Med Mal: Gastric Bypass Patient in the ED

Case 9: Abdominal Pain – medmalreviewer Patient comes into the ED a few days after gastric bypass surgery. Full workup in the ED, surgeon is consulted via phone, discharged home. Bounces back a few hours later. HR 140s. No repeat labs or CT, no repeat consultation. Discharge home. Dies a few hours later.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums

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ConclusionPeterson ’s hernia and gastric remnant perforation are rare, yet serious, complications that need to be kept in mind while dealing with post-OAGB patients presenting with abdominal pain. Early diagnosis and treatment are essential for a better outcome.
Source: Obesity Surgery - Category: Surgery Source Type: research
 After receiving two chronic illness diagnosis by the age of 24, it really was no surprise that host Jackie Zimmerman also started to experience depression. Unable to tackle both, Jackie chose to focus on her physical health, letting her mental health deteriorate quickly — and dangerously. In this episode, we discuss the mind-body connection and how when your body is sick, your mind can quickly follow.   (Transcript Available Below) SUBSCRIBE &REVIEW About The Not Crazy Podcast Hosts Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular bo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Antidepressant Depression Medications Not Crazy Podcast Stress Suicide Trauma Source Type: blogs
 Everyone has bad habits. Even your sainted Granny who seems perfect to you has some bad habit that only your grandfather knows about. Bad habits, like everything, exist on a spectrum, from biting your nails to snorting cocaine – and everything in between. In this episode, our hosts discuss bad habits that many people with mental illness seem to have – from smoking, to alcoholism, to drug use and, you guessed it, everything in between.   SUBSCRIBE &REVIEW “90% of people with schizophrenia smoke.” – Michelle Hammer   Highlights From ‘Bad Habits Mental Illness&rsq...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: A Bipolar, A Schizophrenic, and a Podcast Addiction Habits Schizophrenia Stress Source Type: blogs
Conclusion Trochlear pain (trochleodynia) is becoming recognized as a set of disorders that can present in isolation or concomitantly with co-existing migraines, tension-type headaches, or other headache disorders, possibly explaining subpar symptom control in a small but significant number of individuals globally. Trochleodynia features unilateral periocular pain that may involve the ipsilateral hemicranium. Pain exacerbation occurs with trochlear palpation and supraduction of the affected eye especially in the adducted position. Trochleodynia may respond to oral NSAIDs if symptoms are mild and of recent onset. While ora...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
In a new pilot study, doctors have shown that freezing the nerve that carries hunger signals to the brain may be able to lower a person’s appetite and help them lose weight. Dieting is difficult, and most people who try it don’t sustain it for long. In an alternative approach to weight loss, Dr. David Prologo, an interventional radiologist from Emory University School of Medicine, and his colleagues froze a nerve called the posterior vagal trunk in 10 people who were significantly overweight. Their research was presented at Society of Interventional Radiology’s 2018 Annual Scientific Meeting. The men and ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime Weight loss Source Type: news
Follow me on Twitter @RobShmerling Ever wonder what other people are wondering about? I know I do. So, here are the top 10 health searches in Google for 2017. And just so you don’t have to look each one up, I’ve provided a brief answer. You’re welcome. 1.  What causes hiccups? I was surprised this one made it to the top 10 list of health searches. Maybe this search is common because hiccups are as mysterious as they are universal. I’ve written about hiccups before, but let’s just say the cause in any individual person is rarely known or knowable. Then again, the reason hiccups stop is als...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Source Type: blogs
The Patient is a 69 y/o white male who had a Roux en Y gastric bypass done 13 years ago at an outside hospital. The patient had done well and had maintained good weight loss for 8 years. He then developed chronic abdominal pain, diarrhea, feculent breath. He was investigated and found to have a Gastrojejunocolonic fistula. The patient was taken back at the Outside hospital and the surgeon identified the fistula and took it down with a stapler. The patient supposedly did well and had resolution of his symptoms for 2 years.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
The objective of our study was to identify clinical differences between morbidly obese women and men seeking LRYGB. Data from 83,059 patients in the Surgical Review Corporation's Bariatric Outcomes Longitudinal Database who were about to undergo LRYGB was analyzed in two groups: women (n = 65,325) and men (n = 17,734). Statistics were evaluated with analysis of variance and the χ2 equation. Cardiopulmonary comorbidities affected more men than women (P ≤ 0.0002) except for female asthma (P
Source: The American Surgeon - Category: Surgery Authors: Tags: Am Surg Source Type: research
As told to Carina Storrs Jennifer Pellegrin, 33, found out she had psoriatic arthritis at a doctor’s visit for an unrelated procedure. At first, she did not think much of the diagnosis or fully understand how it would change her life. But seeing family members cope with the disease opened her eyes to its devastating effects. Now, she finds strength by helping others and credits the autoimmune disease for helping her become the person she is today. At first, being diagnosed with psoriatic arthritis didn’t seem so bad. But that just shows how little I knew about the disease back then. My primary care doctor decid...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
We report the first case of post bariatric surgery DLSRSN. DLSRN an important diagnosis to consider in every patient with a history of type 2 diabetes who develops a subacute asymmetrical lower limb neuropathy after bariatric surgery.
Source: Journal of Neurology, Neurosurgery and Psychiatry - Category: Neurosurgery Authors: Tags: Pain (neurology), Radiology, Radiology (diagnostics) ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research
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