FCPD: Fibro Calculus Pancreatic Diabetes
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A 25-year-old male presented with a 2-year history of diarrhea, weight loss, and abdominal pain. Laboratory tests showed elevated blood glucose and lipids. Imaging revealed pancreatic calculi. A diagnosis of fibrocalculous pancreatic diabetes (FCPD) was made based on the pancreatic stones found on imaging combined with the confirmation of diabetes from blood glucose tests in the absence of characteristics of type 1 or 2 diabetes.
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Este documento presenta una secuencia didáctica para educar sobre la protección de las mujeres contra la violencia de género en Argentina. La secuencia incluye cuatro fases: 1) presentar el problema de la violencia de género, 2) presentar la Ley 26485 y dependencias estatales, 3) reorganizar conocimientos sobre el tema, y 4) difundir la información a través de una campaña. El objetivo es que los estudiantes conozcan sobre la violencia de género, la ley que la protege, y como el estado aborda
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Protección de las mujeres contra la violencia de genero en la argentina
Protección de las mujeres contra la violencia de genero en la argentina
Similar to FCPD: Fibro Calculus Pancreatic Diabetes
Hypertension
This document presents a case study of a 47-year-old female patient named Mrs. Dhakshayani who is being treated for hypertension. She has been taking medication for hypertension for 1 year. On examination, her blood pressure was found to be 178/90 mmHg, indicating stage 2 hypertension. She has a family history of hypertension in her husband. Her diet lacks vegetables and fruits. The provisional diagnosis is stage 2 hypertension. The goals are to reduce her weight by 5-7 kg through a low sodium, low fat diet and increased physical activity, and to bring her blood pressure under control through regular medical checkups and medication compliance.
Celiac common presentation of a uncommon disease saved with date
A 38-year-old female presented with abdominal distention, leg edema, and loose motions for 4-6 months. Her history revealed multiple hospital admissions for anemia. Testing showed liver cirrhosis, hypothyroidism, and iron deficiency anemia. Upper endoscopy found flattened duodenal folds and villous atrophy. Biopsy revealed celiac disease. She was started on a gluten-free diet with improvement in symptoms. Celiac disease causes villous atrophy and malabsorption from intolerance to gluten, presenting variably from anemia to osteoporosis. Diagnosis requires biopsy showing villous atrophy after gluten exposure.
Dr. taieb
This document contains a case report for a 55-year-old male patient who presented with a 2-day fever and 1-day pain in his scrotum. On examination, his left scrotum was swollen and tender. His medical history includes smoking 30 packs per year and a recent ischemic stroke. Laboratory tests showed elevated inflammatory markers. Imaging found a mass in his lung and lesions in his testicles. The diagnosis was determined to be small cell carcinoma of the lung with epididymo-orchitis, hyponatremia, urinary tract infection, and history of ischemic stroke. He was prescribed various medications to treat his conditions.
casepresentation-180720092030.pdf
This document presents the case of a 55-year-old female admitted with acute pancreatitis. She has a history of recurrent epigastric pain and was previously treated for suspected acute cholecystitis. On current admission, she has epigastric tenderness and elevated lipase. Imaging reveals no gallstones but incidental pneumonia. She is managed supportively with IV fluids and analgesics. Her symptoms and labs improve and she is discharged on a soft diet. The document reviews the etiology, pathogenesis, diagnosis, assessment of severity, management considerations, and follow-up care for acute pancreatitis.
Esophageal varices
A 59-year-old Chinese man was admitted to the hospital for vomiting blood. He has a history of hepatitis C and is a smoker, drinker, and former drug user. Physical examination found abdominal distension with fluid thrill and shifting dullness. Testing showed signs of liver dysfunction. The provisional diagnosis is esophageal varices secondary to liver disease, likely cirrhosis. Esophageal varices form as a result of portal hypertension in liver disease and can bleed, potentially severely. Treatment focuses on stopping the bleeding and lowering portal pressure through various medical and procedural options.
