Acute abdominal pain
Chapter 7 ACUTE ABDOMINAL PAIN KEY POINTS • Acute abdominal pain is usually a surgical condition. • Most conditions can be diagnosed by bedside assessment. • Clinical peritonitis will usually…
Dyspepsia and functional dyspepsia
Chapter 4 DYSPEPSIA AND FUNCTIONAL DYSPEPSIA KEY POINTS • Dyspepsia is defined as pain or discomfort located in the central upper abdomen. • Dyspepsia may coexist with and be difficult…
Dysphagia and odynophagia
Chapter 2 DYSPHAGIA AND ODYNOPHAGIA KEY POINTS • A careful history will yield the likely diagnosis in 80% of cases. • The site of bolus hold-up is not reliable if…
Nausea and vomiting
Chapter 5 NAUSEA AND VOMITING KEY POINTS • Nausea and vomiting are most often secondary to extra-gastrointestinal processes. • A systematic approach to diagnosis and management is imperative given the…
Malignant conditions involving the oesophagus, stomach, small intestine, gall bladder and bile duct
CHAPTER 6 MALIGNANT CONDITIONS INVOLVING THE OESOPHAGUS, STOMACH, SMALL INTESTINE, GALL BLADDER AND BILE DUCT KEYPOINTS • In upper gastrointestinal tumours, accurate preoperative staging is important in determining appropriate management….
Enteroatmospheric Fistula
Fig. 8.1 Patient with intra-abdominal sepsis and gut ischemia. While there is no EAF present, they are a prime candidate for this complication Fig. 8.2 Patient undergoing cytoreduction and HIPEC….
Complex Pilonidal Disease and Acute and Chronic Perineal Wounds: Point – Counterpoint
Fig. 24.1 (a, b) The Bascom cleft lift procedure. Compressing the buttocks together will allow marking of the diseased area and deep cleft that will require excision (Courtesy of Dr….
Fistula-in-Ano
Fig. 21.1 Classification of fistula-in-ano. (a), Intersphincteric. (b), Transsphincteric. (c), Suprasphincteric. (d) Extrasphincteric (With permission from Vasilevsky [2]) Table 21.1 Classification of fistula-in-ano Intersphincteric Simple low tract High blind tract…
Chronic Anal Pain
Fig. 23.1 Thrombosed external hemorrhoid Thrombosed external hemorrhoids will usually present acutely after a bout of straining, constipation, or diarrhea. The pain will be associated with a swelling that is…
Hemorrhoidal Disease: Postoperative Complications
Fig. 20.1 Grade 3 hemorrhoids with attenuated RV septum (Courtesy of Richard Billingham, MD) Table 20.1 Internal hemorrhoidal disease grading (classification) Grade Physical/anoscopic findings I No prolapse II Prolapse with…
