Adrenal Gland
Figure 77-1. A: Arterial (dark shaded) and venous (light shaded) anatomy of the adrenal glands. B: Schematic showing outer adrenal cortex (light shaded) and inner adrenal medulla (dark shaded). The…
Hepatic Transplantation
2 How is it possible to properly select patients and properly time transplantation so that the benefit of transplantation is assured? In 2002, the Organ Procurement and Transplantation Network began…
Surgical Infections
Source Control 4 Source control is defined as any physical intervention to remove or eliminate a focus of invasive infection (drainage, debridement, and device removal) and to restore optimal anatomic…
Neoplasms of the Endocrine Pancreas
Well-differentiated PENs can also be classified as functional or nonfunctional based on the presence or absence of an associated clinically recognizable syndrome (Table 56-2). These syndromes are the result of…
Upper Extremity Arterial Disease
Figure 90-1. Manifestations of upper extremity ischemia. Splinter hemorraghes in the nails arising from a proximal embolic source (A). Gangrene affecting the tip of the third finger (B). Advanced, severe…
Inflammation
Figure 7-1. Leukocyte recruitment. 1. Circulating leukocytes express integrins in a low-affinity conformation. 2. Exposure to activated endothelium leads to rolling, which is mediated by L-selectin and P-selectin on the…
Gastric Neoplasms
Figure 47-1. Worldwide geographic variability in gastric cancer incidence. (From Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11…
Critical Care
Bundles The process of bundling evidence-based care practices allows ICUs to keep up with regulatory changes and practice the most up to date critical care practices. Unlike checklists, ICU care…
Aortoiliac Disease
Figure 92-1. A,B: Major visceral and parietal collateral networks that may become prominent with aortoiliac occlusive disease. Figure 92-2. CTA with 3D reconstruction demonstrating severe aortoiliac occlusive disease with juxtarenal…
Calculous Biliary Disease
Enterohepatic Circulation Bile acids travel in the bile through the liver, biliary tree, intestines, and the portal venous circulation to return to the liver, thereby recovering 95% of bile acids,…
