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Old 05-11-2016
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GIT GI questions:

if patient has h/0 atrial fibrilation,HTN,Cerebrovascular accident,diabetes,hyperlipidemia then how would u prevent from bowel infarction development ??

Last edited by krishna_3228; 05-13-2016 at 10:48 PM.
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  #2  
Old 05-11-2016
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Quote:
Originally Posted by krishna_3228 View Post
if patient has h/0 atrial fibrilation,HTN,Cerebrovascular accident,diabetes,hyperlipidemia then how would u prevent from bowel infarction development ??
If its chronic mesenteric ischemia, then the preventive measures are similar to preventing atherosclerosis like stopping smoking, etc. To prevent bowel infarction, revascularization procedures (endovascular or open surgical) can be done if the patient is symptomatic (abdominal loss, weight loss)
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Old 05-13-2016
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Help appendicitis ....

patient who is stable of apendiceal abscess managed with iv antibiotics,bowel rest,posibly with percutaneous drainage of the abscess,they can return 6-8weeks for apendectomy on elective basis (interval apendectomy).
so now my question is that if patient is unstable then what wil be the next step of managment?? or patient with apendiceal rupture with a contained absces what wil be the next step
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Last edited by krishna_3228; 05-13-2016 at 07:51 AM.
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  #4  
Old 05-13-2016
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GIT

Quote:
Originally Posted by krishna_3228 View Post
patient who is stable of apendiceal abscess managed with iv antibiotics,bowel rest,posibly with percutaneous drainage of the abscess,they can return 6-8weeks for apendectomy on elective basis (interval apendectomy).
so now my question is that if patient is unstable then what wil be the next step of managment?? or patient with apendiceal rupture with a contained absces what wil be the next step
i hv got answer myself if pt comes with apendiceal rupture with a contained abscess or difuse peritonitis then next step would be the urgent apnedectomy ...
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Old 05-20-2016
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Liver Surgery: Gall stones...

If gall stones are seen on u/s and we have found patient with biliary pancreatitis than what wil be the next step of management?
1)ENDOSCOPIC U/S/ERCP : done to extract visible comon bile duct stones on u/s
OR
2)If patient is stable with bilieary pancreatitis we wil do the laparoscopic cholecystectomy to prevent recurent pancreatitis.

what is the actual management of non complicated or complicated biliary stones in stable and unstable patient???
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Last edited by krishna_3228; 05-20-2016 at 11:59 PM.
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