GASTRIC CARCINOMA
This document presents two case studies of patients with gastric cancer. The first case is a 60-year-old male who presented with epigastric pain and vomiting for two months. Various tests were performed and it was determined that he had a signet ring cell type adenocarcinoma of the stomach. He underwent a laparoscopic gastrectomy. The second case is a 72-year-old male who also presented with epigastric pain and chest heaviness. He was found to have adenocarcinoma of the stomach as well and underwent a laparoscopic gastrectomy. The document then provides further details on the anatomy, histopathology, classification, staging, signs and symptoms, and management of
Alcoholic Liver Disease
A 42-year-old male farmer presented with abdominal distension, pain, decreased urine output, and weight loss over the past two weeks. His history revealed chronic alcohol use over 30 years consuming 4.5-5.6 units daily. Examination found ascites and coagulopathy. Tests showed renal failure, cirrhosis, and transudative ascites. He was diagnosed with alcoholic liver disease complicated by ascites and hepatorenal syndrome due to chronic alcohol-induced cirrhosis. Management involved lifestyle changes including abstaining from alcohol and nutritional support.
cholestasis of pregnancy/ obstetric cholestasis
This case presentation describes a 22-year-old pregnant woman at 36 weeks of gestation presenting with generalized itching for 1 month. Her liver function tests showed elevated levels. She was diagnosed with intrahepatic cholestasis of pregnancy and managed conservatively with ursodeoxycholic acid and other medications. Her symptoms improved. At 38 weeks and 6 days, she underwent induction of labor and had a normal vaginal delivery of a live male infant.
A case report of acute pancrititis
The document describes a case report of an 80-year-old male who presented with abdominal pain for 4 days. On examination, he had tenderness in the epigastric and right upper quadrant regions. Laboratory tests showed elevated lipase, amylase and CRP, consistent with acute pancreatitis. CT imaging revealed a relatively enlarged pancreas. He was admitted and treated supportively with IV fluids, antibiotics and pain medications. His condition gradually improved and he was discharged. Common scoring systems for evaluating severity of acute pancreatitis like Ranson's criteria and BISAP score are discussed.
A Case of Bartter's Syndrome
The 41-year-old male presented with quadriplegia, muscle cramps, and hypokalemia with hypocalcemia and metabolic alkalosis. Diagnostic tests found increased urinary excretion of potassium, chloride, and calcium with normal magnesium levels. He was diagnosed with Bartter's syndrome type V, confirmed by genetic testing showing a gain of function mutation in the calcium-sensing receptor gene, which presents with hypocalcemia. Adult onset Bartter's syndrome is rare but has been reported in a few case studies of patients diagnosed between ages 28 to 52 years old.
Approach acute diarrhea with comorbid diseases
1. The patient, a 57-year-old female, presented with fever for one week and diarrhea for one day. She had a history of diabetes, hypertension, and coronary artery disease.
2. On examination, she had a temperature of 36°C, tenderness in the right upper quadrant, and typhoid tongue. Laboratory tests showed hypercholesterolemia.
3. She was assessed with acute gastroenteritis, likely typhoid fever given her history of travel to an endemic area. She was started on treatment and monitoring for her comorbidities. Further diagnostic tests were planned to confirm the diagnoses.
Approach acute diarrhea with comorbid diseases
1. The patient, a 57-year-old female, presented with fever for one week and diarrhea for one day. She had a history of diabetes, hypertension, and coronary artery disease.
2. On examination, she had a temperature of 36°C, tenderness in the upper right abdominal quadrant, and typhoid tongue. Laboratory tests showed hypercholesterolemia.
3. She was assessed with acute gastroenteritis, likely typhoid fever given her history of travel to a malaria-endemic area and change in diet. She was started on treatment and monitoring for her comorbidities. Further diagnostic tests were planned to confirm the diagnoses.
Approach acute diarrhea with comorbid diseases
The patient is a 57-year-old female who presented with fever for one week and diarrhea for one day. She has a history of diabetes mellitus, hypertension, and coronary artery disease. On examination, she had a temperature of 36°C, tenderness in the right upper quadrant, and typhoid tongue. Laboratory tests showed hypercholesterolemia. She was assessed with acute gastroenteritis, likely typhoid fever given her recent travel history and presentation. She was started on treatment and monitoring for her multiple comorbidities.
