TAILIEUCHUNG - Case Files Internal Medicine, Second Edition_2

Case Files: Internal Medicine, 2e presents sixty clinical cases illustrating key points. Each case includes an extended discussion, definition of terms, clinical pearls, and USMLE format review questions. This interactive learning system is proven to improve shelf-exam scores and helps students to learn in the context of real patients instead of simply memorizing. | CASE 26 A 61-year-old man comes to the emergency room complaining of 3 days of worsening abdominal pain. The pain is localized to the left lower quadrant of his abdomen. It began as an intermittent crampy pain and now has become steady and moderately severe. He feels nauseated but he has not vomited. He had a small loose stool at the beginning of this illness but he has not had any bowel movements since. He has never had symptoms like this before nor any gastrointestinal illnesses. On examination his temperature is F heart rate 98 bpm and blood pressure 110 72 mmHg. He has no pallor or jaundice. His chest is clear and his heart rhythm is regular without murmurs. His abdomen is mildly distended with hypoactive active bowel sounds and marked left lower quadrant tenderness with voluntary guarding. Rectal examination reveals tenderness and his stool is negative for occult blood. Laboratory studies are significant for a white blood cell WBC count of 11 800 mm3 with 74 polymorphonuclear leukocytes 22 lymphocytes and a normal hemoglobin and hematocrit. A plain film of the abdomen shows no pneumoperitoneum and a nonspecific bowel gas pattern. What is the most likely diagnosis What is the most appropriate next step 252 CASE FILES INTERNAL MEDICINE ANSWERS TO CASE 26 Acute Sigmoid Diverticulitis Summary A 61-year-old man has 3 days of new-onset worsening left lower quadrant abdominal pain. He feels nauseated and he has not had any bowel movements since the illness began. His temperature is F and he has no pallor or jaundice. His abdomen is mildly distended with hypoactive active bowel sounds and marked left lower quadrant tenderness with voluntary guarding. Rectal examination reveals tenderness and his stool is negative for occult blood. The WBC count is 11 800 mm3 with 74 polymorphonuclear cells 22 lymphocytes and a normal hemoglobin and hematocrit. A plain film of the abdomen shows no acute changes. Most likely diagnosis Acute sigmoid diverticulitis. Most .

• Y học thường thức
• Abdominal Pain
• Gastrointestinal Bleeding
• Bowel Disease
• Bleeding Disorders
• Multiple Myeloma
• Pain Management
• BMC Pediatrics
• Intravenous calcium Gluconate alleviates
• Lead induced abdominal pain
• Randomized clinical trial
• Irritable bowel syndrome
• Functional abdominal pain
• Functional abdominal pain syndrome
• Randomized controlled trial
• Functional gastrointestinal disorders
• Lower abdominal pain
• The first trimester
• During pregnancy
• Surgical of lower abdominal
• Necessary diagnostics
• History taking
• Communication skills
• Abdominal distention
• Alcohol intake
• Chronic pain
• Increasing clinical significance
• Potential sociodemographic
• BMC Anesthesiology
• Chronic pelvic pain
• Ischemic compression
• Local anaesthetic injection
• Trigger point
• Abdominal wall
• Myofascial syndrome
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Talking to children
• The terrible twos
• Sleep problems
• Respiratory tract infection
• Acute abdominal pain
• Recurrent abdominal pain
• Vomiting and acute diarrhea
• Functional gastrointestinal disorder
• Emotional stress
• Extra intestinal symptoms
• Rapunzel syndrome
• Iron deficiency anemia
• Case report
• BMC Musculoskeletal Disorders
• Chronic low back pain
• Exercise therapy
• Motor control
• Abdominal hollowing
• Primitive reflexes
• Stability exercise
• Abstract of Medical Phd thesis
• Abstract of Phd thesis
• Postoperative pain management
• Continuous wound infusion levobupivacaine
• Via multi hole catheter after abdominal surgery
• Electric ear acupuncture
• Post operative pain relief
• Abdominal hysterectomy
• Somatic pain threshold
• Interventional pain management
• Ultrasound guided spine injections
• Ultrasound guided abdominal
• Spine sonoanatomy
• Ultrasound technical aspects
• Critical care
• Upper abdominal pain
• Acute severe leg pain
• Testicular pain after playing football
• Painful red eye
• Chicken bone impaction
• Post operative pain
• Multimodal therapy
• Preemptive analgesia
• Pain management and laparotomy surgery
• Abdominal trunk muscle
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• Older women
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• A case based clinical review
• Bilious emesis
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• Emergency service
• Point of care systems
• Emergency department
• Nonspecific abdominal pain
• Abdominal mass