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A 57-year-old female presented with increasing nausea, fullness, and pressure in the epigastrium two months after an uncomplicated cholecystectomy. Her liver biopsy revealed chronic hepatitis without fibrosis. On examination, her liver edge was tender and slightly enlarged. Laboratory tests were ordered to rule out viral, autoimmune, or nonalcoholic fatty liver disease as the cause of her chronic hepatitis and abnormal liver tests dating back to 2007. She was prescribed Zofran for nausea and further evaluation with MRI was planned.
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Graph mining analyzes structured data like social networks and the web through graph search algorithms. It aims to find frequent subgraphs using Apriori-based or pattern growth approaches. Social networks exhibit characteristics like densification and heavy-tailed degree distributions. Link mining analyzes heterogeneous, multi-relational social network data through tasks like link prediction and group detection, facing challenges of logical vs statistical dependencies and collective classification. Multi-relational data mining searches for patterns across multiple database tables, including multi-relational clustering that utilizes information across relations.
Social Data Mining
This document discusses social data mining. It begins by defining data, information, and knowledge. It then defines data mining as extracting useful unknown information from large datasets. Social data mining is defined as systematically analyzing valuable information from social media, which is vast, noisy, distributed, unstructured, and dynamic. Common social media platforms are described. Graph mining and text mining are discussed as important techniques for social data mining. The generic social data mining process of data collection, modeling, and various mining methods is outlined. OAuth 2.0 authorization is also summarized as an important process for applications to access each other's data.
Analysis of student videos
Amy Wichellow's music video for Florence and the Machine's "Spectrum" is a well-made, professional-looking pop music video. It depicts just the female protagonist/singer miming to the song. Amy edited the video well, cutting her footage to the beat of the song using effective jump cuts. Her choices of location, props, and costumes were supported by her editing style. Peter Khoo's video uses intriguing shots like panning and close-ups to make what would be repetitive, interesting. It cuts between a stage performance and a story of a boy and girl. Professional elements like slow motion shots make it appear like a real-life video.
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[Longer ver] From Software to Hardware: How Do I Track My Cat with JavaScript
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Data Mining: Graph mining and social network analysis
Data Mining: Graph mining and social network analysis
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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.
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Clinical Scenario:
REASON FOR CONSULTATION:
Desaturation to 64% on room air 1 hours ago with associated shortness of breath.
HISTORY OF PRESENT ILLNESS:
Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 22, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91% on 4L NC. The patient was seen and examined at 10:10 a.m. She reports that she has been having mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of visit was 22 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiation treatment for laryngeal cancer and her last treatment was 1 to 2 weeks ago. She reports that she has 2 to 3 treatments left. She denies any chest pain at this time and denies any previous history of CHF. Review of her vital signs show that she has been having intermittent fevers since yesterday morning. Of note, she was admitted to the hospital 3 weeks ago for an atrial fibrillation with RVR for which she was cardioverted and has not had any further problems. The cardiologist at that time said that she did not need any anticoagulation unless she reverted back into A-fib.
REVIEW OF SYSTEMS:
Constitutional:
Negative for diaphoresis and chills.
Positive for fever and fatigue.
HEENT:
Negative for hearing loss, ear pain, nose bleeds, tinnitus.
Positive for throat pain secondary to her laryngeal cancer.
Eyes:
Negative for blurred vision, double vision, photophobia, discharge or redness.
Respiratory:
Positive for cough and shortness of breath
. Negative for hemoptysis and wheezing.
Cardiovascular:
Negative for chest pain, palpitations, orthopnea, leg swelling or PND.
Gastrointestinal:
Negative for heartburn, nausea, vomiting, abdominal pain, diarrhea, constipation, blood in stool or melena.
Genitourinary:
Negative for dysuria, urgency, frequency, hematuria and flank pain.
Musculoskeletal:
Negative for myalgias, back pain and falls.
Skin:
Negative for itching and rash.
Neurological:
Negative for dizziness, tingling, tremors, sensory changes, speech changes.
Endocrine/hematologic/allergies:
Negative for environmental allergies or polydipsia. Does not bruise or bleed easily.
Psychiatric:
Negative for depression, hallucinations and memory loss.
PAST MEDICAL HISTORY:
Diabetes mellitus that was diagnosed 12 years ago with neuropathy. This resolved after gastric.
Case presentation
1) A 33-year-old female presented with shortness of breath for 4 months. She reported a history of recurrent epistaxis, abdominal pain and distension, and vitiligo.
2) On examination, her liver and spleen were enlarged. Laboratory tests showed pancytopenia and elevated liver enzymes.
