Right hypochondrium lump[1]
•Download as PPTX, PDF•
1 like•824 views
RHC LUMP CASE PRESENTATION ,approach to right hypochondrium lump ,CLINICAL FEATURE , EXAMINATION , MANAGEMENT
Report
Share
Report
Share
Recommended
Umbilical Paraumbilical Hernia- Saral
A 34-year-old male presented with a 1-year history of a painless, progressively enlarging mass above the umbilicus. Examination revealed a 2x2 cm reducible swelling above the umbilicus that increased in size with coughing. Imaging showed a paraumbilical hernia. The patient underwent hernioplasty using an anatomical repair with mesh placement. Post-operatively, the patient recovered well without complications.
UG CASE PRESENTATION ON INGUINAL HERNIA
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
Hydrocele management
This document discusses the management and treatment of hydrocele. It outlines the necessary investigations which may include blood tests, urine tests, and chest x-rays. Ultrasound is helpful for determining testis position and abnormalities. Fluid aspiration can indicate different conditions. Surgical procedures like lord's plication and Jaboulay's operation are described for fixing different types of hydroceles. Post-operative care and potential complications are also covered. The document provides an overview of evaluating and treating hydroceles.
Open inguinal hernia repair / operative surgery
OPEN INGUINAL HERNIA REPAIR- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #openinguinalherniarepair #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and open and
Laparoscopic Cholecystectomy
• In this video today, I have discussed Open Inguinal Hernia Repair.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Surgery case presentation on anterior abdominal wall hernia
This case presentation summarizes a 26-year-old male patient with a parumbilical hernia. The patient reported an abdominal swelling for 18 years that increased in size and caused pain over the past 4-5 months. On examination, a 3x4 cm oval, reducible swelling was found in the supraumbilical region. Investigations confirmed the diagnosis of a parumbilical hernia. The patient was diagnosed with a parumbilical hernia with an omentocele and divergence of the recti muscles. The management plan is primarily surgical to close the defect either primarily or with mesh placement.
Inguinal hernia repair
This document provides information on the management of inguinal hernias. It discusses the historical development of hernia repair techniques from the 15th century to modern methods. Investigation methods such as ultrasound, CT, MRI, and herniography are outlined. Surgical techniques for hernia repair including herniotomy, herniorrhaphy, hernioplasty, and laparoscopic repair are described in detail. Post-operative complications of open and laparoscopic hernia repair are also reviewed. The conclusion states that laparoscopic and Lichtenstein open mesh repairs have good long-term results and low recurrence rates compared to other open hernia repair techniques.
Hydrocele
This document discusses bilateral hydrocele, which is a fluid collection around the testes. It defines different types of hydrocele including congenital, infantile, encysted, and secondary to infections. Key features include a fluctuant, transilluminant swelling above the scrotum without palpable testes. Complications can include infection, infertility, and testicular atrophy. Differential diagnoses include hernia and tumors. Treatment involves surgical techniques like Lord's plication, evacuation and eversion, or subtotal excision depending on size and characteristics of the hydrocele sac.
Clinical examination of abdominal lump
This is extremely beneficial for clinicians engaged in medical practise as it shows how to examine abdominal lump.
Recommended
Umbilical Paraumbilical Hernia- Saral
A 34-year-old male presented with a 1-year history of a painless, progressively enlarging mass above the umbilicus. Examination revealed a 2x2 cm reducible swelling above the umbilicus that increased in size with coughing. Imaging showed a paraumbilical hernia. The patient underwent hernioplasty using an anatomical repair with mesh placement. Post-operatively, the patient recovered well without complications.
UG CASE PRESENTATION ON INGUINAL HERNIA
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
Hydrocele management
This document discusses the management and treatment of hydrocele. It outlines the necessary investigations which may include blood tests, urine tests, and chest x-rays. Ultrasound is helpful for determining testis position and abnormalities. Fluid aspiration can indicate different conditions. Surgical procedures like lord's plication and Jaboulay's operation are described for fixing different types of hydroceles. Post-operative care and potential complications are also covered. The document provides an overview of evaluating and treating hydroceles.
Open inguinal hernia repair / operative surgery
OPEN INGUINAL HERNIA REPAIR- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #openinguinalherniarepair #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and open and
Laparoscopic Cholecystectomy
• In this video today, I have discussed Open Inguinal Hernia Repair.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Surgery case presentation on anterior abdominal wall hernia
This case presentation summarizes a 26-year-old male patient with a parumbilical hernia. The patient reported an abdominal swelling for 18 years that increased in size and caused pain over the past 4-5 months. On examination, a 3x4 cm oval, reducible swelling was found in the supraumbilical region. Investigations confirmed the diagnosis of a parumbilical hernia. The patient was diagnosed with a parumbilical hernia with an omentocele and divergence of the recti muscles. The management plan is primarily surgical to close the defect either primarily or with mesh placement.
Inguinal hernia repair
This document provides information on the management of inguinal hernias. It discusses the historical development of hernia repair techniques from the 15th century to modern methods. Investigation methods such as ultrasound, CT, MRI, and herniography are outlined. Surgical techniques for hernia repair including herniotomy, herniorrhaphy, hernioplasty, and laparoscopic repair are described in detail. Post-operative complications of open and laparoscopic hernia repair are also reviewed. The conclusion states that laparoscopic and Lichtenstein open mesh repairs have good long-term results and low recurrence rates compared to other open hernia repair techniques.
