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Topic: Cushing ulcer

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	Harvey Williams Cushing (www.whonamedit.com)
		Matthew Cushing, a deacon, emigrated to Boston in 1638.
		Cushing was associate Professor of Surgery at Johns Hopkins from 1903 to 1912.
		Cushing was highly estimated by his colleagues in neuro surgery, and at the gatherings of the Harvey Cushing Society, established 1932, brought together several of the world's greatest neuro surgeons.
	www.whonamedit.com /doctor.cfm/980.html (6034 words)

	Cushing, Harvey definition - Diabetes Mellitus, Type 2, Type 1, and Metabolic Disorders treatment and medications
		Cushing served as Professor of Surgery at Harvard and Surgeon in Chief at the Peter Bent Brigham Hospital in Boston (1912-32) and then Professor of Neurology at Yale (1932-37).
		Cushing syndrome, perhaps his most celebrated discovery, is an extremely complex hormonal condition that involves many areas of the body.
		Ironically, one of the commonest causes of Cushing syndrome is the administration of "cortisol-like medications" for the treatment of diverse diseases.
	www.medterms.com /script/main/art.asp?articlekey=9077 (387 words)

	Gastroenterology Chapter 6 Pathophysiology of Peptic Ulcer Disease
		Hereditary factors are important in the pathogenesis of peptic ulcer disease, as suggested by a higher prevalence of peptic ulcer disease in certain genetic syndromes.
		Antral or prepyloric ulcers present special diagnostic difficulties to the radiologist, because the associated spasm or inflammatory swelling cannot always be distinguished from the appearance of gastric cancer.
		The size of a gastric ulcer is not a guide to the presence of malignancy or to the severity of symptoms; furthermore, large gastric ulcers often respond better to medical treatment than small ones (Figure 4A, Figure 4B).
	gastroresource.com /gitextbook/en/chapter6/6-4-pr.htm (4835 words)

	wikien.info: Main_Page (Site not responding. Last check: 2007-10-23)
		Cushing's syndrome or hypercortisolism is an endocrine disorder caused by excessive levels of the endogenous corticosteroid hormone cortisol.
		Cushing's triad is the triad of hypertension, bradycardia, and Cheyne-Stokes respiration (irregular breathing) in patients with head injuries.
		The Cushing reflex, consisting of an increase in blood pressure and a lowering of the heart rate (bradycardia), is a hypothalmic response to ischaemia, usually due to poor perfusion (delivery of blood) in the brain.
	www.hostingciamca.com /browse.php?title=C/CU/CUS (4119 words)

	Archives of Pathology & Laboratory Medicine: legacy of Harvey Cushing, The (Site not responding. Last check: 2007-10-23)
		Cushing was also impressed with Roentgens x-rays and was one of the first to recognize their diagnostic potential.
		Cushing spent the 1900-1901 academic year in Europe, where he was profoundly influenced by some of the greatest minds in medicine and surgery.
		Cushing demonstrated that intracranial hemorrhage in a newborn was not necessarily a hopeless situation that always culminated in cerebral palsy.
	www.findarticles.com /p/articles/mi_qa3725/is_200112/ai_n9013773 (1441 words)

	Diagnosis Menu (Site not responding. Last check: 2007-10-23)
		Gastric cancers often seem to be benign stomach virus pregnancy ulcers which are like pits in the on the most effective traditional and digestive system hormones enterogastrone alternative cancer treatments available.
		Gastric cancers laparoscopic cholecystectomy diet often seem to be benign ulcers which are like pits in how does nexium work the Sex Gastric cancer afflicts slightly more men than women.
		Ovarian Patient should know reflux surgery the diagnosis of cancer because if he she can know foods to eat to avoid heartburn the III and low expressing gastric cancer cell lines were chosen protonix inhibits pancreatic enzymes to study early diagnosis and track the prognosis of cancer.
	www.chitlinandgrits.com /menu/diagnosis.htm (336 words)

	eMedicine - Peptic Ulcer Disease : Article by Meta Carroll, MD (Site not responding. Last check: 2007-10-23)
		Background: The lesion of peptic ulcer disease (PUD) is a disruption in the mucosal layer of the stomach or duodenum.
		An ulcer is distinguished from an erosion by its penetration of the muscularis mucosa or the muscular coating of the gastric or duodenal wall.
		The ulcer associated with a brain tumor or injury (Cushing ulcer) is characterized as single, deep, and prone to perforation; associated with high gastric acid output; and located in the duodenum or stomach.
	www.emedicine.com /ped/topic2341.htm (4417 words)

	Cheryl's Story / Cushing's Help and Support
		During the next 12 or so years until I was diagnosed in '02 at the age of 36 I was always sick with something.
		CRH was inconclusive as to origin, and I was referred to another endo who specializes in Cushing's (I still see him).
		Recovery from the surgery was quick, but the recovery from the Cushing's was not.
	www.cushings-help.com /cheryl.htm (783 words)

	Dr. Harvey Williams Cushing / Cushing's Help and Support (Site not responding. Last check: 2007-10-23)
		Born in Cleveland, Ohio, and educated at Harvard and Yale universities, Cushing was associate professor of surgery at Johns Hopkins University from 1902 until 1912.
		Cushing originated new techniques of brain surgery and made valuable contributions to the operative treatment of facial paralysis, cerebral
		Dr. Eisenhardt, nurse, physician, brilliant neuropathologist, and devoted friend and colleague of Dr. Cushing, collaborated in the publication of the work, and her microphotographs easily support the classification used in this most exhaustive work on the subject of intracranial meningiomas.
	www.cushings-help.com /harvey.htm (6365 words)

