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Esophageal Rupture

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701. Involuntary Weight Loss

and Body Stuffing Which of the following illicit drugs is most likely to cause intractable seizures, tachycardia, hypertension, and hyperthermia when a drug packet with the drug used in body packing ruptures? Anabolic steroids Cocaine Heroin Marijuana NEWS & VIDEOS History of Cycling Weight May Up Risk for Heart Disease in Women FRIDAY, March 8, 2019 (HealthDay News) -- A history of weight cycling (HWC), or yo-yo dieting, is associated with poorer cardiovascular health in women, according to a study (...) Drugs of abuse Alcohol, amphetamines, cocaine, opioids In some disorders that cause involuntary weight loss, other symptoms tend to be more prominent, so that weight loss is usually not the chief complaint. Examples include the following: Some malabsorptive disorders: GI tract surgery and cystic fibrosis Chronic inflammatory disorders: Severe RA Gastrointestinal disorders: Achalasia, celiac disease, Crohn disease, chronic pancreatitis, esophageal obstructive disorders, ischemic colitis, diabetic

2013 Merck Manual (19th Edition)

702. Pneumomediastinum

usually is not necessary, although tension pneumomediastinum with compression of mediastinal structures (rare) can be relieved with needle aspiration, leaving the needle open to the atmosphere as is done with tension pneumothorax. Hospital admission is required if pneumomediastinum is secondary to esophageal or bowel rupture but not necessarily if secondary to alveolar rupture. Last full review/revision October 2017 by Richard W. Light, MD NOTE: This is the Professional Version. CONSUMERS: © 2018 (...) prevents the most disease in underserved minorities and the general population, but the cost... 3D Model Pneumothorax Video Pigtail Catheter Aspiration of Pneumothorax SOCIAL MEDIA Add to Any Platform Loading , MD, Vanderbilt University Medical Center Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Pneumomediastinum is air in mediastinal interstices. The main causes of pneumomediastinum are Alveolar rupture with dissection of air into the interstitium

2013 Merck Manual (19th Edition)

703. Renal Anomalies

abdomen with huge, firm, smooth, symmetric kidneys. Severely affected neonates commonly have pulmonary hypoplasia secondary to the in utero effects of renal dysfunction and oligohydramnios. In patients aged 5 to 10 years, signs of , such as esophageal and gastric varices and hypersplenism, occur. If the patient presents in adolescence, nephromegaly is less marked, renal insufficiency may be mild to moderate, and the major symptoms are those related to portal hypertension. Diagnosis of autosomal (...) % of patients may have or ureteropelvic junction obstruction. Frequently, the kidney progressively involutes and eventually is no longer visible on ultrasonography. Development of tumors, infection, and/or hypertension is rare. Most experts recommend observation to monitor for involution. Nephrectomy may be considered for the presence of solid tissue, progressive enlargement, or rarely hypertension or a ruptured cyst that is causing pain. Renal agenesis Bilateral renal agenesis as part of a syndrome

2013 Merck Manual (19th Edition)

704. Bulimia Nervosa

, the stomach ruptures or the esophagus is torn during a binge or purge episode, leading to life-threatening complications. Because substantial weight loss does not occur, the serious physical complications that often occur with anorexia nervosa are not present. However, cardiomyopathy may result from long-term abuse of syrup of ipecac if used to induce vomiting. Symptoms and Signs Patients with bulimia nervosa typically describe binge-purge behavior. Binges involve rapid consumption of an amount of food (...) (this dose is higher than that typically used for depression). Key Points Bulimia nervosa involves recurrent episodes of binge eating followed by inappropriate compensatory behavior such as self-induced vomiting, laxative or diuretic abuse, fasting, or excessive exercise. Unlike patients with anorexia nervosa, patients rarely lose much weight or develop nutritional deficiencies. Recurrent self-induced vomiting may erode dental enamel and/or cause esophagitis. Treat with cognitive-behavioral therapy

2013 Merck Manual (19th Edition)

706. Comparison between endoscopic sclerotherapy and band ligation for hemostasis of acute variceal bleeding. Full Text available with Trip Pro

