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Common Surgical Problems Lau Cheong Chi
Common Surgical Problems Abdominal pain Foreign bodies ingestion Perineum Lumps & bumps AROU Changed bowel habits Haematemesis, Haematuria, Haematochezia, Haemoptysis VV, PVD, Buerger s disease Tumors
Abdominal pain HBP – cholecystitis, cholangitis, Upper GI – PPU, gastritis, duodenitis Lower GI – I/O, appendicitis Genital – epididymitis +/- orchitis
Perineal concerns Haemorrhoids Fresh PR bleeding / mass / pain Active inflammation? Degree of prolapse Manual reduction Drugs: annusol, faktu; cream vs supp. Banding vs surgery Colonoscopy?
Foreign bodies ingestion Most commonly caused by fish bones, followed by chicken bone Odynophagia Direct largynoscope OGD CXR / XR neck: surgical emphysema or retrophargneal abscess
Lumps & Bumps Site, pain, texture, duration, size changes, Lipoma, sebaceous cyst, neuroma Lymphadenopathy (1ry vs 2ry) Benign vs malignant Referral to surgical – malignant potential: fixation, painless, induration, rapid growing, ulceration, texture changes; cosmetic reasons
AROU Painful retention, palpable bladder Risk of vasovagal syncope BPH, drug (cough, TCA, antipsychotics, etc), UTI, stone, urethral trauma Catheterization, chart RU, save urine x C/ST, AFB, cytology ? Clamp & declamping of Foley s Uses of minipress/hytrin/cardura; ditropan, pyridium, antibiotic (quinolones)
Changed bowel habit Definition of constipation what is change in bowel habit Blood / mucus / anaemia / evidence of malignancy colonoscopy
Haematemesis, haematuria, haematochezia, haemoptysis Haematemesis vs haemoptysis – amount, taste, cough/vomit, CHF/APO; UGIB – varices, PU, Mallory-Weiss Lungs – tumor, bronchiectasis, TB, etc. Pharynx – tumor Haematuria – early signs, medical vs surgical, macroscopic vs microscopic: TB, UTI, tumor, stone; IgA nephropathy, glomerulonephritis Haematochezia – piles, tumor, infection
Tumors Alert Lumps & bumps; moles; skin (BCC vs SCC) H&N(NPC, Ca pharygolarynx), GI (stomach, esophageus, colon, sigmoid & rectum), HBP (HCC, CC, Ca GB), Lymphoma, haematological malignancy
VV, PVD, Buergers Disease VV – when to refer, need surgery? Complications, avoid topical medications PVD – risk factors, limit daily activities? Asso. coronary & cerebral vessels, indications for surgery Buerger s disease – sympathetic blockage, autoamputation; education
+ Lower GI Bleeding. + Presentation Iron deficiency anaemia PR bleeding Acute colonic bleeding.
Fariba Jafari. Definition Outpouchings of the colon Located at sites where blood vessels enter the colonic wall Inflamed as a result of obstruction by.
CANCER. Cancer is a group of more than 200 diseases characterized by unregulated growth of cells. This growth of new cells is called a tumor. Tumors.
Upper Gastrointestinal Bleeding. Gastrointestinal (GI) bleeding refers to any bleeding that starts in the gastrointestinal tract. Bleeding may come from.
Medical Therapeutics. Group of organs that changes food that has been eaten into a form that can be used by the body’s cells.
Be Kind to your patients- offer them a wet towel for the Ba mustache ! 1 GASTROINTESTINAL PATHOLOGY RT
Bellringer What does the word cancer make you think of?
Urological History & Examination Dr. Abdelmoniem ElTraifi.
POLYPS CHOLORECTAL CANCER M. DuBois Fennal, PhD, RN, CNS.
Differential diagnosis of head and neck swellings DR.ALI AL-HIYALI BDS,MSC OMFS UNIVERSITY OF GLASGOW(UK) BDS
Cancer – A general term for more than 250 diseases characterized by abnormal and uncontrolled growth of cells.
Cancer: causes abnormal and uncontrolled cell growth to occur within body Because cancer cells continue to grow and divide, they are different from normal.
Acute Urinary Retention J E Mensah. Definitions ACUTE RETENTION Painful inability to void with relief of pain following drainage of the bladder by catheterization.
Welfare for the Elderly Seminar Stomach and Intestinal Diseases: How to recognise them Dr Kalpesh Besherdas Consultant Gastroenterologist, Barnet & Chase.
Do Now #4 What is cancer? What are some warning signs of cancer? What are some forms of treatment?
