Jean Alfred Fournier
Alfred Jean Fournier (1832-1914) was a French Dermatovereologist specialising in congenital syphillis, stressing the importance of syphilis as a cause of degenerative diseases and parasyphilitic conditions.
Category General Surgery
Jean-Baptiste Hippolyte Dance
Biography Born 21 February 1797 Saint-Pal-de Chalencon, France Died of cholera on 18 April 1832 inParis 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…
Ultrasound Case 089
A woman of 40 presents with intermittent RUQ pain and nausea. You try to find her gallbladder. Wall-echo-shadow (WES) sign
Alvarado score
The Alvarado score is a 10 point score for predicting acute appendicitis (mnemonic MANTRELS). Alfredo Alvarado in 1986
Rigler sign
Radiographic sign of pneumoperitoneum. Air in the peritoneum and air within the intraluminal spaces outline the luminal and serosal surfaces of the bowel wall.
Acute Cholangitis
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
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
Problems after Bariatric Surgery
Mesenteric Ischaemia
Mesenteric ischaemia = inadequate blood flow through mesenteric circulation -> ischaemia -> gangrene
Ileus
Ileus = absence of bowel motility; (1) dynamic ileus (2) spastic ileus (rare: porphyria or lead poisoning) (3) ischaemic ileus
Abdominal Compartment Syndrome
Abdominal Compartment Syndrome and Intra-abdominal Hypertension
Pyloric Stenosis
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.