Comparison between endoscopic sclerotherapy and band ligation for hemostasis of acute variceal bleeding. To compare band ligation (BL) with endoscopic sclerotherapy (SCL) in patients admitted to an emergency unit for esophageal variceal rupture.A prospective, randomized, single-center study without crossover was conducted. After endoscopic diagnosis of esophageal variceal rupture, patients were randomized into groups for SCL or BL treatment. Sclerotherapy was performed by ethanolamine oleate (...) intravascular injection both above and below the rupture point, with a maximum volume of 20 mL. For BL patients, banding at the rupture point was attempted, followed by ligation of all variceal tissue of the distal esophagus. Primary outcomes for both groups were initial failure of bleeding control (5 d), early re-bleeding (5 d to 6 wk), and complications, including mortality. From May 2005 to May 2007, 100 patients with variceal bleeding were enrolled in the study: 50 SCL and 50 BL patients. No differences

2011 World journal of gastrointestinal endoscopy Controlled trial quality: uncertain

707. Follow-up of Glypressin (Terlipressin) Clinical Efficacy in the Treatment of Bleeding Oesophageal Varices

: October 8, 2012 Sponsor: Ferring Pharmaceuticals Information provided by (Responsible Party): Ferring Pharmaceuticals Study Details Study Description Go to Brief Summary: Terlipressin is an effective and safe treatment for bleeding caused by rupture of oesophageal varices, which are life-threatening complications of liver cirrhosis. Oesophageal varices are abnormal dilatation of veins occurring in the lower oesophagus, which can develop in patients with cirrhosis. Bleeding caused by rupture (...) Development Support Ferring Pharmaceuticals More Information Go to Layout table for additonal information Responsible Party: Ferring Pharmaceuticals ClinicalTrials.gov Identifier: Other Study ID Numbers: FE999908 CS04 First Posted: April 14, 2011 Last Update Posted: October 8, 2012 Last Verified: October 2012 Additional relevant MeSH terms: Layout table for MeSH terms Hemorrhage Varicose Veins Gastrointestinal Hemorrhage Esophageal and Gastric Varices Pathologic Processes Vascular Diseases Cardiovascular

2011 Clinical Trials

708. Axitinib as Second-line Treatment for Advanced Hepatocellular Carcinoma

curative therapy. Not amenable to loco-regional therapy Documented progression with or intolerance to sorafenib treatment as first- line therapy for advanced HCC At least one measurable tumor, according to RECIST version 1.1, that has not been treated with any local procedure ECOG performance status 0 or 1 Life expectancy is at least 2 months Child-Pugh class A liver function. Exclusion Criteria: Systemic therapy other than sorafenib as first-line therapy for advanced HCC History of HCC tumor rupture (...) Presence of brain or leptomeningeal metastases Esophageal/gastric varices or active peptic ulcers that are considered to have high risk of bleeding History of upper gastrointestinal bleeding within 1 year Major systemic diseases that the investigator considers inappropriate for participation Uncontrollable hypertension Proteinuria Current use or anticipated need for treatment with potent CYP3A4 inhibitor, CYP3A4 or CYP1A2 inducers Requirement of anticoagulant therapy with oral vitamin K antagonists

2011 Clinical Trials

709. Non-invasive Neurally Adjusted Ventilatory Assist

12 hours Planned extubation according to the weaning protocol of our clinic Informed consent obtained from a next of kin Enrollment approval from a neutral physician neither participating in the study nor in the clinical treatment of the patient Exclusion Criteria: Tracheostomy Facial or cranial trauma or surgery Oral, esophageal, diaphragmatic or gastric trauma or surgery Contraindication to insertion of a nasogastric tube (e. g. malformation, esophageal varices, esophageal perforation (...) or rupture, Zenkers diverticulum, severe bleeding disorder) Uncooperative state and combativeness not responding to low levels of sedatives Neurological disease possibly influencing the brainstem respiratory centre, such as but not limited to: intracerebral, subarachnoidal or subdural hemorrhage, cerebral infarction, possible hypoxic encephalopathy Next of kin refuses informed consent Pregnancy. In female patients between 18 and 60 years of age, a pregnancy test will be performed. Contacts and Locations

2011 Clinical Trials

710. The Role of Systemic Condition in the Management of Maxillofacial Infections Full Text available with Trip Pro

Memorial Institute of Dental Sciences, Mangalore, India resulting in fatality, in spite of surgical and antibiotic treatment, due to underlying systemic condition and involvement of multiple resistant organisms. The condition was worsened by subsequent esophageal rupture and death occurred due to multiple organ failure.

