This document discusses endoscopy, its history, principles, types, and applications. It describes how endoscopy allows examination of the gastrointestinal tract using an endoscope, a flexible tube with a camera. Key developments in endoscopy are outlined from 1958 to present. The document discusses various endoscopic procedures including upper GI endoscopy, enteroscopy, colonoscopy, and their indications. It provides details on endoscopy techniques, benefits, complications, and images.
COLONOSCOPY- A PICTORIAL OVERVIEW
• Dear viewers,
• Greetings from “Surgical Educator”
• This week I have uploaded a video on Colonoscopy- the Lower GI Endoscopy.
• In this episode, I showed only the colonoscopic features of common pathologies in colon and rectum.
• I restricted my talk to the essential minimum that an undergraduate medical student must know about the Colonoscopy.
• I discussed about the diagnostic and therapeutic procedures you can do with the Colonoscopy.
• I hope it would be interesting and very useful to all my viewers.
• You can access this video in the following links:
• surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
• Thank you for watching the video.
LAPAROSCOPIC CHOLECYSTECTOMY- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #laparoscopiccholecystectomy #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and Open Cholecystectomy.
• In this video today, I have discussed Laparoscopic Cholecystectomy- the flagship procedure for laparoscopic surgeries.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and the links are:
• https://www.youtube.com/watch?v=VStEzI1jL8Y
• https://www.youtube.com/watch?v=O8j4kwpzd24
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
Endoscopy: Types, Preparation, Diagnosis, Procedure and RisksYashodaHospitals
An endoscopy is a diagnostic tool. Find out what it is used for, what happens during an endoscopy, various types of procedure available and endoscopy risks.
COLONOSCOPY- A PICTORIAL OVERVIEW
• Dear viewers,
• Greetings from “Surgical Educator”
• This week I have uploaded a video on Colonoscopy- the Lower GI Endoscopy.
• In this episode, I showed only the colonoscopic features of common pathologies in colon and rectum.
• I restricted my talk to the essential minimum that an undergraduate medical student must know about the Colonoscopy.
• I discussed about the diagnostic and therapeutic procedures you can do with the Colonoscopy.
• I hope it would be interesting and very useful to all my viewers.
• You can access this video in the following links:
• surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
• Thank you for watching the video.
LAPAROSCOPIC CHOLECYSTECTOMY- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #laparoscopiccholecystectomy #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and Open Cholecystectomy.
• In this video today, I have discussed Laparoscopic Cholecystectomy- the flagship procedure for laparoscopic surgeries.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and the links are:
• https://www.youtube.com/watch?v=VStEzI1jL8Y
• https://www.youtube.com/watch?v=O8j4kwpzd24
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
Endoscopy: Types, Preparation, Diagnosis, Procedure and RisksYashodaHospitals
An endoscopy is a diagnostic tool. Find out what it is used for, what happens during an endoscopy, various types of procedure available and endoscopy risks.
Colonoscopy is a procedure used to see
inside the colon and rectum. Colonoscopy can detect inflamed tissue, ulcers,
and abnormal growths. The procedure is used to look for early signs of
colorectal cancer and can help doctors diagnose unexplained changes in bowel
habits, abdominal pain, bleeding from the anus, and weight loss.
NIDDK
Endoscopy is a nonsurgical procedure used to examine a person's digestive tract.
Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a color TV monitor.
Unlike many other medical imaging technique, endoscopes are inserted directly into the organ.
DIGITAL RECTAL EXAMINATION- Skill Lab- OSCE
#digitalrectalexamination #surgicaleducator #babysurgeon #skilllab #osce
Subscription Link: http://youtube.com/c/surgicaleducator...
Surgical Educator Android App link: https://play.google.com/store/apps/de...
Dear viewers,
• Greetings from “Surgical Educator”
• Today I am uploading one more video on Skill Lab procedure for your OSCE exam.
• In this episode, I am talking about the DRE- Digital Rectal Examination , the skill which should be mastered by all medical students.
• I hope you can master the skill by watching this video and can do all the steps in the correct sequence.
• You can enjoy all my videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
Colonoscopy is a procedure used to see
inside the colon and rectum. Colonoscopy can detect inflamed tissue, ulcers,
and abnormal growths. The procedure is used to look for early signs of
colorectal cancer and can help doctors diagnose unexplained changes in bowel
habits, abdominal pain, bleeding from the anus, and weight loss.
NIDDK
Endoscopy is a nonsurgical procedure used to examine a person's digestive tract.
Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a color TV monitor.
Unlike many other medical imaging technique, endoscopes are inserted directly into the organ.
DIGITAL RECTAL EXAMINATION- Skill Lab- OSCE
#digitalrectalexamination #surgicaleducator #babysurgeon #skilllab #osce
Subscription Link: http://youtube.com/c/surgicaleducator...
Surgical Educator Android App link: https://play.google.com/store/apps/de...
Dear viewers,
• Greetings from “Surgical Educator”
• Today I am uploading one more video on Skill Lab procedure for your OSCE exam.
• In this episode, I am talking about the DRE- Digital Rectal Examination , the skill which should be mastered by all medical students.
• I hope you can master the skill by watching this video and can do all the steps in the correct sequence.
• You can enjoy all my videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
Laparoscopy is an innovative diagnostic and surgical tool in veterinary field. Laparoscopic surgeries revolutionizes the minimally invasive surgical approaches with less surgical trauma and faster recovery.
Basic principles of ultrasound.
Terms used in ultrasound.
Advantages of ultrasound.
Definition of acute abdomen.
Differential Diagnosis.
Abdominal ultrasound technique.
USG findings in most common pathologies.
