Infective Leg Ulcers
1. Vascular (a) Venous (b) Arterial (c) Mixed 2. Neuropathic (a) Diabetes (b) Tabes (c) Syringomyelia (d) Spinal injury (e) Leprosy 3. Metabolic (a) Diabetes (b) Gout 4. Hematological (a)…
GENERAL SURGERY
Epidemiology of Leg Ulcer
Vascular Venous Arterial Mixed Neuropathic Diabetes Tabes Syringomyelia Metabolic Diabetes Gout Prolidase deficiency Hematological Sickle-cell disease Cryoglobulinemia Trauma Pressure Injury Burns Tumors Basal cell carcinoma Squamous cell carcinoma Infections Bacterial…
Impact of Ulceration
© Springer India 2016Ajay K Khanna and Satyendra K Tiwary (eds.)Ulcers of the Lower Extremity10.1007/978-81-322-2635-2_2 2. Impact of Ulceration Sanjeev Kumar Gupta1 (1) Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India …
Severe Epigastric Pain with Nausea and Vomiting
Condition History and physical Gastroenteritis Nausea, extensive vomiting, diarrhea, myalgia, fever, mild abdominal tenderness Acute gastritis Burning/gnawing epigastric pain, NSAIDa use, mild abdominal tenderness Acute cholecystitis Right upper quadrant/epigastric pain…
Postprandial RUQ Pain
Diagnosis History and physical Symptomatic cholelithiasis RUQ pain radiating around right back after fatty meals, resolves after a few hours, female, multigravida, obese Acute cholangitis Persistent RUQ pain, fever, jaundice…
Nausea, Vomiting, and Left Groin Mass
Type Examples Comments Malformation Undescended testicle, varicocele, hydrocele, hernias Hernias will protrude with straining and may reduce with pressure Infectious/inflammatory Lymphadenopathy (reactive), mononucleosis (EBV), abscess, sarcoidosis, lymphogranuloma venereum “Shotty,” tender…
Chest Pain After Vomiting
Diagnosis Comments Myocardial infarction Chest pain, more on the left side, left arm and jaw pain, diaphoresis, ST segment elevation, and elevated troponins Pericarditis Substernal, pleuritic chest pain, worse supine,…
Scrotal Mass
Etiology Features Epidermoid or pilar cysts Develop from epidermis or hair follicle and present as painless, slow growing, mobile, fluid-filled nodules; they occur most commonly in areas that have a…
Incidentally Discovered Adrenal Mass on CT Scan
Diagnosis Clinical presentation Hypercortisolism (Cushing’s syndrome) Weight gain, central obesity, muscle weakness, poor wound healing, hirsutism, amenorrhea, depression, hypertension, diabetes mellitus Hyperaldosteronism (Conn’s syndrome) Muscle cramps, weakness, hypertension Catecholamine hypersecretion…
Pedestrian Struck by Motor Vehicle
Hard signs Soft signs Arterial/pulsatile bleeding History of hemorrhage in the field Persistent hemorrhage with shock Small, stable, non-pulsatile hematoma Expanding or pulsatile hematoma Unexplained hypotension Palpable thrill Penetrating wounds…