Hydrocele
This document discusses bilateral hydrocele, which is a fluid collection around the testes. It defines different types of hydrocele including congenital, infantile, encysted, and secondary to infections. Key features include a fluctuant, transilluminant swelling above the scrotum without palpable testes. Complications can include infection, infertility, and testicular atrophy. Differential diagnoses include hernia and tumors. Treatment involves surgical techniques like Lord's plication, evacuation and eversion, or subtotal excision depending on size and characteristics of the hydrocele sac.
Clinical examination of abdominal lump
This is extremely beneficial for clinicians engaged in medical practise as it shows how to examine abdominal lump.
Laparoscopic cholecystectomy/ operative surgery
LAPAROSCOPIC CHOLECYSTECTOMY- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #laparoscopiccholecystectomy #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and Open Cholecystectomy.
• In this video today, I have discussed Laparoscopic Cholecystectomy- the flagship procedure for laparoscopic surgeries.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and the links are:
• https://www.youtube.com/watch?v=VStEzI1jL8Y
• https://www.youtube.com/watch?v=O8j4kwpzd24
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
Ventral hernias
This document discusses different types of ventral hernias, including umbilical, epigastric, incisional, and paraumbilical hernias. It describes the causes, clinical features, diagnosis, and treatment options for each type. For treatment, it compares open surgical repair techniques like primary closure or mesh placement versus laparoscopic approaches. Complications of surgery like seroma, infection, and injury are also reviewed.
Pancreatic pseudocyst Case presentation
- A 59-year-old male presented with abdominal pain for 3 months and swelling for 2.5 months. On examination, a cystic mass was palpated in the epigastric and left upper abdominal region, measuring 15x10cm.
- The patient has a history of alcohol use and hypertension.
- Based on the history of abdominal pain prior to the development of the mass and characteristics on examination, a provisional diagnosis of pancreatic pseudocyst was made.
Peripheral Vascular Disease Case Presentation
Peripheral arterial occulsive disease with gangrene of toes due to atherosclerotic vascular disease.
Splenectomy
This document discusses splenectomy, the surgical removal of the spleen. It defines splenectomy and outlines the relevant anatomy of the spleen. The document then discusses the indications for splenectomy, including trauma, hematological disorders, tumors, and vascular abnormalities. It covers the preoperative preparation, anesthesia, positioning, exposure, closure, and postoperative management of splenectomy. Finally, it lists some potential complications of splenectomy.
Surgical ethics
Even though the topic seems to be small, it is very important for Final yr MBBS students. It has been made so easy for them.
Obstructive jaundice
This document discusses obstructive jaundice, including a case study of an 82-year-old male patient presenting with progressive jaundice, itching, weight loss, and other symptoms. It reviews the causes, pathophysiology, investigations, and management of obstructive jaundice. Common causes include gallstones, pancreatic cancer, and cholangiocarcinoma. Investigations may include blood tests, ultrasound, CT, MRCP, and ERCP. Management depends on the underlying cause but may involve surgical procedures like cholecystectomy, Whipple procedure, or stenting to relieve the obstruction.
Incisional hernia
1) Incisional hernias occur when the abdominal muscles and fascia separate, allowing organs or fatty tissue to protrude through weaknesses in the abdominal wall. They commonly form around surgical incision sites.
2) Risk factors include obesity, pregnancy, ascites, procedures that increase abdominal pressure, and surgical factors like wound infection or improper closure technique.
3) Clinical features include swelling, pain, and visible or palpable bulging that increases with straining. Diagnosis is usually made through physical exam.
4) Treatment involves repairing the defect through primary closure for small defects or use of prosthetic mesh for larger defects to reinforce the abdominal wall. Preventing postoperative complications and weight control can help
Open cholecystectomy/ operative surgery
OPEN CHOLECYSTECTOMY- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #opencholecystectomy #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy and Modified Radical Mastectomy.
• In this video today, I have discussed Open Cholecystectomy.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Surgical short case stoma
This document provides guidance on examining a stoma. It lists the key aspects to comment on including the site, type of stoma, condition of surrounding skin, status of any loop, and characteristics of discharge. A sample comment is provided as an example. Additionally, the document defines what a stoma is, describes their functions and common complications, and differentiates between ileostomies and colostomies. Images are also included showing examples of different stoma types.
EXTENDED TOTALLY EXTRA-PERITONEAL REPAIR {eTEP}
Extended totally extraperitoneal repair (eTEP) is a novel technique that was first introduced by Jorge Daes in 2012 to address difficult inguinal hernias.
Acute appendicitis -Case Presentation
Turki Ali Ahmed, a 37-year old Saudi male, presented to the emergency room with sharp right lower quadrant pain for two days. On examination, he had tenderness in the right lower quadrant with rebound and other signs positive for acute appendicitis. Laboratory tests showed elevated white blood cell count. The differential diagnosis included appendicitis, testicular torsion, urinary tract infection, kidney stones, and inflammatory bowel disease. Given the clinical findings, appendicitis was considered provisional. The patient was admitted for IV fluids, NPO status, and pre-op management. He then underwent an open appendectomy and was started on IV antibiotics and pain medications post-surgery.
