The pancreas normally has a head, body, tail, and uncinate process. It develops from two anlagen that fuse during embryological development. The pancreatic duct typically drains the entire pancreas. Acute pancreatitis is diagnosed based on abdominal pain, elevated pancreatic enzymes, and imaging findings of pancreatic swelling, decreased echogenicity, and heterogeneity. Sonography can detect pancreatic enlargement, duct dilation, peripancreatic fluid collections, and decreased echogenicity in acute pancreatitis.
radiological anatomy of retroperitoneum powerpointDactarAdhikari
brief and concise on radiological anatomy of retroperitoneum
includes topic like pararenal space,perirenal space,fascial plane,retroperitoneum hematoma and sign of mass origin
A brief Introduction into the spleen (size, shape, location, function etc). Procedure for splenic ultrasound, Sonographic appearance of the normal spleen.
Pathologies of the Spleen (Splenic rupture , Splenic Hemangioma ,Sonographic appearance of)
This ppt. Is about surgical anatomy and physiology of pancreas. Anatomical anamolies of the pancreas and variation of the ducts has been touched also.
Basic phsiology and pancreatic functions have been explanied with diagrams.
This ppt is only for postgraduates.
radiological anatomy of retroperitoneum powerpointDactarAdhikari
brief and concise on radiological anatomy of retroperitoneum
includes topic like pararenal space,perirenal space,fascial plane,retroperitoneum hematoma and sign of mass origin
A brief Introduction into the spleen (size, shape, location, function etc). Procedure for splenic ultrasound, Sonographic appearance of the normal spleen.
Pathologies of the Spleen (Splenic rupture , Splenic Hemangioma ,Sonographic appearance of)
This ppt. Is about surgical anatomy and physiology of pancreas. Anatomical anamolies of the pancreas and variation of the ducts has been touched also.
Basic phsiology and pancreatic functions have been explanied with diagrams.
This ppt is only for postgraduates.
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
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.
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
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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.
2. ANATOMY
The pancreas is a retroperitoneal organ that develops from a
large dorsal embryologic anlage and a smaller ventral anlage.
The dorsal pancreatic anlage communicates by means of
its central duct with the duodenum and the ventral anlage
communicates with the biliary tract. During embryologic
development these pancreatic anlagen rotate with the intestinal
structures and ultimately fuse together so that the dorsal
pancreas is located anterior and superior to the ventral
pancreas.
3.
4.
5.
6. 1. The associated pancreatic ductal structures rotate with the
parenchymal structures so that the dorsal pancreatic duct
empties into the duodenum several centimeters above the
ventral duct. The ventral duct connects to the distal
common bile duct at the ampulla.
2. In 15% to 20% of people the short ventral duct drains the
head of the pancreas through the major papilla and a long
dorsal duct that drains the remainder of the pancreas
through the minor papilla. This is referred to as pancreas
divisum.
In most people the two ducts join and the minor papilla
regresses so that the entire gland is drained by one duct
that empties into the major papilla.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16. The pancreas is divided into a head, body, tail, and uncinate
process. The uncinate process extends inferiorly and medially
from the head and is the only part of the pancreas that is
located posterior to the superior mesenteric vein. The head
is located to the right of the mesenteric vessels, and the neck
and body are located anterior to these vessels.
17.
18. The tail of the pancreas is located to the left of the mesenteric vessels
and extends superiorly and posteriorly to the region of the splenic
hilum. In some references the tail of the pancreas is said to
be that part that extends to the left of the vertebral column.
19.
20. Because of its size, location, and echogenicity, the pancreas is
one of the more difficult abdominal organs to image
sonographically.
For this reason, adjacent vascular landmarks are useful in the
localization of the pancreas.
The head of the pancreas is located immediately anterior to the
inferior vena cava.
When patients are in the left lateral decubitus or left posterior
oblique position, the head of the pancreas may slide somewhat
to the left so that it is located over the aorta.
21. The superior mesenteric vein is immediately adjacent to the
posterior aspect of the pancreatic neck and body and to the
medial aspect of the pancreatic head.
