By Dr Rakesh R. Misra, Dr M. C. Uthappa, Pradip K. Datta
A brand new, entire evaluate of the radiographic exam of the post-operative GI tract. equipped on an organ by way of organ foundation, emphasis is put on traditional reports, supplemented by means of cross-sectional imaging. Operative recommendations and general post-operative anatomy are depicted with many schematic line drawings. basic adjustments, in addition to early and past due issues are mentioned and abundantly illustrated. essential reference for basic radiologists, experts in gastrointestinal radiology and citizens.
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1. 2. 3. 4. 5. What are the radiological signs demonstrated on the plain ﬁlm? What is the diagnosis? What other investigations are required for further assessment and why? What are the various mechanisms for these injuries? Discuss the principles of management of these injuries. 45 02 Pages 25-74 23 21/11/01 11:12 am Page 46 (Black plate) Answers Radiology for Surgeons 1. There is loss of the normal cervical lordosis. There is disruption of the anterior spinal, posterior spinal and spinolaminar lines.
Sensory changes along the medial border of the hand and forearm. 4. Differential diagnosis: • In the neck and arm: cervical spondylosis, cervical disc protrusion, Pancoast tumour, progressive muscular atrophy, syringomyelia, osteoarthritis of the shoulder, axillary vein thrombosis. • In the elbow: ulnar nerve neuritis. • In the wrist: carpal tunnel compression. • Other arterial conditions: atherosclerosis of the subclavian artery, Buerger’s disease, Takayasu’s disease. 5. Treatment: • Decompression of the thoracic outlet by resection of the cervical rib through a transverse supraclavicular incision.
Severe cases: respiratory distress and coma (partly due to hypoxia, partly due to cerebral emboli). 4. Other predisposing factors for fat emboli: burns, renal infarction and cardiopulmonary operations. 5. Treatment: • Mild cases: no treatment is required but accurate monitoring of blood pO2 and ﬂuid balance. • Severe respiratory distress: requires intensive care with sedation, assisted ventilation and Swan–Ganz catheterisation. • PEEP can reopen collapsed alveoli. • Neither heparin nor corticosteroids have been proven to be of beneﬁt.
Radiology for Surgeons by Dr Rakesh R. Misra, Dr M. C. Uthappa, Pradip K. Datta