Snookered
You are assessing a 37 year old male in the emergency department. He appears to be in discomfort and states that he fell asleep at a party and thinks ‘someone put something up his back passage while he was out of it’.
Category Gastroenterology
A Lesson in History
A man, originally from Somalia, is jaundiced and has abnormal LFTs. Can you work out the cause?
Gut ache or Gordian knot?
A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed? Is this a Gordian knot?
Appendagitis
A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.
GI Drug Absorption in Critical Illness
GI Drug Absorption in Critical Illness; multi-factorial determinants influence the bioavailability of drugs; governed by factors altering transport of substances across cell membranes (diffusion, active transport, ultrafiltration)
Intubation of the GI bleeder
Massive GI hemorrhage presents multiple challenges during intubation: obscured view of vocal cords; risk of aspiration; risk of haemorrhagic shock and haemodynamic instability; risk to staff from contact with body fluids
Pablo Mirizzi
Pablo Luis Mirizzi (1893 - 1964) was an Argentinian surgeon.
Mirizzi syndrome
Mirizzi syndrome or extrinsic biliary compression syndrome, is a rare complication of cholelithiasis. Mirizzi syndrome is characterised by obstruction of the common bile duct (CBD), secondary to mechanical compression caused by the impaction of one or multiple gallstones in the neck of the gallbladder or cystic duct
Pierre Eugène Ménétrier
Pierre Eugène Ménétrier (1859 – 1935) was a French surgeon, oncologist and pathologist. Eponymously affiliated with Maladie de Ménétrier (1888)
Ultrasound Case 040
A 22 year old man presents with abdominal pain and diarrhoea. He has 3 months of intermittent diarrhoea sometimes with blood, accompanied with weight loss and abdominal discomfort.
Kinnier Wilson
Samuel Alexander Kinnier Wilson (1878 – 1937) was an American-born British neurologist. Following his extensive work on hepatolenticular degeneration this condition is eponymously termed Wilson disease
EMI 023 Where the Sun don’t Shine
June is Colorectal Cancer Awareness Month. We ake a musical stroll through the annals of colorectal musical history...