Gastrojejunostomy
Gastrojejunostomy is a surgical procedure that connects the stomach directly to the jejunum. It is indicated for patients with duodenal ulcers complicated by pyloric obstruction or nonresectable stomach or pancreatic cancers causing obstruction. The procedure involves opening the stomach and jejunum, suturing them together to form a stoma, then closing in multiple layers. Postoperatively, gastric emptying is monitored and diet advanced gradually to ensure proper healing.
Acute appendicitis &lump
1. Acute appendicitis is caused by obstruction of the appendix lumen, leading to increased intraluminal pressure, edema, and bacterial invasion.
2. The classic presentation includes initially vague periumbilical pain that later localizes to the right lower quadrant, accompanied by anorexia, nausea, and low-grade fever.
3. On examination, tenderness is elicited over McBurney's point with guarding and rebound tenderness. Diagnosis is suggested by clinical scoring systems and confirmed by ultrasound or CT scan showing a thick-walled, inflamed appendix.
Inguinal hernia examination
This document provides guidance on examining patients for inguinal hernias. It details the steps of the examination including inspection, palpation techniques, and tests to determine the type and characteristics of any hernia present. The examination is described in both standing and supine positions. Differential diagnoses are also listed. The goal of the examination is to determine factors such as location, size, reducibility, and complications in order to accurately diagnose the presence of an inguinal hernia.
Examination of swelling
This document provides guidance on performing a comprehensive physical examination of a swelling. It discusses important points to consider before examination such as introducing oneself and obtaining patient permission. It then covers techniques for inspection such as observing location, size, shape, surface characteristics, and any visible pulsations, impulses or movements. For palpation, it describes assessing temperature, tenderness, consistency, edges and special tests like fluctuation. The document emphasizes performing examinations in a respectful manner while obtaining all relevant clinical findings through systematic use of inspection and palpation techniques.
Surgical Audit
Surgical audit is a process that systematically analyzes surgical care quality against standards to improve patient outcomes. It involves collecting data on parameters like mortality, complications and outcomes and comparing results to peers to identify areas for improvement. The goal is continuous quality improvement through a non-punitive, educational process. Surgical audit has existed for centuries but modern methods began in the early 1900s and involve retrospective review of existing data to guide practice changes.
Case of Varicose Veins
This document describes a 32-year-old male farmer who presented with prominent veins in his right leg for 2 years along with swelling and pain in the right leg for 1 year. On examination, dilated veins were visible on the medial side of the right leg, ankle, and foot extending to the thigh. Tests showed saphenofemoral and perforator incompetence on the right side. The diagnosis was clinical grade 4 varicose veins. Color doppler ultrasound was recommended to further evaluate the perforators and veins, and pre-anaesthetic tests were ordered prior to a planned surgery involving high saphenofemoral junction ligation and stripping of the long saphenous vein along with ligation of perforators and
Hernia and its surgeries
This document provides information on hernias, including their meaning, causes, parts, classifications, and inguinal hernia anatomy and types. Some key points:
1. A hernia is an abnormal protrusion of an organ or tissue through an opening. It is usually defined as a protrusion through the abdominal wall.
2. Hernias can be caused by straining, heavy lifting, coughing, obesity, pregnancy, smoking, and other factors that increase intra-abdominal pressure.
3. Inguinal hernias are the most common type and are classified as direct or indirect based on their anatomy through the inguinal canal.
4. Treatment of hernias
Case study on Varicose Veins & Venous Ulcers
A clinically based study of a case of Varicose Veins & Venous Ulcers.
Moderator:
Dr M. K. Mazumdar
Asst. Professor,
Dept. of Obstetrics and Gynaecology,
Gauhati Medical College & Hospital
Presented by:
29: Abhineet Dey
30: Devasree Kalita
31: Parishmita Sharma
32: Samadrita Borkakoty
33: Ankur Jain
34: Dhurjyoti Nath
35: Mousumi Mehtaz
Students of 8th Semester,
Gauhati Medical College & Hospital, Guwahati, Assam
SQUMOUS CELL CARCINOMA
A 58-year-old woman presented with a painful, rapidly progressive ulcerative growth in her right gluteal region over the past 4 months. On examination, there was a large 10x8x4cm ulcerative growth with irregular shape, everted edges and margins, and surrounding thickened skin. The growth was fixed to the skin and gluteus maximus muscle. A provisional diagnosis of squamous cell carcinoma was made based on the clinical findings.
Long Case RIF masss.pptx
This document presents a case report of a 62-year-old female patient who presented with abdominal pain and decreased appetite for two months. On examination, she was found to have pallor and edema, and a 7x5 cm lump in her right lower abdomen. Imaging found thickening of the ascending colon, cecum, and terminal ileum, with mesenteric stranding and a 4.5x4.5x5 cm lesion in her liver. Provisional diagnoses included ascending colon cancer or appendicular lump. Further tests found her CEA level to be elevated, and CT showed mural thickening of the terminal ileum, cecum and ascending colon consistent with possible infection or inflammation.
More Related Content
What's hot
Laparoscopic cholecystectomy/ operative surgery
LAPAROSCOPIC CHOLECYSTECTOMY- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #laparoscopiccholecystectomy #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and Open Cholecystectomy.
