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    The Symptoms:

    • This is a case report series based on real patients, built around a graphic backbone.
    • Much of the communication is visual. The graphic forms an image of the teaching points.
    • The characters are based on needs and more than one case will unfold with each episode.
    • The teaching points are folded into the graphics, the images, references, reports and the quiz.
    • The episodes allow you, as the narrative progresses, to reflect , consult the references and if you wish to form a self study project.
    • The series is intended to promote reflection and the sharing of ideas in a community linked by the forum. (you need a password for this)

    How to use the Symptoms:

    • Follow the evolution of the cases (Enjoy Jesse Bochner's great graphics)
    • Reflect on the narrative, the differential diagnosis, the tests , and the actions you would take.
    • Visit the references and explore the online resources to reflect on and deepen your knowledge.
    • Take the quiz (you will need a password for this)
    • Reflect on your answers.
    • Share your ideas on the forum (don't be a lurker!), stimulate others to reflect, and be stimulated in turn.
    • Give us feedback and fill out the evaluation form at least once.

    Disclaimer:

    By viewing the material on this site you understand and accept that:


    · The opinions and statements expressed on this site reflect the views of the author or authors and do not necessarily reflect those of McGill.
    · The hosting of material on the McGill CME site does not signify endorsement of this material by McGill.
    · The material is solely for educational purposes for qualified health care professionals.
    · McGill University is not liable for any decision made or action taken based on the information contained in the material on this site.
    · The information cannot be used as a substitute for professional care.
    · The information does not represent a standard of care.
    · No physician-patient relationship is being established.

     

     

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    Teaching objective:

    The learner reviews the symptoms and the tests done on George and reflects on a patient with nausea and vomiting.


    In this episode:

    George is not well and is taken to the hospital

    He is seen in emergency and investigated for his nausea and vomiting .

    Unexpectedly to him he is admitted to hospital.

     

    How to use this module:

    • Read the graphic novel strip
    • Listen to the interview
    • Take the quiz ***
    • Checkout the references
    • Join the forum***

    ***you need to have a password for this
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episode 2

Clicking on the frames will link to more information (reports, videos etc)

 

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Take a quiz

 

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If you do not have one,

it is easy to get and there is no charge.

 

 

 

