Blueprints Surgery (5th Edition) by Seth J. Karp, James P. G. Morris

By Seth J. Karp, James P. G. Morris

Part of the Blueprints sequence, Blueprints Surgery offers a concise evaluation of what scholars want to know of their surgical procedure rotations or the forums. each one bankruptcy is short and contains pedagogical positive factors similar to bolded key terms, tables, figures, and key issues bins. This version has been completely up-to-date and considerably multiplied, with extra element and intensity of assurance, extra tables and figures, and case stories. A question-and-answer part on the finish of the booklet comprises a hundred board-format questions with entire rationales for every resolution choice.

A significant other web site contains a query financial institution containing an extra 50 questions and completely searchable text.

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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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