Gyn Uro
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1. A 31-year-old pregnant woman experienced acute fetal distress during labor and underwent an emergency cesarean section, delivering a healthy baby girl. 2. Postpartum, the woman developed hematuria and left flank pain. Imaging revealed a tear in her left renal pelvis causing hydronephrosis. 3. She underwent left percutaneous nephrostomy and cystoscopy, which identified a bladder injury possibly related to stitches from the cesarean section. The injuries were successfully treated without need for nephrectomy.
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This document discusses urinary obstruction at the upper and lower urinary tract. It classifies obstruction by cause, duration, degree, and level. Common causes of upper tract obstruction include ureteral stones, while lower tract obstruction may be due to conditions like benign prostatic hyperplasia. Left untreated, urinary obstruction can lead to complications like hydronephrosis, infection, and kidney damage. Physical exam findings may include palpable masses, flank pain, or enlarged kidneys. Treatment aims to relieve obstruction and eradicate any infection through methods like drainage or surgery.
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Aneurysm-like Invasion into the Bladder of Pernicious Placenta Previa with Pl...ANALYTICAL AND QUANTITATIVE CYTOPATHOLOGY AND HISTOPATHOLOGY
This case report describes a successful case of managing placenta percreta with invasion into the bladder. A 33-year-old woman at 35 weeks of gestation was found to have placenta previa and suspected placenta percreta. During a cesarean section and hysterectomy, it was discovered that newly formed vessels from the placenta had invaded the bladder wall. Prophylactic balloon occlusion of the lower abdominal aorta was performed to control hemorrhaging. The placenta, uterus, and part of the invaded bladder wall were removed. The massive intraoperative hemorrhage was successfully controlled and the patient recovered well. The management of newly formed vessels is crucial for effective treatment of placentVur reflex
This document describes the case of a 4-day old male neonate admitted to the hospital for evaluation of antenatally detected bilateral hydronephrosis. The baby was delivered full-term via normal vaginal delivery and initial examinations were normal. Antenatal ultrasounds showed progressively worsening bilateral hydronephrosis. Postnatal ultrasound confirmed bilateral hydronephrosis more severe on the left side. Laboratory tests and renal function were normal. A micturating cystourethrogram detected bilateral vesicoureteral reflux grade 3 on the right and grade 2 on the left. The baby received antibiotics and was discharged with instructions to follow-up in one month and continue prophylactic medications.
Obstructive uropathy in neonates
This document discusses obstructive uropathy in neonates. It presents a case of a preterm baby with bilateral hydronephrosis and a thick bladder wall. Key points discussed include the causes, presentations, investigations, and management of obstructive uropathy. Posterior urethral valves and ureteropelvic junction obstruction are examined in more detail. Vesicoureteric reflux is also summarized. The document emphasizes relieving obstruction, treating infection, and sorting the primary cause in managing obstructive uropathy.
Ascitis final
A 4-year-old girl presented with abdominal distension and mild constipation. Imaging studies revealed a large fluid collection in her abdomen. A paracentesis was performed and fluid analysis showed characteristics of a lymphatic cyst. During an exploratory laparotomy, a large multicystic mass was discovered originating from the omentum. The mass was surgically removed. Histopathological examination confirmed it was an omental cyst. The girl recovered well after surgery. Omental cysts are rare congenital lesions that can present in both children and adults with non-specific abdominal symptoms. Complete surgical excision is the treatment of choice.
Ectopic pregnancy PBL
1. This case involves a 22-year-old woman presenting with abdominal pain and vaginal bleeding. On examination, she was mildly pale with abdominal and pelvic tenderness. Tests showed a positive pregnancy test and transvaginal ultrasound found a gestational sac in the fallopian tube, indicating an ectopic pregnancy.
2. The main differential diagnoses considered were ectopic pregnancy, abortion, ovarian cyst rupture, and pelvic inflammatory disease. Ectopic pregnancy was determined to be most likely given the ultrasound findings and exam tenderness localized to the adnexa.
3. Treatment options for ectopic pregnancy include medication with methotrexate or surgical intervention like salpingostomy or salpingectomy.
Pelvic Inflammatory Disease
This document presents the case of a 21-year-old female admitted for abdominal pain. She has a history of smoking and is diagnosed with pelvic inflammatory disease (PID) based on symptoms of abdominal pain and vaginal discharge. She is treated with antibiotics and blood transfusions and shows improvement. The document also discusses PID, its causes, symptoms, diagnosis and treatment guidelines. It profiles the patient's family and their economic situation.
