Intussusception is a condition where one part of the bowel slides into the next, blocking fluid and food passage and cutting off blood supply. It most commonly affects children under 2 years old. Symptoms include abdominal pain, vomiting, and bloody stools. Diagnosis is usually via ultrasound or enema x-ray. Treatment involves nonsurgical reduction via air or liquid enema or surgical reduction if complications are present. With treatment, prognosis is excellent though recurrence or complications can sometimes occur.
Intussusception is the most common acute abdominal disorder of early childhood. In this lecture, we describe the manifests of Intussusception, the diagnosis, and the treatment of this disease.
Intussusception is the most common acute abdominal disorder of early childhood. In this lecture, we describe the manifests of Intussusception, the diagnosis, and the treatment of this disease.
NEONATAL BILIOUS VOMITING- PART 1 & 2
Dear Viewers,
Greetings from “Surgical Educator”
Today I have uploaded two videos on “Neonatal bilious Vomiting- Part 1 & 2. In this episode, I talked about various congenital causes for bowel obstruction in neonatal babies that also cause bilious vomiting. Since there are many causes, I have created two videos to cover everything. In Part1, I talked about duodenal atresia, annular pancreas, malrotation, jejunal & ileal atresia and necrotising enterocolitis. In Part2, I talked about Hirschsprung’s disease, meconium ileus, meconium plug, small left colon syndrome and meconium peritonitis. I request you to watch both videos together and I hope you will enjoy them. You can watch all my surgical teaching video casts in the following links:
Surgicaleducator.blogspot.com
Youtube.com/c/surgicaleducator
Thank you for your support.
a short demonstration on appendicitis in children describing the anatomy,embryology,anatomical variations,etio-patho-physiology of appendicitis,different presentations in various age groups,diagnostic pathways,differential diagnosis,management,complication and outcome
Commonest cause for empty scrotum is undescended testis. Proper education of physicians and parents regarding timing of surgery is mandatory to avoid serious consequences.
NEONATAL BILIOUS VOMITING- PART 1 & 2
Dear Viewers,
Greetings from “Surgical Educator”
Today I have uploaded two videos on “Neonatal bilious Vomiting- Part 1 & 2. In this episode, I talked about various congenital causes for bowel obstruction in neonatal babies that also cause bilious vomiting. Since there are many causes, I have created two videos to cover everything. In Part1, I talked about duodenal atresia, annular pancreas, malrotation, jejunal & ileal atresia and necrotising enterocolitis. In Part2, I talked about Hirschsprung’s disease, meconium ileus, meconium plug, small left colon syndrome and meconium peritonitis. I request you to watch both videos together and I hope you will enjoy them. You can watch all my surgical teaching video casts in the following links:
Surgicaleducator.blogspot.com
Youtube.com/c/surgicaleducator
Thank you for your support.
a short demonstration on appendicitis in children describing the anatomy,embryology,anatomical variations,etio-patho-physiology of appendicitis,different presentations in various age groups,diagnostic pathways,differential diagnosis,management,complication and outcome
Commonest cause for empty scrotum is undescended testis. Proper education of physicians and parents regarding timing of surgery is mandatory to avoid serious consequences.
Neonatal necrotizing enterocolitis
NEC is the most common life-threatening emergency of the gastrointestinal tract in the newborn period. The disease is characterized by various degrees of mucosal or transmural necrosis of the intestine. The cause of NEC remains unclear but is most likely multifactorial. The incidence of NEC is 1-5% of infants in neonatal intensive care units (NICUs). Both incidence and case fatality rates increase with decreasing birthweight and gestational age. Because very small, ill preterm infants are particularly susceptible to NEC, a rising incidence may reflect improved survival of this high-risk group of patients.
Clinical Manifestations
Infants with NEC have a variety of signs and symptoms and may have an insidious or sudden catastrophic onset (Table 96-1). The onset of NEC is usually in the 2nd or 3rd week of life but can be as late as 3 mo in VLBW infants. Age of onset is inversely related to gestational age. The 1st signs of impending disease may be nonspecific, including lethargy and temperature instability, or related to gastrointestinal pathology, such as abdominal distention and gastric retention. Obvious bloody stools are seen in 25% of patients. Because of nonspecific signs, sepsis may be suspected before NEC. The spectrum of illness is broad, ranging from mild disease with only guaiac-positive stools to severe illness with bowel perforation, peritonitis, systemic inflammatory response syndrome, shock, and death. Progression may be rapid, but it is unusual for the disease to progress from mild to severe after 72 hr.
