(1) The document provides guidance on interpreting abdominal x-rays. It describes the proper positioning and views needed, and outlines the anatomy and structures that should be evaluated. This includes the lungs, liver, gallbladder, stomach, spleen, kidneys, bones and other organs.
(2) Examples of significant abdominal conditions that can be identified on x-ray are provided. This includes free air under the diaphragm indicating a perforation, small or large bowel obstructions seen as dilated loops of bowel, and volvulus appearing as a U-shaped dilated loop of bowel. Toxic megacolon from colitis is described as transverse colon dilation of 6cm or more.
(3
Radiology ----Classical Signs in GIT Dr. Muhammad Bin Zulfiqar.
It is very difficult to learn much in the sea of radiology.
This presentation is the way to memorize classical signs in radiology.
Ultrasound renal stone differential diagnosis .AHMED ESAWY
renal sinus ultrasound
stone location in calyx
(not in medulla,not in cortex)
echogenic foci
acoustic shadowing
twinkle artifact on colour Doppler
color comet tail artifact
Staghorn calculi
Ultrasound beam-stone angle
Difference between kidney gravel & stone
RENAL ECHOCONCRETION
Vascular Reflectors (Normal or calcified renal vessels are the most
notable and common causes of intrarenal
bright echo reflectors)
Segmental Arteries
Arcuate Arteries
Sinus Vessels
renal vein thrombosis calcification
Calcifications of the branches of the renal artery
Nonvascular Reflectors: Prominent Papillae
Reflectors Within the Renal Parenchyma
Milk of Calcium Cysts
Renal Cortical Calcification
Junctional Parenchymal Line
Angiomyolipomas
Foreign Bodies
Bright echoes within the Renal Parenchyma
medullary nephrocalcinosis
focal pyelonephritis.
Echogenic tips of the renal pyramids apex
Transient pyramidal echogenicity
echogenic neonate renal pyramids (Tamm-Horsfall protein)
fungal balls
blood clots
Renal calcification in infants with Furosemid therapy
A brief overview of Imaging of urinary bladder and urethra for medical students and residents with commonly encountered benign and neoplastic conditions of lower urinary tract.
Imaging vastitis differentitis funiculitis seminal vesiculitis Dr Ahmed EsawyAHMED ESAWY
Imaging vastitis differentitis funiculitis seminal vesiculitis dr ahmed esawy
IMAGING OF LOWER URINARY TRACT INFECTION LUTI
include different cases for oral radiodiagnosis examination all over the world
CT /MRI Plain X ray ultrasound TRANSRECTAL ULTRASOUND images
Cystitis
Prostatitis
urethritis
Orchitis
Epidydmitis
Epidydmo-orchitis
funiculitis
Vastitis/differentitis
Seminal vesiculitis
Radiology ----Classical Signs in GIT Dr. Muhammad Bin Zulfiqar.
It is very difficult to learn much in the sea of radiology.
This presentation is the way to memorize classical signs in radiology.
Ultrasound renal stone differential diagnosis .AHMED ESAWY
renal sinus ultrasound
stone location in calyx
(not in medulla,not in cortex)
echogenic foci
acoustic shadowing
twinkle artifact on colour Doppler
color comet tail artifact
Staghorn calculi
Ultrasound beam-stone angle
Difference between kidney gravel & stone
RENAL ECHOCONCRETION
Vascular Reflectors (Normal or calcified renal vessels are the most
notable and common causes of intrarenal
bright echo reflectors)
Segmental Arteries
Arcuate Arteries
Sinus Vessels
renal vein thrombosis calcification
Calcifications of the branches of the renal artery
Nonvascular Reflectors: Prominent Papillae
Reflectors Within the Renal Parenchyma
Milk of Calcium Cysts
Renal Cortical Calcification
Junctional Parenchymal Line
Angiomyolipomas
Foreign Bodies
Bright echoes within the Renal Parenchyma
medullary nephrocalcinosis
focal pyelonephritis.
Echogenic tips of the renal pyramids apex
Transient pyramidal echogenicity
echogenic neonate renal pyramids (Tamm-Horsfall protein)
fungal balls
blood clots
Renal calcification in infants with Furosemid therapy
A brief overview of Imaging of urinary bladder and urethra for medical students and residents with commonly encountered benign and neoplastic conditions of lower urinary tract.
Imaging vastitis differentitis funiculitis seminal vesiculitis Dr Ahmed EsawyAHMED ESAWY
Imaging vastitis differentitis funiculitis seminal vesiculitis dr ahmed esawy
IMAGING OF LOWER URINARY TRACT INFECTION LUTI
include different cases for oral radiodiagnosis examination all over the world
CT /MRI Plain X ray ultrasound TRANSRECTAL ULTRASOUND images
Cystitis
Prostatitis
urethritis
Orchitis
Epidydmitis
Epidydmo-orchitis
funiculitis
Vastitis/differentitis
Seminal vesiculitis
Annular pancreas is an uncommon condition in adults.
