Causes of Ogilvie syndrome (pseudo-onstruction / ileus) - Chest infection
- Acute myocardial infarction
- Stroke
- Acute renal failure
- Puerperium
- Trauma
- Severe hypothyroidism
- Electrolyte disturbance
- Diabetic ketoacidosis
IgG4–related systemic disease (IgG4-RSD)
- => Fibrosis in one or more organs
- Elevated IgG4 in tissue samples and serum
- Associated conditions:
- Autoimmune pancreatitis
- Retroperitoneal fibrosis
- Mediastinal fibrosis
- Riedel's thyroiditis
- Mikulicz's syndrome
- Kuttner's tumor
- Inflammatory pseudotumor
Neck lumps - Superficial
- Sebaceous cyst
- Lipoma
- Abscess
- Dermoid cyst
- Anterior triangle
- Lymph nodes
- Salivary gland swelling, calculus or tumour
- TB
- Branchial cyst
- Cystic hygroma
- Carotic aneurysm
- Carotid body tumour
- Sternomastoid tumour
- Laryngocele
- Posterior triangle
- Lymph nodes
- TB, glandular fever, HIV, lymphoma, metastases (esp. nasopharyngeal carcinoma)
- Cervical rib
- Subclavian artery aneurysm.
- Pharyngeal pouch
- Cystic hygroma
- Branchial cyst
Notes - Ca125 = Ovary
- Neostigmine
- Parasympathomimetic; Reversible acetylcholinesterase inhibitor
- Myasthenia gravis, Reversal of non-depolarizing muscle relaxants, Post-op urinary retention, Curariform toxicity, Ogilvie syndrome
- Postcholecystectomy Syndrome
- Oesophagitis / gastritis
- Diarrhoea
- Continued symptoms from stones
- Possible to still get CBD stones after cholecystectomy
- Early cholecystectomy (within 72 hrs of symptoms) seems better than delayed
- ELPQuiC
- Emergency Laparotomy Pathway Quality Improvement Care-Bundle
- Fowler's syndrome
- Failure of the urethral sphincter to relax appropriately
- Cause of idiopathic urinary retention, typically in women in their 20s-30s
- Gentamycin
- Renal function should be checked at least three times a week
- Check levels twice weekly during a treatment course, provided that renal function and urine output are stable
- Target trough levels are <1mg/ml and should be taken 0 to 6 hours prior to next anticipated dose
- Use multiple daily dosing regime in renal impairment and take a peak level too (1 hour post-dose)
- Autoimmune pancreatitis is rare, and it is mandatory to rule out carcinoma prior to making a diagnosis
- A thyroglossal cyst will move upwards with protrusion of the tongue
- Robinson’s drains work just using gravity
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