Items tagged “general surgery”

293 results found
Case

Small bowel obstruction

 Diagnosis certain
Dr Henry Knipe
Published 15 Apr 2013
97% complete
Fluoroscopy
Article

Paralytic ileus (mnemonic)

A mnemonic for the common causes of paralytic ileus is: 5 Ps Mnemonic P: postoperative P: peritonitis P: potassium: low (also disturbances of other electrolytes) P: pelvic and spinal fractures P: parturition
Case

Bovine arch with thyroidea ima artery

 Diagnosis certain
Dr Henry Knipe
Published 13 Oct 2013
98% complete
CT
Article

Thyroid gland

The thyroid gland is an endocrine organ in the neck which is completely enveloped by pretracheal fascia (middle-layer of the deep cervical fascia) and lies in the visceral space.  Gross anatomy The thyroid extends from C5 to T1 and lies anterior to the thyroid and cricoid cartilages of the lar...
Case

Subdiaphragmatic free gas secondary to anastomotic leak

 Diagnosis certain
Dr Henry Knipe
Published 24 Oct 2013
92% complete
X-rayCT
Case

Mass involving organ of Zuckerkandl

 Diagnosis probable
Dr Andrew Lawson
Published 01 Nov 2013
55% complete
CTMRI
Article

Thyroidea ima artery

The thyroidea ima artery is an uncommon variant of the blood supply to the inferior aspect of the thyroid gland. It is reported in ~7.5% (range 1.5-12.2%) of individuals and can arise from: brachiocephalic trunk right common carotid artery aortic arch internal thoracic artery The thyroidea ...
Article

Rectus sheath haematoma

Rectus sheath haematomas, as the term implies, occur when a haematoma forms in the rectus abdominis muscle / rectus sheath. It is most common in its lower segment and is generally self-limiting. Epidemiology Rectus sheath haematomas are more common in women with a 3:1 F:M ratio. Pathology Ae...
Article

Pheochromocytoma

Pheochromocytomas are an uncommon tumour of the adrenal gland, with characteristic clinical, and to a lesser degree, imaging features. The tumours are said to follow a 10% rule: ~10% are extra-adrenal ~10% are bilateral ~10% are malignant ~10% are found in children ~10% are familial ~10% a...
Article

Toxic megacolon

Toxic megacolon (TM) is complication that can be seen in both types of inflammatory bowel disease, and less commonly in infectious colitis, as well as in some other types of colitis. Pathology The mechanisms involved in development of toxic megacolon are not entirely clear, although chemical m...
Case

Oesophageal perforation

 Diagnosis certain
Dr Henry Knipe
Published 02 Dec 2013
98% complete
CTFluoroscopy
Article

Oesophageal perforation

Oesophageal perforation is a rare but serious medical emergency with a very high mortality rate, especially if the diagnosis is delayed. Epidemiology Most patients are in their 60s with a slight male predominance 5.  Clinical presentation If a perforation is not detected during the procedure...
Article

Oesophageal carcinoma

Oesophageal carcinoma is relatively uncommon. It tends to present with increasing dysphagia, initially to solids and progressing to liquids as the tumour increases in size, obstructing the lumen of the oesophagus. Epidemiology Oesophageal cancer is responsible for <1% of all cancers and 4-10% ...
Case

Acute appendicitis

 Diagnosis certain
RMH Core Conditions
Published 05 Dec 2013
91% complete
Ultrasound
Article

Liver trauma

The liver is one of the most frequently damaged organs in blunt trauma, and liver trauma is associated with a significant mortality rate. Epidemiology In blunt abdominal trauma, the liver is injured ~5% (range 1-10%) of the time 1,3. Clinical presentation Patients can present with right uppe...
Case

Traumatic bowel injury

 Diagnosis almost certain
RMH Core Conditions
Published 13 Dec 2013
77% complete
CT
Case

Renal and colon trauma from gunshot

 Diagnosis certain
RMH Core Conditions
Published 13 Dec 2013
95% complete
CT
Case

Thoracic and abdominopelvic multitrauma

 Diagnosis certain
RMH Core Conditions
Published 13 Dec 2013
98% complete
X-rayCT
Case

Ileocolic intussusception

 Diagnosis certain
Dr Henry Knipe
Published 13 Dec 2013
95% complete
CT
Article

Splenic trauma

Splenic trauma can occur after blunt or penetrating trauma or secondary to medical intervention (i.e. iatrogenic). The spleen is the most frequently injured organ after blunt trauma. Clinical presentation Patients may present with left upper quadrant/left chest pain, left shoulder tip pain (re...

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