Gastrointestinal Diseases And Red Flags [Part 3 of 3]

August 5, 20130 Comments

GASTROINTESTINAL DISEASES AND RED FLAGS PART TWO OF THREE – I CEU CREDIT

Table of Contents

23. The ducts of the hepatobiliary system

24. Biliary colic

25. Acute cholecystitis

26. Ascending cholangitis

27. Laparoscopic procedures

28. Acute mesenteric ischemia

29. Diarrhea workup

30. The peritoneum and peritonitis

31. Appendicitis

In the final section of GI emergencies and red flags we start with the gall bladder when it becomes infected or obstructed or both. Gall bladder disease is such a common sight in America on any given day in any surgical suite in the first world women with acute gall bladders are lined up for cholecystectomies. We’ll go over the various presentations from biliary colic (not a red flag) to cholecystitis or biliary obstruction (both red flags). The deadly complication of ascending cholangitis is also covered with its characteristic triad. The treatment is usually laparoscopic cholecystectomy which we will cover. I’ll show you some ultrasound studies and pathology to give you a better feel for it.

Pancreatic cancer is mentioned with a few salient points to remember and from there I get into acute mesenteric ischemia which is one of the worst abdominal complications that can occur. It’s basically infracting sometimes up to 20 feet of bowel and its very painful. In fact that’s what can help the diagnosis of this dreadful disease. There is a certain type of patient that is at much greater risk and we’ll go over that type.

Next there are several types of diarrhea to be aware of. Do not take this condition lightly it is still the number one cause of death in children the thirdworld. Based on the presentation you can often tell much about the diseasewhether there is blood, fat or excessive fluid or whether there are black tarrystools called melena.

When a patient develops peritonitis it is always a red flag and more than likely a very serious one often times requiring surgery. We will go over the classic signs of this disease so that you will be familiar with its presentation which is often the end result of an acute appendicitis. Appendicitis is the surgeon’s finest hour (or two if they have some problems). I’ll walk you through the progression of symptoms and signs as the disease progressively worsens and how it compares to gastroenteritis from stomach flu. We spend a considerable amount of time on it because it is so common and yet so dangerous. This is the classic acute surgical abdomen.

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About the Author ()

Christopher Rasmussen MD, MS is Founder and Professor at AdaptiveTCM where helps Traditional Chinese Medicine Practitioners treat complex patients with confidence through providing online CEUs and research. Dr. Rasmussen is currently writing a comprehensive, preventive medicine book, with an emphasis on inflammatory components of disease prevalent in today's patients.

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