Case series of pseudocyst of pancreas
This document presents 6 case studies of patients with pseudocyst of the pancreas. It describes the patients' presentations, diagnostic evaluations, treatments and outcomes. The document also provides background information on pseudocysts including definition, risk factors, clinical features, diagnostic evaluations and treatment options. It concludes that pancreatic pseudocysts are increasingly detected due to improved imaging but often asymptomatic, and the decision to treat depends on symptoms, complications or need to rule out other pathology. Intervention may include endoscopic or surgical drainage procedures.
ectopic pregnancy.pptx
An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, most commonly in the fallopian tubes. Symptoms include abdominal or pelvic pain, vaginal bleeding, and amenorrhea. Diagnosis is suggested by beta-hCG levels that are rising but lower than expected for gestational age and confirmed by transvaginal ultrasound showing no intrauterine pregnancy. Treatment involves expectant management, medication with methotrexate, or surgical intervention laparoscopically or via laparotomy depending on stability of the patient.
suction and curettage
This document summarizes the pre-operative diagnosis, operative findings, and specimens collected for a patient undergoing an exploratory laparotomy for a suspected ovarian tumor. The 53-year-old patient presented with abdominal distension and discomfort and imaging showed a large pelvic mass arising from the left ovary. During surgery, an extensive left adnexal mass measuring 20x20x22cm was found involving the left pelvic side wall and colon. The uterus, right ovary, and both fallopian tubes were embedded in the mass. Specimens including the uterus with left ovarian tumor, omentum, and appendix were sent for histopathological examination.
High risk obstetrics
This document discusses two cases of high risk obstetrics. Case 1 involves a woman at 34 weeks gestation presenting with abdominal pain and bleeding. Her examination and investigations indicate signs of placental abruption. Case 2 involves a woman at 34.5 weeks gestation with a history of two previous cesarean sections and placenta previa diagnosed at 21 weeks. Her examination and ultrasound confirm placenta previa and possible placenta accreta. The document then discusses various questions related to the differential diagnosis, risk factors, complications, management, and delivery approach for conditions like placental abruption and placenta previa.
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This case report describes a rare combination of anomalies in a female newborn with Down syndrome that included jejunal atresia, colonic atresia, and imperforate anus. The newborn underwent surgery including jejunal, duodenal, and colon resection and anastomosis with appendectomy and colostomy. However, the newborn did not survive due to postoperative cardio-respiratory arrest from pulmonary hemorrhage. This combination of multiple intestinal atresias with imperforate anus in a female newborn with Down syndrome represents an extremely rare presentation.
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Drs. Rossi and Shreve’s CMC Abdominal Imaging Mastery Project: April Cases
Drs. Rossi and Shreve’s CMC Abdominal Imaging Mastery Project: April Cases
Spontaneous rupture of endometriotic cyst in 3rd trimester of pregnancy
Spontaneous rupture of endometriotic cyst in 3rd trimester of pregnancy
Prolonged Pleural Effusion following Liver Biopsy in a 10-Year-Old Girl
Prolonged Pleural Effusion following Liver Biopsy in a 10-Year-Old Girl
Aneurysm-like Invasion into the Bladder of Pernicious Placenta Previa with Pl...
Aneurysm-like Invasion into the Bladder of Pernicious Placenta Previa with Pl...
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Mis20070904為恭紀念醫院
1) Minimally invasive surgery techniques are becoming more common in pediatric surgery, including laparoscopic and thoracoscopic procedures for conditions like appendicitis, hernia repair, and pectus excavatum.
2) Some advantages of minimally invasive pediatric surgeries include less pain and scarring for patients, shorter hospital stays, and preservation of tissue and organs where possible.
3) New techniques discussed include single-incision laparoscopic appendectomy, submucosal injection of Deflux for vesicoureteric reflux, and the Nuss procedure using a metal bar for funnel chest repair instead of open cartilage removal.
96091164 Slice Ct And Cerebral Atherosclerosis02
1. Carotid endarterectomy reduces the risk of stroke compared to medical therapy alone in patients with symptomatic moderate (50-69%) carotid stenosis, with an absolute risk reduction of about 5-10% over 5 years.
2. For asymptomatic carotid stenosis ≥60%, carotid endarterectomy provides a relative risk reduction of 53% compared to aspirin alone, but medical therapy is still usually recommended due to the low baseline risk.
3. Carotid artery stenting is recommended for patients who are not suitable for surgery due to high surgical risk from conditions like severe cardiac or pulmonary disease.
