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Download PDF - Onlinemeded Quicktable [gyv7n8]
Download Onlinemeded Cardiology Notes. Save Onlinemeded Cardiology Notes For Later. Gynecology - Infertility. Uploaded by. Omar mohamed. Save OnlineMedEd-Whiteboards-Preview(1).pdf For Later. blogger.com Uploaded by. Manoj Somaguta. Onlinemeded notes pdf download. OnlineMedEd Test Guide - Free download as PDF blogger.com), Text blogger.com) or read online for free. Why board exams matter Download as PDF, TXT or read online from Scribd. Read: The notes cover the reading learning modality. . Download PDF Package. PDF. Premium PDF Package. Download Full PDF Package. This paper. A short summary of this paper. 16 Full PDFs related to this paper. READ PAPER. OnlineMedEd Surgery pdf. Download. OnlineMedEd Surgery pdf. Melissa Fang. PDF. Download Free PDF. Free PDF. Download PDF. PDF. PDF. Download PDF Package. PDF. Premium PDF Package.
Onlinemeded pdf download
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To learn more, view our Privacy Policy. Log In Sign Up. OnlineMedEd Surgery pdf. Melissa Fang. Download Free PDF. Free PDF. Download with Google Download with Facebook or. Download PDF Package. Premium PDF Package. This paper. A short summary of this paper. ManagementIf the acute abdomen is more than just abdominal pain, in that there are peritoneal findings, the only option is Ex-Lap. Finding the correct cause isn't necessary, but testing is often done.
An upright X-ray will demonstrate free air under the diaphragm and a CT scan can likely give the correct diagnosis. Finally, if the patient is at risk for spontaneous bacterial peritonitis larger amount of ascitesa paracentesis may be done in conjunction with treatment against the bacteria.
All other causes of abdominal pain are covered in their respective sections. The first is the asymptomatic screen the way we should onlinemeded pdf download breast cancer.
The second is the breast lump, which requires us to determine whether it's cancer or not, onlinemeded pdf download. The third is obvious cancer with the skin dimpling, fixed, firm axillary nodes, and an obvious large, fixed breast mass.
Regardless of how the diagnosis is arrived at, the therapy will depend on the stage and the biopsy. ScreeningMammogram is the screening test of choice. There's a bit of a controversy around when to start. There isn't a right answer. Other options exist, however. The MRI is the best screen but is cost prohibitive. MRI should be chosen as a screening rather than diagnostic tool in patients with extremely high risk.
That is, people with a super strong family history or those who have received radiation, onlinemeded pdf download. TreatmentThe treatment is based on the stage. Staging isn't required for a medical student, but it's included to the right just in case. See the next page, right column, to tie together stage with treatment. There are multiple elements to treatment in breast cancer: Surgery. A sentinel lymph node dissection should be made prior to ALND in order to avoid the morbidity associated with lymphedema.
Diagnostic Dilemmas Chemo. Chemo is often anthracycline-based Doxorubicin-Cyclophosphamide with a taxane Paclitaxel. It can be neoadjuvant before surgery or after surgery adjuvant.
Know that Doxorubicin causes a dosedependent irreversible CHF. Targeted Therapy. Part of the biopsy onlinemeded pdf download to determine if the lesions have tumor markers. Her2Neu is a tyrosine kinase associated with worse prognosis, but also provides a targeted chemotherapeutic agent. Trastuzumab inhibits Her2Neu.
It causes a doseindependent reversible CHF, and therefore onlinemeded pdf download Echocardiograms are required for patients receiving this medication.
Which therapy the patient gets is onlinemeded pdf download on menopause. For postmenopausal women, use aromatase inhibitors like anastrozole. PreventionTrastuzumab and Doxorubicin cause heart failure. Get Echocardiograms throughout treatment. SERMs have been shown to reduce the incidence of invasive breast cancer in women who are post-menopausal and have increased lifetime risk for Breast Ca.
If she really doesn't want that, annual MRI and mammography is indicated. The LES can't relax. Food goes down the esophagus and gets "stuck. A barium swallow reveals a Bird's Beak Deformity. While that's often sufficient, a manometry failure to relax is definitive, onlinemeded pdf download. Options are dilate with a balloon, onlinemeded pdf download, relax with botox, or cut the sphincter with a Heller Myotomy, onlinemeded pdf download.
