subtotal gastrectomy with gastrojejunostomy.pptx
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This document outlines a presentation on subtotal gastrectomy with gastrojejunostomy surgery. It discusses the surgical anatomy, indications for the procedure, preoperative evaluation, surgical technique, and potential complications including intraoperative, immediate, early, and late complications. Complications range from hemorrhage and ischemia during surgery to anastomotic leaks, strictures, marginal ulcers, and dumping syndrome in the long term. The document provides an overview of the key aspects of performing and recovering from this type of stomach surgery.
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ileostomy.pptx dr. atul khare
This document presents a case study of a 30-year-old male farmer with an ileostomy. Two months prior he had undergone an emergency surgery for perforated peritonitis which resulted in the creation of a temporary loop ileostomy. He presented with complaints of redness and itching around the stoma site for the past 2 weeks. On examination, the stoma was found to be well-functioning with normal output and appearance. There was excoriated skin near the proximal opening that was healing with topical ointment. The provisional diagnosis was a temporary diverting loop ileostomy with peristomal excoriation.
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.
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.
meningomyelocoele.pptx
A 1.5 month old female infant presented with a swelling on her lower back since birth. On examination, the swelling was a soft, cystic mass measuring 5x5x4cm over the lumbosacral region, with positive fluctuation and transillumination. A bony gap was felt at the margin of the swelling. Based on these findings, the provisional diagnosis was an unruptured lumbosacral meningomyelocele.
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.
THYROID swelling22.pptx
A 60-year-old woman presented with a swelling in her neck that had grown rapidly over the past 2 months. On examination, she had an irregular, multinodular goiter measuring 18x14 cm that extended from her thyroid cartilage to her suprasternal notch. She reported hoarseness of voice for the past 2 months. The provisional diagnosis was carcinoma of the thyroid with involvement of the recurrent laryngeal nerve, despite her being in an euthyroid state.
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.
portal hypertension.pptx
This document discusses the surgical management of portal hypertension caused by both cirrhotic and non-cirrhotic liver disease. It describes various surgical procedures including shunt surgeries, devascularization surgeries, and splenectomy. Shunt surgeries are the preferred approach as they decompress the portal system and effectively control variceal bleeding and ascites. Distal splenorenal shunt has the best outcomes with selective decompression and lowest risk of encephalopathy. Devascularization surgeries control acute bleeding but do not lower portal pressures and have higher rebleeding rates compared to shunts. Splenectomy may be indicated in specific cases but does not treat the underlying cause of portal hypertension.
lumbar sympathectomy - Copy.pptx
This document outlines lumbar sympathectomy, a procedure to remove at least one sympathetic ganglion. It discusses the anatomy, indications, contraindications, types of procedures, operative steps, and complications. The key indications for lumbar sympathectomy include hyperhidrosis, causalgia, inoperative arterial occlusive disease causing rest pain or ulceration, and Raynaud's phenomenon. Potential complications include post-sympathectomy neuralgia, retrograde ejaculation, bleeding, and rarely paraplegia or ureteric necrosis. The document provides an overview of this irreversible surgical procedure.
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Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
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subtotal gastrectomy with gastrojejunostomy.pptx
- 1. SUBTOTAL GASTRECTOMY WITH GASTROJEJUNOSTOMY DR. ATUL KHARE
- 2. OUTLINE OF PRESENTATION • SURGICAL ANATOMY • INDICATION • PREOPERATIVE EVALUATION • SURGICAL TECHNIQUE • COMPLICATIONS AND ITS MANAGEMENT
- 3. ANATOMY
- 7. • Y
- 10. INTRAOPERATIVE COMPLICATIONS INTRAOPERATIVE 1] HAEMORRHAGE 2] ACUTE ISCHEMIA OF LEFT LOBE OF LIVER 3] INJURY TO SPLEEN, PANCREAS, COMMON BILE DUCT 4] DISRUPTION OF AMPULLA OF VATER
- 11. IMMEDIATE COMPLICATIONS IMMEDIATE 1] ATELECTASIS 2] PNEUMONIA 3] RESPIRATORY FAILURE 4] PULMONARY EMBOLISM 5] DEEP VENOUS THROMBOSIS 6] WOUND INFECTION 7] SUB PHRENIC ABSCESS 8] ACUTE PANCREATITIS
- 12. EARLY COMPLICATIONS 1] POST OPERATIVE ANASTOMOTIC HAEMORRHAGE 2] ANASTOMOTIC LEAK 3] DUODENAL STUMP LEAK 4] SMALL BOWEL OBSTRUCTION 5] STOMAL OBSTRUCTION
- 13. LATE COMPLICATIONS 1] ANASTOMOTIC STRICTURE 2] MARGINAL ULCER BLEEDING 3] GASTRO-GASTRIC FISTULA 4] POST-GASTRECTOMY SYNDROME= -GASTRIC RESERVOIR DYSFUNCTION [ DUMPING SYNDROME, METABOLIC DISORDERS ] -VAGAL DENERVATION’S [ DIARRHOEA, GASTRIC STASIS, GALLSTONE] -ABERRATIONS IN SURGICAL RECONSTRUCTION [ ALKALINE REFLUX GASTRITIS, AFF AND EFF LOOP OBSTRUCTION, ROUX SYNDROME ] 5] SMALL STOMACH SYNDROME 6] STUMP CARCINOMA
- 14. THANK YOU