled loops of intestine, limiting lumenal opacification and diagnostic gain (Fig. 11). In easily reachable regions of the proximal and distal gastrointestinal tract, endoscopic studies can diagnose and at times treat obstructions.
Patients with mechanical obstruction of the small intestine initially may feel remarkably well between episodes of intense and debilitating colic. The physical examination should be conducted in a systematic and unhurried manner. A complete abdominal examination requires unhindered visualization of the area between the nipples and the midthigh, anteriorly and posteriorly. The examination begins with observation of the patient’s expression and behavior. A patient with serious intraperitoneal abnormalities usually has an anxious, pale face.
Atlas of Gastroenterology by Tadataka Yamada, David H. Alpers, Anthony N. Kalloo, Neil Kaplowitz, Chung Owyang, Don W. Powell