Scleroderma (skleer-oh-DUR-muh) is a group of rare diseases that involve the hardening and tightening of the skin and connective tissues — the fibers that provide the framework and support for your body. In some people, scleroderma affects only the skin. But in many people, scleroderma also harms structures beyond the skin — such as blood vessels, internal organs and the digestive tract. Signs and symptoms vary, depending on which structures are affected. Scleroderma affects women more often than men and most commonly occurs between the ages of 30 and 50. While there is no cure for scleroderma, a variety of treatments can ease symptoms and improve quality of life.

Triglycerides are a type of fat (lipid) found in your blood. When you eat, your body converts any calories it doesn't need to use right away into triglycerides. The triglycerides are stored in your fat cells. Later, hormones release triglycerides for energy between meals. If you regularly eat more calories than you burn, particularly "easy" calories like carbohydrates and fats, you may have high triglycerides (hypertriglyceridemia).

Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Standard
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017

AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.

From the moment the baby weight starts to accumulate on our bodies, the scheming begins about how to drop the pounds once the little one arrives. After your baby is born and your days gradually begin to regain somewhat of a routine, it's time to put your ideas into action. If you're not sure exactly how to begin, here are seven proven steps for working your way back to your prepregnancy bod—or better!

It's a symptom of heart disease but typically does not cause permanent damage to the heart. It is, though, a sign that you are a candidate for a heart attack at some point in the future. The chest pain may spread to your arm, shoulder, jaw, or back. It may feel like a pressure or squeezing sensation.

Neurogenic shock is a distributive type of shock resulting in low blood pressure, occasionally with a slowed heart rate, that is attributed to the disruption of the autonomic pathways within the spinal cord. It can occur after damage to the central nervous system such as spinal cord injury.

GIANT EAR WAX REMOVAL By using the elephant ear device.It's very useful video for medical students.Please share it!

Root canals are common procedures and can help save your tooth from extraction. Dentists at Aspen Dental practices have been safely and expertly performing root canal procedures for over two decades.

Mysterious things happen in nature, and extraordinary birth delivery facts amaze and astound us. And "The baby who didn't know he was born" is one of them; the reason was because his mother didn't break water, so the little one thought was still in the womb. Of course, the amniotic sac was later broken by the doctor, and as soon as this happened the baby began to breath and cry.

The cat's stomach is a sac-like structure designed to store large volumes of food and continue the digestive process. The esophagus carries food to the stomach, where it enters via a valve-like structure called the cardiac sphincter. On the interior surface of the stomach is a series of folds called gastric folds. These folds function to help grind and digest food. The inner stomach lining secretes acids and enzymes to break down food. Once the initial stomach digestive process is complete, the partially digested food exits the stomach through the pyloric sphincter area and then enters the duodenum (first segment of the small intestine). Once eaten, most food leaves the stomach within twelve hours after entering.

Wound-closure technologies are becoming less painful and more efficient at closing wounds.

It then spreads down the bundle of his and then purkinje fibres to cause ventricular contraction. So when viewing the heart from the front, the direction of depolarisation is 11 o'clock to 5 o'clock. The general direction of depolarisation is known as the cardiac axis.

Reduction techniques can vary in terms of required force, time, equipment, and staff. [7] No single reduction method is successful in every instance; therefore, the clinician should be familiar with several reduction techniques. Techniques commonly used to reduce anterior shoulder dislocations include the following [35, 36, 37, 38, 39] : Stimson maneuver Scapular manipulation External rotation Milch technique Spaso technique Traction-countertraction

an. 4, 2017 -- Scientists say they've identified a new organ in the body -- a swath of tissue dubbed the mesentery that connects the intestine to the abdomen and holds everything in place. For years, anatomical experts have thought the organ was composed of several different segments of tissue, as opposed to being one single structure, according to Discover magazine. Since an organ must be one structure that performs a vital function, it was not deemed worthy of organ status. But recent research from doctors at the University Hospital Limerick in Ireland shows that the mesentery is actually one single band of tissue, the magazine reported Tuesday. It begins at the pancreas and wraps around the small intestine and colon. Its purpose: to hold these organs in position so they can perform their respective functions. "Without it you can't live," lead researcher Dr. J. Calvin Coffey, a colorectal surgeon at Limerick, told the magazine. "There are no reported instances of a Homo sapien living without a mesentery." "Understanding how and why our digestive system is arranged the way it is could be crucial to our understanding of diseases like Crohn's and irritable bowel syndrome," Coffey added. "There are a lot of diseases that we are stalled on, and we need to refresh our approach to these diseases," Coffey said. "Now that we've clarified its [the mesentery's] structure, we can systematically examine it. We're at a very exciting place right now." The discovery was published recently in the Lancet Gastroenterology & Hepatology journal.

Endometriosis (en-doe-me-tree-O-sis) is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

Lipomas are single or multiple, benign subcutaneous tumors that are easily recognized because they are soft, rounded, or lobulated and movable against the overlying skin. Many lipomas are small but may also enlarge to 6 cm. They occur especially on the neck, trunk, and on the extremities but can occur anywhere on the body. Lipomas are composed of fat cells that have the same morphology as normal fat cells, and there is a connective tissue framework. Angiolipomas have a vascular component and may be tender in cold ambient temperature. These often require excision, whereas other lipomas should be excised only when considered disfiguring. Liposuction can also be performed when liposomas are soft and thus have only a minor connective tissue component.

Cardiac arrest usually results from an electrical disturbance in the heart. It's not the same as a heart attack. The main symptom is loss of consciousness and unresponsiveness. This medical emergency needs immediate CPR or use of a defibrillator. Hospital care includes drugs, an implantable device, or other procedures.

All forms of heparin (including low-molecular-weight heparin such as enoxaparin) must be stopped immediately in patients with suspected heparin-induced thrombocytopenia (HIT) while awaiting diagnostic confirmation. Patients with HIT remain at high risk of thrombosis even after discontinuation of heparin. Therefore, an alternate, rapidly acting, non-heparin anticoagulant such as direct thrombin inhibitor (eg, argatroban, bivalirudin) must be started immediately.

A hemolytic transfusion reaction is a serious complication that can occur after a transfusion of blood. The red blood cells that were given in the transfusion are destroyed by the patient's immune system. There are other types of allergic transfusion reactions that do not cause hemolysis.

The superior sagittal sinus (also known as the superior longitudinal sinus), within the human head, is an unpaired area along the attached margin of falx cerebri. It allows blood to drain from the lateral aspects of anterior cerebral hemispheres to the confluence of sinuses.