Clinician’s Manual on Intra-abdominal Infections by Dr Thomas L Husted, Prof. Dr. Hannes Wacha, Professor Joseph

By Dr Thomas L Husted, Prof. Dr. Hannes Wacha, Professor Joseph S Solomkin (auth.)

A clinician's guide for intra-abdominal infections written by way of specialists within the field.

- A guide to assist physicians to quick realize and higher comprehend the pathogenesis of intra-abdominal
- contains numerous fine quality black and white and colour photos from real-life medical cases
- Adheres to an easy structure to function crucial and quickly reference consultant for all non-surgical citizens and physicians

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Extra resources for Clinician’s Manual on Intra-abdominal Infections

Example text

Laboratory studies Patients will usually have an elevated leukocyte count with a left shift and a normal urinalysis; female patients should have pregnancy ruled out. Diagnostic imaging In equivocal cases, imaging is helpful to distinguish the pathologic cause of pain. 13). Confirming the diagnosis While some cases of acute appendicitis are obvious, many present with enigmatic signs and symptoms. In these cases, the evaluating physician is faced with several options in order to determine the correct diagnosis, including: t an abdominal CT; t guarded observation with serial examinations; or t diagnostic laparoscopy.

Acute surgical emergencies in inflammatory bowel disease. Am J Surgery 2002; 184:45–51 © Excerpta Medica, Inc. the obstruction does not improve, operative intervention may be required. For patients with Crohn’s disease, stricturoplasty has been found to be a safe and efficacious procedure for small bowel disease. For colonic Crohn’s disease or ulcerative colitis, segmental resection with primary anastomosis is recommended. Clostridium difficile colitis Pathophysiology The precipitating event for Clostridium difficile colitis is disturbance of the normal colonic flora.

CT, computed tomography. The gas bubbles suggests a pancreatic abscess secondary to gas-producing organisms; however, sterile necrosis with microcommunication with the gut can lead to this CT finding. Only with a fine-needle aspirate can one diagnose an abscess with assurance. From Steinberg W. Gastroenterology and hepatology: pancreas. Edited by M Feldman, PP Toskes. Philadelphia: Current Medicine LLC, 1998. with self-limited mild-to-moderate gallstone pancreatitis, a cholecystectomy should be undertaken during the initial hospital admission to prevent future episodes of pancreatitis.

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