為恭醫院 20070913
1. A new handheld ECG device has been developed to allow users to easily record their electrocardiogram (ECG) data anywhere and anytime without the help of medical technicians.
2. Clinical studies show the handheld ECG provides accurate ECG measurements and reliable wireless data transmission capabilities.
3. The handheld ECG can be used for clinical screening and health monitoring as part of a new telemedicine system, allowing physicians to remotely monitor patients' heart function.
0914
The most common cerebral vascular malformations are venous angiomas, which are usually asymptomatic. Arteriovenous malformations (AVMs) are the most common symptomatic cerebral vascular malformations, presenting most often with hemorrhage or seizures in individuals between 20-40 years of age. A vein of Galen malformation is a rare type seen in neonates presenting with high-output heart failure or older individuals with subarachnoid hemorrhage.
Cpc.0921presentation
This document summarizes the case of a woman who presented with nausea, respiratory failure, and hypotension. She was found to have signs of cardiogenic and septic shock. Imaging and testing revealed she had suffered an anterior myocardial infarction with rupture of the anterior papillary muscle, causing mitral regurgitation. She underwent surgery to repair the valve and bypass the coronary artery. Her postoperative recovery was complicated but she was eventually discharged and made a full recovery.
Tumor Lysis Syndrome2
The document discusses tumor lysis syndrome (TLS), a potentially fatal metabolic complication that can result from spontaneous or treatment-related tumor cell death. TLS is characterized by hyperuricemia, hyperkalemia, hyperphosphatemia and hypocalcemia. It defines TLS and outlines its frequency, etiology, risk factors, pathophysiology, prevention, diagnosis, and management, emphasizing the importance of identifying high-risk patients and initiating preventive treatment to avoid complications like acute renal failure.
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The document discusses various types of brain tumors categorized by location, age of patient, and other distinguishing features. It provides details on meningiomas, epidermoid tumors, glioblastomas, oligodendrogliomas, hemangioblastomas, and medulloblastomas including typical locations, appearances on imaging, and other characteristics. Example cases are presented and differential diagnoses are discussed.
膽道系統炎症之影像診斷
The document discusses various topics related to biliary anatomy and gallbladder disease:
1) It describes common gallbladder conditions like cholecystitis, gallstones, porcelain gallbladder, and Mirizzi syndrome.
2) Imaging findings for evaluating these conditions are provided, including ultrasound, CT, and ERCP findings.
3) Treatment options are summarized for various gallbladder diseases and complications.
Mixed Connective Tissure Disease
Mixed connective tissue disease (MCTD) is an overlap syndrome with features of systemic lupus erythematosus, scleroderma, and polymyositis/dermatomyositis. It is defined by the presence of high-titer antibodies against U1 ribonucleoprotein. Common clinical manifestations include Raynaud's phenomenon, arthritis, myositis, interstitial lung disease, gastrointestinal involvement, and vascular abnormalities. Prognosis is generally good, though pulmonary hypertension can sometimes lead to death within a few weeks if not properly managed. Treatment focuses on conventional therapies for the overlapping conditions.
Vns Therapy™ System For Weikong For Print
The document discusses VNS Therapy, a treatment for epilepsy patients who have difficulty controlling seizures through medications alone. It provides information on:
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- Clinical evidence that VNS Therapy can significantly reduce seizure frequency in refractory epilepsy patients and improve quality of life factors like mood and alertness.
- Safety data showing the risks of VNS Therapy are low, with most side effects being mild and transient.
- High patient and clinician satisfaction rates with VNS Therapy as an effective alternative or addition to medications for difficult-to-treat epilepsy.
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The document discusses principles for antibiotic use in critically ill patients, including:
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2) Reassessing and de-escalating treatment based on culture results and the patient's clinical response.
3) Factors that increase the risk of resistant pathogens like hospital-acquired infections require broader initial coverage.
96 11 30 Vhl Final
1. A 36-year-old man presented with a mass in his right adrenal gland and was found to have a pheochromocytoma, retinal hemangioma, kidney cysts, and liver lesions.
2. He was diagnosed with Von Hippel-Lindau disease based on his family history and multiple tumors.
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Financial Assets: Debit vs Equity Securities.pptx
financial assets represent claim for future benefit or cash. Financial assets are formed by establishing contracts between participants. These financial assets are used for collection of huge amounts of money for business purposes.
Two major Types: Debt Securities and Equity Securities.
