Gastrointestinal Dysfunction

Aug 27, 2017 by in UROLOGY Comments Off on Gastrointestinal Dysfunction

Fig. 6.1 Aetiology of gastrointestinal autonomic dysfunction (Modified from Bittinger et al. [3] with permission from Springer Science and Media) Fig. 6.2 Gastrointestinal manifestations arising from autonomic dysfunction [12] For…

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Sweating Disorders

Aug 27, 2017 by in UROLOGY Comments Off on Sweating Disorders

Drug class Common examples Mechanism Anticholinesterases Pyridostigmine Cholinesterase inhibition Antidepressants: selective serotonin reuptake inhibitors Citalopram Serotonergic effect on the hypothalamus or spinal cord  Duloxetine   Escitalopram   Fluoxetine   Fluvoxamine   Mirtazapine   Paroxetine   Trazodone  …

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Sleep: Cardiovascular and Ventilatory Disorders

Aug 27, 2017 by in UROLOGY Comments Off on Sleep: Cardiovascular and Ventilatory Disorders

1. Have sleep habits changed? Duration, quality, onset of sleep, sleep interruptions, and nightmares? 2. Daytime sleepiness? Particularly in the morning? Afternoon naps? 3. Increase in blood pressure in the…

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Autonomic History Taking and Key Symptoms: Where Is the Autonomic Disease?

Aug 27, 2017 by in UROLOGY Comments Off on Autonomic History Taking and Key Symptoms: Where Is the Autonomic Disease?

Symptom Alternative etiology Cardiovascular Orthostatic intolerance:  Symptoms due to cerebral, retinal, or global hypoperfusion:   Light-headedness, unclear thinking   Blurred vision, loss of peripheral and color vision, darkened vision   Coat hanger or…

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Management of the Patient with Rectal Cancer Presenting with Synchronous Liver Metastasis

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Management of the Patient with Rectal Cancer Presenting with Synchronous Liver Metastasis

Patient population Intervention Comparator Outcomes studied Patients with RC and SCRLM Staged rectum-first approach Liver-first approach Simultaneous resections approach Perioperative morbidity Disease free survival (DFS) OS Results Evaluation of the…

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Reservoir Construction After Low Anterior Resection: Who and What?

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Reservoir Construction After Low Anterior Resection: Who and What?

Patient population Intervention Comparators Outcomes studied Rectal cancer patients undergoing low anterior resection with coloanal anastomosis Colonic reservoir creation: J-pouch, transverse coloplasty, or side-to-end anastomosis Straight coloanal anastomosis Postoperative morbidity…

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