• In this video today, I have discussed Laparoscopic Cholecystectomy- the flagship procedure for laparoscopic surgeries.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and the links are:
• https://www.youtube.com/watch?v=VStEzI1jL8Y
• https://www.youtube.com/watch?v=O8j4kwpzd24
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
Ventral hernias
This document discusses different types of ventral hernias, including umbilical, epigastric, incisional, and paraumbilical hernias. It describes the causes, clinical features, diagnosis, and treatment options for each type. For treatment, it compares open surgical repair techniques like primary closure or mesh placement versus laparoscopic approaches. Complications of surgery like seroma, infection, and injury are also reviewed.
Pancreatic pseudocyst Case presentation
- A 59-year-old male presented with abdominal pain for 3 months and swelling for 2.5 months. On examination, a cystic mass was palpated in the epigastric and left upper abdominal region, measuring 15x10cm.
- The patient has a history of alcohol use and hypertension.
- Based on the history of abdominal pain prior to the development of the mass and characteristics on examination, a provisional diagnosis of pancreatic pseudocyst was made.
Peripheral Vascular Disease Case Presentation
Peripheral arterial occulsive disease with gangrene of toes due to atherosclerotic vascular disease.
Splenectomy
This document discusses splenectomy, the surgical removal of the spleen. It defines splenectomy and outlines the relevant anatomy of the spleen. The document then discusses the indications for splenectomy, including trauma, hematological disorders, tumors, and vascular abnormalities. It covers the preoperative preparation, anesthesia, positioning, exposure, closure, and postoperative management of splenectomy. Finally, it lists some potential complications of splenectomy.
Surgical ethics
Even though the topic seems to be small, it is very important for Final yr MBBS students. It has been made so easy for them.
Obstructive jaundice
This document discusses obstructive jaundice, including a case study of an 82-year-old male patient presenting with progressive jaundice, itching, weight loss, and other symptoms. It reviews the causes, pathophysiology, investigations, and management of obstructive jaundice. Common causes include gallstones, pancreatic cancer, and cholangiocarcinoma. Investigations may include blood tests, ultrasound, CT, MRCP, and ERCP. Management depends on the underlying cause but may involve surgical procedures like cholecystectomy, Whipple procedure, or stenting to relieve the obstruction.
Incisional hernia
1) Incisional hernias occur when the abdominal muscles and fascia separate, allowing organs or fatty tissue to protrude through weaknesses in the abdominal wall. They commonly form around surgical incision sites.
2) Risk factors include obesity, pregnancy, ascites, procedures that increase abdominal pressure, and surgical factors like wound infection or improper closure technique.
3) Clinical features include swelling, pain, and visible or palpable bulging that increases with straining. Diagnosis is usually made through physical exam.
4) Treatment involves repairing the defect through primary closure for small defects or use of prosthetic mesh for larger defects to reinforce the abdominal wall. Preventing postoperative complications and weight control can help
Open cholecystectomy/ operative surgery
OPEN CHOLECYSTECTOMY- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #opencholecystectomy #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy and Modified Radical Mastectomy.
• In this video today, I have discussed Open Cholecystectomy.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Surgical short case stoma
This document provides guidance on examining a stoma. It lists the key aspects to comment on including the site, type of stoma, condition of surrounding skin, status of any loop, and characteristics of discharge. A sample comment is provided as an example. Additionally, the document defines what a stoma is, describes their functions and common complications, and differentiates between ileostomies and colostomies. Images are also included showing examples of different stoma types.
EXTENDED TOTALLY EXTRA-PERITONEAL REPAIR {eTEP}
Extended totally extraperitoneal repair (eTEP) is a novel technique that was first introduced by Jorge Daes in 2012 to address difficult inguinal hernias.
Acute appendicitis -Case Presentation
Turki Ali Ahmed, a 37-year old Saudi male, presented to the emergency room with sharp right lower quadrant pain for two days. On examination, he had tenderness in the right lower quadrant with rebound and other signs positive for acute appendicitis. Laboratory tests showed elevated white blood cell count. The differential diagnosis included appendicitis, testicular torsion, urinary tract infection, kidney stones, and inflammatory bowel disease. Given the clinical findings, appendicitis was considered provisional. The patient was admitted for IV fluids, NPO status, and pre-op management. He then underwent an open appendectomy and was started on IV antibiotics and pain medications post-surgery.
Gastrojejunostomy
Gastrojejunostomy is a surgical procedure that connects the stomach directly to the jejunum. It is indicated for patients with duodenal ulcers complicated by pyloric obstruction or nonresectable stomach or pancreatic cancers causing obstruction. The procedure involves opening the stomach and jejunum, suturing them together to form a stoma, then closing in multiple layers. Postoperatively, gastric emptying is monitored and diet advanced gradually to ensure proper healing.
Acute appendicitis &lump
1. Acute appendicitis is caused by obstruction of the appendix lumen, leading to increased intraluminal pressure, edema, and bacterial invasion.
2. The classic presentation includes initially vague periumbilical pain that later localizes to the right lower quadrant, accompanied by anorexia, nausea, and low-grade fever.
3. On examination, tenderness is elicited over McBurney's point with guarding and rebound tenderness. Diagnosis is suggested by clinical scoring systems and confirmed by ultrasound or CT scan showing a thick-walled, inflamed appendix.