3) Imaging found an enlarged liver with irregular borders and thickened portal veins, as well as an enlarged spleen with varices. Bone marrow biopsy revealed pancytopenia due to peripheral sequestration.
patient_record.pdf
A 35-year-old female presented with abdominal pain, vomiting, diarrhea and high fever. She was diagnosed with septic shock due to E. coli bacteremia. Tests did not reveal the source of the infection. She was treated with antibiotics and improved. She was discharged on cefpodoxime with instructions to follow up with her primary care physician after completing the antibiotic course.
gall bladder carcinoma Long case surgery
Mrs. Suraton, an 80-year-old widow, presented with a 4-month history of right upper quadrant pain and a 3-month history of weight loss and loss of appetite. Examination revealed a 4x3 cm hard lump in her right hypochondrium. Ultrasound and blood tests suggested gallbladder cancer with elevated CEA and CA 19-9 levels. She was diagnosed with gallbladder carcinoma. Treatment would involve palliative care like stenting for jaundice relief, as the cancer was advanced and unresectable. Her prognosis was poor with a 5-year survival rate of less than 5%.
Collagenous Sprue
This case presentation discusses a 47-year old male patient who was referred for abdominal pain, nausea, vomiting and significant weight loss. Investigations revealed jejunization of the ileum on CT scan and villous atrophy on biopsy. The patient was initially treated for Crohn's disease but did not improve. Further histopathology found a thick collagenous band suggestive of collagenous sprue. The patient was started on a gluten-free diet, steroids, total parenteral nutrition, and anti-TNF therapy, leading to improved symptoms. Collagenous sprue is a rare malabsorptive disorder characterized by villous atrophy and thick subepithelial collagen deposits. Treatment is challenging but may include steroids
Loop ileostomy
This slide is about a case of a patient who presented as an abdominal emergency and loop ileostomy was formed.
GASTRIC CARCINOMA
This document presents two case studies of patients with gastric cancer. The first case is a 60-year-old male who presented with epigastric pain and vomiting for two months. Various tests were performed and it was determined that he had a signet ring cell type adenocarcinoma of the stomach. He underwent a laparoscopic gastrectomy. The second case is a 72-year-old male who also presented with epigastric pain and chest heaviness. He was found to have adenocarcinoma of the stomach as well and underwent a laparoscopic gastrectomy. The document then provides further details on the anatomy, histopathology, classification, staging, signs and symptoms, and management of
Jasleen morning report 1
A 61-year-old male presented with abdominal pain, nausea, and vomiting for the past 3 days. On examination, he had jaundice, hepatomegaly, splenomegaly, and abdominal tenderness. Lab tests showed abnormal liver function and elevated bilirubin. Imaging found cirrhosis of the liver and hepatic metastases. A liver biopsy revealed cirrhosis with no evidence of primary or metastatic cancer. He was diagnosed with alcohol-induced cirrhosis and started on treatment and monitoring.
DOC_PATIENT.pdf
A 35-year-old female presented with abdominal pain, vomiting, diarrhea and high fever. She was found to have septic shock from E. coli bacteremia. Tests did not reveal the source of infection. She was treated with antibiotics and improved. She was discharged on cefpodoxime with instructions to follow up with her primary care physician in one week after completing the antibiotic course.
Anaesthetic management of goitre
A 65 year old female from sundergarh presented with swelling in front of neck gradually increasing size over 3 years without airway compromise,complications,any other comorbid conditions , diagnosed as hypothyroidism 2 yrs back & is on treatment with levothyroxine with FNAC diagnosis diffuse colliod goiter pattern & ECG showing RBBB pattern.
Dr ibrahim alnaggar case
This document describes the case of a 63-year-old male kidney transplant recipient who presented with decreased urine output and rising serum creatinine. He has a history of diabetes, hypertension, end-stage renal disease, hepatitis C, and ischemic heart disease. Upon examination and initial workup, he was found to have renal impairment, anemia, and thrombocytopenia. Differential diagnoses considered included prerenal causes, thrombotic microangiopathy, cyclosporine toxicity, CMV infection, and rejection. Treatment with fluid challenge was ineffective. A cyclosporine level was elevated. The patient responded dramatically to pulse steroid therapy with improvement in kidney function and platelet count. Next steps discussed include follow up
Intestinal bowel obstruction case .pptx
This case study presents a 73-year-old Thai male with small bowel obstruction. He presented with 10 hours of lower abdominal pain and distension. Imaging showed dilated small bowel with air-fluid levels, and a CT scan identified a transition point, confirming small bowel obstruction. The patient underwent exploratory laparotomy which revealed lysis of adhesions as the cause. He was treated conservatively with NG decompression and IV fluids initially, and then surgically with laparotomy for adhesion lysis and decompression of the small bowel.
PSEUDOPANCREATIC CYST
Case Presentation acts as a demo for Abdominal Cases.