Approach to Pediatric Hypoglycemia
This document describes the case of a 2 year old boy presenting with vomiting, loose stools, and lethargy. He was found to have severe hypoglycemia and metabolic acidosis. He was admitted multiple times with a similar presentation. Critical lab samples showed elevated acylcarnitines, suggesting a fatty acid oxidation defect. The lab results, recurrent presentation, and family history are consistent with an inborn error of metabolism causing hypoglycemia.
Presentation (16).pptx
A 57-year-old female presented with shortness of breath and a dry cough. She has a history of diabetes, hypertension, and chronic myeloid leukemia treated with dasatinib for 3 years. CT scan showed a bilateral pleural effusion greater on the right side. Pleural fluid analysis found an exudative effusion. Further tests determined it was a chylothorax based on triglyceride levels. Dasatinib was stopped and she was treated with diuretics and steroids, and the effusion resolved after 12 days. The presentation aims to discuss the rare occurrence of dasatinib-induced chylothorax.
Interns report on colorectal ca
this is a case report done by a medical intern about colorectal Ca, ppt was done via input and compilation from other ppt
Gestational Diabetes mellitus case
This document summarizes the medical examination and diagnosis of a 36-year-old pregnant woman named Khadija. She presented with nausea, morning sickness, and a 4-week history of amenorrhea and was found to be 4 weeks pregnant. She also reported a history of diabetes for 1.5 years. On examination, she appeared ill and anxious with normal vital signs and mild anemia. Laboratory tests confirmed diabetes in pregnancy with elevated blood sugar levels. She was diagnosed with diabetes in pregnancy and a treatment plan was outlined involving insulin, antiemetics, antiulcer medication, and folic acid, with advice on diet, rest, and follow up in 14 days.
Myoma uteri presentation
The document describes a case of a 48-year-old Thai woman who presented with abnormal uterine bleeding, anemia, and an abdominal mass found to be multiple uterine fibroids. She underwent a total abdominal hysterectomy with bilateral salpingooophorectomy to treat the fibroids, and her postoperative recovery was uneventful.
Colorectal carcinoma.pptx
Mr. X, a 75-year-old male with a history of constipation and abdominal bloating, presented with worsening symptoms over 10 days. On physical examination, his abdomen was distended with direct tenderness. Investigations showed an obstructing colonic mass, elevated CEA, and dilated colon on CT scan. He underwent an exploratory laparotomy with sigmoidectomy and Hartmann's procedure. Biopsy of the sigmoid mass revealed colorectal carcinoma invading through the muscularis propria into pericolic tissue, though margins and lymph nodes were negative.
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Celiac common presentation of a uncommon disease saved with date
Celiac common presentation of a uncommon disease saved with date
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Barriers to insulin therapy
The document discusses barriers to insulin therapy from both doctors' and patients' perspectives. It identifies common concerns that discourage insulin use, such as fears of hypoglycemia, pain of injections, dependency, and social embarrassment. It provides strategies for addressing these concerns, such as starting with small doses and modern injection devices, educating on avoiding hypoglycemia, and demonstrating that injections are relatively painless. The role of physicians is to thoroughly explain insulin therapy and its benefits, address patients' myths, and empower them to control their blood glucose levels.
Diabetes a brief overview for Diabetic patient
This document provides an overview of diabetes, including the different types and how they are managed. It discusses:
1) Type 1 diabetes is characterized by an inability to produce insulin and requires lifelong insulin treatment. Type 2 diabetes is more common and associated with insulin resistance, often developing in overweight adults over 40.
2) Untreated diabetes can lead to hyperglycemia and long-term complications affecting the eyes, kidneys, nerves, heart and feet. Managing diabetes involves monitoring blood sugar, healthy eating, physical activity, medication and preventing other risk factors.
3) One in four adults has prediabetes with elevated but not diabetic blood sugar levels. Lifestyle changes can help prevent or delay the progression to full
SMBG (Self Monitoring of Blood Glucose)
This document provides information for diabetes educators on self-monitoring of blood glucose (SMBG). It explains that SMBG, as part of diabetes self-management education and support, can help patients understand the importance of monitoring, interpreting results, and maintaining a logbook to improve diabetes care. The document then answers frequently asked questions about how to properly use a glucometer, when to test blood glucose levels, normal ranges, and what to do if levels are too high or too low. It emphasizes the importance of keeping accurate records in a logbook to share with physicians.
