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Acalculous Cholecystopathy - Umbilical Hernia
Acalculous Cholecystopathy - Umbilical Hernia Doctor 9,271 Views • 2 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.

Massive Tumor Removed from Man's Face
Massive Tumor Removed from Man's Face samer kareem 14,125 Views • 2 years ago

Massive Tumor Removed from Man's Face

Intussusception of the Bowel video - Animation by Cal Shipley, M.D.
Intussusception of the Bowel video - Animation by Cal Shipley, M.D. samer kareem 7,873 Views • 2 years ago

In cases when the presentation is unclear, ultrasonography is the imaging methodology of choice. The characteristic finding is the presence of a "target sign". Ultrasonography is not required in patients with obvious clinical diagnosis (as seen in this patient). Such patients can proceed directly to treatment with diagnostic and therapeutic air (pneumatic) or water-soluble (hydrostatic contrast) enema.

Evolution of Laparoscopic Donor Nephrectomy - Dr. Jim Hu | UCLA Urology
Evolution of Laparoscopic Donor Nephrectomy - Dr. Jim Hu | UCLA Urology Surgeon 91 Views • 2 years ago

The video is about the evolution of the anatomic UCLA laparoscopic technique over 1325 cases and demonstrates the key steps of our operation to improve patient safety and outcomes.

Learn more at http://urology.ucla.edu

Mommy Makeover Surgery NYC Case Study #2
Mommy Makeover Surgery NYC Case Study #2 Carlin Vickery 12,749 Views • 2 years ago

Mommy Makeover plastic surgery in NYC and is a fairly new phenomena. This video, from 5thavenue surgery; http://www.5thavesurgery.com, goes through a case study of a patient getting plastic surgery in NYC. Check out what a Mommy Makeover can do for your body and what Plastic Surgery can do for you.

BEST IMMEDIATE DENTAL IMPLANT SOLUTION
BEST IMMEDIATE DENTAL IMPLANT SOLUTION implant 10,806 Views • 2 years ago

DOING LESS BUT BRAINY DESCRIBES A NEW GENERATION OF IMMEDIATE ZIRCONIA IMPLANTS ANATOMICAL AND CUSTOM-MADE. YOUR DENTAL ROOT IS MILLED IN ZIRCONIA AND IN 20 SECONDS SEATED, NO DRILLING, NO AUGMENTATION, NO MEMBRANES, FLAPLESS, NO 3D PLANNING, NO CAD/CAM SPLINTS OR GUIDED SURGERY REQUIRED! EASY AND CONSEQUENTIAL SYSTEM. NO MORE INCONGRUOUS AND UGLY SILVER-COLORED TITANIUM IMPLANTS IN TIME CONSUMING, PAINFUL AND COSTLY PROCEDURES. IT`S HIGH TIME TO RESPECT THE ANATOMY NOT ALTER IT BY DRILLING AND AUGMENTATION. BIOIMPLANT

Rhabdomyolysis Video
Rhabdomyolysis Video Doctor 7,593 Views • 2 years ago

Rhabdomyolysis is a condition in which damaged skeletal muscle (Ancient Greek: rhabdomyo-) tissue breaks down rapidly (Greek –lysis). This damage may be caused by physical (e.g. crush injury), chemical, or biological factors. Breakdown products of damaged muscle cells are released into the bloodstream; some of these, such as the protein myoglobin, are harmful to the kidney and may lead to kidney dysfunction. The severity of the symptoms (which may include muscle pains, vomiting and confusion) depends on the extent of the muscle damage, and whether kidney failure develops. The mainstay of treatment is generous intravenous fluids, but could include dialysis or hemofiltration.

Rhabdomyolysis and its complications are significant problems for those injured in disasters such as earthquakes and bombing. Relief efforts in areas struck by earthquakes often include medical teams with skills and equipment for treatment of survivors with rhabdomyolysis. The disease and its mechanisms were first fully elucidated during the Blitz of London in 1941.

Knee Aspiration
Knee Aspiration samer kareem 1,541 Views • 2 years ago

The clinician performing the procedure should be familiar with the anatomy of the specific joint and cognizant of the relevant landmarks in order to avoid puncture of tendons, blood vessels, and nerves (see the images below).