Outline of Management of Pseudopancreatic cysts
Recent Advances
Case presentation: rif lump.pptx
A 23-year-old female presented with 4 days of right lower abdominal pain shifting from peri-umbilical to the right lower abdomen, accompanied by 3 days of nausea, vomiting and fever. On examination, a tender, firm lump was found in the right iliac fossa. The provisional diagnosis was a right iliac fossa lump due to acute appendicitis. Differential diagnoses included ileo-caecal TB, carcinoma of the caecum, right ovarian cyst, mesenteric lymphadenopathy, and intussusception.
Case presentation on AUTOIMMUNE HEP final.pptx
This document describes a case of an 11-year-old female child presenting with abdominal distension and blood in stool. Various tests were performed and findings were consistent with cirrhosis of the liver with portal hypertension. Further workup revealed positive ANA and ASMA antibodies, consistent with a diagnosis of autoimmune hepatitis. Autoimmune hepatitis is a chronic disease of unknown cause characterized by liver inflammation and necrosis that can progress to cirrhosis. It has two main types and is diagnosed based on elevated enzymes, antibodies, and histopathology. Treatment involves immunosuppression with steroids and medications, with the goal of achieving remission though relapse is common.
Colorectal carcinoma
Tasleem Akhtar, a 50-year old female, presented with post-prandial vomiting, abdominal pain, and constipation. Imaging showed signs of intestinal obstruction. She underwent exploratory laparotomy, which found a stricture in the sigmoid colon due to a hard mass. A segment of the sigmoid colon was resected along with the mass. Histopathology revealed colorectal cancer. She was diagnosed with colorectal cancer affecting the sigmoid colon.
pe.pptx
This case presentation describes a 49-year-old female patient who presented with a 3-year history of flank pain associated with dysuria and hematuria. Imaging and lab results showed poorly functioning left kidney secondary to xanthogranulomatous pyelonephritis, and obstructive uropathy of the right kidney due to pelviolithiasis. The patient was diagnosed with xanthogranulomatous pyelonephritis of the left kidney, pelviolithiasis of the right kidney, and diabetes mellitus type 2. She was admitted and managed conservatively with IV fluids and pain medication. The treatment plan includes a left nephrectomy, left flank exploration, cystoscopy, and right
RCC_case.pptx
A 65-year-old female presented with a 1-month history of blood mixed with urine. She reported two prior episodes of hematuria accompanied by mild left flank pain. Her medical history and examinations were otherwise unremarkable. Laboratory tests found anemia and blood in her urine. Imaging revealed a 3.5 cm mass in her left kidney. She underwent a left radical nephrectomy, and pathology of the surgical specimen showed renal cell carcinoma.
Cholecytectomy
An 80-year-old woman presented with right upper abdominal pain and nausea/vomiting. She had a history of hypertension, hypothyroidism, obstructive sleep apnea, and recurrent urinary tract infections. Examination and investigations revealed acute obstructive cholecystitis. She underwent an open cholecystectomy with combined spinal-epidural anesthesia and was managed post-operatively with epidural analgesia and intravenous fluids. She recovered well and was discharged on the third post-operative day.
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Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Sample+4
- 1. DATE OF SERVICE: 03/12/2014 SUBJECTIVE: The patient is a 57-year-old female, 2 months post cholecystectomy, which was uncomplicated. Intraoperative liver biopsy revealed chronic hepatitis without fibrosis as the patient has been known to have abnormal LFTs since at least 2007. Original hepatitis viral screens were narrative. She has had no polyarthralgia, myalgia, diarrhea or abdominal pain, but has had increasing nausea with fullness and pressure in the epigastrium. She began taking Prilosec 3 days ago, has decreased her caffeine dosing, has vomited on 2 occasions. Blood pressure has been well controlled and she has had no rashes or fevers, jaundice, lightheadedness, dizziness, vertigo, or falling out. OBJECTIVE: VITAL SIGNS: Pulse 70, BP 98/64, BMI 27, and O2 sat 98%. ABDOMEN: The liver edge is tender and slightly enlarged at 3-4 cm below the right costal margin extending well into the epigastrium. Bowel sounds are active. No bruit. No splenomegaly. SKIN: Appears normal. She does appear pale. Well-healed cholecystectomy scars noted. ASSESSMENT: 1. Chronic hepatitis, rule out vial autoimmune biliary tract stone and/or nonalcoholic steatohepatitis. 2. History of acetaminophen excess. 3. Chronic allergic rhinitis. 4. Chronic sinusitis, controlled. 5. Chronic essential hypertension. 6. Status post cholecystectomy. PLAN: Zofran 8 mg b.i.d. or t.i.d. p.r.n. Hepatitis panel, ANA, antismooth muscle antibody, alpha-1 antitrypsin level, antimitochondrial level, CBC, CMP, platelets, amylase, and lipase. May need MRCP. Further recommendation to follow.