Hepatic Portal Venous Gas : Is it definitely a surgical indication?

Slides:

Advertisements

Similar presentations

Medical Student Small Group Discussion Topics

Advertisements

Prepared by: Tristan Villanueva Arcibal BSN-RN Presented on: July 16, 2013 A CASE PRESENTATION OF A PATIENT WITH DIABETIC KETOACIDOCIS (DKA)

Intestinal Obstruction

Nawal Raja Marianne Estrada Angelica Bengochea Period 0

Case 2 by 李君思远 Briefly A 49 year-old woman presented with high fever and chills, jaundice, and upper abdominal pain for 3 days.

Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 23 Abdominal and Gastrointestinal Disorders.

Case study Mr. Wang, a 64-year-old male, presented with nausea and coffee ground emesis in your department. In the past 1 month, he suffered from recurrent.

January 2007 Clinical Cases. BACKGROUND A 57-year-old man presents to a local emergency department with severe abdominal pain after being evacuated from.

Case Discussion: Cell Injury At the end of the Case Discussion, the involved group is requested to submit a report of answers to all the questions asked.

acute abdominal pain How to approach a patient with Andrew McGovern

Abdominal and Gastrointestinal Emergencies-3

Dec 2008, YCH AED (Part 1: ECG questions). A 76 years old lady, with known history of HT, AMI & VF, presented as chest pain for 3 hours. BP 104/71 mmHg.

Terry White, MBA, BSN SEPSIS. SIRS Systemic Inflammatory Response System SIRS is a widespread inflammatory response to a variety of severe clinical injuries.

NYU Medicine Grand Rounds Clinical Vignette Himali Weerahandi, PGY3 March 6, 2012 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 16 Gastrointestinal and Genitourinary.

Mohammed Al-Naami FRCSC, FACS, M Ed. Department of Surgery - Course 351 Surgery.

VCU DEATH AND COMPLICATIONS CONFERENCE. Complication  Complication  Dehiscence  Procedure  Ileocecocetomy with end ileostomy  Primary Diagnosis 

Sepsis. 54 year old man with a past history of smoking and diabetes presents to the emergency department with a one week history of progressive unwellness.

Upper Gastrointestinal Disease Bradley J. Phillips, MD Burn-Trauma-ICU Adults & Pediatrics.

1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Nutritional Problems Chapter 40.

Abdominal Pain Scenario 2 Skills Practicum. You Are working in the ER as a nurse.

Diagnosis. Algorithm for managing Acute Pancreatitis CONFIRMATION OF DIAGNOSIS (Clinical symptoms, Lipase/Amylase, Ultrasound) ASSESSMENT OF SEVERITY.

BGD 1 Group A: Discuss Upper GI Bleeding due to PUD Gatchalian, Gaw, Geraldoy, Geronimo, Geronimo, Geronimo, Go, Go, Go, Go, Go, Go, Go, Go, Go January.

Clinic of Upper Gastro Intestinal Tract Surgery Department of Digestive Surgery ULB- Erasme Hospital Eleonora Farinella.

Gangrenous Sigmoid Volvulus Complicating Pregnancy : Report Of A Case HAMRI.A, NARJIS.Y, RABBANI.K, LOUZI.A, BENELKHAIAT.R, FINECH.B SERVICE DE CHIRURGIE.

CHOLECYSTITIS CASE REVIEW A 71-year-old man presented to the ED with right upper quadrant pain of two day’s duration. The pain began as a dull ache.

Date of download: 6/23/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Hepatic Portal Venous Gas: The ABCs of Management.

Primary Hyperparathyroidism presenting with Pancreatitis Prof. Aasem Saif MD, MRCP(UK), FRCP(Edin) Workshop A (Calcium and Bone) Friday 25 October 2013.

Abdominal Pain Scenario 2 Skills Practicum. You Are working in the ER as a nurse.

Assessing the Abdomen. Need to know location and function of underlying ( ) Routine after abdominal surgery or after GI procedure/test ( ), auscultate,

Variations in topographic position of the appendix.