Inguinal hernia examination
This document provides guidance on examining patients for inguinal hernias. It details the steps of the examination including inspection, palpation techniques, and tests to determine the type and characteristics of any hernia present. The examination is described in both standing and supine positions. Differential diagnoses are also listed. The goal of the examination is to determine factors such as location, size, reducibility, and complications in order to accurately diagnose the presence of an inguinal hernia.
Examination of swelling
This document provides guidance on performing a comprehensive physical examination of a swelling. It discusses important points to consider before examination such as introducing oneself and obtaining patient permission. It then covers techniques for inspection such as observing location, size, shape, surface characteristics, and any visible pulsations, impulses or movements. For palpation, it describes assessing temperature, tenderness, consistency, edges and special tests like fluctuation. The document emphasizes performing examinations in a respectful manner while obtaining all relevant clinical findings through systematic use of inspection and palpation techniques.
Surgical Audit
Surgical audit is a process that systematically analyzes surgical care quality against standards to improve patient outcomes. It involves collecting data on parameters like mortality, complications and outcomes and comparing results to peers to identify areas for improvement. The goal is continuous quality improvement through a non-punitive, educational process. Surgical audit has existed for centuries but modern methods began in the early 1900s and involve retrospective review of existing data to guide practice changes.
Case of Varicose Veins
This document describes a 32-year-old male farmer who presented with prominent veins in his right leg for 2 years along with swelling and pain in the right leg for 1 year. On examination, dilated veins were visible on the medial side of the right leg, ankle, and foot extending to the thigh. Tests showed saphenofemoral and perforator incompetence on the right side. The diagnosis was clinical grade 4 varicose veins. Color doppler ultrasound was recommended to further evaluate the perforators and veins, and pre-anaesthetic tests were ordered prior to a planned surgery involving high saphenofemoral junction ligation and stripping of the long saphenous vein along with ligation of perforators and
Hernia and its surgeries
This document provides information on hernias, including their meaning, causes, parts, classifications, and inguinal hernia anatomy and types. Some key points:
1. A hernia is an abnormal protrusion of an organ or tissue through an opening. It is usually defined as a protrusion through the abdominal wall.
2. Hernias can be caused by straining, heavy lifting, coughing, obesity, pregnancy, smoking, and other factors that increase intra-abdominal pressure.
3. Inguinal hernias are the most common type and are classified as direct or indirect based on their anatomy through the inguinal canal.
4. Treatment of hernias
Case study on Varicose Veins & Venous Ulcers
A clinically based study of a case of Varicose Veins & Venous Ulcers.
Moderator:
Dr M. K. Mazumdar
Asst. Professor,
Dept. of Obstetrics and Gynaecology,
Gauhati Medical College & Hospital
Presented by:
29: Abhineet Dey
30: Devasree Kalita
31: Parishmita Sharma
32: Samadrita Borkakoty
33: Ankur Jain
34: Dhurjyoti Nath
35: Mousumi Mehtaz
Students of 8th Semester,
Gauhati Medical College & Hospital, Guwahati, Assam
What's hot (20)
Similar to Right hypochondrium lump[1]
SQUMOUS CELL CARCINOMA
A 58-year-old woman presented with a painful, rapidly progressive ulcerative growth in her right gluteal region over the past 4 months. On examination, there was a large 10x8x4cm ulcerative growth with irregular shape, everted edges and margins, and surrounding thickened skin. The growth was fixed to the skin and gluteus maximus muscle. A provisional diagnosis of squamous cell carcinoma was made based on the clinical findings.
Long Case RIF masss.pptx
This document presents a case report of a 62-year-old female patient who presented with abdominal pain and decreased appetite for two months. On examination, she was found to have pallor and edema, and a 7x5 cm lump in her right lower abdomen. Imaging found thickening of the ascending colon, cecum, and terminal ileum, with mesenteric stranding and a 4.5x4.5x5 cm lesion in her liver. Provisional diagnoses included ascending colon cancer or appendicular lump. Further tests found her CEA level to be elevated, and CT showed mural thickening of the terminal ileum, cecum and ascending colon consistent with possible infection or inflammation.
lump in abdomen (2).pptx
A 70-year-old female presented with a painless lump in her left upper abdomen that had been gradually increasing in size over the past 2 months. On examination, a 15x14 cm oval-shaped lump was found in the left hypochondriac region extending to the umbilicus. The lump was firm, had smooth margins, and moved with respiration but was not ballotable. Percussion over the lump revealed a dull sound. Based on the examination, the doctor's provisional diagnosis was splenomegaly in the 70-year-old female.
renal cell carcinoma.pptx
A 48-year-old female farmer presented with a painless lump in her left abdomen that had been rapidly increasing in size over the past month. On examination, a large, hard, irregular mass was palpated in the left lumbar region extending to the umbilicus. The mass was non-tender, non-mobile, and dull to percussion. Based on the location and characteristics of the mass, the provisional diagnosis was of a left-sided renal cell carcinoma. No signs of metastasis were found on further examination.
