KEY FACTS Imaging CT and upper GI radiography have complementary roles Laparoscopic adjustable gastric banding (LAGB) procedure (a.k.a. "lap band") Less effective for sustained weight loss Complications: Less common and less varied May be too tight or too loose Band…
KEY FACTS Terminology Patient injury caused by improper feeding tube placement Feeding tubes Small, soft enteric tubes Some with flexible metallic tips Tip of feeding tube should be located beyond stomach (distal duodenum or jejunum) Nasogastric tubes Large bore, moderately…
KEY FACTS Terminology Localized abdominal collection of pus or infected fluid Imaging CT is imaging test of choice : Low density, loculated, encapsulated fluid collection with peripheral rim enhancement Simple fluid density (0-10 HU) or slightly hyperdense Internal gas in…
KEY FACTS Imaging CT of chest, abdomen, and pelvis can be performed in < 1 minute of scan time Multiplanar, multiphasic CECT shows extent of bowel and solid visceral injuries and bleeding Evaluation of brain and spine injuries can be…
Overview Jaundice (icterus) is a condition characterized by yellow discoloration of the skin and mucus membranes resulting from deposition of bilirubin, a pigmented metabolite of heme. Jaundice is most commonly due to disorders of the liver or bile ducts, but…
Introduction Gastrointestinal bleeding (GIB) is a common clinical problem, the presentation of which may be acute or chronic. GIB is classified as arising from the upper (proximal to ligament of Treitz) or lower (distal to the ligament of Treitz) GI…
Clinical Classification of Functional Constipation Category Features Physiologic and Imaging Test Results Normal-transit constipation Incomplete evacuation; abdominal pain may be present but not predominant feature Normal; may show excessive stool in colon Slow-transit constipation Infrequent stools (e.g., ≤ 1/week), lack…
Overview Diarrhea is a symptom experienced by nearly everyone, generally considered an increase in the volume, fluidity, &/or frequency of stools. Most episodes are transient and self-limited or self-treated with nonprescription medications. However, diarrhea may be persistent or complicated by…
Overview Nausea and vomiting are experienced by almost everyone, and most episodes and causes are self-limited, rarely coming to medical attention. Patients are often aware of the common causes, such as acute viral infections, "traveler's" nausea and diarrhea, or the…
Overview The evaluation of the adult patient with abdominal pain is often challenging for the primary care, emergency physician, or surgeon. While occasional abdominal pain is experienced by almost all adults and is usually self-limited, it can herald serious disorders,…