Laparoscopic Resection of Ovary Dermoid Cyst
Laparoscopic Resection of Ovary Dermoid Cyst Scott Stevens 7,607 Views • 2 years ago

Laparoscopic Resection of Ovary Dermoid Cyst

Foreceps Delivery Birth Video
Foreceps Delivery Birth Video Medical_Videos 11,444 Views • 2 years ago

Foreceps Delivery Birth Video

Acanthosis Nigricans Insulin Resistance
Acanthosis Nigricans Insulin Resistance Medical_Videos 6,979 Views • 2 years ago

Acanthosis Nigricans Insulin Resistance

Early Signs of HIV (AIDS) in Men: What Symptoms Should You Look out For?
Early Signs of HIV (AIDS) in Men: What Symptoms Should You Look out For? Scott 11,937 Views • 2 years ago

Overview HIV is a virus that affects the immune system, specifically the CD4 cells. The CD4 cells help protect the body from illness. Unlike other viruses that the immune system can fight off, HIV can’t be eliminated by the immune system. The symptoms of HIV can vary greatly from person to person. No two people with HIV will likely experience the exact same symptoms. However, HIV will generally follow this pattern: acute illness asymptomatic period advanced infection Acute illness Approximately 80 percent of people who contract HIV experience flu-like symptoms within two to four weeks. This flu-like illness is known as acute HIV infection. Acute HIV infection is the primary stage of HIV and lasts until the body has created antibodies against the virus. The most common symptoms of this stage of HIV include: body rash fever sore throat severe headaches Less common symptoms may include: fatigue swollen lymph nodes ulcers in the mouth or on the genitals muscle aches joint pain nausea and vomiting night sweats Symptoms typically last one to two weeks. Anyone who has these symptoms and thinks they may have contracted HIV should consider scheduling an appointment with their healthcare provider to get tested. Symptoms specific to men Symptoms of HIV are generally the same in women and men. One HIV symptom that is unique to men is an ulcer on the penis. HIV may lead to hypogonadism, or poor production of sex hormones, in either sex. However, hypogonadism’s effects on men are easier to observe than its effects on women. Symptoms of low testosterone, one aspect of hypogonadism, can include erectile dysfunction (ED).

Early Liver Disease Symptoms
Early Liver Disease Symptoms samer kareem 4,780 Views • 2 years ago

As the liver becomes more severely damaged, more obvious and serious symptoms can develop, such as: yellowing of the skin and whites of the eyes (jaundice) swelling in the legs, ankles and feet, due to a build-up of fluid (oedema) swelling in your abdomen, due to a build-up of fluid known as ascites.

Root Canal  treatment
Root Canal treatment samer kareem 31,838 Views • 2 years ago

“Endo” is the Greek word for “inside” and “odont” is Greek for “tooth.” Endodontic treatment treats the inside of the tooth. Root canal treatment is one type of endodontic treatment. To understand endodontic treatment, it helps to know something about the anatomy of the tooth. Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves, and connective tissue and creates the surrounding hard tissues of the tooth during development.

Nursing Skill Check: IV Insertion
Nursing Skill Check: IV Insertion nurse 111 Views • 2 years ago

Nursing skills lab procedure for IV insertion.

Knee drain after gout flare up
Knee drain after gout flare up samer kareem 2,126 Views • 2 years ago

Magnetic Resonance Cholangiopancreatography (MRCP)
Magnetic Resonance Cholangiopancreatography (MRCP) samer kareem 7,697 Views • 2 years ago

An MRCP scan is a scan that uses magnetic resonance imaging (MRI) to produce pictures of the liver, bile ducts, gallbladder and pancreas. Note: the information below is a general guide only. The arrangements,and the way tests are performed, may vary between different hospitals.

Black Hairline Restoration Lowering by Hair Transplant Surgery
Black Hairline Restoration Lowering by Hair Transplant Surgery samer kareem 2,612 Views • 2 years ago

on bald hair loss man at 408-356-8600 by Dr. Diep with photos, of middle eastern man, Asian, Caucasian, Hispanic & Black, most advance hair treatment, treating male pattern baldness, bald head hair loss, receding hairline.

Big Bubble Technique
Big Bubble Technique Alicia Berger 10,209 Views • 2 years ago

Big Bubble Technique

Bipolar disorder. Managment
Bipolar disorder. Managment samer kareem 1,855 Views • 2 years ago

Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly. Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any. Although bipolar disorder is a lifelong condition, you can manage your mood swings and other symptoms by following a treatment plan. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).

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