2011 Journal of Maxillofacial & Oral Surgery

711. Minimizing cerebral embolism in resection of distal aortic arch aneurysm through a left thoracotomy. (Abstract)

); the cause of death was rupture of an esophageal ulcer and cardiogenic shock possibly due to myocardial infarction.The AAC and EEP, in addition to deep hypothermia and DHCA, minimized the risk of cerebral embolism after distal arch aortic replacement by the left lateral approach.Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2011 Annals of Thoracic Surgery

712. Management of subglottic cysts with Mitomycin-C-A case series and literature review. (Abstract)

hospital. Charts were reviewed to determine birth history, gender, intubation history, comorbidities, age at presentation, presenting symptoms, interventions and follow-up.Between 2001 and 2009, seven patients aged 4-13 months were diagnosed with and treated for subglottic cysts. All children had a history of intubation and had evidence of gastro-esophageal reflux. All children were treated with endoscopic marsupialization (CO(2)-laser, cupped forceps) or bronchoscopic rupture; with or without (...) Management of subglottic cysts with Mitomycin-C-A case series and literature review. To describe the management and outcomes of seven infants with subglottic cysts. To assess the role of Mitomycin-C in the management of subglottic cysts. To discuss the relationship of subglottic cysts with gastro-esophageal reflux. To extensively review the literature on subglottic cysts.Retrospective case series and literature review.Case series of seven children with subglottic cysts at a tertiary care

2011 International Journal of Pediatric Otorhinolaryngology

713. Endoscopic foreign body retrieval

treating these patients recognize the of esophageal foreign body impaction requiring urgent intervention. Most frequently, these include drooling and the inability to swallow , neck tenderness, of food, and if there is compression of the trachea. There are several situations in which endoscopic techniques are not indicated, such as for small blunt objects less than 2.5 cm which have already passed into the stomach (as these usually do not obstruct anywhere else), when there is or (inflammation (...) of structures around the esophagus), and for -containing bags or that have been ingested, because of the risk of overdose if they are ruptured. Foreign bodies should be removed from the esophagus within 24 hours of ingestion because of a high risk of complication. Non-invasive testing [ ] showing a in the esophagus of a young child Prior to undertaking endoscopy, attempts should be made to locate the foreign body with or other . For radio-opaque objects, x-rays of the neck, chest and abdomen can be used

2012 Wikipedia

714. Thoracentesis Full Text available with Trip Pro

: it will contain some or all plasma proteins, white blood cells, platelets and (in the case of local vascular damage) red blood cells. Exudate hemorrhage Lymphatic disorders vs Constrictive Transudate trapped lung Peritoneal Amylase [ ] A high amylase level (twice the serum level or the absolute value is greater than 160 Somogy units) in the pleural fluid is indicative of either acute or chronic , pancreatic that has dissected or ruptured into the pleural space, or esophageal rupture. [ ] This is considered (...) low if pleural fluid value is less than 50% of normal serum value. The for this is: rheumatoid effusion.The levels are characteristically low (<15 mg/dL). effusion bacterial esophageal rupture ( ) pH [ ] Normal pleural fluid pH is approximately 7.60. A pleural fluid pH below 7.30 with normal arterial blood pH has the same differential diagnosis as low pleural fluid glucose. Triglyceride and cholesterol [ ] (fluid from leaking into the pleural cavity) may be identified by determining and levels

2012 Wikipedia

715. Pyloric stenosis

. : . . . from the original on 7 November 2012 . Retrieved 30 August 2012 . Kong YL, Tey HL (June 2013). "Treatment of acne vulgaris during pregnancy and lactation". Drugs . 73 (8): 779–87. : . . External links [ ] Classification - : - : , : : External resources : : , at Diseases of the (primarily , ) Rupture (GERD) (LPR) : / ( / / ) : ( / ) / / / Large and/or small : : / / / / Other / / Undefined location malformations and deformations of ( , ) , and EA/TEF esophageal rings (upper) (lower) / Retrieved from

2012 Wikipedia

716. Bulimia nervosa Full Text available with Trip Pro

serious cases, several times a day and may directly cause: Chronic after eating, secondary to vomiting and due to renal potassium loss in the presence of alkalosis and frequent vomiting , which can lead to , , and even death , or of the , a rupture in the esophageal wall due to vomiting Oral , in which repetitive insertion of fingers or other objects causes to the lining of the mouth or throat : on knuckles and back of hands due to repeated trauma from incisors , or severe of tooth enamel Swollen

