Imaging Preferred modality : CT abdomen with oral or IV contrast Alternative modalities MRI abdomen Magnetic resonance enterography Findings Multiple round or ovoid, thin-walled outpouchings Usually located on the mesenteric border No plicae circulares May contain air-fluid level Laparotomy Gold standard Not the preferred modality as it is invasive Diagnosis of bleeding from small bowel diverticula Small bowel endoscopy (e.g., capsule or double-balloon enteroscopy): high yield Angiography (e.g., CT angiography): for brisk bleeding Nuclear medicine scan: for slower bleeding See also "Approach to suspected small bowel bleeding." Avoid oral contrast in patients with an acute GI bleed as it may interfere with therapeutic endoscopy or angiography
26 PTSD Recent findings suggest a negative correlation between post-traumatic stress disorder (PTSD) and testosterone in men, likely driven by genetics
Prijedlozi za koritenje Doziranje: Preporuuje se zapoeti s 200-500 mikrograma dnevno, uzetih oralno u podijeljenim dozama, tijekom 4-8 tjedana
You stop feeling thirsty, so you stop drinking enough water
The ceiling looks the same as it did at midnight
Any testing is framed as additional context for that conversation rather than as an input that settles it