NEWBORN CASE PRESENTATION (2).pptx
This document summarizes the medical history and examination of a 4-day-old female neonate admitted with low birth weight and jaundice. She was born preterm at 32-34 weeks gestation to a 22-year-old mother with anemia during pregnancy. On examination, she displayed physiological jaundice but was otherwise healthy, with normal vital signs, growth parameters appropriate for gestational age, and no abnormalities found on physical or neurological assessment. She was assessed as being a preterm neonate with jaundice likely due to physiological causes related to her prematurity.
Case presentation gastrology
during my internship in gastroenterology department i presented the case, chairperson was my beloved sir Prof AHM Rowshan. this is a case about a 20 year old female presented with abdominal pain, fever which was low grade, and weight loss with marked anorexia for few months. the diagnosis was a dilemma. patient was undergone laparoscopic biopsy from intrabdominal enlarged lymph nodes and ultimately the diagnosis was a case of Non-Hodgkin's lymphoma and treated by chemotherapy.
Obs jaundice for whipple procedure ppt.pptx
A 52-year-old man presented with progressive jaundice, dark urine, clay-colored stools, and weight loss over 4 months. Examination found icterus and a firm, non-tender lump in the right upper abdomen. Imaging showed biliary duct dilation likely due to a stricture. The working diagnosis was obstructive jaundice possibly due to a malignancy, for which Whipple's surgery was planned. Anesthetic considerations included the patient's poor nutrition and smoking history, as well as concerns related to the long surgery, blood loss, and effects of anesthesia on liver function and blood flow.
Mass per rectum.pptx
Ravikumar, a 35-year-old male farmer, presented with a 1-year history of bleeding per rectum and altered bowel habits for 6 months. On examination, a hard ulceroproliferative growth was felt at 5 cm from the anal verge, involving the whole circumference of the rectum. Proctoscopy revealed an irregular-shaped growth on the anterior rectum without surrounding inflammation. The patient was diagnosed with Dukes stage B carcinoma of the rectum.
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
Week 7 Discussion Question
Worth 5 points
For the following Case Study, as follow is Discussion Question: As an NP student, needs to determine the medications for constipation.
According to the ACC/AHA Guidelines, what medication should this patient be prescribed for constipation? Write her complete prescriptions using the prescription writing format.
Support with 1 journal no older than 5 years.
Week 7: DISCUSSION QUESTION IN DISCUSSION BOARD
Gastroenterology-Motility Case Study
ACC/AHA Guidelines
Chief complaint: “ I have chronic constipation, incomplete defecation and abdominal bloating” for past 2 years.
HPI: M.C. a 46-year-old hispanic female presents to the GI-Motility clinic for complaint of chronic constipation, incomplete defecation and abdominal bloating. She has pmhx of DM-type 2, IBS-Constipation, Tubular Adenoma.
She also indicates that she has noticed that her symptoms are worsening for past 3 months. She has associated her symptoms with abdominal bloating, straining and incomplete defecation.
She has tried Miralax one packet po daily for at least 8 weeks and it has not relieved her symptoms.
Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.
PMH:
Diabetes Mellitus, type 2
Constipation, chronic-IBS
Surgeries: None
Allergies: Penicillin
Vaccination History:
She receives an annual flu shot. Last flu shot was this year
Social history:
High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.
Family history:
Both parents are alive. Father has history of DM type 2, Tinea Pedis.
mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.
ROS:
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea
Cardiovascular: + 1 pitting leg edema. + Varicose veins.
Skin: + rash crusted white in feet and inter-digit in feet.
Psychiatric: No anxiety. No depression.
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored
HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness.
NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.
LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.
HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema.
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.
MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.
SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes.
PSYCH: Normal affect. Cooperative.
Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0 ...
55 Years Old Present With Gross Hematuria.pptx
A 55-year-old man presented with a 6-month history of intermittent gross hematuria that was initially painless but later associated with colicky pain in the right loin radiating to the groin. On examination, a 6x6 cm non-tender, movable intra-abdominal mass was palpated in the right lumbar region. Other examinations were normal. A provisional diagnosis of hydronephrosis with renal cell carcinoma was made.
For the following Case Study, as follow is Discussion Question
For the following Case Study, as follow is Discussion Question: As an NP student, needs to determine the medications for constipation.
According to the ACC/AHA Guidelines, what medication should this patient be prescribed for constipation? Write her complete prescriptions using the prescription writing format.
Support with 1 journal no older than 5 years.
Week 7: DISCUSSION QUESTION IN DISCUSSION BOARD
Gastroenterology-Motility Case Study
ACC/AHA Guidelines
PLEASE USE THIS MEDICATION FOR THE CASE STUDY: LUBIPRISTONE 24 MCG TWO TIMES A DAY.
Case study sample:
Chief complaint:
“ I have chronic constipation, incomplete defecation and abdominal bloating” for past 2 years.
HPI:
M.C. a 46-year-old hispanic female presents to the GI-Motility clinic for complaint of chronic constipation, incomplete defecation and abdominal bloating. She has pmhx of DM-type 2, IBS-Constipation, Tubular Adenoma.
She also indicates that she has noticed that her symptoms are worsening for past 3 months. She has associated her symptoms with abdominal bloating, straining and incomplete defecation.
She has tried Miralax one packet po daily for at least 8 weeks and it has not relieved her symptoms.
Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.