	ACP: Nighttime Salivary Cortisol Test Has Excellent Specificity and Sensitivity (Site not responding. Last check: 2007-10-23)
		Braunstein told the audience that salivary cortisol measurements are superior to other screening tests for Cushing's syndrome -- they can be conducted at home in a non-sterile environment, and they eliminate the cost of an office visit and the potential for an increase in the cortisol level from the stress of venipuncture.
		In one study from the National Institutes of Health, saliva was collected by expectoration at 11:30 PM and midnight from 122 Cushing's patients, 21 pseudo-Cushing's patients, 23 patients with nonadrenal disorders, and 34 healthy controls.
		All subjects without Cushing's syndrome had low salivary cortisol levels, resulting in 100% specificity for detecting Cushing's syndrome.
	www.pslgroup.com /dg/22fda6.htm (545 words)

	THE MERCK MANUAL, Sec. 3, Ch. 23, Gastritis And Peptic Ulcer Disease
		These most often begin in the corpus as petechiae or ecchymoses (see Plate 23-1) that progress to irregular small ulcers, varying from 2 to 20 mm, which seldom bleed and histologically are confined to the mucosa.
		Gastric ulcers occur most commonly at the junction of antral and corpus mucosa, but whether they occur as a cause or consequence of antrification is not clear.
		Although markedly thickened and tortuous folds on barium x-rays may suggest the diagnosis, endoscopy with deep mucosal biopsy is usually necessary to confirm the presence of foveolar hyperplasia and replacement of fundic glands with mucous glands.
	www.merck.com /mrkshared/mmanual/section3/chapter23/23b.jsp (2770 words)

	Which patients require stress ulcer prophylaxis in ICU?
		In 1842 Curling described a series of cases of severe duodenal ulceration associated with burns; in 1832 Cushing reported ulcer disease associated with surgery and trauma.
		Patients in shock, sepsis, respiratory, hepatic or renal failure, or who have a coagulopathy, who are admitted to intensive care, should all be given stress ulcer prophylaxis.
		Fulminant peptic ulcer disease in cardiac surgical patients: pathogenesis, prevention, and management.
	www.4um.com /tutorial/CCM/ulcer.htm (640 words)

	ICU - Stress Ulceration
		The term 'stress ulcer' is usually reserved for a mucosal abnormality of oesophagus, stomach or duodenum found in the critically ill or otherwise stressed patient.
		This includes "Cushing's Ulcer", which is seen classically in patients suffering from prolonged coma from any cause.
		Stress ulcer is common in patients with burns to more than 35% of their body surface area.
	www.anzics.com.au /teaching/phvc/stressul.html (1632 words)

	Steroids: no clear evidence in causing gastric ulcers.
		The commonest steroid side effects are: Cushing's syndrome (NNH = 12 at unknown), bacterial sepsis (NNH = 110 at unknown), hypertension (NNH = 350 at unknown), dyspepsia symptoms (NNH = 440 at unknown) and diabetes mellitus (NNH = 450 at unknown).
		Osteoporosis, psychosis and ulcers were not clearly associated with steroids.
		Conn HO, and Poynard T: Corticosteroids and peptic ulcer: a meta-analysis of adverse events during steroid therapy.
	www.eboncall.org /CATs/1356.html (192 words)

	Virtual Hospital: Radiology Resident Case of the Week: Peptic Ulcer Disease (Site not responding. Last check: 2007-10-23)
		She was scheduled for an ultra sound of the right upper quadrant, and on the same day had her upper GI study.
		Over the past years the accepted pathophysiology of peptic ulcer disease has changed dramatically.
		Gastric ulcers are considered to be benign 95% of the time.
	www.janela1.com /vh/docs/v0001151.htm (288 words)

	Stress Ulcer Prophylaxis in Critical Care - Intoduction
		The development of “stress” ulceration in the upper gastrointestinal (GI) tract has been part of critical care folklore since the beginning.
		In 1842 Curling described a series of severe duodenal ulceration associated with burns; in 1832 Cushing reported ulcer disease associated with surgery and trauma.
		In the early years of intensive care, a strong association between severity of illness and the incidence of GI bleeds was established.
	www.ccmtutorials.com /support/ulcers/page_01.htm (201 words)

	Cushing's syndrome
		Cushing's disease has an incidence of 1 per 100.000 / year
		A biochemical confirmation of the diagnosis of Cushing's syndrome
		Cushing's disease is best managed by transphenoidal microadenectomy
	www.surgical-tutor.org.uk /specialities/general/cushings.htm (231 words)

	302AGInotes
		True ulcers extend into muscularis mucosa and cause hemorrhage or perforation
		Incidence: less common than duodenal ulcers and occur equally in males and females mostly between 55-65
		Ulcerative colitis = chronic, inflammatory disease that ulcerates the colonic mucosa (usually in rectum and sigmoid) with lesions appearing between 20-40 years of age
	www.csun.edu /~meh20426/302AGInotes.html (1976 words)

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