Diagnosis
A very high index of suspicion in treating preterm at-risk infants is crucial. Plain abdominal radiographs are essential to make a diagnosis of NEC. The finding of pneumatosis intestinalis (air in the bowel wall) confirms the clinical suspicion of NEC and is diagnostic; 50-75% of patients have pneumatosis when treatment is started (Fig. 96-4). Portal venous gas is a sign of severe disease, and pneumoperitoneum indicates a perforation (Figs. 96-4 and 96-5). Hepatic ultrasonography may detect portal venous gas despite normal abdominal roentgenograms .
it is painful condition for boys , coming in emergency, ultrasound is basic imaging .it is to see testes and accordingly guide the surgeon whether testes could be saved
A developmental anomaly is a broad term used to define conditions which are present at conception or occur before the end of pregnancy. In the case of cerebral palsy, a small number also occur after birth. this is also a birth defect.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. INTUSSUSCEPTION
• Intussusception (in-tuh-suh-SEP-shun) is the most common
abdominal emergency affecting children under 2 years old.
It happens when one portion of the bowel slides into the
next, much like the pieces of a telescope.
• When this "telescoping" happens, the flow of fluids and
food through the bowel can become blocked, the intestine
can swell and bleed, and the blood supply to the affected
part of the intestine can get cut off. Eventually, this can
cause part of the bowel to die.
• Intussusception happens in 1 to 4 out of every 1,000 infants
and is most common in babies 5 to 9 months old, though
older children also can have it. Boys get intussusception
more often than girls.
3.
4. Epidemiology
• The male-to-female ratio is approximately 3:2.
• Two thirds of patients are under one year old, the
peak age being between 5-10 months.
• Intussusception is the most common cause of
intestinal obstruction in patients aged 5 months-3
years and accounts for up to 25% of abdominal
emergencies in children up to age 5.
• It is rare preterm.
• One large Swiss study found an overall incidence
of 38, 31 and 26 cases per 100,000 live births in
the first, second and third year of life respectively.
5. Presentation
• It is usually of sudden onset, and may be more insidious in the older child.
• There are paroxysms (about every 10-20 minutes) of colicky abdominal
pain (>80%) ± crying.
• The child may appear well between paroxysms initially.
• There is early vomiting - rapidly becoming bile-stained.
• Neurological symptoms such as lethargy, hypotonia or sudden alterations
of consciousness can occur.[4]
• There may be a palpable 'sausage-shaped' mass (often in the right upper
quadrant).
• There may be absence of bowel in the right lower quadrant (Dance's sign).
• Dehydration, pallor, shock.
• Irritability, sweating.
• Later, mucoid and bloody 'redcurrant stools'.
• Late pyrexia
6. Causes and associated conditions
• Non-pathological lead point (>90%)
• Viral 50% - rotavirus, adenovirus and
human herpesvirus 6 (HHV6).
• Amoebomata, shigella, yersinia.
• Peyer's patch hypertrophy.
• Pathological lead point (<10%)
• NB: older patients (may have longer history):
• Meckel's diverticulum (75%).
• Polyps and Peutz-Jeghers syndrome (16%).
• Henoch-Schönlein purpura (3%).
• Lymphoma and other tumours (3%).
• Reduplication - a process by which the bowel
wall is duplicated (2%).
• Cystic fibrosis.
• An inflamed appendix.
• Nephrotic syndrome.
• Foreign body.
• Postoperative - rarely, postoperative
intussusception following operative
treatment of an intussusception has been
reported.
• Hyperperistalsis.
• Exclusive breast-feeding.
• Weight above average.
• Rotavirus vaccine.
• Abdominal tuberculosis.
7. Investigations
• FBC - may show neutrophilia.
• U&Es - may reflect dehydration.
• Abdominal X-ray - may show dilated gas-filled proximal bowel,
paucity of gas distally, multiple fluid levels (but may be normal in
the early stages).
• Ultrasound - may show doughnut or target sign,
pseudokidney/sandwich appearance.[6] It is a very effective
modality and many consider it the investigation of choice.[7]
• Bowel enema - barium has been gold standard (crescent sign, filling
defect) but air and water-soluble double-contrast now available;
each has pros and cons - the choice is left to the individual
radiologist.[1]
• CT/MRI scanning - more often used in adults than in children.
8.
9.
10. Management
• The child will first be stabilized. A tube will be passed into the stomach
through the nose (nasogastric tube). An intravenous (IV) line will be placed
in the arm, and fluids will be given to prevent dehydration.
• Antibiotics may be needed to treat any infection.
• Radiological:
– Reduction (three tries for three minutes each) if there is no sign of peritonitis,
perforation or shock.
– Air enema <120 mm Hg of pressure or barium enema.
– The choice of enema is usually left to the radiologist (many now favour air
enema).[7][9]
• Laparotomy (reduction/resection) - indications:
– Peritonitis
– Perforation
– Prolonged history (>24 hours)
– High likelihood of pathological lead point
– Failed enema
• Hospital admission is usually required but outpatient management may on
occasions be an acceptable alternative.
11. Prognosis
• With treatment, prognosis is excellent.
• Post-reduction recurrence:
– Radiological: 5%
– Surgical: 1-4%
• Mortality:
– 1% with treatment
– Fatal if untreated
• When a hole or tear in the bowel occurs, it must
be treated promptly. If not treated,
intussusception is almost always fatal for infants
and young children.