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Chapter 121 Intraabdominal Infections and Abscesses (Part 1) potx

Chapter 121. Intraabdominal Infections and Abscesses (Part 1) potx

Chapter 121. Intraabdominal Infections and Abscesses (Part 1) potx

... (WBCs, Chapter 121. Intraabdominal Infections and Abscesses (Part 1) Harrison's Internal Medicine > Chapter 121. Intraabdominal Infections and Abscesses Intraabdominal Infections and ... synthesis. Figure 121- 1 space, a predictable series of events takes place. Intraabdominal infections occur in two stages: peritonitis and if the patient survives this stage and goes untreated—abscess ... extends from the transverse mesocolon and from the lower pole of the stomach to line the lower peritoneal cavity. The pancreas, duodenum, and ascending and descending colon are located in the...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 2 ) pptx

Chapter 121. Intraabdominal Infections and Abscesses (Part 2 ) pptx

... Chapter 121. Intraabdominal Infections and Abscesses (Part 2 ) Primary (Spontaneous) Bacterial Peritonitis Peritonitis ... show ascites. Chest and abdominal radiography should be performed in patients with abdominal pain to exclude free air, which signals a perforation (Fig. 121- 2). Figure 121- 2 ... not easy. It depends on the exclusion of a primary intraabdominal source of infection. Contrast-enhanced CT is useful in identifying an intraabdominal source for infection. It may be difficult...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 3) pptx

Chapter 121. Intraabdominal Infections and Abscesses (Part 3) pptx

... patients may require surgical intervention without prior imaging. Chapter 121. Intraabdominal Infections and Abscesses (Part 3) Primary Bacterial Peritonitis: Treatment Treatment for ... the inciting event. In general, patients are febrile, with marked leukocytosis and a left shift of the WBCs to band forms. While recovery of organisms from peritoneal fluid is easier in secondary ... severity of abdominal pain and the clinical course depend on the inciting process. The organisms isolated from the peritoneum also vary with the source of the initial process and the normal flora...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 4) docx

Chapter 121. Intraabdominal Infections and Abscesses (Part 4) docx

... not, and this organism is the most common pathogen in overt exit-site infections. Gram-negative bacilli and fungi such as Candida spp. are also found. Vancomycin-resistant enterococci and vancomycin-intermediate ... complication of abdominal surgeries. These infections may be accompanied by localizing pain and/ or nonlocalizing symptoms such as fever, malaise, anorexia, and toxicity. As a nosocomial infection, ... cefazolin, and gram-negative coverage may need to be broadened. Broad coverage including vancomycin should be particularly considered for toxic patients and for those with exit-site infections. ...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 5) pps

Chapter 121. Intraabdominal Infections and Abscesses (Part 5) pps

... in the peritoneal cavity that localizes bacteria into Chapter 121. Intraabdominal Infections and Abscesses (Part 5) Intraperitoneal Abscesses Abscess formation is common in untreated peritonitis ... colonic flora, is the anaerobe most frequently isolated from intraabdominal infections, is especially prominent in abscesses, and is the most common anaerobic bloodstream isolate. On clinical ... aerobic and anaerobic organisms have been implanted intraperitoneally. Without therapy directed at anaerobes, animals develop intraabdominal abscesses. As in humans, these experimental abscesses...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 6) pot

Chapter 121. Intraabdominal Infections and Abscesses (Part 6) pot

... routinely required. Chapter 121. Intraabdominal Infections and Abscesses (Part 6) Diagnosis Scanning procedures have considerably facilitated the diagnosis of intraabdominal abscesses. Abdominal ... Intraperitoneal Abscesses: Treatment An algorithm for the management of patients with intraabdominal (including intraperitoneal) abscesses is presented in Fig. 121- 3. The treatment of intraabdominal infections ... lesion or process in intraabdominal abscesses. Unlike the intraabdominal abscesses resulting from most causes, for which drainage of some kind is generally required, abscesses associated with...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 7) pdf

Chapter 121. Intraabdominal Infections and Abscesses (Part 7) pdf

... Gastroenteritis. Philadelphia, Current Medicine, 1996, Fig. 1.22.] Chapter 121. Intraabdominal Infections and Abscesses (Part 7) Fever is the most common presenting sign of liver abscess. ... defining the etiology of infections. Liver abscesses may also be caused by Candida spp.; such abscesses usually follow fungemia in patients receiving chemotherapy for cancer and often present when ... multilocular abscesses are more common than solitary abscesses. [Reprinted with permission from B Lorber (ed): Atlas of Infectious Diseases, Vol VII: Intra-abdominal Infections, Hepatitis, and Gastroenteritis....
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Chapter 121. Intraabdominal Infections and Abscesses (Part 8) pot

Chapter 121. Intraabdominal Infections and Abscesses (Part 8) pot

... Chapter 121. Intraabdominal Infections and Abscesses (Part 8) Splenic Abscesses Splenic abscesses are much less common than liver abscesses. The incidence of splenic abscesses ... surgery, trauma, and diabetes mellitus have also been identified as risk factors. The organisms most frequently encountered in perinephric and renal abscesses are E. coli, Proteus spp., and Klebsiella ... infection (Chap. 118). Splenic abscesses can develop in patients who have received extensive immunosuppressive therapy (particularly those with malignancy glands are surrounded by a layer of...
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Chapter 121. Intraabdominal Infections and Abscesses (Part 9) doc

Chapter 121. Intraabdominal Infections and Abscesses (Part 9) doc

... Chapter 121. Intraabdominal Infections and Abscesses (Part 9) Candida spp. can cause renal abscesses. This fungus may spread to the kidney ... organism. Perinephric and Renal Abscesses: Treatment Treatment for perinephric and renal abscesses, like that for other intraabdominal abscesses, includes drainage of pus and antibiotic therapy ... recovered. For perinephric abscesses, percutaneous drainage is usually successful. Psoas Abscesses The psoas muscle is another location in which abscesses are encountered. Psoas abscesses may arise...
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Chapter 012. Pain: Pathophysiology and Management (Part 1) pptx

Chapter 012. Pain: Pathophysiology and Management (Part 1) pptx

... small-diameter myelinated A-delta (Aδ) and the unmyelinated (C fiber) axons (Fig. 12 -1). These fibers are present in nerves to the skin and to deep somatic and visceral structures. Some tissues, ... sensation and emotion. When acute, pain is characteristically associated with behavioral arousal and a stress response consisting of increased blood pressure, heart rate, pupil diameter, and plasma ... tissue damage, the quality, time course, and location of a patient's pain complaint and the location of tenderness provide important diagnostic clues and are used to evaluate the response...
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