The ring formation generally originates from the failure of
normal clockwise rotation of ventral pancreas. First
described by Tiedmann in 1818, its incidence is
1:20,000 population. It has bimodal presentation i.e is seen
either in Infants or in 4th & 5th decade of life.
Barrett's esophagus is a condition in which the tissue lining the esophagus—the muscular tube that connects the mouth to the stomach—is replaced by tissue that is similar to the lining of the intestine. This process is called intestinal metaplasia.
No signs or symptoms are associated with Barrett's esophagus, but it is commonly found in people with gastroesophageal reflux disease (GERD). A small number of people with Barrett's esophagus develop a rare but often deadly type of cancer of the esophagus.
Barrett's esophagus affects about 1 percent1 of adults in the United States. The average age at diagnosis is 50, but determining when the problem started is usually difficult. Men develop Barrett's esophagus twice as often as women, and Caucasian men are affected more frequently than men of other races. Barrett's esophagus is uncommon in children.
The EsophagusThe esophagus carries food and liquids from the mouth to the stomach. The stomach slowly pumps the food and liquids into the intestine, which then absorbs needed nutrients. This process is automatic and people are usually not aware of it. People sometimes feel their esophagus when they swallow something too large, try to eat too quickly, or drink very hot or cold liquids.
Digestive tract.
The muscular layers of the esophagus are normally pinched together at both the upper and lower ends by muscles called sphincters. When a person swallows, the sphincters relax to allow food or drink to pass from the mouth into the stomach. The muscles then close rapidly to prevent the food or drink from leaking out of the stomach back into the esophagus and mouth.
NIDDK
various congenital gastrointestinal diseases manifesting in childhood or even in adults, their radiographic findings on various imaging modalities such as radiograph, barium, ultrasound etc.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. General
• X-rays of the abdomen are usually taken with the patient lying
down; erect views are taken only when the clinical diagnosis is
“Acute Abdomen”. (1)
Note: The diaphragm must be visible above and the pubic
symphysis below. (1)
9. Bowels
• Any part of the bowel may be visible if it contains gas/air within
the lumen
• 3/6/9 rule
• Bowel wall inflammation
10. OtherStructuresand Organs
• Lungs – Don’t miss a consolidation or effusion !
• Liver – Hepatomegaly - is inferred when there is
extension of the right lobe inferior to the lower
pole of the right kidney. Liver silhouette is
enlarged, displacing bowel loops medially.
• Gallbladder – Rarely seen. Stones? Clips?
• Stomach - may be visible if it contains gas/air.
• Spleen
11. OtherStructuresand Organs(Cont.’)
• Kidneys – The sensitivity and specificity of plain
abdominal films in detecting a stone is low.
• “Sensitivity is reduced for stones <3 mm, which might not
produce a shadow, and stones can be missed in a decompressed
system owing to the difficulty in distinguishing echogenic stones
from echogenic central sinus fat in the kidney. Sensitivity can be
improved by combining ultrasonography with KUB radiography.”
(Brisbane, Bailey and Sorensen, 2016)
• Psoas muscles
• Bladder
16. (1)
• 34 year old male, presented to Emergency department
with abdominal pain ,multiple episodes of non bilious
vomiting and fever for 1 day duration, not passed flatus and
stool since 2 days. No trauma.
• BP:106/60 HR:110/min, RR: 20/min ,afebrile.
• On examination, abdo. distended , diffuse abdominal
tenderness, guarding and rigidity present , bowel sounds were
absent.
21. • As a general rule, the more visible the small bowel is,
the more likely it is to be pathological.
• Small bowel can be identified by its central location
within the abdomen and the characteristic valvulae
conniventes that traverse the small bowel lumen.
• This is in contradistinction to the haustral folds that
do not span the entire diameter of the colonic wall.
• The normal small bowel should not exceed 3cm.
• Large bowel obstruction is recognised by dilatation of
the colon to more than 6cm or more than 9cm for
the caecum.
22. Volvulus
U-shape loop of dilated bowels. The
walls of the affected loops forms the
classic ‘coffee bean sign’, which can
be extremely large and occupy most
of the abdominal radiograph.
24. • Toxic megacolon can develop in patients with
colitis.
• The classic radiographic finding in toxic
megacolon is dilatation of the transverse colon
to 6cm or more but it can also be indicated by
progressive colonic distension on serial
radiographs.
25. References
• 1) Sandström, S. and Ostensen, H., 2003. The WHO manual of diagnostic imaging.
Geneva: WHO.
• 2) Pinterest. 2021. Abdominal Radiographic Anatomy - wikiRadiography | Medical
radiography, Radiology humor, Radiology imaging. [online] Available at:
<https://www.pinterest.com/pin/476185360582554159/> [Accessed 7 April 2021].
