Fig. 10.1 Time from admission to death for untreated ruptured abdominal aortic aneurysms (Adapted from Lloyd et al. [1]) Current State Emergency Department Deaths for Ruptured Abdominal Aortic Aneurysm One…
Fig. 6.1 Illustration of various types of ruptures. (a) Retroperitoneal rupture. Dorsal or dorsolateral rupture usually leads to a leak into the retroperitoneum, often causing asymmetric displacement and squeezing of…
Fig. 2.1 Common presenting clinical symptoms of ruptured AAA (From Azhar et al. [15]) Thus, accurate and timely diagnosis can be elusive and the initial diagnosis of these patients varied…
Figure 5.1 MRI image of a main duct IPMN Figure 5.2 Resection specimen demonstrating a main duct IPMN Serous cystadenoma (SCA): SCAs make up about 16% of all resected pancreatic…
Figure 16.1 Computed Tomography scan demonstrating chronic pancreatitis with diffuse parenchymal calcifications. A large stone within the pancreatic head is seen occluding the duct of Wirsung My Management 1. Proceed…
Criterion Examples Poor response to maximal medical therapy Pancreatic enzyme replacement therapy, opiate analgesics, endoscopic decompression Preserved islet cell function Nondiabetic, C-peptide positive diabetes Debilitating pain Severe and intermittent vs….
Figure 7.1 CT scan of the abdomen with extensive pancreatic necrosis, with a large amount of peripancreatic edema and several poorly organized fluid collections, the largest measuring 5.7 cm ×…
Step Sample language Assess illness understanding (prognostic awareness) “What have you learned so far about your cancer diagnosis?” Assess information preferences “I’d like to assure that I am giving you…
Figure 6.1 CT of the pancreas notes a pancreatic ductal head stone with proximal pancreatic duct dilation My Management A. Continue IV hydration and follow-up in GI clinic as an…
© Springer International Publishing AG 2017Timothy B. Gardner and Kerrington D. Smith (eds.)Pancreatology10.1007/978-3-319-53091-8_3 3. Hospital Management of Acute Pancreatitis Nigeen H. Janisch1 (1) Department of Gastroenterology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA …
