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Acalculous Cholecystopathy - Umbilical Hernia
Acalculous Cholecystopathy - Umbilical Hernia Doctor 9,281 Views • 3 years ago

Patient 65-year-old of age who comes to the medical consultation with pain moderated pain in the right hypochondrium of “several years of evolution” but that it increased one week ago. Also, she shows pain in the umbilical region of “many years of evolution”, that is supported according to the patient - in a constant way.rnTo the examination, we observe an umbilical hernia, apparently divided into two parts. The hernia of the external region measures 25.1 centimeters x 18.0 centimeters and the one that occupies the average region measures 12.0 centimeters x 10.0 centimeters.rnPatient who comes to the medical consultation with moderated pain in the right hypochondrium of one year of evolution but it increased one week ago after eat duck.rnIn the ultrasound scan of the region of the right hypochondrium (patient came having breakfast, that is to say, without previous preparation ) we can observe the liver of 123.8 millimeters high, as well as the porta vein with a diameter of 7.3 millimeters.rnOn having observed the Gallbladder, we think that a side wall is increased in 2.7 mm (hyperechogenic) with several “echogenics points” in the interior (”Biliary Mud”).

The measurements of the gallbladder were: 39.0 x 17.4 millimeters.rnWe can appreciates an echogenic image in the interior that it would make think about stone. The stones are identified as echogenic foci casting acoustic shadowing but but this image did not appear and a re-evaluation is decided in 15 days.

Acalculous cholecystopathy which means disease or condition of the gallbladder without the presence of gallstones. You might also call it functional gallbladder disorder or impaired gallbladder emptying. Some causes may be chronic inflammation, a problem with the smooth muscles of the gallbladder or the muscle of the Sphincter of Oddi being too tight.

REMEMBER:
Umbilical hernia is a congenital malformation, especially common in infants of African descent, and more frequent in boys. An Acquired umbilical hernia directly results from increased intra-abdominal pressure and are most commonly seen in obese individuals.
Presentation:A hernia is present at the site of the umbilicus (commonly called a navel, or belly button) in the newborn; although sometimes quite large, these hernias tend to resolve without any treatment by around the age of 5 years. Obstruction and strangulation of the hernia is rare because the underlying defect in the abdominal wall is larger than in an inguinal hernia of the newborn. The size of the base of the herniated tissued is inversely correlated with risk of strangulation (i.e. narrow base is more likely to strangulate).
Babies are prone to this malformation because of the process during fetal development by which the abdominal organs form outside the abdominal cavity, later returning into it through an opening which will become the umbilicus.
Differential diagnosisrnImportantly this type of hernia must be distinguished from a paraumbilical hernia which occurs in adults and involves a defect in the midline near to the umbilicus, and from omphalocele.

USMLE Step 2 CS - Antenatal Visit
USMLE Step 2 CS - Antenatal Visit usmle tutoring 5,648 Views • 3 years ago

USMLE Step 2 CS - Antenatal Visit This is just preview video. To get full access please visit our website : www.usmletutoring.com

USMLE Step 2 CS - Numbness  Weakness
USMLE Step 2 CS - Numbness Weakness usmle tutoring 5,142 Views • 3 years ago

USMLE Step 2 CS - Numbness Weakness This is just preview video. To get full access please visit our website : www.usmletutoring.com

USMLE Step 2 CS - Wrist Pain
USMLE Step 2 CS - Wrist Pain usmle tutoring 10,759 Views • 3 years ago

USMLE Step 2 CS - Wrist Pain This is just preview video. To get full access please visit our website : www.usmletutoring.com

End Stage Liver Disease
End Stage Liver Disease samer kareem 1,515 Views • 3 years ago

In the United States, end-stage liver disease (ESLD) is the 12th leading cause of death and the 7th leading cause of death in people between the ages of 25 and 64 years. Complications of ESLD such as ascites, variceal hemorrhage, hepatic encephalopathy, and renal impairment primarily account for these deaths. Patients with ESLD require increasingly complex medical support and manifest a spectrum of complications and symptoms that have significant impact on both survival and quality of life.

Safe Sex - So You Have Genital Warts
Safe Sex - So You Have Genital Warts Liz L 24,405 Views • 3 years ago

The only sure way to prevent genital warts is to not have sex. But everyone wants sex, so here is how to have safe sex if you are living with Genital Warts.

FIRST 30: Advice When Starting Dialysis
FIRST 30: Advice When Starting Dialysis Scott 90 Views • 3 years ago

Presented without captions

Starting dialysis often means creating a new normal for yourself and your family. There’s a lot to think about, from choosing a treatment option, to finding new ways to enjoy your favorite activities, to managing a new diet. The FIRST30 program is all about helping you through this period of adjustment.

Find out more at KidneyFund.org/FIRST30.

