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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Neck Injuries

May 5, 2017 by in GENERAL SURGERY Comments Off on Neck Injuries

Figure 23-1. Zones of the neck. The inferior and lateral extensions of zone I are often contested and debated. While this is not well described, our practice is to classify…

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Hemostasis

May 5, 2017 by in GENERAL SURGERY Comments Off on Hemostasis

Figure 6-1. Primary hemostasis is achieved initially with a platelet aggregation as illustrated. Note that platelet adhesion, shape change, granule release, followed by recruitment and the hemostatic plug at the…

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Vascular Infection

May 5, 2017 by in GENERAL SURGERY Comments Off on Vascular Infection

Figure 88-1. Proposed mechanism of Staphylococcus epidermidis–mediated graft infection. MICROBIOLOGY Primary Arterial Infections For infected aortic aneurysms, blood cultures are negative in approximately one-fourth of subjects.4 Intraoperative cultures are more…

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