Monthly Archive:: May 2015

Smells in surgery

Smells in clinical surgery – this is a subject I do not remember reading or hearing about much. I sometimes raise the topic with students. On at least one occasion I have found it saved the life

Determination of Amputation Level

Clinical Examination The presence of palpable pedal pulses in a warm, pink limb is a reliable indicator that arterial flow is adequate to support healing of a below-knee amputation. Conversely, an absent ipsilateral femoral pulse is associated

Gastrointestinal Ischemia Syndromes

The celiac axis and mesenteric arteries are the principal sources of blood supply to the stomach and intestines, with the two internal iliac arteries adding collateral flow to the distal colon. The anatomic collateral interconnections between these

Renovascular Hypertension

More than 900 million people have hypertension, and renovascular disease is a causative factor in 2–7% of cases. Atherosclerosis of the aorta and renal artery and fibromuscular dysplasia account for nearly all cases. Less common causes of

Arteriovenous Fistulas

Arteriovenous fistulas, often called “malformations,” may be congenital or acquired. Abnormal communications between arteries and veins occur in many diseases and affect vessels of all sizes and in many locations. In congenital fistulas, the systemic effect is

Indeterminate Inflammatory Bowel Disease

Interesting patient with Indeterminate Inflammatory Bowel Disease that I am uncertain how to approach: 23y/o wf with dx of IBD, initially thought to be Crohns. With birth of first daughter (and prior to birth) had problems with

Occult gastrointestinal bleeding

Problem: Gastrointestinal bleeding with occult cause.

Diathermy hook for non-lap surgery

Diathermy dissection: While principles of open surgery should be applied to lap surgery, there are also some practices of lap surgery that can be extended back to open surgery.

Peripheral Arterial Aneurysms

Popliteal artery aneurysms account for 70% of peripheral arterial aneurysms. Like aortic aneurysms, they are silent until critically symptomatic. However, unlike aortic aneurysms, they rarely rupture. The presenting manifestations are due to peripheral embolization and thrombosis. Popliteal

Mid-level and deep melanomas

What are you doing for patients with mid-level and deep melanomas?