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Acalculous Cholecystopathy - Umbilical Hernia
Acalculous Cholecystopathy - Umbilical Hernia Doctor 9,236 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.

Reduction of Inferior Shoulder Dislocation
Reduction of Inferior Shoulder Dislocation samer kareem 15,341 Views • 2 years ago

A technique for reducing an inferior shoulder dislocation. watch to learn more

Transvenous Pacemaker Insertion
Transvenous Pacemaker Insertion samer kareem 3,872 Views • 2 years ago

In emergencies (eg, asystole), transcutaneous pacing should be tried first. If transvenous pacing is tried, the catheter should be advanced during asynchronous pacing at maximum output until the ventricle has been captured and a palpable pulse is detected in the patient.

So You Want to Be a CARDIOTHORACIC SURGEON [Ep. 13]
So You Want to Be a CARDIOTHORACIC SURGEON [Ep. 13] Surgeon 65 Views • 2 years ago

So you want to be a cardiothoracic surgeon. You like the idea of open heart surgery and the glory that comes with being a CT surgeon. Let’s debunk the public perception myths of what it means to be a cardiothoracic surgeon, and give it to you straight. This is the reality of cardiothoracic surgery.

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TIME STAMPS:
00:41 - What is Cardiothoracic Surgery?
04:08 - How to Become a Cardiothoracic Surgeon
06:29 - Subspecialties within Cardiothoracic Surgery
07:49 - What You’ll Love About Cardiothoracic Surgery
09:10 - What You Won’t Love About Cardiothoracic Surgery
10:04 - Should You Become a Cardiothoracic Surgeon?

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#medicalschool #cardiothoracicsurgery #soyouwanttobe
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

Laparoscopic anterior resection for cancer colon
Laparoscopic anterior resection for cancer colon mohamed al emadi 7,965 Views • 2 years ago

Laparoscopic anterior resection for cancer colon in Qatar by Dr. Al-Emadi

Forehead Flap Nasal Reconstruction
Forehead Flap Nasal Reconstruction samer kareem 14,046 Views • 2 years ago

Forehead Flap Nasal Reconstruction

Coronary Bypass Surgery
Coronary Bypass Surgery samer kareem 19,172 Views • 2 years ago

If you need heart bypass surgery, the procedure is pretty similar. A surgeon takes blood vessels from another part of your body to go around, or bypass, a blocked artery. The result is that more blood and oxygen can flow to your heart again. ... Bypass surgery is also known as coronary artery bypass grafting (CABG).Dec 12, 2015

Transcatheter aortic valve replacement (TAVR)
Transcatheter aortic valve replacement (TAVR) samer kareem 4,480 Views • 2 years ago

Transcatheter aortic valve replacement (TAVR) has recently emerged as a therapeutic option for patients with severe aortic stenosis

Overcoming Obesity
Overcoming Obesity News Canada 7,609 Views • 2 years ago

Achieving and maintaining long-term weight loss goals.

What is Ultrafiltration Rate UFR in hemodialysis?
What is Ultrafiltration Rate UFR in hemodialysis? Scott 88 Views • 2 years ago

EKG Basics in one minute
EKG Basics in one minute Scott 2,154 Views • 2 years ago

Learn the basics of ECG (EKG) in one minute

ROSE procedure - bariatric surgery revision
ROSE procedure - bariatric surgery revision Surgeon 64 Views • 2 years ago

Three to five years after gastric bypass surgery, some patients start to regain weight because the size of their stoma (the opening at the bottom of the stomach pouch) or their stomach pouch itself has increased. This can keep you from feeling full after small meals.

To resolve this problem, our surgeons use new surgical tools to create and suture folds into the pouch, reducing its volume and at the stoma to decrease its diameter. The surgeon performs the procedure entirely through the mouth -- inserting an endoscope under heavy sedation -- so there are no external incisions into the body.

Large Clot in the heart
Large Clot in the heart samer kareem 17,996 Views • 2 years ago

watch to see the Large Clot in the heart

Grisp Reflex
Grisp Reflex Medical_Videos 5,369 Views • 2 years ago

Grisp Reflex

Preventing Hemodialysis Catheters Problems
Preventing Hemodialysis Catheters Problems Medical_Videos 7,018 Views • 2 years ago

Preventing Hemodialysis Catheters Problems

Anatomy of The Superficial Face
Anatomy of The Superficial Face Anatomy_Videos 29,796 Views • 2 years ago

Anatomy of The Superficial Face

Anatomy of The Superficial Dissection of The Upper and Lower Limbs
Anatomy of The Superficial Dissection of The Upper and Lower Limbs Anatomy_Videos 17,917 Views • 2 years ago

Anatomy of The Superficial Dissection of The Upper and Lower Limbs

Newborn Reflexes
Newborn Reflexes samer kareem 9,502 Views • 2 years ago

Suck reflex. ... Babies also have a hand-to-mouth reflex that goes with rooting and sucking and may suck on fingers or hands. Moro reflex. The Moro reflex is often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement.

CyberKnife: Treatment of Lung Cancer
CyberKnife: Treatment of Lung Cancer samer kareem 5,989 Views • 2 years ago

Radiosurgery: Radiosurgery devices, such as the CyberKnife Robotic Radiosurgery System, offer patients a new option for the treatment of lung cancer. The CyberKnife® System is used to treat lung cancer patients who cannot tolerate surgery, have an inoperable tumor, or are seeking an alternative to surgery.

Histology of Dense Bone
Histology of Dense Bone Histology 4,034 Views • 2 years ago

Histology of Dense Bone

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