Diseas of the lower gastrointestinal tract ...
Transcript of Diseas of the lower gastrointestinal tract ...
Diseas of the lower gastrointestinal tract,gastrointestinal neoplasmas
Ágnes Kárpáti MD2019.11.04
What is lower gastrointestinal tract?
• Small intestines
• Large intestines
neha maurya Health & Medicine Mar 28, 2017
Gastroenteritis
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Causes of gastroenteritis
Gastroenteritis in children ,Dr.youssef quda Published on May 26, 2014
Diagnostic of gastroenteritis
• Good anamnesis
• Symptoms
• Labtest
https://slideplayer.com/slide/12272819
Traetment of gastroenteritis
• Rehydration
• Antiemetyc therapy
• Antimicrobal therapyCommunity-acquired diarrhoea Travellers' diarrhoea
Zollner-Schwetz and Krause Therapy of acute gastroenteritis747Clinical
Microbiology and Infection © 2015 European Society of Clinical
Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rightsreserved,CMI,21,744–749
Intestinal obstruction
Definition : Intestinal obstruction is a partial or complete
blockage of the bowel that prevents the contents of the
intestine from passing through
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Classification
• Mechanical and functional
• Partial and complete
• Simple and strangulated
• Acute and subacute
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
• ADULT – hernia, adhesion, carcinoma
• ELDERLY – carcinoma, diverticulitis, sigmoid volvulus
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Diagnosis:
• Good anamnesis and clinical examination
• Investigation:-radiology and biochemical
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Diagnosis:
• Good anamnesis and clinical examination
• Investigation:-radiology and biochemical
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Symptoms
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Symptoms
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Symptoms
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Symptoms
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Physical examination
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Investigations
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Investigations
Intestinal obstruction
https://www.slideshare.net/madno/io-cme-280414-f1
Investigations
Radiology
Intestinal obstruction
https://www.slideshare.net/fathimahaniff/food-signs-in-radiology-pp-ta
InvestigationsRadiology
Coffee-bean sign
https://www.slideshare.net/fathimahaniff/food-signs-in-radiology-pp-ta
Intestinal obstruction
https://www.slideshare.net/blackempress/management-of-intestinal-obstruction
Diarrhea
https://slideplayer.com/slide/9188998/
Diarrhea
https://img.grepmed.com/uploads/1221/differential-algorithm-diagnosis-diarrhea-
ddxof-original.png
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Diarrhea
Gastroenterol Hepatol. 2016;39(8):535---559
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
http://ddc.musc.edu/public/diseases/small-intestine/tumors.html
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Diagnosis
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Traetment of carcinoid
Neoplasms of small intestine
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Neoplasms of small intestine
http://ddc.musc.edu/public/diseases/small-intestine/tumors.html
Neoplasms of small intestine
Diagnosis: Endoscopy,MRI, CT, angio CT,PET
Labtest CEA,5-HIAA,blood in stool
https://www.slideshare.net/kansal007/tumor-small-intestine?next_slideshow=1
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Pathophysiology
Obstruction of lumen --> lumen wall dilates and thickens --
> bacterial overgrowth and breakdown of mucosal barrier -->
inflammation of wall causes peritonitis --> perforation releases
bacteria into peritoneal cavity
Factors associated with increased risk of
perforation (Hung et al 2012):
•Age <4yo
•Pain >24 hrs at presentation
•Fever
•Muscle guarding
•Elevated CRP (not WBC!)
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
clinical picture + lab findings
+/-imaging
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Imaging
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Differential Diagnosisa. Surgical emergencies: bowel obstruction,
malrotation, intussusceptions,
ovarian/testicular torsion, ectopic, torsion
of omenutm
b. Nonsurgical emergencies: HUS,, primary
peritonitis
c. Nonsurgical: nephrolithiasis, extrauterin
graviditas,adnexitis gastroenteritis
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Pseudomebranosus colitis
Causes Clostridium difficile
Certain medications(NSAID,vasopressin)
Chemical injury
Collagenous colitis
Inflammatory bowel disease
Ischemia,
Other infectious(Campylobacter,Salomnella,E.coli O157:H7
CMV,Stongyloides)
https://pedclerk.bsd.uchicago.edu/page/acute-appendicitis
Pseudomebranosus colitis
Causes Clostridium difficile
Certain medications(NSAID,vasopressin)
Chemical injury
Collagenous colitis
Inflammatory bowel disease
Ischemia,
Other infectious(Campylobacter,Salomnella,E.coli O157:H7
CMV,Stongyloides)
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.slideshare.net/ensteve/11-pseudomembranous-colitis-images
Pseudomebranosus colitis
https://www.consultant360.com/article/clostridium-difficile-infection-what-you-
need-know
Pseudomebranosus colitis
https://www.consultant360.com/article/clostridium-difficile-infection-what-you-
need-know
Pseudomebranosus colitis
https://www.consultant360.com/article/clostridium-difficile-infection-what-you-
need-know
Flidaxomicin
Pseudomebranosus colitis
https://www.consultant360.com/article/clostridium-difficile-infection-what-you-
need-know
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Colon Diverticulosis
https://www.slideshare.net/rajneeshkumar378199/diverticular-disease-of-colon
Neoplasm of the large intestine
https://www.slideshare.net/MohanadAljashamy/tumors-of-intestine
Neoplasm of the large intestine
https://www.slideshare.net/MohanadAljashamy/tumors-of-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/MohanadAljashamy/tumors-of-intestine
Neoplasm of the large intestine
https://www.slideshare.net/MohanadAljashamy/tumors-of-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/mamunk56/neoplasm-of-large-intestine
Neoplasm of the large intestine
https://www.slideshare.net/MohanadAljashamy/tumors-of-intestine
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