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  •   Andersson R. E. B., Small bowel obstruction after appendicectomy British Journal of Surgery 88 (10), 1387–1391.
  •    Andrade RJ, Lucena MI, Kaplowitz N, Garcia-Munoz B, Borraz Y, Pachkoria K, Garcia-Cortes M, Fernandez MC, Pelaez G, Rodrigo L, Duran JA, Costa J, Planas R, Barriocanal A, Guarner C, Romero-Gomez M, Munoz-Yague T, Salmeron J, Hidalgo R. Abstract Outcome of acute idiosyncratic drug-induced liver injury: Long-term follow-up in a hepatotoxicity registry. Hepatology. 2006 Dec;44(6):1581-8.
  •    Clarke AT, Mills PR. Atorvastatin associated liver disease. Dig Liver Dis. 2006 Oct;38(10):772-7. Epub 2006 Jun 13.
  •    Deegan BM, O'connor M, Donnelly T, Carew S, Costelloe A, Sheehy T, Olaighin G, Lyons D.Orthostatic hypotension: a new classification system. Europace. 2007 Aug 24
  •    Donckier, Closset, Van Gansbeke, Zalcman, Sy, Houben, Lambilliotte (1998) Contribution of computed tomography to decision making in the management of adhesive small bowel obstructionBritish Journal of Surgery 85 (8), 1071–1074. doi:10.1046/j.1365-2168.1998.00813.x
  •    Duron JJ et al, Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment: a multicenter prospective study. Ann Surg. 2006 Nov;244(5):750-7.
  •    Foulkes William Genetic factors in colorectal cancer: a primer for family doctors Multimedia link
  •    Ghattas G. Screening options for Colon Cancer Prevention. Multimedia link
  •    Jackson TD, Kaplan GG, Arena G, Page JH, Rogers SO Jr. Laparoscopic versus open resection for colorectal cancer: a metaanalysis of oncologic outcomes. J Am Coll Surg. 2007 Mar;204(3):439-46.
  •    Johnston K, Rosen D, Cario G, Chou D, Carlton M, Cooper M, Reid G. Major complications arising from 1265 operative laparoscopic cases: a prospective review from a single center. J Minim Invasive Gynecol. 2007 May-Jun;14(3):339-44.
  •    Kooby DA. Laparoscopic surgery for cancer: historical, theoretical, and technical considerations. Oncology (Williston Park). 2006 Jul;20(8):917-27; discussion 927-8, 931-2.
  •    L Plym F, Wierup M. Salmonella contamination: a significant challenge to the global marketing of animal food products. Rev Sci Tech. 2006 Aug;25(2):541-54.
  •    Leung AK, Robson WL, Davies HD. Traveler's diarrhea. Adv Ther. 2006 Jul-Aug;23(4):519-27.
  •    Maglinte DD , et al, Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction. American Journal of Roentgenology, Vol 167, 1451-1455
  •    Maglinte DD et al, Radiology of small bowel obstruction: contemporary approach and controversies. Abdom Imaging. 2005 Sep-Oct;30(5):651.
  •    Mak SY, Roach SC, Sukumar SA. Small bowel obstruction: computed tomography features and pitfalls.Curr Probl Diagn Radiol. 2006 Mar-Apr;35(2):65-74.
  •    Martel G, Boushey RP. Laparoscopic colon surgery: past, present and future. Surg Clin North Am. 2006 Aug;86(4):867-97.
  •    Reissman P, Wexner SD. Laparoscopic surgery for intestinal obstruction. Surg Endosc. 1995 Aug;9(8):865-8.
  •    Rex DK. Maximizing detection of adenomas and cancers during colonoscopy. Am J Gastroenterol. 2006 Dec;101(12):2866-77.
  •    Romano S, Lombardo P, Cinque T, Tortora G, Romano L. Acute colonic disease: how to image in emergency. Eur J Radiol. 2007 Mar;61(3):424-32. Epub 2006 Dec 14. PMID: 17174054 [PubMed - indexed for MEDLINE]
  •    Ross P, Kemerer S, Taylor L. Related Articles, Links Food safety in the workplace: a practical approach AAOHN J. 2006 Dec;54(12):521-8; quiz 529-30.
  •    Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Budzynski A, Champault G, Fingerhut A, Isla A, Johansson M, Lundorff P, Navez B, Saad S, Neugebauer EA. Laparoscopy for abdominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc. 2006 Jan;20(1):14-29. Epub 2005 Oct 24.
  •    Schier JG, Rogers HS, Patel MM, Rubin CA, Belson MG. Strategies for recognizing acute chemical-associated foodborne illness. Mil Med. 2006 Dec;171(12):1174-80.
  • Seminar on colorectal cancer by Weitz et al; The Lancet 2005: Vol 365 (Jan 8, 2005 issue) pages 153-65
  •    Speake D, Biyani D, Frizelle FA, Watson AJ. Related Articles, Links Flat adenomas ANZ J Surg. 2007 Jan-Feb;77(1-2):4-8.
  • Systemic Therapy for Colorectal Cancer Meyerhardt and Mayer; NEJM 2005: 352 (Feb 3rd, 2005 issue):276-87
  •    Szomstein S, et al, Laparoscopic lysis of adhesions.World J Surg. 2006 Apr;30(4):535-40.
  •   Thompson WM, Kilani RK, Smith BB, Thomas J, Jaffe TA, Delong DM, Paulson EK. Accuracy of abdominal radiography in acute small-bowel obstruction: does reviewer experience matter?AJR Am J Roentgenol. 2007 Mar;188(3):W233-8.
  •  Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J, Ganiats T, Levin T, Woolf S, Johnson D, Kirk L, Litin S, Simmang C; Gastrointestinal Consortium Panel. Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence. Gastroenterology. 2003 Feb;124(2):544-60.

Links:

Guidelines:

Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence.

More references are available on PubMed

 

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If you do not have one,

it is easy to get and there is no charge.
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