Download Problem-Based Approach to Gastroenterology and Hepatology by John Plevris, Colin Howden PDF
By John Plevris, Colin Howden
Taking the problem-based procedure, this article is helping clinicians increase their diagnostic and healing abilities in a centred and functional demeanour. The instances incorporated exhibit the range of scientific perform within the area of expertise around the world, and are divided into 5 significant sections: higher GI, Pancreato-Biliary, Liver, Small and big Bowel, and Miscellaneous.Content:
Chapter 1 Dysphagia (pages 1–16): Nirmala Gonsalves, Ikuo Hirano and John N. Plevris
Chapter 2 the matter of Heartburn, and extraordinary Chest discomfort (pages 17–38): Ronnie Fass and Tiberiu Hershcovici
Chapter three The scientific method of Dyspepsia (pages 39–43): Mary Farid and Brennan Spiegel
Chapter four Acute, Recurrent, and protracted stomach discomfort (pages 44–63): Brian E. Lacy and Chad C. Spangler
Chapter five Hematemesis, Melena, and Occult Bleeding/Anemia (pages 64–71): Grigorios I. Leontiadis and Virender okay. Sharma
Chapter 6 Acute Diarrhea and Vomiting (pages 72–83): John P. Flaherty and Michael P. Angarone
Chapter 7 power Diarrhea and Malabsorption (pages 84–95): Paul Beck, Remo Panaccione and Subrata Ghosh
Chapter eight Rectal Bleeding (pages 96–105): Matthew Shale, Lotte Dinesen and Subrata Ghosh
Chapter nine Multisystem problems and Gastrointestinal affliction (pages 106–113): Lynne A. Meekison and John N. Plevris
Chapter 10 scientific method of Pancreatobiliary disorder (pages 115–131): Erica J. Revie, Lisa J. Massie, Anne?Marie Lennon and O. James Garden
Chapter eleven the matter of correct higher Quadrant discomfort (pages 132–143): Malcolm B. Barnes and Simon Glance
Chapter 12 irregular Liver functionality exams: Diagnostic process (pages 144–161): Timothy T. Gordon?Walker and John P. Iredale
Chapter thirteen the intense Liver Failure sufferer (pages 162–173): Neil C. Henderson and Kenneth J. Simpson
Chapter 14 The power Liver disorder sufferer (pages 174–188): Joanna okay. Dowman and Phil N. Newsome
Chapter 15 Portal high blood pressure: A administration challenge (pages 189–201): Norma C. McAvoy and Peter C. Hayes
Chapter sixteen Infections within the Liver (pages 202–211): Veerendra Sandur and George Therapondos
Chapter 17 The Liver Transplant Recipient (pages 212–225): Prakash Ramachandran and Andrew J. Bathgate
Chapter 18 Incidental Radiological Findings within the Asymptomatic sufferer (pages 226–239): Tiffany J. Campbell and Dilip Patel
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Extra info for Problem-Based Approach to Gastroenterology and Hepatology
Example text
Esophageal hypersensitivity Visceral hypersensitivity is a phenomenon in which the conscious perception of a visceral stimulus is enhanced independent of the intensity of the stimulus [60,61]. Peripheral and central mechanisms have been proposed to be responsible for esophageal hypersensitivity in patients with NCCP. Peripheral sensitization of esophageal sensory afferents may lead to subsequently heightened responses to physiological or pathological stimuli of the esophageal mucosa. In addition, central sensitization at the level of the brain or dorsal horn of the spinal cord may modulate afferent neural function and thus enhance perception of intraluminal stimuli [62].
Crit Rev Biomed Eng 2000;28:87–93. Aziz Q. Acid sensors in the gut: the taste of things to come. Eur J Gastroenterol Hepatol 2001;13:885–8. Bass C, Wade C. Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity. Psychol Med 1984;14:51–61. Channer KS, Papouchado M, James MA, Rees JR. Anxiety and depression in patients with chest pain referred for exercise testing. Lancet 1985;ii:820–3. Costa PT Jr. Influence of the normal personality dimension of neuroticism on chest pain symptoms and coronary artery disease.
Muscle relaxants Studies that evaluated the value of nitrates (short and long acting) in NCCP are limited due to small numbers of patients, and are inconsistent with regard to drug efficacy [106–110]. However, side effects such as headache and hypotension limit their clinical use. It is also possible that patients may become refractory to therapy after long-term use. There have been no placebo-controlled trials of nitrate treatment for nonGERD-related NCCP. Calcium channel blocking agents (such as diltiazem, nifedipine, and verapamil) appear to be of limited value and their use might be complicated by side effects, such as hypotension, constipation, and pedal edema.