Diet and exercise in diabetes
This document discusses medical nutrition therapy and exercise recommendations for diabetes. It outlines the basic objectives of nutrition therapy as achieving ideal body weight, preventing hypoglycemia, and managing comorbidities. It then describes the steps for individualized diet planning, including assessing food habits, calculating calorie needs, distributing calories among meals, and developing a menu. Exercise guidelines emphasize aerobic and resistance training to improve insulin sensitivity. The document provides guidance on exercise intensity, duration, and types of exercise appropriate for diabetes management.
Diabetes Quiz
This document contains a 27-question quiz on diabetes and diabetes management. Each question is followed by detailed explanations of the answers. The questions cover topics like insulin administration, criteria for diagnosing diabetes, oral hypoglycemic agents, sick day rules, complications of diabetes, and standards of care.
Hypothyroid
This document provides information about hypothyroidism. It begins with an overview of thyroid disease causes and classifications. The majority of thyroid problems are primary thyroid issues caused by autoimmune disorders like Hashimoto's thyroiditis or Graves' disease. Hypothyroidism is characterized by low thyroid hormone levels and elevated TSH, while hyperthyroidism is high thyroid hormone levels and suppressed TSH. The document then discusses the hypothalamic-pituitary-thyroid axis and how different thyroid conditions affect the levels of TSH, T4 and T3. It provides treatment guidelines for hypothyroidism, including starting doses and monitoring of levothyroxine replacement therapy. Subclinical hypothyroidism is defined
Type 1 Diabetes Mellitus
A 12-year-old girl presented with a 4-5 kg weight loss over recent weeks along with nausea, increased thirst and urination. Laboratory tests showed elevated blood sugar, urine sugar and ketones. Based on the history of early onset, lack of family history of diabetes, and symptoms of polyuria, polydipsia and weight loss, the provisional diagnosis is type 1 diabetes mellitus. Type 1 diabetes results from immune-mediated destruction of pancreatic beta cells, leading to absolute insulin deficiency. Further testing of autoantibodies can help confirm the diagnosis.
GDM :Gestational Diabetes Mellitus
A 26-year-old female in her 24th week of pregnancy presented for an antenatal checkup. She had no significant medical history but her mother had type 2 diabetes. Laboratory tests found her fasting blood glucose was 93 mg/dL, 1-hour postprandial was 196 mg/dL, and 2-hour was 153 mg/dL on an oral glucose tolerance test. Her Hba1c was 7%. She was screened for gestational diabetes due to her family history of diabetes.
LADA: Latent Autoimmune Diabetes in Adults
A 42-year-old male presented with excessive urination and fatigue over the past 8 months. Laboratory tests showed elevated fasting blood glucose, post-prandial blood glucose, HbA1c, and ketones in the urine. Further testing found low C-peptide levels and positive GAD antibodies, confirming a diagnosis of latent autoimmune diabetes in adults (LADA), a type of diabetes that shares characteristics of both type 1 and type 2 diabetes. LADA is characterized by autoimmune destruction of the pancreatic beta cells and low insulin production in adults, treated primarily with insulin therapy.
MODY: Maturity Onset Diabetes in Young
A 23-year old male student presents with unintentional weight gain of 8 kg and increased nighttime urination over the past few months. He has a family history of diabetes in his grandfather and father. Laboratory tests reveal elevated fasting blood glucose, post-prandial blood glucose, HbA1c, and microalbuminuria. Based on his young age of onset, family history, and laboratory results consistent with diabetes but not ketosis or autoimmunity, the diagnosis is likely maturity-onset diabetes of the young (MODY).
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The Nervous and Chemical Regulation of Respiration
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Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
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7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
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2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
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- Link to NephroTube website: www.NephroTube.com
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- 1. Case 6 History: 25 yr, male, c/o pain in abdomen. For past 2 yrs he had h/o diarrhea and sticky stool (Steatorrhea), and there was weight loss. Past History : Nothing significant. Family History: No family history of DM Personal History: He does not consume Tobacco or Alcohol
- 7. Thank You