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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Gastritis III: Clinical Manifestations and Management01:23

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Gastritis-II: Pathophysiology01:17

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Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
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Peripheral Artery Disease I: Introduction01:30

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Related Experiment Video

Updated: Mar 2, 2026

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
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[Pathergic postsurgical-induced Pyoderma gangrenosum].

N Wirtzfeld1, P Paquet2, T Lemineur3

  • 1Faculté de Médecine, Université de Liège, Belgique.

Revue Medicale De Liege
|May 19, 2017
PubMed
Summary
This summary is machine-generated.

Pyoderma gangrenosum (PG) is a rare inflammatory skin disease that can be triggered by surgery. Prompt recognition and immunosuppressive treatment are crucial for managing aggressive cases and preventing scarring.

Keywords:
Neutrophilic dermatosesPathergyPostoperative infectionSkin necrosisPyoderma gangrenosum

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Area of Science:

  • Dermatology
  • Immunology
  • Rheumatology

Background:

  • Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis often linked to systemic immune disorders.
  • Tissue trauma, such as surgery, can exceptionally trigger PG through a phenomenon known as pathergy.

Observation:

  • A patient with stabilized rheumatoid arthritis developed aggressive, disseminated PG at surgical sites after an abdominal dermolipectomy and breast pexy.
  • The skin ulcerations were rapidly controlled with systemic methylprednisolone.

Findings:

  • Post-surgical PG can be misdiagnosed as bacterial necrotizing panniculitis.
  • Early identification of the inflammatory nature of cutaneous symptoms is vital for effective treatment.

Implications:

  • Recognizing PG's inflammatory basis is crucial for timely immunosuppressive therapy and minimizing scarring.
  • A history of autoimmune, inflammatory, or oncohematological diseases, even if stable, should be considered a risk factor before elective surgery.