Gunshot Injury - Rare Presentation

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Sanjoy Sanyal

Presented in Victoria Hospital, Seychelles in 2004

Health & Medicine

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This was presented by Dr Sanjoy Sanyal at the 2016 International Education Conference in Orlando, FL on 4 January 2016 in Disney's Boardwalk Inn. It was voted the best paper presentation of the session by the attendees. Educational Video created by Dr Sanjoy Sanyal; Professor, Surgeon and Medical Informatician Deals with Blended / Hybrid Learning, Rotation Model, Flipped Classroom, Student responses, Audience Response System Clicker,

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This is an MR Angiography sequence of a 46-year old male patient who was being investigated for TIA. The image sequence shows 3-D Time of Flight (TOF) Spoiled Gradient Recall (SPGR) Echo Acquisition images. It shows the Vertebrobasilar and Carotid systems of Cerebral circulation. An incidental finding was abnormal Right Vertebral artery - Narrow, Double, Accessory, Communication with Right Internal Carotid. The best way to visualize the image is by slideshow - imagine the head is rotating clockwise. There are plenty of labels in the images to guide the viewer.

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

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