Peripheral Arterial Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Peripheral Arterial Disease

Figure 93-1. A–C: Examples of digital ischemic ulcerations resulting from progressive arterial insufficiency. Figure 93-2. Long-segment total occlusion of superficial femoral artery in a patient with a long history of…

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Valvular Heart Disease and Cardiac Tumors

May 5, 2017 by in GENERAL SURGERY Comments Off on Valvular Heart Disease and Cardiac Tumors

Figure 82-1. Schematic diagram of the fibrous cardiac skeleton. Two papillary muscles arise directly from the ventricular wall: the anterolateral and posteromedial papillary muscles. Importantly, the anterolateral papillary muscle usually…

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Pituitary Surgery

May 5, 2017 by in GENERAL SURGERY Comments Off on Pituitary Surgery

Figure 78-1. A: Sagittal view. B: Coronal view. ICA, internal carotid artery; CN, cranial nerve. PATHOLOGY OF SELLAR LESIONS Pituitary Adenomas 2, 3 Pituitary adenomas are the most common tumors…

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Congenital Heart Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Congenital Heart Disease

Figure 81-1. The anatomy of atrial septal defects. In the sinus venosus type (A), the right upper and middle pulmonary veins frequently drain to the superior vena cava or right…

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Acute Gastrointestinal Hemorrhage

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

CLINICAL PRESENTATION 3 The presentation of GI bleeding can range from mild asymptomatic bleeding to overt GI bleeding. UGI bleeding typically presents with hematemesis (the vomiting of blood) or melena,…

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Ischemic Heart Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Ischemic Heart Disease

Figure 83-1. Anatomy of the cardiac circulation. A: Anterior view. B: Posterior view. Venous anatomy is more predictable, and very little pathology within this system is encountered. Three named venous…

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Head Trauma

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

Figure 21-1. Cerebral pressure autoregulation. The normal relationship is indicated by the solid line with autoregulatory breakpoints at 50 and 150 mm Hg. Two disrupted states are also diagrammed. Complete…

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Gastric Anatomy and Physiology

May 5, 2017 by in GENERAL SURGERY Comments Off on Gastric Anatomy and Physiology

Figure 44-1. Topographic relations of the stomach. As a first approximation, the lymphatic drainage of the stomach parallels gastric venous return (Fig. 44-3). Lymph from the proximal portion of the…

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Ulcerative Colitis

May 5, 2017 by in GENERAL SURGERY Comments Off on Ulcerative Colitis

Figure 66-1. Age-specific incidence of UC in Midwestern US population. (Adapted from Loftus CG, Loftus EV Jr, Harmsen WS, et al. Update on the incidence and prevalence of Crohn’s disease…

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