• 3) Burbridge, B., 2021. Approach to the Abdominal X-ray (AXR). [online]
Undergradimaging.pressbooks.com. Available at:
<https://undergradimaging.pressbooks.com/chapter/approach-to-the-abdominal-x-ray-
axr/> [Accessed 7 April 2021].
• 4) -, D., 2021. Abdominal X-ray - Abnormal bowel gas pattern - Free
gas/pneumoperitoneum. [online] Radiologymasterclass.co.uk. Available at:
<https://www.radiologymasterclass.co.uk/tutorials/abdo/abdomen_x-
ray_abnormalities/pathology_bowel_gas_perforation> [Accessed 7 April 2021].
• 5) ResearchGate. 2021. Fig. 4 Supine abdominal radiograph demonstrates Rigler's
sign.... [online] Available at: <https://www.researchgate.net/figure/Supine-abdominal-
radiograph-demonstrates-Riglers-sign-arrowheads-of-
pneumoperitoneum_fig2_232247508> [Accessed 7 April 2021].
• 6) Jones, J., 2021. Normal abdominal x-ray (large bowel gas) | Radiology Case |
Radiopaedia.org. [online] Radiopaedia.org. Available at:
<https://radiopaedia.org/cases/normal-abdominal-x-ray-large-bowel-gas> [Accessed 7
April 2021].
26. References (Cont.’)
• 7) Shah, V., 2021. Abdominal x-ray organs (summary) | Radiology Reference
Article | Radiopaedia.org. [online] Radiopaedia.org. Available at:
<https://radiopaedia.org/articles/abdominal-x-ray-organs-summary>
[Accessed 8 April 2021].
• 8) Jones, J., 2021. Hepatomegaly (abdominal x-ray) | Radiology Case |
Radiopaedia.org. [online] Radiopaedia.org. Available at:
<https://radiopaedia.org/cases/hepatomegaly-abdominal-x-ray> [Accessed 8
April 2021].
• 9) -, D., 2021. Abdominal X-ray - System and anatomy - Bowel gas pattern.
[online] Radiologymasterclass.co.uk. Available at:
<https://www.radiologymasterclass.co.uk/tutorials/abdo/abdomen_x-
ray/anatomy_system_bowel_gas> [Accessed 8 April 2021].
• 10) Brisbane, W., Bailey, M. and Sorensen, M., 2016. An overview of kidney
stone imaging techniques. Nature Reviews Urology, 13(11), pp.654-662.
• 11) cleveland. 2021. Bobcat spotted in Summit Metro Park in Richfield.
[online] Available at: <https://www.cleveland.com/news/2021/02/bobcat-
spotted-in-summit-metro-park-in-richfield.html> [Accessed 8 April 2021].
• 12) Geeky Medics. 2021. Abdominal X-ray Interpretation (AXR) | Radiology |
OSCE | Geeky Medics. [online] Available at:
<https://geekymedics.com/abdominal-x-ray-interpretation/> [Accessed 8 April
2021].
27. References (Cont.’)
• 13) Med.unc.edu. n.d. Abdominal xrays made easy: normal radiographs.
[online] Available at: <https://www.med.unc.edu/medclerk/wp-
content/uploads/sites/877/2018/10/AXReasy1.pdf> [Accessed 8 April 2021].
• 14) Barry James, B., 2021. The Abdominal Radiograph. [online] PubMed
Central (PMC). Available at:
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913410/> [Accessed 8
April 2021].
• 15) Medcraveonline.com. 2019. Idiopathic pneumoperitoneum presenting
as acute abdomen. [online] Available at:
<https://medcraveonline.com/MOJCR/MOJCR-09-00317.pdf> [Accessed 8
April 2021].
• 16) Cadogan, M., n.d. AXR Interpretation • LITFL • CCC Investigations.
[online] Life in the Fast Lane • LITFL. Available at: <https://litfl.com/axr-
interpretation/> [Accessed 8 April 2021].
• 17) Babu, V., 2021. Large bowel obstruction | Radiology Case |
Radiopaedia.org. [online] Radiopaedia.org. Available at:
<https://radiopaedia.org/cases/large-bowel-obstruction> [Accessed 8 April
2021].
• 18) En.wikipedia.org. n.d. Sigmoid colon volvulus - Wikipedia. [online]
Available at: <https://en.wikipedia.org/wiki/Sigmoid_colon_volvulus>
[Accessed 8 April 2021].
28. References (Cont.’)
• 19) PhotoDune. n.d. Coffee bean macro isolated. [online] Available at:
<https://photodune.net/item/coffee-bean-macro-isolated/24889884>
[Accessed 8 April 2021].
• 20) Quizlet. n.d. Toxic megacolon. [online] Available at:
<https://quizlet.com/518023177/toxic-megacolon-flash-cards/> [Accessed 8
April 2021].