Gastro intestinal88 Videos

Biliary colic (gallbladder attack) – causes, symptoms, diagnosis, treatment, pathology

Approach to the management of gallstones Most individuals with gallstones are asymptomatic throughout their life and gallstones are found incidentally. The approach to the management of patients with gallstones depends upon the patient’s symptoms, imaging test findings, and whether complications are present. Gallstone complications include acute cholecystitis, cholangitis, gallstone pancreatitis, gallstone ileus, and Mirizzi syndrome. […]

Acute Pancreatitis

Management of acute pancreatitis Acute pancreatitis is an acute inflammatory process of the pancreas. Acute pancreatitis can be divided into two broad categories: edematous, interstitial acute pancreatitis and necrotizing acute pancreatitis. Mild acute pancreatitis is characterized by the absence of organ failure and local or systemic complications. Moderately severe acute pancreatitis is characterized by no […]

Acute Pancreatitis – Causes, Signs Symptoms, Pathophysiology, Diagnosis

Clinical features The majority of patients with acute pancreatitis have acute onset of severe upper abdominal pain. Patients may have associated nausea and vomiting. On physical examination, patients have abdominal tenderness to palpation. Patients with severe acute pancreatitis may have fever, tachypnea, tachycardia, hypoxemia, and hypotension.  Laboratory findings Early in the course of acute pancreatitis, […]

Acute pancreatitis

Predicting the severity of acute pancreatitis Scoring systems During the initial 24 hours, severe acute pancreatitis (AP) can be predicted using clinical, laboratory, and radiologic risk factors, many of which have been incorporated into scoring systems such as the systemic inflammatory response syndrome (SIRS) score, the Acute Physiology and Chronic Health Examination (APACHE) II score, […]

Gut Microbiome Explained in Simple Words

intestinal microbiota in health and disease ●The surface of the intestinal tract in healthy individuals is free of bacteria in all bowel segments. Adherence of bacteria to epithelial cells is thus a sign of infection. By contrast, the intestinal lumen is never sterile. ●The occurrence, composition, and organization of intestinal microbiota in each gut segment […]

Assessment of the Spleen

Assessment of the Spleen The normal adult spleen lies immediately under the diaphragm in the left upper quadrant of the abdomen. It ranges in length from 6 to 13 cm and in weight from 75 to 120 g. The spleen is not normally palpable except in slender young adults. When the spleen can be felt […]

Murphy’s sign – clinical examination

Overview of gallstone disease in adults ●Clinical presentation •Asymptomatic The majority of patients with gallstones are asymptomatic and will remain so throughout their lives. Of those with incidental (asymptomatic) gallstones, approximately 15 to 25 percent will become symptomatic after 10 to 15 years of follow-up.    •Biliary colic Patients with symptomatic uncomplicated gallstone disease typically […]