Perianl fistula
Anal fisure
External hemorrhoid
Crohn proctitis
Streaks of bright red blood on the stool
Dark-brown to black in color and mixed in with normal-appearing stool
A large amount of brisk red bleeding
Significant blood clots and mucus mixed with stool
Weight control
Low-fat diet
Topical corticosteroids
Stool softener
Epigastric pain
Positive obturator sign
Rebound tenderness
Marked febrile response
Total WBC - 4500 mm3; Neutrophils - 35%, Bands 2% and lymphocytes - 45%
Total WBC - 14,000 mm3; Neutrophils - 55%, Bands 3% and Lymphocytes - 38%
Total WBC - 16,500 mm3; Neutrophils - 66%, Bands - 8% and Lymphocytes - 22%
Total WBC - 18,100 mm3; Neutrophils - 55%, Bands - 3% and Lymphocytes - 28%
The presentation may differ according to the anatomical location of the appendix
This is a common reason for acute abdominal pain in elderly patients
Vomiting before onset of abdominal pain is often seen
The presentation is markedly different from the presentation of pelvic inflammatory disease
Passive extension of the hip
Passive flexion an internal rotation of the hip
Deep palpation
Asking the patient to cough
Passive extension of the hip
Passive flexion of the hip
Deep palpation
Asking the patient to cough
MRI
CT
Ultrasound
Flat plate
Neutrophil
Lymphocyte
Basophil
Metamyelocyte
1-20 years
20-40 years
10-30 years
30-50 years
Abdominal discomfort less than 24 hours in duration
Fever > 102F
Palpable abdominal mass
Marked leukocytosis with total WBC greater than 20,000/ mm3
Occupational exposure to textile dyes
Cigarette smoking
Occupational exposure to heavy metals
Long-term aspirin use
Painful urination
Fever and flank pain
Painless frank hematuria
Palpable abdominal mass
The prognosis for 2-year survival is poor
A cystectomy is indicated
Despite successful initial therapy, local recurrence is common
Systemic chemotherapy is the treatment of choice
10
20
30
40
Hepatoma
Acute cholecystitis
Acute hepatitis
Cholelithiasis
Elevated lactic dehydrogenase level
Increased alkaline phosphatase level
Leukocytosis
Elevated AST level
RUQ abdominal palpation
Asking the patient to stand on tiptoes and then letting the body weight fall quickly onto the heels.
Asking the patient to cough
Percussion
Genetics
Rapid weight loss
Obesity
High-fiber diet
MRI
CT
Ultrasound
Flat plate
Fever
Vomiting
Jaundice
Palpable gallbladder
Most colorectal cancers are found during rectal exam
Rectal carcinoma is more common than cancers involving the colon
Early manifestations include abdominal pain and cramping
Later disease presentation often includes iron deficiency anemia
Digital rectal exam
Fecal occult blood test
Colonoscopy
Barium enema study
Gross rectal bleeding
Weight loss
Few symptoms
Nausea and vomiting
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