There is no retroperitoneal fat between the superior mesenteric
vein or the portosplenic confluence and the pancreas.
There is, however, a prominent ring of retroperitoneal fat that
separates the superior mesenteric artery from the pancreas.
22.
23. The body of the pancreas is located anterior to the splenic vein and
the portal splenic confluence.
The tail of the pancreas is located below the splenic vein.
The trifurcation of the celiac axis is located just superior to the
pancreas, and the splenic artery generally runs near the
superior aspect of the pancreas.
The gastroduodenal artery arises from the common hepatic artery
and travels inferiorly directly over the anterior and lateral
aspects of the pancreatic head.
24.
25.
26.
27.
28.
29. Normal pancreatic anatomy. A, Transverse view of the pancreas
shows the aorta (A), inferior vena cava (IVC), superior mesenteric
artery (S), portal splenic confluence (asterisks), head (H) and body
(B) of the pancreas, left lobe of the liver (L), common bile duct
(arrow), and gastroduodenal artery (arrowhead).
B, Longitudinal view of the body of the pancreas shows the aorta (A),
superior mesenteric artery (S), celiac axis (C), splenic vein
(asterisk), body of the pancreas (B), left lobe of the liver (L),
stomach (St), left renal vein (LRV), and distal esophagus (E).
30. C, Coronal view of the left upper quadrant shows the spleen (Sp),
splenic vein (asterisks), and pancreatic tail (T).
D, Longitudinal view of the pancreas at the level of the superior
mesenteric vein (V) shows the body of the pancreas (B) anterior
to the vein and the uncinate process (U) posterior to the vein.
31. The pancreatic duct is seen segmentally in 85% of patients.
It is most commonly seen in the body, where its walls are
perpendicular to the sound beam (see Fig.E). The portion
of the pancreatic duct that travels through the head is more
difficult to visualize sonographically. However, it is occasionally
seen medial to the distal common bile duct and should
not be confused with the bile duct or with a low-inserting
cystic duct (see Fig.F).
32. E, Transverse view of the pancreas shows the pancreatic duct (large
arrow). Also seen is the portal splenic confluence (asterisk), IVC,
common bile duct (small arrow), and gastroduodenal artery
(arrowhead).
F, Right semicoronal view of the pancreatic head shows the distal
common bile duct (small arrows) and the pancreatic duct (large
arrow). Also seen is the gallbladder (GB), which was used as a
window to see the pancreatic head.
33. When the luminal diameter is very small, the pancreatic duct may
appear as a single bright line.
The walls of the pancreatic duct should be smooth and parallel.
3 millimeters is commonly used as the upper limit of normal for
duct diameter in the body of the pancreas. However, the duct
enlarges with age.
In some patients the hypoechoic wall of the posterior surface of
the stomach rests on the anterior surface of the pancreas and
can be confused with the pancreatic duct on transverse views.
This can be avoided by scanning in sagittal plane where the
posterior wall of the stomach can be seen in continuity with
the rest of the stomach wall.
34. Pseudoduct caused by posterior gastric wall. A, Transverse view of
the epigastrium shows what appears to be a hypoechoic tubular
structure (arrow) running in the expected location of the main
pancreatic duct. B, Longitudinal view through the same region
shows that the
structure actually represents the hypoechoic muscular layer of the
wall of the stomach (arrows). It communicates with the superior,
inferior,
and anterior aspects of the gastric wall and forms the typical bull’s-
eye appearance of an intestinal structure.
35. Pancreatic echogenicity is variable, depending on the amount of
fatty replacement. The normal pancreas is equal to, or more
echogenic than, the normal liver.
The pancreas may be hypoechoic, isoechoic, or hyperechoic
with respect to the spleen. With age, pancreatic echogenicity
increases as the result of fatty replacement.
36. Normal pancreatic head variant due to differential fat
infiltration. Transverse view shows the normal hyperechoic
appearance to the anterior head (black asterisk) and a
hypoechoic appearance to the posterior pancreatic head and
uncinate process (white asterisk). Also seen is the common
bile duct (arrow), gastroduodenal artery (arrowhead), aorta
(A), inferior vena cava (C), and superior mesenteric vein (V).
