Biography Medical Eponyms Dance Sign (1826) Sausage-like mass in the right upper quadrant with absence of bowel (or emptiness) in the right lower quadrant. The sign combines a visible depression/emptiness within the right iliac fossa and enlargement/fullness on the left…
A woman of 40 presents with intermittent RUQ pain and nausea. You try to find her gallbladder. Wall-echo-shadow (WES) sign
The Alvarado score is a 10 point score for predicting acute appendicitis (mnemonic MANTRELS). Alfredo Alvarado in 1986
Acute or ascending cholangitis is a potentially life-threatening systemic infection resulting from inflammation and infection of the biliary tree due to bacterial growth in the bile, usually in the context of biliary obstruction
Toxic megacolon is colonic dilation (>6cm) with systemic toxicity, usually due to an acute colitis; can involve the whole colon or only one segment.
Problems after Bariatric Surgery
Mesenteric ischaemia = inadequate blood flow through mesenteric circulation -> ischaemia -> gangrene
Ileus = absence of bowel motility; (1) dynamic ileus (2) spastic ileus (rare: porphyria or lead poisoning) (3) ischaemic ileus
Abdominal Compartment Syndrome and Intra-abdominal Hypertension
Pyloric Stenosis is a medial emergency that requires urgent fluid resuscitation and resolution of biochemical abnormalities. Definitive surgical treatment can then be undertaken to restore enteral nutrition.
John Birkett (1815-1904) was an English general surgeon.
Transjugular Intrahepatic Portosystemic Shunt Procedure (TIPS) involves accessing the internal jugular vein and IVC to place a stent between the hepatic and portal veins using a needle