Acute Pancreatitis

May 5, 2017 by in GENERAL SURGERY Comments Off on Acute Pancreatitis

Figure 53-1. Schematic diagram depicting activation of proteolytic enzymes, possibly through colocalization of zymogen granules and lysosomes, and subsequent rupture of zymogen granules releasing the activated enzymes into the cytoplasm…

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Principles of Intermediary Metabolism

May 5, 2017 by in GENERAL SURGERY Comments Off on Principles of Intermediary Metabolism

Figure 2-1. The chemical reactions of glycogenesis and glycogenolysis. Glucose-6-phosphatase allows hepatic glucose to be transported out of the hepatocyte for use in other tissues. Glucose-6-phosphate, in red, plays a…

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Patient Safety

May 5, 2017 by in GENERAL SURGERY Comments Off on Patient Safety

Figure 18-1. Systems failures. Figure 18-2. Overview of the reporting system. A second way we use the safety culture survey data is to identify specific hospital units that are struggling…

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Genitourinary Trauma

May 5, 2017 by in GENERAL SURGERY Comments Off on Genitourinary Trauma

Algorithm 26-1. Algorithm for the evaluation and management of renal injury. 2 Grade I and II injuries rarely require further management. The bulk of blunt grade III and nonvascular grade…

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Renal Transplantation

May 5, 2017 by in GENERAL SURGERY Comments Off on Renal Transplantation

Figure 36-1. The growth in the number of patients awaiting transplant (A) has exceeded the relatively stagnant rate of deceased-donor kidney transplants leading to progressively increasing waiting times over the…

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Fetal, Neonatal, and Pediatric Physiology

May 5, 2017 by in GENERAL SURGERY Comments Off on Fetal, Neonatal, and Pediatric Physiology

Figure 99-1. Fetal circulation. (From Rosdahl CB, Kowalski MT, eds. Textbook of Basic Nursing. Philadelphia, PA: Wolters Kluwer Health; 2012.) Transition to Postnatal Life 3 One of the most critical…

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Diseases of Appendix

May 5, 2017 by in GENERAL SURGERY Comments Off on Diseases of Appendix

Table 71-2 Alvarado or MANTRELS Scoring System There have been numerous studies evaluating other potential serum and urinary markers of appendicitis, including but not limited to inflammatory cytokines such as…

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Lower Extremity Aneurysms

May 5, 2017 by in GENERAL SURGERY Comments Off on Lower Extremity Aneurysms

Figure 97-1. Arteriogram demonstrating bilateral femoral artery aneurysms that extend into the superficial femoral arteries. Unlike many patients with femoral artery aneurysms, this patient did not have an associated aortic…

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Chronic Pancreatitis

May 5, 2017 by in GENERAL SURGERY Comments Off on Chronic Pancreatitis

Figure 54-1. Three-hit hypothesis for pathophysiology of chronic pancreatitis. NGF, nerve growth factor. Adapted from Whitcomb DC. Genetic risk factors for pancreatic disorders. Gastroenterology 2013;144:1292–1302. PATHOPHYSIOLOGY The pathophysiology of CP…

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