Conclusion.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. Endoscopy is a nonsurgical procedure used to examine a
person's Gastrointestinal tract using an endoscope, a flexible
tube with a light and camera attached to it
3. 1958 Development of fibreoptic gastroscope
1968 Endoscopic retrograde pancreatography
1969 Colonoscopic polypectomy
1970 Endoscopic retrograde cholangiography
1974 Endoscopic sphincterotomy (with bile duct stone extraction)
1979 Percutaneous endoscopic gastrostomy
1980 Endoscopic injection sclerotherapy
1980 Endoscopic ultrasonography
1983 Electronic (charge coupled device) endoscope
1985 Endoscopic control of upper gastrointestinal bleeding
1990 Endoscopic variceal ligation
1996 Introduction of self-expanding metal stents
2008 Endomicroscopy delivers histological mucosal definition
4. UPPER GI ENDOSCOPY
ENTEROSCOPY
COLONOSCOPY
5.
6. ENDOSNCOPY PRINCIPLE
Endoscopy minimally invasive
diagnostic medical procedure
used to evaluate interior surface
of an organ.
Endoscope may have rigid or
flexible tube inserted into body. It
has ability to looking inside the
body using a variety of very small
cameras attached to flexible or
rigid tube. It facilitates direct
viewing the interior of an organ is
often very helpful in determining
the cause of a problem.
7. ENDOSCOPY
PRINCIPLE(CONTD…)
An endoscope is a flexible tube
equipped with lenses and a light
source. Illumination is done by the help
of a number of optical fibers.
Video endoscopy performed by
attaching in microchip camera at the
insertion tube, setup image is viewed on
a video monitor.
10. Superior to Radiology
Except for motility disorders
Take Biopsies
Explain cause of pain
Reflux Oesophagitis
Ulcer disease
Oesophagus to jejunum
Malignancy
31/07/2016 10
21. Indications:
GI bleeding of obscure origin
Chronic diarrhoea
Malabsorptive syndrome
Chronic abdominal pain
Therapeutic application:
Foreign body removal
Mucosal resection
Insertion of SEMS
Dilatation of stricture in Crohn’s disease
ERCP after Billroth II or Roux-en-Y reconstruction or
after bariatric surgery
22. Described by Tada in 1977
Sonde enteroscopy
Working length of 250-400cm
Propelled by small bowel peristalsis
Lack of working channel and prolonged examination time
23. Performed with a dedicated enteroscope with an overtube
Method:
Overtube loaded onto the enteroscope
Enteroscope enter the proximal jejunum
Overtube pushed into the 3rd part of duodenum and held by
assistant
Enteroscope proceed to advance into the jejunum
Depth of insertion: 40 to 100cm past ligament of Treitz
24.
25.
26.
27. In contrast to DBE, balloon is not
attached to the tip of the
enteroscope
Stable positioning in the small
bowel is achieved during
withdrawal of the scope by angling
the tip of the endoscope
28.
29. Described by Dr Akerman
First performed in 2006
Applies the mechanical advantage of a screw to convert
rotational force into linear one
Currently more than 2000 cases have been performed
worldwide
31. Method
Overtube is backloaded on the enteroscope
Advanced slowly with gentle clockwise rotation of the overtube
Spiral passes beyond the ligament of Treitz
Spiral threads engage in the jejunum and mobile small bowel can
be rapidly pleated onto the enteroscope
34. CAPSULE ENDOSCOPY
Capsule endoscopy was first used in humans in 1999.
First publication on capsule endoscopy was published in
Nature in 2000:
Iddan G, Meron G, Glukhovsky A, Swain P. Wireless capsule
Endoscopy. Nature. 2000; 405:417.
37. HOW DOES CAPSULE
ENDOSCOPY WORK?
Capsule is initially stored in a case containing a magnet that
inhibits capsule activation. Once it taken out of the case, the LEDs
start to flash and the capsule start to transmit.
Eight aerial leads that are attached around the patient’s abdomen
collect data.
Capsule ingested as any other capsule.
Patient can drink clears immediately, but no solid food for 3 hours.
Attached to the leads is the recorder and the patient should report
back if it stops recording for any reason.
Belt and aerial should be worn for 8 hours after swallowing or until
the recorder stops recording.
Recorder and aerials are returned, but the capsule is disposable!
Images are downloaded and processed prior to interpretation.
39. 39
Direct mucosal visualisation
Patient acceptibility
Lack of ionising radiation
40. 40
Cost
Reporting time
Impaction
Difficult to localise the lesion
High miss rate
41.
42. 1
Overview
• Colonoscopy is a procedure used to see
inside the colon and rectum.
• Colonoscopy can detect inflamed tissue,
ulcers,
and abnormal growths.
• The procedure is used to look for early
signs of colorectal cancer and can help
doctors diagnose unexplained changes in
bowel habits, abdominal pain, bleeding
from the anus, and weight loss.
43. Rectal bleeding with looser or more
frequent stools ±
abdominal pain related to bowel
actions
Iron deficiency anaemia (after
biochemical confirmation ±
negative coeliac serology):
oesophagogastroduodenoscopy and
colonoscopy together
Right iliac fossa mass if ultrasound
is suggestive of colonic origin
Change in bowel habit associated
with fever/elevated inflammatory
response
Chronic diarrhoea (>6 weeks) after
sigmoidoscopy/rectal
biopsy and negative coeliac serology
Follow up of colorectal cancer and
polyps
Screening of patients with a
family history of colorectal cancer
Assessment/removal of a lesion
seen on radiological examination
Assessment of ulcerative
colitis/Crohn’s extent and activity
Surveillance of inflammatory
bowel disease
Surveillance of
acromegaly/ureterosigmoidostomy