gastroenterology cases

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Elephantiasis nostras verrucosa on the legs with morbid
 obesity (1 of 5)
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Elephantiasis nostras verrucosa on the legs with...

views: 7935 comments: 0
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This 42 year-old male with morbid obesity more than 500 libs. Came to our office to ask for help for weigh lost. Elephantiasis nostras verrucosa (ENV), is an unusual progressive cutaneous hypertrophy...

Mesenteric Ischemia (9 of 12)
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Mesenteric Ischemia (9 of 12)

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Diagnosis Clinical diagnosis more important than diagnostic tests Mesenteric angiography if diagnosis unclear. Frequency: Mesenteric ischemia accounts for 0.1% of all hospital admissions. Risk factors...

Mesenteric Ischemia (10 of 12)
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Mesenteric Ischemia (10 of 12)

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Patients with mesenteric ischemia have a very typical presentation. However, the diagnosis may be overlooked because of the vague nature of the patients' symptoms. Depending on the type of mesenteric...

Appendiceal Carcinoid tumor (1 of 3)
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Appendiceal Carcinoid tumor (1 of 3)

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The prognosis of appendiceal carcinoids is best predicted by the size of the tumor. tumors less than 2 cm in size (found in approximately 95 percent of patients) are unlikely to have metastasized when...

Appendiceal Carcinoid tumor (2 of 3)
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Appendiceal Carcinoid tumor (2 of 3)

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Carcinoid tumor of the appendix Appendix — Carcinoid tumors are the most common neoplasms in the appendix. Approximately 1 in 300 appendixes contain a carcinoid tumor, almost always as a incidental...

Appendiceal Carcinoid tumor (3 of 3)
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Appendiceal Carcinoid tumor (3 of 3)

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Carcinoid tumor of the Appendix Most patients with appendiceal carcinoids are asymptomatic. Symptoms are more likely with large tumors, those located at the base of the appendix, and with metastatic...

Lung Adenocarcinoma (1 of 5)
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Lung Adenocarcinoma (1 of 5)

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1.5

This 72 year-old male with a long standing history of heavy smoking underwent a screening due to a dysphagia. The upper endoscopy was unremarkable.

Lung Adenocarcinoma (3 of 5)
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Lung Adenocarcinoma (3 of 5)

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Large cell adenocarcinoma of the lung. (Microscopic detail).

Mesenteric Ischemia (11 of 12)
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Mesenteric Ischemia (11 of 12)

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Prognosis If diagnosis and treatment take place before infarction occurs, mortality is low; after intestinal infarction, mortality approaches 70 to 90%. For this reason, clinical diagnosis of mesenteric...

Histoplasmosis of the Colon and Condyloma Accuminata (11 of 11)
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Histoplasmosis of the Colon and Condyloma Accuminata...

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There papillomatosis with acanthosis and koilocytosis

Colonic interposition for Esophageal Substitution (12 of 14)
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Colonic interposition for Esophageal Substitution...

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X-ray Film X-ray Film. Colonic interposition is observed there is a stenosis part of the upper portion.

Peri Anal Tuberculosis
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Peri Anal Tuberculosis

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Cutaneous manifestations of tuberculosis are exceptional. In patients with protracted peri-anal ulceration, a biopsy should be performed that will show a typical tuberculoid granuloma. The most frequently...

Fistula-in-ano
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Fistula-in-ano

views: 4536 comments: 0
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Digital rectal examination may reveal a fibrous tract or cord beneath the skin. It also helps delineate any further acute inflammation that is not yet drained. Lateral or posterior induration suggests...

Anal Fissure
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Anal Fissure

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An anal fissure is a small tear or cut in the skin lining the anus which can cause pain and or bleeding.

Colonic interposition for Esophageal Substitution (14 of 14)
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Colonic interposition for Esophageal Substitution...

views: 2689 comments: 0
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X-ray Film A scar diverticula is seen.

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