By Abdullah A. Shaikh, Syed M. Hussain, David J. Desilets, Tara M. Catanzano
Scientific scholars and junior medical professionals are an essential component of the healthcare approach. On an instructional gastroenterology provider, they generally at the beginning assessment the sufferers which are then staffed by way of the consulting healthcare professional. like every scientific specialties, the purchase of clinical wisdom is needed to realize services. There are numerous assets corresponding to textbooks and evidence-based articles which are on hand for this function. encouraged from sufferer care, this publication deals a clean method of scientific instructing. this can be a diversified type of booklet. It includes a gamut of instances for which gastroenterologists are ordinarily consulted for within the health facility and outpatient environment. every one case is gifted from preliminary background and work-up together with imaging (various modalities together with endoscopy), via a short dialogue on administration. Questions are provided to the reader in each one case by means of a solution. seeing that every one case is exclusive, the pertinent instructing issues are validated in a question structure in the case narrative. just like real-life situations, this is helping the reader to maintain an important details. Why purchase this publication? not like directory evidence as such a lot assessment books do, educating issues are built-in into lifelike scientific instances. clinical scholars to residents/registrars in inner medication, emergency medication, GI medication, radiology and surgical procedure would get advantages from this publication alike. Secondary audiences will contain nurses and common practitioners who are looking to comprehend the presentation of universal GI situations and linked imaging. furthermore, it may possibly even be very likely used as a coaching software a priceless academic source for senior colleagues who get pleasure from instructing. ultimately, this ebook might make a superb prerequisite sooner than beginning any gastroenterology rotation.
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Additional info for 50 Gastrointestinal Cases and Associated Imaging
What is your differential diagnosis? The differential diagnosis includes esophageal spasm, nutcracker esophagus, and gastroesophageal reflux disease. 6°F, HR 80 bpm, BP 120/74mmHg, oxygen saturation 99% on RA. GEN No obvious distress. HEENT Moist mucous membranes. No scleral icterus. No lymphadenopathy. CVS Normal S1, S2. No murmurs, rubs, or gallops. RESP Clear to auscultation. ABD Soft and non-tender. No rigidity, guarding, or rebound tenderness. Bowel sounds are present. Rectal examination deferred.
ABD Tenderness in the right lower quadrant. No rebound tenderness or rigidity. Bowel sounds are normal. Rectal examination reveals guaiac-negative stool. EXT No edema. What other blood tests will you order? CHEM-7, LFTs, lipase. All are within normal limits. The patient’s blood panel is not revealing. The ESR is slightly elevated, but this is a non-specific finding. The patient continues to experience severe pain. IV analgesics are administered with some relief. The physician next orders a CT scan of the abdomen and pelvis (Figures 41 and 42).
A barium swallow (esophagram). This examination will evaluate the cervical, mid, and distal esophagus. This is different from a modified barium swallow/cine with speech therapy examination, which evaluates the swallowing mechanism with various food consistencies and does not evaluate the esophagus. What blood test(s) will you order? No blood test is needed. The patient’s weight is steady, therefore checking the albumin level to assess his nutritional status is not indicated at this time. A CBC might be helpful to look for anemia.
50 Gastrointestinal Cases and Associated Imaging by Abdullah A. Shaikh, Syed M. Hussain, David J. Desilets, Tara M. Catanzano