Clinician's Manual on Intra-abdominal Infections by Joseph Solomkin, Thomas L. Husted, Hannes Wacha PDF

By Joseph Solomkin, Thomas L. Husted, Hannes Wacha

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

- A handbook to assist physicians to quick realize and higher comprehend the pathogenesis of intra-abdominal
- comprises a number of top quality black and white and colour pictures 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 info for Clinician's Manual on Intra-abdominal Infections

Sample text

Operative Surgical intervention for IBD is directed toward the complications of the disease process. The key complications include: t Toxic colitis – with or without toxic megacolon, toxic colitis is an emergent lifethreatening complication of IBD. Patients with toxic colitis present with fever, abrupt onset of bloody diarrhea, abdominal pain, and anorexia. Although rare, toxic colitis may be the initial presentation of patients with no prior history of IBD. */"- */'&$5*0/4 Initial treatment involves administration of intravenous fluids, intravenous broad-spectrum antibiotics, and bowel rest.

Difficile colitis. 22). Resuscitation Nearly all patients with C. difficile colitis are dehydrated from diarrhea with associated disturbances in electrolytes. Initial therapy consists of discontinuing the precipitating antibiotic and administering intravenous fluid hydration. Interventional approaches Operative C. difficile colitis can progress to toxic megacolon or perforation with signs of sepsis and resistance to medical therapy. Operative therapy in this circumstance involves subtotal colectomy with end ileostomy and delayed reanastomosis.

A, Crohn’s disease. Inflammatory bowel disease is a common cause of lower gastrointestinal bleeding in the younger patient. Patients with Crohn’s disease usually present with abdominal pain and diarrhea but may have bleeding. Bleeding in inflammatory bowel disease is usually recurrent and minor. Profuse bleeding develops in up to 6% of patients with ulcerative colitis or Crohn’s disease. B, Ulcerative colitis. The mucosa shows extensive ulceration and diffuse thickening with an inflammatory infiltrate.

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