PMH:
Diabetes Mellitus, type 2
Constipation, chronic-IBS
Surgeries: None
Allergies
:
Penicillin
Vaccination History:
She receives an annual flu shot. Last flu shot was this year
Social history:
High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.
Family history:
Both parents are alive. Father has history of DM type 2, Tinea Pedis.
mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.
ROS:
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea
Cardiovascular: + 1 pitting leg edema. + Varicose veins.
Skin: + rash crusted white in feet and inter-digit in feet.
Psychiatric: No anxiety. No depression.
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored
HEENT
: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness.
NECK
: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.
LUNGS
: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.
HEART
: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema.
ABDOMEN
: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
GENITOURINARY
: No CVA tenderness bilaterally. GU exam deferred.
MUSCULOSKELETAL
: Slow gait but steady. No Kyphosis.
SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes.
PSYCH
: Normal affect. ...
THYROID SWELLING-JAGADISH.pptx
A 30-year-old woman presented with a gradually enlarging neck swelling over the past 6 years. On examination, a 6x8cm firm, mobile nodule was found in the front of the neck that moves with swallowing. She has no symptoms of hypo- or hyperthyroidism. Based on the examination, the probable diagnosis is a benign solitary thyroid nodule.
HYPERTENSIVE DISORDERS OF PREGNANCY.pptx
This document summarizes a case study of a 36-year-old pregnant woman in her third trimester who presented with high blood pressure readings. She has no other symptoms. Her medical history includes one previous cesarean delivery due to high blood pressure during that pregnancy. On examination, she is found to have a blood pressure of 160/110 mm Hg, grade 2 pedal edema, and urine albumin of ++. The provisional diagnosis is preeclampsia with severe features at 32 weeks and 5 days gestation.
Surgery-Hernia case profoma
A 48-year-old construction worker presented with a 2-month history of a swelling in his left groin that increased in size with lifting weights. On examination, a 5x5 cm reducible swelling was found in the left inguinal region with cough impulse. Investigations confirmed a diagnosis of left indirect inguinal hernia. The patient underwent a Lichtenstein tension free open mesh repair surgery to correct the hernia.
Heavy bleeding .pptx
A 38-year-old woman presented with heavy menstrual bleeding for 8-9 days with clots over the past 5 months and lower abdominal pain during menstruation. On examination, a 20-week uterus-sized mass was palpated in her abdomen that was mobile from side to side. She was provisionally diagnosed with abdominal uterine bleeding likely due to a leiomyoma (fibroid tumor of the uterus).
alcoholic liver disease.pptx
A 45-year-old male chronic alcohol consumer presented with abdominal distension and swelling of the lower limbs for 15 and 12 days respectively. On examination, he was found to have icterus, edema up to the knees, and an enlarged liver. Based on his history of alcohol use and current symptoms and signs, the provisional diagnosis was decompensated liver disease with ascites likely due to chronic alcohol consumption. Further investigations and management with diet, diuretics, and potential liver transplant were planned.
Choledochal cyst (type IVb) with Cholangitis
The document summarizes the case of a 10-year-old boy admitted with fever, jaundice, and abdominal pain. Key findings include intermittent high fever for 4 days, jaundice for 4 days, and occasional right upper abdominal pain. He had a similar prior episode 2 months ago. Examination found him febrile but otherwise stable. Tests showed elevated liver enzymes and bilirubin. Ultrasound and MRCP found a fusiform dilated common bile duct suggestive of a choledochal cyst. He was started on antibiotics and vitamin K. His fever subsided after a few days but jaundice remained. A pediatric surgery consultation was requested.
Surgery case presentation: A 50 year old lady with a lump in the right breast
A 50-year-old lady presented with a 1-year history of a painless, gradually enlarging lump in her right breast and 6 months of unintentional weight loss. Examination found an irregular, oval, hard mass in the right breast that was fixed to underlying tissue. Investigations including FNAC were compatible with ductal carcinoma. The patient underwent a modified radical mastectomy. Histopathology confirmed ductal carcinoma. Adjuvant treatment including chemotherapy and radiotherapy was planned.
Case Write Up Surgical Gastric Carcinoma
Patient presented with 5 months history of progressive abdominal pain associated with per rectal bleeding and early satiety for 1 month duration.
Case summary : Pancreatitis
This document summarizes a 28-year-old Indonesian male patient who presented with abdominal pain, fever, and vomiting. On examination, he was found to have jaundice and tenderness in his right hypochondrium and epigastrium. Laboratory tests showed elevated liver enzymes and bilirubin. Ultrasound revealed gallbladder sludge and dilation of the bile ducts due to a large stone. ERCP confirmed choledocholithiasis with multiple stones in the common bile duct. The provisional diagnoses were ascending cholangitis and cholecystitis.
Similar to Right hypochondrium lump[1] (20)
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
For the following Case Study, as follow is Discussion Question
For the following Case Study, as follow is Discussion Question
Surgery case presentation: A 50 year old lady with a lump in the right breast
Surgery case presentation: A 50 year old lady with a lump in the right breast
Recently uploaded
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
Professional Secrecy: Forensic Medicine Lecture
Professional Secrecy: Forensic Medicine Lecture , Medical jurisprudence
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
How Effective is Homeopathic Medicine for Anxiety and Stress Relief.pdf
Have you ever wondered how effective is homeopathic medicine for anxiety and stress relief? Let’s dive into this fascinating topic.
