American Board of Surgery In-Training Examination - The by Steven M. Fiser

By Steven M. Fiser

This 4th version of The ABSITE evaluation is the suitable learn advisor for surgical procedure citizens getting ready for the yankee Board of surgical procedure In-Training exam (ABSITE). in contrast to traditional textbooks that strength the reader to plow through paragraph after paragraph of extraneous fabric, this evaluation handbook makes use of a streamlined define and checklist structure. through making it more uncomplicated to discover the fundamental issues on every one subject, this learn advisor permits the reader to spend extra time learning the $64000 evidence and not more time trying to find them. even if the knowledge is gifted in an easy demeanour, it nonetheless comprises all themes chanced on at the examination — from easy technology to medical wisdom in most cases surgical procedure in addition to surgical subspecialties. every year, hundreds of thousands of normal surgical procedure citizens convey anxiousness over guidance for the ABSITE. With this publication as their consultant, they could think much more confident.

FEATURES:
• Tables and algorithms are condensed to proper outlines, bettering potency of analyzing time
• most up-to-date ABSITE examination material
• Covers all subject matters on ABSITE and will be used independently of alternative learn materials
• daring style that highlights very important information

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Sample text

Stress ulcers may be seen throughout the stomach and proximal duodenum. PREVENTION Prevention of stress ulceration involves maintaining blood pressure, tissue perfusion, and acid–base stability, as well as decreasing acid production while bolstering mucosal protection. The incidence of life-threatening hemorrhagic gastritis has decreased as intravenous H2-blocker therapy and oral cytoprotectants have been introduced to the intensive care setting. , tumors, head injury). Ulcers are single and deep and may involve the esophagus, stomach, and duodenum.

Ischemia disrupts cellular mechanisms of mucosal protection, resulting in mucosal acidification and superficial erosion. Areas of erosion may coalesce and form superficial ulcers. Stress ulcers may be seen throughout the stomach and proximal duodenum. PREVENTION Prevention of stress ulceration involves maintaining blood pressure, tissue perfusion, and acid–base stability, as well as decreasing acid production while bolstering mucosal protection. The incidence of life-threatening hemorrhagic gastritis has decreased as intravenous H2-blocker therapy and oral cytoprotectants have been introduced to the intensive care setting.

For nonhealing gastric ulcers refractory to medical therapy, it is extremely important that biopsy of the ulcer be performed to rule out gastric carcinoma. Duodenal ulcers are rarely malignant. TREATMENT Medical treatment is similar for gastric and duodenal ulceration. The goals of medical therapy are to decrease production of or neutralize stomach acid and to enhance mucosal protection against acid attack. Medications include antacids (CaCO3), H2-blockers (cimetidine, ranitidine), mucosal coating agents (sucralfate), and proton-pump inhibitors (omeprazole).

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