Ectopic Pregnancy Surgery
Ectopic Pregnancy Surgery samer kareem 4,864 Views • 3 years ago

An ectopic pregnancy results when a fertilized egg implants outside the uterus. Unfortunately, there's no way to transplant an ectopic pregnancy into your uterus, so ending the pregnancy is the only option. About 2 percent of pregnancies are ectopic. Because ectopic pregnancy is potentially dangerous for you, it's important to recognize the early signs and get treatment as soon as possible.

What is Laparoscopic Cholecystectomy?
What is Laparoscopic Cholecystectomy? Surgeon 99 Views • 3 years ago

Cholecystectomy means removal of the gallbladder. The most common reasons
your doctor might recommend a cholecystectomy are biliary colic, cholecystitis,
choledocolithiasis, or gallstone pancreatitis. Biliary colic, also known as symptomatic
cholelithiasis, is caused by gallstones, which are hardened deposits of bile. Gallstones are
common in the general population, and gallstones alone are not a reason for gallbladder
removal if they do not cause symptoms. However, sometimes gallstones can get caught at the
neck of the gallbladder, causing pain when the gallbladder contracts against them trying to
release its bile, especially after a fatty meal. With biliary colic, the pain typically resolves within
an hour or so. Occasionally, a stone or some other blockage may prevent the gallbladder from
emptying over a long period of time, causing an increase in pressure and trapped fluid within the
gallbladder. This can cause inflammation and infection of the gallbladder, which we call
cholecystitis. Choledocholithiasis is when there are one or more stones in the bile ducts, which
can cause back up of bile into the liver, and depending on the location of the stones, could
cause pancreatitis, which is inflammation of the pancreas. Other reasons for gallbladder
removal, though less common, are gallbladder polyps and cancer. All of these are reasons for
gallbladder removal.

First Aid: Snake Bite
First Aid: Snake Bite samer kareem 3,400 Views • 3 years ago

Move the person beyond striking distance of the snake. Have the person lie down with wound below the heart. Keep the person calm and at rest, remaining as still as possible to keep venom from spreading. Cover the wound with loose, sterile bandage

Spleen Anatomy and Physiology
Spleen Anatomy and Physiology samer kareem 3,043 Views • 3 years ago

The spleen is an organ in the upper far left part of the abdomen, to the left of the stomach. The spleen varies in size and shape between people, but it’s commonly fist-shaped, purple, and about 4 inches long. Because the spleen is protected by the rib cage, you can’t easily feel it unless it’s abnormally enlarged. The spleen plays multiple supporting roles in the body. It acts as a filter for blood as part of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight certain kinds of bacteria that cause pneumonia and meningitis.

How to do Central Line Insertion
How to do Central Line Insertion samer kareem 1,380 Views • 3 years ago

Central venous catheter. Diagram showing a tunneled central line inserted into the right subclavian vein. A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a catheter placed into a large vein.

Complete Chopped Hand Re-Implantation Surgery
Complete Chopped Hand Re-Implantation Surgery hooda 23,737 Views • 3 years ago

Watch that Complete Chopped Hand Re-Implantation Surgery

Attention Deficit Hyperactivity Disorder
Attention Deficit Hyperactivity Disorder samer kareem 4,626 Views • 3 years ago

Attention deficit hyperactivity disorder (ADHD) is a mental disorder of the neurodevelopmental type. It is characterized by problems paying attention, excessive activity, or difficulty controlling behavior which is not appropriate for a person's age.

Medtronic BRYAN® Cervical Disc Surgical Technique Animation
Medtronic BRYAN® Cervical Disc Surgical Technique Animation samer kareem 1,665 Views • 3 years ago

Cervical artificial disc replacement using the BRYAN Disc, a trusted product of Medtronic. Spine care offices are located in New Jersey, New York, and Florida. Are you experiencing neck pain? Do you think you may have a herniate disc? Learn more about our doctors' 97% success rate for performing BRYAN disc replacement:

VTP,CRICOTIROIDOTOMIA
VTP,CRICOTIROIDOTOMIA samer kareem 1,436 Views • 3 years ago

232 Teeth Removal From Indians' Boy Mouth
232 Teeth Removal From Indians' Boy Mouth hooda 95,535 Views • 3 years ago

Watch that video of 232 Teeth Removal From Indians' Boy Mouth

Diabetic Ketoacidosis (DKA) 1
Diabetic Ketoacidosis (DKA) 1 samer kareem 2,141 Views • 3 years ago

This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA):

Infertility Treatment For Men
Infertility Treatment For Men samer kareem 22,241 Views • 3 years ago

In some cases, the doctor will recommend that the couple seek assisted reproductive technologies (ART), such as IVF (in vitro fertilisation). ART do not cure or treat the cause of infertility but they can help couples achieve a pregnancy, even if the man's sperm count is very low.

Surgical tracheostomy
Surgical tracheostomy samer kareem 15,130 Views • 3 years ago

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