Approach to Ascites Updated by Daniel Kim, 06/2017.

Chapter 2 Diseases of the Abdomen

Dr. Muwaffaq Mezeil Telfah MBChB, MSC, MRCS/Eng

Surgical unit-ii Benazir Bhutto hospital Rawalpindi

SPM 100 SKILLS LAB 2 Vital Signs and Pain Emergency Assessment of

MIDGUT VOLVULUS: ACUTE ABDOMEN IN AN ADULT PATIENT

Case #1 RP, as 63 year old resident with pancreatic cancer. Resident has a foley catheter placed due to a stage 4 decubitus pressure ulcer. She has.

PBL Case Discussion ——acute abdomen 刘佳滟朱晓一.

Dr. Kevin J. Pacheco Abdominal Pain.

DIABETIC KETOACIDOSIS

Case studies December 2007 C.M.R.I..

Acute Abdomen Mohammed Al-Naami FRCSC, FACS, M Ed.

Appendix Appendix : is a small, finger-shaped that projects from colon on the lower right side of abdomen. Appendicitis: is inflammation of the appendix.

Case 3 Headache & Slurred Speech Case Presentation

A Polymorphism in Interferon L3 Is an Independent Risk Factor for Development of Hepatocellular Carcinoma After Treatment of Hepatitis C Virus Infection

Clinical outcomes of septic patients with diabetic ketoacidosis between 2004 and 2013 in a tertiary hospital in Taiwan Yu-Chen Cheng, Chung-Hao Huang,

Peritonitis: Introduction and Management

Coffs Harbour Divisional Training

JCM OSCE Questions PMH A&E Dr. Tse Choi Fung Dr. Lung Ka Yan Ashley

NLTH OSCE May 2017.

Characteristics of Hospitalized Patients with Atrial Fibrillation in Taiwan: A Nationwide Observation Cheng-Han Lee, MD, Ping-Yen Liu, MD, PhD, Liang-Miin.

ID : 71 years old female CC : Abdominal Pain.

SPM 100 Clinical Skills Lab 2

OSCE Mini exam clinical stations in surgery

Presented by: J. Karl Pineda

Cirrhosis with ascites-consider pt for liver transplant

(A) Quality of life scores in individuals with and without constipation. (A) Quality of life scores in individuals with and without constipation. (B) Quality.

Heavy Lies the Helmet Episode #30 Case Studies.

A rare type of internal hernia: a Case Report and Literature Review

Surgical Infection Prevention, 2006

Case studies December 2007 C.M.R.I..

Case Report History A 44-year-old housewife presented to the emergency department with 1-day history of upper abdominal pain and vomiting. The pain came.

January 2007 Clinical Cases.

Presentation transcript:

Hepatic Portal Venous Gas : Is it definitely a surgical indication? Mai Chen-Ming1, Lin An-Jen1, Huang Shin-Wei1, Lin Chien-Hua2, Ou Jing-Jim2, Lee Yueh-Tsung2, Tsai Zhi-Hong1, Hsu Hong2 1Division of General Surgery, Show Chwan Health Care System Show Chwan Memorial Hospital, 2Division of General Surgery, Show Chwan Health Care System Chang-Bing Show Chwan Memorial Hospital

Case Presentation 70-year-old man Complain : abdominal cramping pain, constipation and vomiting for 1 day. Past History : diabetes mellitus and perforated peptic ulcer for 20 years P.E of abdomen: distended abdomen with tenderness ,no rebounding tenderness

Vital sings : pulse rate 86/min, blood pressure 128/76 mmHg, respiratory rate 22/min, temperature 36.2°C Laboratory data: WBC : 14460/uL , glucose: 234 mg/dL Treatment: imipenem/cilastatin (500 mg q6h)

Discussion intestinal wall alteration bowel distention infection and sepsis Kevin McElvanna. Ulster Med J 2012;81:74-78 Hussain A. World J Emerg Surg 2008;3:21.

Conclusion The finding of HPVG itself is not a definite indication of operation. Finding the underlying problem and consideration of patient's clinical presentation are most important for decision-making.