Nobody would have thought that the young boy who didn’t have any dreams, or any plans for the future, would end up becoming one of Singapore’s most successful comperes one day. Shanghai-born Guo Liang didn’t always have it easy. “When I fi rst arrived in Singapore,
Due to failure to recanalize the lumen during the 4th-5th week of gestation 25-40% of all intestinal atresias; 50% are prematures; obstruction usually distal to the ampulla of Vater; may have other congenital anomalies Hallmark: bilious vomiting without abdominal distention usually noted on the 1st day of life; polyhydramnios in 50% due to failure of [...]
Abnormal retrograde movement of gastric contents (reflux, regurgitation, vomiting) Pain in the chest unrelated to swallowing (“heartburn”) Pain during swallowing (odynophagia) Difficulty swallowing (dysphagia) THE ESOPHAGUS Causes of dysphagia: 1. Incomplete occlusive esophageal obstruction (by extrinsic compression, intrinsic narrowing, foreign bodies) 2. Dysmotility (primary/idiopathic or secondary to systemic disease) 3. [...]
I. DYSPHAGIA – due to a structural defect or motility disorder; most nonstructural causes are due to motility abnormalities of the oropharynx or the esophagus II. REGURGITATION – effortless movement of stomach contents into the esophagus and mouth III. ANOREXIA – appetite is affected by regulatory factors like hormones, plasma glucose, emotions [...]
GI function varies with maturity Swallowing reflex – 12 weeks gestation Nutritive sucking – 34 weeks gestation Coordinated oral & pharyngeal movements – develop within the 1st few months of life in term infants Normal anatomic variants: tongue tie, scrotal tongue, bifid uvula Regurgitation – resolves in 80% of infants by 6 months old & [...]
GASTROENTEROLOGY REVIEW Anatomy a. Anterior abdominal wall i. 4 abdominal quadrants formed byTUP (transumbilical plane) and midsagittal plane – RUQ, RLQ, LUQ, and LLQ. ii. 9 abdominal regions formed by TPP (transpyloric plane), TTP (transtubercular plane), and midclavicular planes, of which the three central regions are most important (from top to bottom): Epigastric (T6-8), Umbilical [...]
Our skin often reflects our health, be it good or bad. Because of this, our brain is wired to prefer people with good skin. It’s therefore not surprising that good skin is often associated with beauty. How important is skin to our health? Besides providing an outer covering, our skin is the main protective layer of [...]
Most people cringe at the mere mention of anything to do with the colon, particularly when it comes to its function of disposing bodily waste. Nevertheless, a healthy colon is serious business and deserves our attention – especially when it loses its ability to work properly. The colon, also known as the large intestine, serves [...]
Every year, 15 million people worldwide experience a stroke.1 Approximately five million of these suffer permanent disabilities and over five million more die.2 In the Asia-Pacific region in 2004 the approximate number of patients who had survived a stroke at some point in their lifetime was 4.4 million in Southeast Asia and 9.1 million in [...]