Debt Securities are Also known as fixed-income securities or instruments. The type of assets is formed by establishing contracts between investor and issuer of the asset.
• The first type of Debit securities is BONDS. Bonds are issued by corporations and government (both local and national government).
• The second important type of Debit security is NOTES. Apart from similarities associated with notes and bonds, notes have shorter term maturity.
• The 3rd important type of Debit security is TRESURY BILLS. These securities have short-term ranging from three months, six months, and one year. Issuer of such securities are governments.
• Above discussed debit securities are mostly issued by governments and corporations. CERTIFICATE OF DEPOSITS CDs are issued by Banks and Financial Institutions. Risk factor associated with CDs gets reduced when issued by reputable institutions or Banks.
Following are the risk attached with debt securities: Credit risk, interest rate risk and currency risk
There are no fixed maturity dates in such securities, and asset’s value is determined by company’s performance. There are two major types of equity securities: common stock and preferred stock.
Common Stock: These are simple equity securities and bear no complexities which the preferred stock bears. Holders of such securities or instrument have the voting rights when it comes to select the company’s board of director or the business decisions to be made.
Preferred Stock: Preferred stocks are sometime referred to as hybrid securities, because it contains elements of both debit security and equity security. Preferred stock confers ownership rights to security holder that is why it is equity instrument
<a href="https://www.writofinance.com/equity-securities-features-types-risk/" >Equity securities </a> as a whole is used for capital funding for companies. Companies have multiple expenses to cover. Potential growth of company is required in competitive market. So, these securities are used for capital generation, and then uses it for company’s growth.
Concluding remarks
Both are employed in business. Businesses are often established through debit securities, then what is the need for equity securities. Companies have to cover multiple expenses and expansion of business. They can also use equity instruments for repayment of debits. So, there are multiple uses for securities. As an investor, you need tools for analysis. Investment decisions are made by carefully analyzing the market. For better analysis of the stock market, investors often employ financial analysis of companies.
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Introducing BONKMILLON - The Most Bonkers Meme Coin Yet
Let's be real for a second – the world of meme coins can feel like a bit of a circus at times. Every other day, there's a new token promising to take you "to the moon" or offering some groundbreaking utility that'll change the game forever. But how many of them actually deliver on that hype?
Sources of Revenue for State Government - Prof Oyedokun.pptx
Sources of Revenue for State Government - Prof Oyedokun.pptxGodwin Emmanuel Oyedokun MBA MSc PhD FCA FCTI FCNA CFE FFAR
Lecture slide on Sources of Revenue for State GovernmentTax System, Behaviour, Justice, and Voluntary Compliance Culture in Nigeria -...
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Lecture slide titled Tax System, Behaviour, Justice, and Voluntary Compliance Culture in Nigeria - Prof Oyedokun.pptxSeminar: Gender Board Diversity through Ownership Networks
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WhatsPump Thriving in the Whirlwind of Biden’s Crypto Roller Coaster
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Independent Study - College of Wooster Research (2023-2024)
"Does Foreign Direct Investment Negatively Affect Preservation of Culture in the Global South? Case Studies in Thailand and Cambodia."
Do elements of globalization, such as Foreign Direct Investment (FDI), negatively affect the ability of countries in the Global South to preserve their culture? This research aims to answer this question by employing a cross-sectional comparative case study analysis utilizing methods of difference. Thailand and Cambodia are compared as they are in the same region and have a similar culture. The metric of difference between Thailand and Cambodia is their ability to preserve their culture. This ability is operationalized by their respective attitudes towards FDI; Thailand imposes stringent regulations and limitations on FDI while Cambodia does not hesitate to accept most FDI and imposes fewer limitations. The evidence from this study suggests that FDI from globally influential countries with high gross domestic products (GDPs) (e.g. China, U.S.) challenges the ability of countries with lower GDPs (e.g. Cambodia) to protect their culture. Furthermore, the ability, or lack thereof, of the receiving countries to protect their culture is amplified by the existence and implementation of restrictive FDI policies imposed by their governments.
My study abroad in Bali, Indonesia, inspired this research topic as I noticed how globalization is changing the culture of its people. I learned their language and way of life which helped me understand the beauty and importance of cultural preservation. I believe we could all benefit from learning new perspectives as they could help us ideate solutions to contemporary issues and empathize with others.
