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The Surgical Patient

Individualizing revascularization 
for peripheral arterial disease

, Anvar Babaev, MD, PhD, FACC March 05, 2012

Severely occluded arteries in patients at high risk of contrast-induced nephropathy require treatment with newer, catheter-based techniques.
 

An internal hernia causes abdominal pain and small bowel obstruction

, Sona James, RN, MA, ACNP-BC, CCRN January 09, 2012

This case of a woman with an internal hernia caused by a small bowel obstruction illustrates a relatively rare condition. Clinician awareness and suspicion are key to a good outcome—left untreated, bowel strangulation is fatal more than 50% of the time.
 

Intrathoracic hemorrhage after placement of a subpleural catheter

, Daniel J. Boffa, MD; Frank C. Detterbeck, MD; Anthony W. Kim, MD November 07, 2011

An already uncommon postoperative complication affects two patients in unusual locations and via different mechanisms.
 

Reduced lung function and bullae 
resulting from illicit drug use

Amy L. Jay, PA-C July 25, 2011

A male patient was transferred for evaluation of large left bullae at risk for rupture. CT and history confirmed an interesting cause for the air pockets: marijuana, tobacco, and cocaine use.
 

Wireless capsule endoscopy in the 
diagnosis of Crohn disease

, Michael D. Sarap, MD, FACS; Jennifer Childers, MS, PA-C May 23, 2011

In evaluating possible Crohn disease, capsule endoscopy is effective at showing the entire small bowel and tracking the progression of healing.
 

Evaluation and surgical management of melanoma of the head and neck

, Michael Kupferman, MD April 18, 2011

This article provides a review of cutaneous melanoma, including preoperative evaluation, surgical procedure, and adjuvant therapy.
 

Esophageal carcinoma: Matching 
patients with treatment methods

, Richard T. Miller, MD January 18, 2011

Since cancer of the esophagus has a high morbidity and mortality, choosing the correct treatment method and knowing the facts are key.
 

Small bowel necrosis in association with jejunal tube feeding

Andrea N. Sarap, PA-C; Michael D. Sarap, MD, FACS; Jennifer Childers, PA-C November 15, 2010

Despite successful gastrojejunostomy reconstruction and jejunal feeding tube placement, this patient died from a rare complication.
 

Hyperglycemia management in 
the urgent surgical patient

September 27, 2010

Stress-induced hyperglycemia presents a unique challenge. Avoidance of extreme fluctuations in blood glucose levels is critical.
 

Collis-Nissen fundoplication for a symptomatic paraesophageal hernia

Ashley L. Racette, PA-C, MPAS; Richard T. Miller, MD July 12, 2010

A laparoscopic approach leads to relief of the patient's gastroesophageal reflux, uneventful surgery, and a smooth recovery.
 
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