2012 Wikipedia

717. Hernia

in the abdominal wall evolves into a localized hole, or "defect", through which , or abdominal organs covered with , may protrude. Another common hernia involves the and causes . A occurs when the stomach protrudes into the through the esophageal opening in the . Hernias may or may not present with either at the site, a visible or palpable lump, or in some cases more vague symptoms resulting from pressure on an organ which has become "stuck" in the hernia, sometimes leading to organ dysfunction. Fatty tissue (...) in the diaphragm. A is a particular variant of this type, in which the normal passageway through which the esophagus meets the stomach ( ) serves as a functional "defect", allowing part of the to (periodically) "herniate" into the chest. Hiatus hernias may be either " sliding ", in which the itself slides through the defect into the , or non-sliding (also known as para-esophageal ), in which case the junction remains fixed while another portion of the stomach moves up through the defect. Non-sliding or para

2012 Wikipedia

718. Hepatorenal syndrome Full Text available with Trip Pro

from ascites to hepatorenal syndrome is a spectrum where splanchnic vasodilation defines both resistance to medications in ascites (which is commonly seen in type 2 HRS) and the onset of kidney vasoconstriction (as described above) leading to hepatorenal syndrome. Prevention [ ] Picture of the at the time of showing prominent . Bleeding from esophageal varices can be a precipitant for hepatorenal syndrome in individuals with , and can be prevented by early diagnosis and treatment. The risk of death (...) ). "Hepatorenal syndrome: pathophysiology and management". Clin J Am Soc Nephrol . 1 (5): 1066–79. : . . Koppel MH, Coburn JW, Mims MM, Goldstein H, Boyle JD, Rubini ME (1969). "Transplantation of cadaveric kidneys from patients with hepatorenal syndrome. Evidence for the functional nature of renal failure in advanced liver disease". N. Engl. J. Med . 280 (25): 1367–71. : . . Diseases of the (primarily , ) Rupture (GERD) (LPR) : / ( / / ) : ( / ) / / / Large and/or small : : / / / / Other / / Undefined

2012 Wikipedia

719. Hiatus hernia

). . Yale J Biol Med . 72 (2–3): 69–80. . . External links [ ] Classification - : , - : , : : : External resources : : Wikimedia Commons has media related to . - CT Cases Diseases of the (primarily , ) Rupture (GERD) (LPR) : / ( / / ) : ( / ) / / / Large and/or small : : / / / / Other / / Undefined location malformations and deformations of ( , ) , and EA/TEF esophageal rings (upper) (lower) / Retrieved from " " : Hidden categories: Navigation menu Personal tools Not logged in Namespaces Variants Views (...) as seen on CT A large hiatal hernia as seen on CT imaging A large hiatal hernia as seen on CT imaging As seen on ultrasound As seen on ultrasound Classification [ ] Schematic diagram of different types of hiatus hernia. Green is the esophagus, red is the stomach, purple is the diaphragm, blue is the . A is the normal anatomy, B is a pre-stage, C is a sliding hiatal hernia, and D is a paraesophageal (rolling) type. Four types of esophageal hiatal hernia are identified: Type I: A type I hernia is also

2012 Wikipedia

720. Upper gastrointestinal bleeding

into their location in the upper gastrointestinal tract. People are usually stratified into having either or non-variceal sources of upper GI hemorrhage, as the two have different treatment algorithms and prognosis. The causes for upper GI hemorrhage include the following: causes (gastrorrhagia): Esophageal ulcers causes: causes: , including . Fistulae are usually secondary to prior vascular surgery and usually occur at the proximal anastomosis at the third or fourth portion of the duodenum where (...) ). "Transfusion Strategies for Acute Upper Gastrointestinal Bleeding". New England Journal of Medicine . 368 (1): 11–21. : . . Witting MD, Magder L, Heins AE, Mattu A, Granja CA, Baumgarten M; Magder; Heins; Mattu; Granja; Baumgarten (2004). . Ann Emerg Med . 43 (4): 525–32. : . . CS1 maint: Multiple names: authors list ( ) External links [ ] Classification - : - : : : External resources : : Diseases of the (primarily , ) Rupture (GERD) (LPR) : / ( / / ) : ( / ) / / / Large and/or small : : / / / / Other

2012 Wikipedia

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