SWAIAP Fraud Risk Mitigation Prof Oyedokun.pptx
SWAIAP Fraud Risk Mitigation Prof Oyedokun.pptxGodwin Emmanuel Oyedokun MBA MSc PhD FCA FCTI FCNA CFE FFAR
Lecture slide titled Fraud Risk Mitigation, Webinar Lecture Delivered at the Society for West African Internal Audit Practitioners (SWAIAP) on Wednesday, November 8, 2023.
Who Is Abhay Bhutada, MD of Poonawalla Fincorp
Abhay Bhutada, the Managing Director of Poonawalla Fincorp Limited, is an accomplished leader with over 15 years of experience in commercial and retail lending. A Qualified Chartered Accountant, he has been pivotal in leveraging technology to enhance financial services. Starting his career at Bank of India, he later founded TAB Capital Limited and co-founded Poonawalla Finance Private Limited, emphasizing digital lending. Under his leadership, Poonawalla Fincorp achieved a 'AAA' credit rating, integrating acquisitions and emphasizing corporate governance. Actively involved in industry forums and CSR initiatives, Abhay has been recognized with awards like "Young Entrepreneur of India 2017" and "40 under 40 Most Influential Leader for 2020-21." Personally, he values mindfulness, enjoys gardening, yoga, and sees every day as an opportunity for growth and improvement.
Eco-Innovations and Firm Heterogeneity. Evidence from Italian Family and Nonf...
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The study analyzes differences and primary drivers of green performance between family firms and non-family firms
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How will new technology fields affect economic trade?
What's a worker’s market? Job quality and labour market tightness
What's a worker’s market? Job quality and labour market tightnessLabour Market Information Council | Conseil de l’information sur le marché du travail
In a tight labour market, job-seekers gain bargaining power and leverage it into greater job quality—at least, that’s the conventional wisdom.
Michael, LMIC Economist, presented findings that reveal a weakened relationship between labour market tightness and job quality indicators following the pandemic. Labour market tightness coincided with growth in real wages for only a portion of workers: those in low-wage jobs requiring little education. Several factors—including labour market composition, worker and employer behaviour, and labour market practices—have contributed to the absence of worker benefits. These will be investigated further in future work.This assessment plan proposal is to outline a structured approach to evaluati...
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Applying the Global Internal Audit Standards_AIS.pdf
Applying the Global Internal Audit Standards_AIS.pdf
Sources of Revenue for State Government - Prof Oyedokun.pptx
Sources of Revenue for State Government - Prof Oyedokun.pptx
Tax System, Behaviour, Justice, and Voluntary Compliance Culture in Nigeria -...
Tax System, Behaviour, Justice, and Voluntary Compliance Culture in Nigeria -...
Seminar: Gender Board Diversity through Ownership Networks
Seminar: Gender Board Diversity through Ownership Networks
Abhay Bhutada Leads Poonawalla Fincorp To Record Low NPA And Unprecedented Gr...
Abhay Bhutada Leads Poonawalla Fincorp To Record Low NPA And Unprecedented Gr...
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WhatsPump Thriving in the Whirlwind of Biden’s Crypto Roller Coaster
WhatsPump Thriving in the Whirlwind of Biden’s Crypto Roller Coaster
Independent Study - College of Wooster Research (2023-2024)
Independent Study - College of Wooster Research (2023-2024)
Eco-Innovations and Firm Heterogeneity. Evidence from Italian Family and Nonf...
Eco-Innovations and Firm Heterogeneity. Evidence from Italian Family and Nonf...
OAT_RI_Ep20 WeighingTheRisks_May24_Trade Wars.pptx
OAT_RI_Ep20 WeighingTheRisks_May24_Trade Wars.pptx
What's a worker’s market? Job quality and labour market tightness
What's a worker’s market? Job quality and labour market tightness
This assessment plan proposal is to outline a structured approach to evaluati...
This assessment plan proposal is to outline a structured approach to evaluati...
Gyn Uro
- 1. OB / Gyn – Urology combined conference 主講者 : 湯夢彬 指導者 : 沈國壽 李之微 96-09-26
- 18. IVP and PV (Day 6) 5 min 15 min
- 26. Finding of Cystoscopy 1.Protruding mucosa and few necrotic change over posterior wall of the bladder. 2.Can’t detect the ureteral orifices, bilateral. 3.Found stitches over left lateral posterior wall. 4.No blood clots retention. (clear urine)
- 27. Cystoscopic biopsy ~ Chronic cystitis (inflammatory cell infiltration, interstitial edema, granulation tissue in lamina propria)
- 37. Hemodynamic changes in normal pregnancy 10 to 15 beat/min increase in heart rate