The Experts below are selected from a list of 6 Experts worldwide ranked by ideXlab platform
Sener Alp - One of the best experts on this subject based on the ideXlab platform.
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Demarcated Truncal Jaundice: A Sign of Retroperitoneal Bile Leakage
Scholarship@Western, 2005Co-Authors: Mcalister, Vivian C., Sener AlpAbstract:The characteristic feature of the clinical sign described here is the demarcation between jaundiced and unaffected areas of the body. The flanks and the genitalia are stained more than would be expected by examination of the sclera or estimation of bilirubin level. Superiorly, a horizontal line about 3 cm below the clavicles, corresponding to the insertion of the Fascia of Scarpa into the clavipectoral Fascia, allows an easy comparison between the jaundiced trunk and unaffected adjacent areas, such as the neck, shoulder, and arm. Similarly, a line 3 cm below the groin skin crease corresponds to the insertion of the Fascia of Scarpa into the Fascia lata of the thigh. In former times, such a sign might have been called icterus marginatus
Mcalister, Vivian C. - One of the best experts on this subject based on the ideXlab platform.
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Demarcated Truncal Jaundice: A Sign of Retroperitoneal Bile Leakage
Scholarship@Western, 2005Co-Authors: Mcalister, Vivian C., Sener AlpAbstract:The characteristic feature of the clinical sign described here is the demarcation between jaundiced and unaffected areas of the body. The flanks and the genitalia are stained more than would be expected by examination of the sclera or estimation of bilirubin level. Superiorly, a horizontal line about 3 cm below the clavicles, corresponding to the insertion of the Fascia of Scarpa into the clavipectoral Fascia, allows an easy comparison between the jaundiced trunk and unaffected adjacent areas, such as the neck, shoulder, and arm. Similarly, a line 3 cm below the groin skin crease corresponds to the insertion of the Fascia of Scarpa into the Fascia lata of the thigh. In former times, such a sign might have been called icterus marginatus
De Jong, Vincent M. - One of the best experts on this subject based on the ideXlab platform.
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Necrotiserende wekedeleninfecties: diagnostiek en behandeling
2013Co-Authors: Garssen, Frank P., Goslings J. Carel, Bouman, Catherine S. C., Beenen, Ludo F., Visser, Caroline E., De Jong, Vincent M.Abstract:Necrotising soft-tissue infections occur in the soft tissue compartment consisting of the dermis, subcutaneous tissue, superficial Fascia (Fascia of Scarpa), deep Fascia and muscle. Although this severe and acutely life-threatening infection has a low incidence, both GPs and specialists will see a necrotizing soft-tissue infection more than once during their career. The mortality related to necrotising soft-tissue infections has been halved during the past 15 years from nearly 40 to 20% due to adequate treatment. Laboratory examination and X-ray findings could be of added value, but the gold standard remains biopsy of the Fascia and Gram staining. Treatment consists of prompt volume resuscitation in case of sepsis, administration of broad spectrum antibiotics and surgical debridement; this debridement should be as skin-sparing as possible. The use of hyperbaric oxygen therapy has remained a controversial issue, unless a patient has gas gangrene, caused by Clostridium species. A multidisciplinary treatment and admission to a tertiary intensive care unit are indispensable for the treatment of a septic patient with necrotizing soft-tissue infectio
Garssen, Frank P. - One of the best experts on this subject based on the ideXlab platform.
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Necrotiserende wekedeleninfecties: diagnostiek en behandeling
2013Co-Authors: Garssen, Frank P., Goslings J. Carel, Bouman, Catherine S. C., Beenen, Ludo F., Visser, Caroline E., De Jong, Vincent M.Abstract:Necrotising soft-tissue infections occur in the soft tissue compartment consisting of the dermis, subcutaneous tissue, superficial Fascia (Fascia of Scarpa), deep Fascia and muscle. Although this severe and acutely life-threatening infection has a low incidence, both GPs and specialists will see a necrotizing soft-tissue infection more than once during their career. The mortality related to necrotising soft-tissue infections has been halved during the past 15 years from nearly 40 to 20% due to adequate treatment. Laboratory examination and X-ray findings could be of added value, but the gold standard remains biopsy of the Fascia and Gram staining. Treatment consists of prompt volume resuscitation in case of sepsis, administration of broad spectrum antibiotics and surgical debridement; this debridement should be as skin-sparing as possible. The use of hyperbaric oxygen therapy has remained a controversial issue, unless a patient has gas gangrene, caused by Clostridium species. A multidisciplinary treatment and admission to a tertiary intensive care unit are indispensable for the treatment of a septic patient with necrotizing soft-tissue infectio
Goslings J. Carel - One of the best experts on this subject based on the ideXlab platform.
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Necrotiserende wekedeleninfecties: diagnostiek en behandeling
2013Co-Authors: Garssen, Frank P., Goslings J. Carel, Bouman, Catherine S. C., Beenen, Ludo F., Visser, Caroline E., De Jong, Vincent M.Abstract:Necrotising soft-tissue infections occur in the soft tissue compartment consisting of the dermis, subcutaneous tissue, superficial Fascia (Fascia of Scarpa), deep Fascia and muscle. Although this severe and acutely life-threatening infection has a low incidence, both GPs and specialists will see a necrotizing soft-tissue infection more than once during their career. The mortality related to necrotising soft-tissue infections has been halved during the past 15 years from nearly 40 to 20% due to adequate treatment. Laboratory examination and X-ray findings could be of added value, but the gold standard remains biopsy of the Fascia and Gram staining. Treatment consists of prompt volume resuscitation in case of sepsis, administration of broad spectrum antibiotics and surgical debridement; this debridement should be as skin-sparing as possible. The use of hyperbaric oxygen therapy has remained a controversial issue, unless a patient has gas gangrene, caused by Clostridium species. A multidisciplinary treatment and admission to a tertiary intensive care unit are indispensable for the treatment of a septic patient with necrotizing soft-tissue infectio
