Clinical Challenges and Images in Gastroenterology : A Diagnostic Guide.

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.

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.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.