Towards Earlier Cancer Diagnosis Hamish Whitaker GP Tutor Guildford.
O. N. M. Panton, MB, BS, FRCSC, FACS, Head, UBC Division of General Surgery, VGH/UBCH.
CANCER. CONTENT What is cancer? Origin of cancer Common cancer types Symptoms of cancer Type of cancer treatments The 10 step anti-cancer program, The.
Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 23 Abdominal and Gastrointestinal Disorders.
HEMATURIA DAVID SPELLBERG M.D.,FACS NAPLES UROLOGY ASSOCIATES.
Gastrointestinal Bleeding G Muthukumarasamy Specialist Registrar in General Surgery.
Acute Abdomen Temple College EMS Professions. Acute Abdomen General name for presence of signs, symptoms of inflammation of peritoneum (abdominal lining)
Irritable Bowel Syndrome Chiefly a motility disorder Pain / cramps often relieved with BM Chronic constipation, chronic diarrhea, or some combination,
By: Leon Richardson Period 2. Crohn’s Disease Affects Crohn's disease is a form of inflammatory bowel disease (IBD). It usually affects the intestines,
ULCERATIVE COLITIS. Ulcerative colitis is an idiopathic chronic inflammatory disease of the colon that follows a course of relapse and remission. In a.
Haematuria. History The passage of clots in urine is indicative of Glomerular origin? Extraglomerular origin? A history of haematuria, enuresis, dysuria,
Chapter 4 Cancer. Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc. 1 Terms Tumors or Neoplasms: Swelling or new growth.
1. What is your clinical impression?. Differential Diagnosis TB adenopathyLymphoma Lymphadenitis from aphthous ulcer Metastatic carcinoma from oral cavity.
Gastroenterological Pathology. History Nature & course of abdominal symptoms Associated s/s Past medical, family & surgical Hx Medications Could you be.
F/46 C/C polyp in the sigmoid colon. V/S BP 120/80 mmHg HR 84/min ROS melena/hematochezia (-/-) bowel habit change (-) bearing down sensation PMHx. hemorrhoidectomy,
OBJ: 9.PCH.1.4 Design Strategies for Reducing Risks for Chronic Diseases.
Introduction to Gastrointestinal System Dr.Yasir M Khayyat Assistant Professor, Consultant Gastroenterologist.
COSULTANT UROLOGIST. Diseases of lower urinary tract.
UROLOGICAL CANCERS By DR NUSRAT JABEEN General Practitioner
DIGESTIVE SYSTEM DISORDERS. Gastroesophageal Reflux: Symptoms Commonly called heartburn Burning sensation in the chest just behind the sternum Pain can.
Cancer is the 2 nd leading cause of death in the United States Cancer is uncontrolled abnormal cell growth. It can occur on the skin, body tissue, bone.
Primary Impression. Active Pulmonary TB and Gastrointestinal tuberculosis previous history of TB – No sputum AFB smear was done to see if the patient.
HAEMATURIA. Definition Blood in the urine Presence of ≥3 erythrocytes per high power field (HPF) under a microscope Microscopic or frank/gross.
Acute abdominal pain Andrew McGovern Brighton and Sussex Medical School How to approach a patient with.
Understanding Cancer In this lesson, you will Learn About… What cancer is. Some causes of cancer. How cancer is treated. How can you reduce your risk of.
By: Amanda Herrod CANCER. What Is Cancer? Cancer is a disease which abnormal cells divide without control and are able to invade other tissues. Cancer.
Welcome to. Digestive Surgery Clinic is a comprehensive weight loss and GI Surgery institute in India established with a view to offer health management.
Bleeding from the Gut Clinical approach Severity Vital signs Haematocrit Beware ongoing losses Acute onset or chronic blood loss Fe deficiency Stigmata.
1 Diseases and Disorders of the Digestive System Appendicitis - an inflammation of the appendix Causes Blockage of appendix with feces Blockage.
1 Practice Nurse Forum Presented by: Jenny Stuart Continence Nurse Specialist/Lead Telephone Number:
Quah Hak Mien Colorectal Centre Dr Quah Hak Mien colorectal surgeon Quah Hak Mien Colorectal Centre Knowing More about Haemorrhoid and its Treatments Available.
Urinary Tract Bladder Outflow Obstruction (BOO) A blockage at the base of the bladder that reduces or prevents the flow of urine into the urethra Most.
CANDICE W. LANEY SPRING 2014 Gallbladder Disease.
Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 42 Urinary and Reproductive System Disorders.
EVALUATION OF RENAL MASSES Dr Montadhar Almadani.
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