CancerA progressive dysphagia to solids then liquids is often preceded by GERD adenocarcinoma of the lower third of the esophagus or by smoking sqaumous cell carcinoma of the upper third of the esophagus. Do a barium swallow to identify the location of lesions and identify safety of the EGD to avoid perforation. Treatment is resection. Mallory-Weiss TearA mucosal superficial tear of the esophagus that occurs after forceful vomiting, usually at the GE junction.
It will present as bright red emesis which resolves spontaneously. Nothing need be done for it. Treat a GI bleed if the person is still bleeding.
Reassurance if the bleeding is stopped or the EGD reveals this. Boerhaave An esophageal perforation caused by prolonged retching. The patient will be sick.
There will be fever, onlinemeded pdf download, leukocytosis, Hamman's Crunch air in the mediastinum heard with each heartbeat. Do a gastrografin swallow first water soluble to prevent mediastinal irritation.
If negative, follow with a barium swallow. Conclusive diagnosis and hopeful therapy can be made with EGD. Surgical repair is definitive. PerforationEsophageal perforation is a full thickness tear through all layers of the esophagus. It can occur from something as simply as a chicken bone, though iatrogenic is by far the most common cause, onlinemeded pdf download.
Treat it like a Boerhaave. Surgery content for this topic is a reduced and simplified version of Internal Medicine GI-Gallbladder. It's present for Surgery-Only review Shelf Studying. Gallbladder Means Gallstones Except for the obstructive jaundice section, onlinemeded pdf download, gallbladder pathology generally means gallstones.
We're going to talk onlinemeded pdf download when stones cholelithiasis go bad. GallstonesGallstones occur in females who are fat, forty, onlinemeded pdf download, and fertile onlinemeded pdf download have four or five kidsonlinemeded pdf download, and fNative American the F is silent. Generally, asymptomatic gallstones are left alone, onlinemeded pdf download. Symptomatic gallstones present with a colicky RUQ abdominal onlinemeded pdf download that may radiate to the right shoulder and occur after a big fatty meal.
Symptoms are typically self-limited, onlinemeded pdf download. An ultrasound diagnoses it. An elective cholecystectomy can be done if the patient desires. Acute CholecystitisWhen a gallstone gets in the cystic duct and stays there an inflammatory process develops. This causes a constant RUQ abdominal pain accompanied by a mild fever and mild leukocytosis. It's often preceded by an episode of cholecystic colic.
There should be a Murphy's sign. Diagnose with an ultrasound showing pericholecystic fluid, thickened gallbladder wall, and gall stones. Equivocal cases can be confirmed with a HIDA scan. Emergent cholecystectomy is required perc drainage onlinemeded pdf download an option. Eventually the gallbladder needs to come out. No antibiotics are needed. The right answer when considering ascending cholangitis is to start antibiotics and do emergent ERCP.
With multiple etiologies, history and presentation will often clinch the diagnosis. Stage of lesion is important for documentation and therapy.
Ulcers are treated by onlinemeded pdf download the underlying pathology, debriding necrotic tissue to keep a clean ulcer base, good wound care, and antibiotics only for cellulitis. Zinc, vitamins, and creams have not been shown to improve outcomes. It occurs at areas where bone comes close to the skin sacrum, knee, and ankle. It's caused by prolonged pressure on a dependent area.
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Download Onlinemeded Cardiology Notes. Save Onlinemeded Cardiology Notes For Later. Gynecology - Infertility. Uploaded by. Omar mohamed. Save OnlineMedEd-Whiteboards-Preview(1).pdf For Later. blogger.com Uploaded by. Manoj Somaguta. Download PDF Package. PDF. Premium PDF Package. Download Full PDF Package. This paper. A short summary of this paper. 16 Full PDFs related to this paper. READ PAPER. OnlineMedEd Surgery pdf. Download. OnlineMedEd Surgery pdf. Melissa Fang. PDF. Download Free PDF. Free PDF. Download PDF. PDF. PDF. Download PDF Package. PDF. Premium PDF Package. Download PDF - Onlinemeded Quicktable [gyv7n8]. This is a non-profit website to share the knowledge. To maintain this website, we need your help.
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