1) USG is not always accurate in detecting small renal calculi less than 5mm or mid/lower ureteric calculi, while CT is the gold standard for detecting all calculi. However, CT should be used cautiously due to radiation risks.
2) USG is sensitive for detecting fatty liver but cannot detect inflammation or early fibrosis. Liver biopsy is currently needed to assess nonalcoholic steatohepatitis, though new techniques like fibroscan and MR elastography may provide noninvasive alternatives.
3) Lymph nodes need to be at least 10mm on USG to be considered significant or diagnostic of mesenteric adenitis in children.
Role of medical imaging in management of arteriovenous fistula Dr. Muhammad B...Dr. Muhammad Bin Zulfiqar
This presentation is very helpful for vascular sergeons, interventional radiologists and sonographers that how to map Vasculature before construction of AV fistula for hemodialysis, how to check its patency, how to check its proper functioning ,to comment on its failure and decide when to reintervene.
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)
Breast mass is a major concern. Aim of this study is to understand the tissue character of any breast mass, if it is solid then to decide about further strategy for regular follow up and or biopsy
Rectal cancer grows in the rectum cells which are placed beneath the sigmoid colon and over the anus in our body. The rectal and colon that are present in the body come together, that is colorectal cancer. The reason behind these circumstances is that they both are part of the digestive system.
Role of medical imaging in management of arteriovenous fistula Dr. Muhammad B...Dr. Muhammad Bin Zulfiqar
This presentation is very helpful for vascular sergeons, interventional radiologists and sonographers that how to map Vasculature before construction of AV fistula for hemodialysis, how to check its patency, how to check its proper functioning ,to comment on its failure and decide when to reintervene.
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)
Breast mass is a major concern. Aim of this study is to understand the tissue character of any breast mass, if it is solid then to decide about further strategy for regular follow up and or biopsy
Rectal cancer grows in the rectum cells which are placed beneath the sigmoid colon and over the anus in our body. The rectal and colon that are present in the body come together, that is colorectal cancer. The reason behind these circumstances is that they both are part of the digestive system.
A case of an ovarian tumour pre-operatively thought to be malignant, which was per-operatively diagnosed as benign and later confirmed as a mucinous cystadenoma.
Ob-Gyn Department, BIRDEM-2 General Hospital, Shegunbagicha, Dhaka, Bangladesh
Obstructive jaundice is one of the important surgical topics. In this playlist I have discussed the introduction, choledocholithiasis, Carcinoma Pancreas and biliary atresia. If you watch all these videos together you will become confident in Managing obstructive jaundice.
The Kidney cancer also called renal cancer. It's a disease in which kidney cells become malignant and grow out of control, forming a tumor. Almost all kidney cancers first appear in the lining of tiny tubules in the kidney. This type of kidney cancer is called renal cell carcinoma.
Cholesterolosis of the gall bladder: a surgical dilemmaKETAN VAGHOLKAR
Cholesterolosis of the gall bladder or cholesterol polyps of the gall bladder have always been a contentious issue with respect to the role of prophylactic surgery in view of its asymptomatic state. Symptomatic cholesterol polyps behave similar to gall stones. There is therefore a need for a surgical algorithm to manage these lesions. A case of symptomatic cholesterol polyps of the gall bladder is reported to highlight the clinical presentation, imaging modalities and management strategies. Symptomatic cholesterol polyps of the gall bladder necessitate cholecystectomy. However, surgical intervention for asymptomatic polyps is guided by their size. Increased diameter is highly suspicious of a malignant potential requiring pre-operative staging and radical surgery.
Dr. Andrew Tompkins, Clinical Instructor of Surgery at The Warren Alpert School of Medicine at Brown University and a locally practicing Urologist presents at the RIAPA Spring CME on Asymptomatic Microscopic Hematuria.
pediatirc neuroimaging , primer for pediatricians interested in neuroimaging and basic stuff for radiologists.
included examples of normal and abnormal.
when to do what imaging
about basics of cartilage imaging.
how does normal cartilage look , how does diseased cartilage look.
what are advanced techniques in cartilage imaging
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
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.
- 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
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
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.
11. USG IN RENAL CALCULI
FOR
Good in detecting large
renal and upper ureteric
calculi.
Good in detecting
hydronephrosis.
No radiation.
AGAINST
Not good in mid and lower
ureteric calculi and small
renal calculi.
Chemical analysis not
possible.
Operator variation.
12. Gold standard in detecting
renal , ureteric and bladder
calculi is CT.
It can detect almost all
calculi.
Gives HU values for
chemical analysis
Risks are radiation and cost.
Hence should be used with
caution.
13. Key points
USG is the preferred modality in initial
evaluation of renal/ureteric colic.
Tiny calculi , middle and lower ureteric calculi
are not accurately detected.
CT is the gold standard , should be used with
caution to avoid excess radiation.
14. CASE 2
55 year old complains of Bloating sensation
in abdomen.
He comes with an USG report.
15.
16. Criteria for fatty liver on
USG
Liver echogenicity exceeds that
of right kidney and spleen.
And
There is beam attenuation.
17. What is grading of fatty liver
on USG
Grade 1 Grade 2 Grade 3
18. Does grade 3fatty liver
means progression to
cirrhosis..?
NO. Not necessarily
it is a rough estimate for
fat in liver , that`s all
19. Once fatty liver is found ,
look for for causes. If no
cause is found labelled as
NAFLD nonalcoholic fatty
liver disease.This affects 10-
20% of population. Those
with normal liver enzymes
can be managed with
reduction in weight and
lifestyle modification.
Those with
persistent
elevated liver
enzymes are called
NASH
Nonalcoholic
steatohepatitis.
20. Can not be detected on USG
at present
Biopsy is
recommended to
assess
inflammation and
fibrosis.
22. Something about fibroscan
A new technique to assess
fibrosis of liver.
Employs modified
ultrasound probe which
assesses velocity of a shear
wave created by a
vibratory source.
Values of above 12.5kPa
are indicative of cirrhosis.
24. Key points
USG is sensitive in detecting fatty liver.
It can not detect liver inflammation and early
fibrosis.
Liver biopsy is currently gold standard for
nonalcoholic steatohepatitis.
New noninvasive techniques are promising.
25. Case 3
A 10 year old child has recurrent abdominal
pain.
29. It is normal to find small nodes in children.
Lymph nodes should show , minimum or
short axis diameter at least 10 mm to be
significant or to be called mesenteric adenitis.
32. How accurate is Ultrasound
or is it necessary..?
Sensitivity of USG is about 70% in detecting
appendicitis.
Main use is to rule out alternative diagnosis.
33. Is there a modality 100% accurate
in acute appendicitis
Abdominal CT is 100% sensitive in acute
appendicitis.