
Toxic megacolon
Toxic megacolon is colonic dilation (>6cm) with systemic toxicity, usually due to an acute colitis; can involve the whole colon or only one segment.

Toxic megacolon is colonic dilation (>6cm) with systemic toxicity, usually due to an acute colitis; can involve the whole colon or only one segment.

Transurethral resection of the prostate (TURP) syndrome is fluid overload and iso-osmolar hyponatraemia during TURP from large volumes of irrigation fluid being absorbed through venous sinuses

Tetralogy of Fallot; cyanotic congenital heart disease


Rectal Examination

Pulsus Alternans = alteration of weak and strong pulse beats (not relate cycle length)

Meningitis Subarachnoid haemorrhage Posterior fossa syndrome Cervical spondylitis Tetanus Neck abscess Torticollis

Myotomes and Differentiating Nerve Lesions

Massive Abdominal Distension

Granuloma = spherical mass of immune cells that attempts to wall off a substance; organized collection of macrophages

Africa – Sickle cell, HIV, Malaria, Dengue, Variegated Porphyria (afrikaners) Anywhere in the third world – TB Asia – SARS, TB, Melioidosis Australia (Northern Territory) – Melioidosis, Dengue Developing world – Cholera, Dengue India – Malaria, Dengue Nepal – Leptospirosis,…

Aortic stenosis and regurgitation Severe AR HCM Intra-aortic balloon pump