INDICATIONS: This gentleman is a 46-year-old Caucasian male with a 3 day history of abdominal pain. However, over the past 24 hours his pain is located to the right lower quadrant and caused a significant amount of anorexia. He presented to the emergency department. CT…
11. The medical term for a protrusion of the upper portion of the stomach through the diaphragm to enter the thoracic cavity is hiatal hernia.…
were not entering any kind of hernia sac secondary to spigelian hernia. As we continued to dissect circumferentially around it without sharp dissection, it was noted…
Esophagus: lower esophageal sphincter pressure decreases, motility decreases; epigastric distress, dysphagia, potential for hiatal hernia and aspiration…
The oesophagus is a hollow muscular tube that transports saliva, liquids, and foods from the mouth to the stomach. The muscular layers that form the oesophagus are closed tightly at both ends by sphincter muscles, to prevent food or liquids from leaking from the stomach back into the oesophagus or mouth.…
Due to Allen’s fall he likely has an incompetent diaphragm due to injuring a cervical segment. This would alter effect the lower motor neurons and external intercostal muscles. This would cause his chest x-ray to show a decreased lung expansion. This may have caused Allen to have to take rapid shallow breaths to maintain oxygenation. Overall, interruption of spinal innervation to the respiratory muscles would also explain his acidotic state.…
The stomach empties quicker, due to the bypass of the duodenum where the most, if not all the churning takes place with digestive enzymes that could force the sphincter to emit the reflux.…
This was because her stomach acid could escape in to her throat, she says that the doctor gave her some medication and that she would have to take it all her life, and that she had to be careful in bending down/over, and that she had to sleep on a slant which she says was very uncomfortable, but she had to so that the stomach acid would not travel out of her stomach and in to her mouth.…
hernia: A protrusion of a loop or portion of an organ or tissue through an abnormal opening…
Heartburn: Heartburn is a burning feeling in the lower chest. It affects taste in the mouth. Sour and bitter tastes occur frequently. Heartburn usually occurs after eating a big meal or while lying down. This feeling can last for a few minutes or a few hours. There are causes and risk factors that come into play. When you eat, food passes from your mouth down a tube called the esophagus. To enter the stomach, food has to pass through an opening between the esophagus and the stomach. This opening usually closes all the way once food passes through, but if it doesn’t close all the way, then acid from your stomach can get through the opening and into the esophagus. Stomach acid can irritate or disturb the esophagus and cause heartburn. Factors can add to heartburn to make it worse. Pregnancy, stress and certain foods can also make heartburn worse. Other factors include, smoking, coffee, alcohol, soda or carbonated drinks, citrus fruits, tomato products, chocolate, mints, peppermints, fatty foods, onions, being overweight, and aspirin or ibuprofen. One can take some simple steps to prevent and treat heartburn. Tips on preventing heartburn are, place 6 to 9 inch blocks under the legs at the head of your bed to raise it, try to eat at least 2 to 3 hours before lying down, if you smoke quit, lose weight if you’re overweight, don’t overeat, eat high-protein, eat low-fat meals, avoid tight clothes and tight belts, and avoid foods and other things that give you heartburn. Different kinds of medicine are also helpful to treat heartburn. Antacids destroy the acid that your stomach makes which causes heartburn. H2 blockers like Pepcid, Tagamet, and Zantac reduce the amount of acid your stomach produces. Prilosec is another alternative that reduces the acid your stomach makes.…
T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips at a fast-food restaurant earlier today. He is not happy to be in the hospital and is grumpy that his…
● Zora was not remembered as much but later was known as a great novelist.…
A woman is brought to an emergency room complaining of severe pain in her left iliac region. She claims previous episodes and says that the condition is worse when she is constipated, and is relieved by defecation. A large, tender mass is palpated in the left iliac fossa and a barium study reveals a large number of diverticula in her descending and sigmoid colon. What are diverticula, and what is believed to promote their formation? Does this woman have diverticulitis or diverticulosis? Explain.…
Also known as gastric torsion, bloat, and GVD (gastric dilation and volvulus syndrome), stomach torsion is one of the most serious of canine medical conditions. A dog that develops torsion must be seen by a veterinarian immediately in order to save his or her life. Without treatment, mortality is effectively 100%.…
and back. with a few of his guts purtruding from his abdomen this looks serious. Blood is…