Hepatobiliary surgery

Author(s):  
James Wood

The reaction of most students to questions about hepatobiliary dis­ease is a sinking feeling of despair! ‘Lots of biochemistry and anatomy together with a bunch of funny eponymous syndromes to remember!’ Well, hepatobiliary disease is remarkably logical; knowledge of the basic principles of biliary metabolism and the key anatomical facts is usually more than enough if it is coupled with a sound appreciation of the com­mon clinical presentations. These presentations are extremely common; most days on call will see the surgical team looking after at least one patient with one of the range of hepatopancreaticobiliary problems that can present as an emergency. This chapter will review the basic principles of liver and pancreatic disease and the anatomy that goes with it. Both elective and emergency surgical presentations will also be covered, allowing you to revise knowl­edge of key clinical presentations in practice.

2002 ◽  
Vol 1 (3) ◽  
pp. 79-85
Author(s):  
DK Satchithananda ◽  
◽  
A Macnab ◽  
AJF Page ◽  
◽  
...  

The treatment of atrial fibrillation is perceived to be complex due to its varied clinical presentations and numerous potential therapeutic options. Our article aims to provide the physician with a framework of basic principles with which to assess and treat patients with atrial fibrillation who present acutely.


Author(s):  
Daniel Marks ◽  
Marcus Harbord

General principles Luminal disease Pancreatitis Hepatobiliary disease HIV-infected patients with low CD4 counts frequently develop acute GI and hepatobiliary disease. Whilst susceptible to the same disorders as immunocompetent patients, the differential diagnosis is broader. The aim is to identify treatable disorders. Clinical presentations are rarely specific, and patients usually require investigation rather than empiric treatment....


2010 ◽  
Vol 20 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Anne K. Bothe

This article presents some streamlined and intentionally oversimplified ideas about educating future communication disorders professionals to use some of the most basic principles of evidence-based practice. Working from a popular five-step approach, modifications are suggested that may make the ideas more accessible, and therefore more useful, for university faculty, other supervisors, and future professionals in speech-language pathology, audiology, and related fields.


2003 ◽  
Vol 8 (5) ◽  
pp. 4-12
Author(s):  
Lorne Direnfeld ◽  
James Talmage ◽  
Christopher Brigham

Abstract This article was prompted by the submission of two challenging cases that exemplify the decision processes involved in using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). In both cases, the physical examinations were normal with no evidence of illness behavior, but, based on their histories and clinical presentations, the patients reported credible symptoms attributable to specific significant injuries. The dilemma for evaluators was whether to adhere to the AMA Guides, as written, or to attempt to rate impairment in these rare cases. In the first case, the evaluating neurologist used alternative approaches to define impairment based on the presence of thoracic outlet syndrome and upper extremity pain, as if there were a nerve injury. An orthopedic surgeon who evaluated the case did not base impairment on pain and used the upper extremity chapters in the AMA Guides. The impairment ratings determined using either the nervous system or upper extremity chapters of the AMA Guides resulted in almost the same rating (9% vs 8% upper extremity impairment), and either value converted to 5% whole person permanent impairment. In the second case, the neurologist evaluated the individual for neuropathic pain (9% WPI), and the orthopedic surgeon rated the patient as Diagnosis-related estimates Cervical Category II for nonverifiable radicular pain (5% to 8% WPI).


1963 ◽  
Vol 45 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Alexander M. Rutenburg ◽  
Julius A. Goldbarg ◽  
Esteban P. Pineda

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