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 [...]
About 3000 years ago, Solomon stated: “A merry heart does good to the body; but a broken spirit dries the bones”. A cheerful heart makes good medicine, it is good medicine itself; it raises the spirits, invigorates the body, and motivates it for better service and business. By Elisabetta Franzoso Why is it that a [...]
