follow up of the patients with liver cirrhosisin any patient with cirrhosis, screening ★abdominal ultrasound is recommended every 6 months to evaluate for new-onset HCC
caused by any abdominal process irritating the phrenic nerve
☆splenic laceration, peritonitis, ☆pneumoperitoneum(commonly caused by
anterior duodenal ulcer), hemoperitoneum, etc. gastrointestinalUWorld Jan 18, 2020, 2:29 AM HirotoShishido
small intestinal bacterial overgrowth
cause, resultcause→ Roux-en-Y gastric bypass
result→ overproduction of vitamin K and ☆folate, associated with nausea, bloating, abdominal discomfort, and malabsorption gastrointestinalUWorld Mar 11, 2020, 10:59 PM HirotoShishido
risk fators for diverticular disease☆diet in red meat & fat & low in fiber
obesity, physical inactivity, smoking gastrointestinalUWorld Feb 24, 2020, 3:11 AM HirotoShishido
action of vasoactive intestinal polypeptide(VIP)increase secretion of water and electrolytes into the intestinal lumen
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symptoms, etiologytoxic megacolon
severe abdominal pain with visibly distended colon→ ☆increased risk of colonic perforation(☆colonoscopy and barium contrast are contraindicated)
Predisposing factors include infection with Clostridium difficile, ☆loperamide use (especially in young children<2yo), and ulcerative colitis. gastrointestinalUWorld Jan 1, 2020, 1:42 AM HirotoShishido
psoas abscess
etiology, symptomsprimary origin or a secondary origin from a contiguous infection such as osteomyelitis, ☆IBD (eg, Crohn disease), or pyelonephritis
