TY  - BOOK
AU  - Ng,Siew C.
AU  - Chan,Heyson Ch
AU  - Lui,Rashid Ns
TI  - Clinical Challenges and Images in Gastroenterology: A Diagnostic Guide
SN  - 9781910079041
AV  - RC801 .N4 2018
U1  - 616.330754 
PY  - 2018///
CY  - Shrewsbury
PB  - TFM Publishing Limited
KW  - Gastroenterology
KW  - Electronic books
N1  - Clinical Challenges &amp -- Images in GASTROENTEROLOGY: A Diagnostic Guide -- Title Page -- Copyright -- Contents -- Preface -- Abbreviations -- Acknowledgements -- Dedication -- Case 1 -- History -- What is your differential diagnosis? -- Physical examination -- Does this narrow your differential diagnosis? -- Investigations -- What other blood tests would you order? -- What do these laboratory data suggest? -- What imaging test would you order? -- Please describe what you see -- How would you proceed? -- What is your differential diagnosis for necrotising lymphadenitis? -- Infection -- Autoimmune -- Malignancy -- What is the diagnosis, and how would you proceed? -- Clinical pearls -- Impress your attending -- What virus is implicated as a possible cause for NK/T-cell lymphoma? -- What is the prevalence of extranodal NK/T-cell lymphomas in East Asia? -- What is the prognosis of non-nasal NK/T-cell lymphoma? -- What do you know about the SMILE regimen? -- References -- Case 2 -- History -- Physical examination -- Investigations -- What is your differential diagnosis? -- What other blood tests would you order? -- What do these laboratory data suggest? -- What other tests would you order? -- What imaging test would you order? -- Please describe what you see -- What is your diagnosis, and how would you proceed? -- What would you do next? -- Please describe what you see -- What is your differential diagnosis? -- How would you manage this patient? -- Clinical pearls -- Impress your attending -- How common is tuberculosis of the intestinal tract? -- What are the risk factors for tuberculosis of the intestinal tract? -- What is the presentation of intestinal tuberculosis? -- What is the duration of anti-tuberculosis treatment if the gut is affected? -- Do you know of any new drugs for the treatment of tuberculosis? -- References -- Case 3 -- History; What is your differential diagnosis? -- Physical examination -- Does this narrow your differential diagnosis? What diagnosis does the physical examination suggest? -- Investigations -- What other blood tests would you order? -- What do these laboratory data suggest? -- How would you proceed? -- Please describe what you see -- What imaging test would you order? -- Please describe what you see -- What is the diagnosis, and how would you proceed? -- What is the next step? -- Clinical pearls -- Impress your attending -- What is the definition of a granuloma? -- How would you distinguish between Crohn's disease and ITB (Table 3.1)? -- References -- Case 4 -- History -- Physical examination -- Investigations -- What is your differential diagnosis? -- What other tests would you order? -- How would you assess the severity of the flare? -- How would you manage his flare? -- How would you proceed? -- What is the first-line management? -- What other medical rescue therapies are available for a steroid-refractory ulcerative colitis flare? -- How would you proceed? -- Please describe what you see -- Clinical pearls -- Impress your attending -- What precautions are necessary to prevent the spread of the Clostridium difficile infection? -- References -- Case 5 -- History -- Physical examination -- Investigations -- What are the possible causes of his fever given his history of Crohn's? -- What further investigations would you perform? -- Please describe what you see -- Later on, the ZN stain shows acid-fast bacilli. How would this affect your management? -- Clinical pearls -- Impress your attending -- How would you screen for TB? -- What are the possible causes of a false-negative Mantoux test? -- What can cause a false-positive Mantoux test result? -- What is the performance of interferon-. release assays in the diagnosis of latent TB (Table 5.1)?; What would be your approach if the patient has latent tuberculosis? -- What are the potential side effects from the therapy? -- References -- Case 6 -- History -- Physical examination -- What is your differential diagnosis? -- What blood test(s) would you order? -- What further investigations would you order? -- Please describe what you see -- Does this narrow your differential diagnosis? -- In colonoscopy, what are the features suggestive of Behçet's disease? -- On histological examination, what is the important feature that differentiates Crohn's from Behçet's disease? -- What is a pathergy test and how would you perform it? -- What other skin manifestations may be seen in Behçet's disease? -- What are the diagnostic criteria for Behçet's disease? -- What are the treatment options for Behçet's disease? -- Clinical pearls -- Impress your attending -- How frequent are GI symptoms in patients with Behçet's disease? -- References -- Case 7 -- History -- Physical examination -- Please describe what you see -- Investigations -- What are the potential causes for the skin lesions? -- How would you manage this patient? -- What further investigations would you request? -- Please describe what you see -- Clinical pearls -- Impress your attending -- What is pancreatic panniculitis? -- Which pancreatic malignancy is most strongly associated with the development of pancreatic panniculitis? -- What is Schmid's triad? -- References -- Case 8 -- History -- Physical examination -- Please describe what you see -- Investigations -- What is your differential diagnosis? -- What would you do next? -- Please describe what you see -- What is the most compatible diagnosis? -- Clinical pearls -- Impress your attending -- What are the systemic diseases associated with pyoderma gangrenosum? -- How would you manage this patient?; What other extra-intestinal manifestations (EIM) of inflammatory bowel disease do you know of? -- References -- Case 9 -- History -- Physical examination -- Investigations -- What is your differential diagnosis? -- What further investigations would you arrange? -- Please describe what you see -- Does this narrow your differential diagnosis? -- How would you treat this patient? -- Please describe what you see -- What is the final diagnosis? -- Clinical pearls -- Impress your attending -- What organ systems can be affected by IgG4-related disease (Table 9.1)? -- What is the treatment for IgG4-related disease? -- Do you know of any new biomarkers under investigation for the use in IgG4-related disease? -- References -- Case 10 -- History -- Physical examination -- Investigations -- Please describe what you see -- What is the likely diagnosis? -- How would you manage this patient? -- Clinical pearls -- Impress your attending -- What C. difficile toxins do you know of? -- What is the incidence of Clostridium difficile-associated disease? -- What are the risk factors for CDAD? -- How would you distinguish between non-severe and severe (fulminant) CDAD (Table 10.1)? -- How would you manage patients with CDAD (Figures 10.2 and 10.3)? -- Is there any evidence supporting the use of faecal microbiota transplantation (FMT) for recurrent CDAD? -- References -- Case 11 -- History -- Physical examination -- Investigations -- What is your differential diagnosis? -- What would you do next? -- Please describe what you see -- What is the working diagnosis? -- What would you do next? -- Clinical pearls -- Impress your attending -- What is the nature of the pain in this condition? -- What are the causes of haemosuccus pancreaticus? -- References -- Case 12 -- History -- Physical examination -- Investigations -- What is your working diagnosis? -- How would you proceed?; Please describe what you see -- What would be the next step of management? -- What therapy was given to this patient? -- Clinical pearls -- Impress your attending -- What are the risk factors for HCC? -- What tests are used as surveillance for HCC in at-risk populations? -- Do you know of any newer biomarkers? -- How is HCC staged? -- In patients with HCC and cirrhosis, which patients are generally deemed suitable for the consideration of liver transplantation? -- What chemotherapeutic agents are injected during a session of TACE? -- What is post-embolisation syndrome? -- References -- Case 13 -- History -- Physical examination -- Investigations -- What would you do next? -- Please describe what you see -- How would you treat this patient? -- Clinical pearls -- Impress your attending -- What are the limitations of CA 19-9? -- Do you know of any poor prognostic factors for pancreatic cancer? -- What is the prognosis of pancreatic adenocarcinoma? -- What would be the choice of chemotherapy after curative resection? -- References -- Case 14 -- History -- Physical examination -- Investigations -- How would you manage this lady? -- What is your differential diagnosis for the mass? -- What imaging test would you order next? -- Please describe what you see -- What further investigations would you request? -- Please describe what you see -- What is your diagnosis? -- What would be your next step? -- Clinical pearls -- Impress your attending -- What do you know about the genetics of neurofibromatosis Type 1? -- What are the gastrointestinal manifestations of neurofibromatosis Type 1? -- How would you treat GISTs? -- What are good prognostic factors for GIST recurrence after surgery? -- Is there a role for adjuvant imatinib? -- How would you decide the timing of resumption of anticoagulation? -- References -- Case 15 -- History -- Physical examination; Investigations
N2  - With a special focus on the interpretation of endoscopic and radiological images, this book provides a pragmatic approach for medical students, residents, specialist trainees and specialists alike who have an interest in gastroenterology
UR  - https://ebookcentral.proquest.com/lib/orpp/detail.action?docID=6036813
ER  -