Luxurious Spa In Ajman Chandrima Massage Center
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Letter to MREC - application to conduct study
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Can Allopathy and Homeopathy Be Used Together in India.pdf
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
CCSN_June_06 2024_jones. Cancer Rehabpptx
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Gemma Wean- Nutritional solution for Artemia
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
Trauma Outpatient Center .
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest VersionDeep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.Recently uploaded (20)
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
How Effective is Homeopathic Medicine for Anxiety and Stress Relief.pdf
How Effective is Homeopathic Medicine for Anxiety and Stress Relief.pdf
Bringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured Approach
Can Allopathy and Homeopathy Be Used Together in India.pdf
Can Allopathy and Homeopathy Be Used Together in India.pdf
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Right hypochondrium lump[1]
- 1. RIGHT HYPOCHONDRIUM LUMP BY: Dr ABRAR ALI
- 2. INTRODUCTION Mr. X 62 year old female ,hindu ,resident of varanshi ,house wife by occupation and belongs to lower middle socio-economic class. c/o –lump in rt.upper abdomen since 6 weeks Pain in right upper abdomen since 2 years (on & off )
- 3. HISTORY OF PRESENT ILLNESS Pt.was apparently well 6 weeks back when she noticed a lump in right upper abdomen which was insidious in onset ,progressive in nature and increase from lemon size to present size. a/w dull aching pain over right upper abdomen , bloating ,loss of appetite ,significant wt.loss No aggravating or relieving factors which affect size of lump (decrease / increase) a/w vomiting No h/o jaundice / generalized body itching No h/o malena / blood in stool
- 4. Cont… Pt.also c/o -recurrent wax / wanning pain in rt.upper abdomen since 2 years which is sudden in onset ,colicky in nature ,moderate to severe in intensity ,radiating to rt.shoulder ,aggravating after eating meal ,some times relieved on pressure application a/w vomiting which is bilious ,non projectile in nature ,vomitus is undigested food and 1-2 episode after each colicky pain episode.
- 5. Treatment history- Had gone to local medicinal practitioner for recurrent pain in upper abdomen and take analgesics and anta-acids after almost every episode of pain in the form of tablets or injections.
- 6. Past history… k/c/o cholelithisis diagnosed 1 year back No H/o DM / HTN / TB / CAD/THYROID DISORDER No H/O any other privous surgical illness No H/o blood transfusions
- 7. Personal history Sleep ,bowel and bladder habits are normal Consumes a mixed diet No h/o smoking / alcohol consumptions Attained menopause at 48 years of age
- 8. Family history No h/o similar complaints in the family No h/o malignancy related death in the family
- 9. General examinations Examined in well lit room lying in the supine position with prior consent and in the presence of female attendant. Consious / oriented ,lean built ,lying comfortably on bed with cannula in situ BMI -18.6 Kg/m2 BP-130/70mmhg, PR-82/M , RR-20/M ,spo2-99% R/A Pallor +nt , no icterus / Lnpathy /clubbing /edema
- 10. Physical examinations PER ABDOMEN ON INSPECTION- Examined in the supine position with arm kept on side and exposed from mid chest to mid thigh ( after prior consent and in the presence of female attendant ) Abdomen is normal in shape with a central and inverted umbilicus. overlying skin is normal without scar, dilated or visible veins and any visible pulsations or peristalsis . All quadrant moves equaly with respirations Visible globular lump seen in right upper quadrant moving with respirations ,7*8 cm in size no cough impulse at hernia orifice External genitalia is normal Left supraclavicular fossa is normal Spine and back is normal
- 11. on palpation Temp.of overlying skin is normal w.r.t surrounding abd.skin Nontender ,Palpable globular mass approx 7*8 cm in dimensions in rt.upper quadrant extending onto the right lumbar region and umblical region hard in consistency ,well defined margin and smooth surface Not Move side to side Not possible to get above the swelling On leg lifting test –size of swelling decrease moving with respiration , No pulsation felt over the swelling No expansile impulse on coughing at hernia site Liver is palpable , with regular surface ,nontender ,firm in consistency
- 12. On percussion Dull on percussion Lower limit of liver dullness raised over the swelling No shifting dullness and fluid thrill On auscultation Normal bowel sounds present No bruits or murmur heard over the swelling
- 13. summary 62 yr old female p/w lump in right upper abdomen which incearse in size since 6 weeks ,a/w loss of appetite and significant wt.loss , h/o recurrent colicky rt.upper abdominal pain since 2 years which is radiating to rt.shoulder and a/w nonbilious vomiting with d/c/o cholelithisis but no h/o jaundice. On general examinations,she is lean built ,her vitals is stable, no icterus/ lnpathy / pedal edema seen but aneamic .
- 14. Cont… On physical examination she has 7*8 cm, hard, with well defined margin ,nontender globular lump in right hypochondrium wich move with respiration With no cough impulse and dull on percussion is most likey GB mass. D /D Parietal swelling- lipoma , fibroma , sebaceous cyst Intra-abdominal- -hepatoma -cholangiocarcinoma -Hepatocellular carcinoma
- 15. Cont… Liver abscess Hydatid cyst