37. TECHNIQUE
The pancreas scanned with patient in a fasting state.
Body of the pancreas is well seen from an anterior subxiphoid
approach using the left lobe of the liver as an acoustic
window aided by a deep inspiration.
Visualization of body of pancreas is improved by the patient, try
to push abdomen out and make a “beer belly.”
Portions of the head of the pancreas are usually seen a right
subcostal approach. Also viewed by positioning the patient in
a left posterior oblique position.
38.
39.
40. To see the pancreatic tail well, it may be necessary
to have the patient drink water and to use the resulting fluidfilled
stomach as a window. Scanning from a left lateral intercostal
approach and using the spleen as a window also helps
to image the region of the pancreatic tail.
41. Normal pancreatic anatomy.
A, Transverse view of pancreas shows aorta (A), inferior vena cava
(IVC), superior mesenteric artery (S), portal splenic confluence
(asterisks), head (H) & body (B) of pancreas, left lobe of liver (L),
common bile duct (arrow) & gastroduodenal artery (arrowhead).
B, Longitudinal view of the body of the pancreas shows aorta (A),
superior mesenteric artery (S), celiac axis (C), splenic vein
(asterisk), body of pancreas (B), left lobe of liver (L), stomach
(St), left renal vein (LRV), and distal esophagus (E).
42. C, Coronal view of the left upper quadrant shows the spleen (Sp),
splenic vein (asterisks), and pancreatic tail (T).
D, Longitudinal view of the pancreas at the level of the superior
mesenteric vein (V) shows the body of the pancreas (B) anterior
to the vein and the uncinate process (U) posterior to the vein.
43. E, Transverse view of pancreas shows the pancreatic duct (large
arrow), portal splenic confluence (asterisk), IVC, common bile
duct (small arrow), and gastroduodenal artery (arrowhead).
F, Right semicoronal view of pancreatic head show distal common
bile duct (small arrows) and the pancreatic duct (large arrow),
and gallbladder (GB) which was used as a window to see
pancreatic head.
44. PANCREATITIS
Pancreatitis is an inflammatory process in the pancreas it is
diagnosed in patients with two of the following three
signs/symptoms:
(1) acute onset of abdominal pain (epigastric pain with or without
back pain).
(2) serum amylase and lipase levels elevated to three or more times
normal.
(3) characteristic findings on ultrasound, computed tomography
(CT), or magnetic resonance imaging (MRI).
45.
46.
47. Pancreatic enlargement, decreased pancreatic echogenicity,
and heterogeneous echogenicity are the sonographic hallmarks
of acute pancreatitis.
Fig.,
Transverse (A) and longitudinal (B) views show an enlarged
swollen pancreas (cursors), which is isoechoic to adjacent liver
(L), pancreatic duct (arrowheads) (is dilated), portosplenic
confluence (asterisk).
48. C, Transverse view of pancreas (P) shows a localized
peripancreatic fluid collection (F).
D, Transverse view of pancreas (P) shows a small collection of fluid
(arrows) in perivascular space anterior to splenic vein (S).
49. E, Coronal view of left upper quadrant shows retroperitoneal fluid
(arrows) in perirenal region around left kidney (LK). Ascites (A) is
also seen around the spleen (S).
F, Transverse view of right upper quadrant shows a small amount of
retroperitoneal fluid (arrows) between the duodenum (D) and
right kidney (RK). Also seen ascites (A) between gallbladder (GB)
and liver (L).
50. Pseudocysts can form virtually anywhere, but most are located
near the pancreas. They have well-defined, smooth margins.
Their internal contents are usually anechoic, but the presence
of debris can result in low-level internal echoes.
Fig.,
Transverse view of the pancreas shows a well-defined fluid
collection (cursors) anterior to the pancreatic tail typical of a
pseudocyst. Also seen are a normal pancreatic duct (arrows)
and the splenic vein (V).