Diagnosis of ruptured pulmonary hydatid cyst by means of flexible fiberoptic ...Abdulsalam Taha
There are three radiological signs considered diagnostic of ruptured pulmonary hydatid cyst (PHC): perivesicular pneumocyst, double domed arch and water lily. Apart from these, every localized radiological density seen in any patient above the age of 3 in an endemic area should be looked upon as possible ruptured hydatid. Nevertheless, situations where the diagnosis of ruptured PHC is difficult are far from being rare in countries of high endemiology. Thus a preliminary bronchoscopy is a perfectly justifiable step in the diagnostic work-up. Herein, we report 3 selected cases of Iraqi patients with ruptured PHC in whom definitive diagnoses were made using the flexible fiberoptic bronchoscope (FOB).
Publication Name: The Journal of Thoracic and Cardiovascular Surgery
Publication Date: 2005
view on jtcvsonline.org
Drs. Milam, Thomas, Lorenzen, and Barlock’s CMC X-Ray Mastery Project: August...Sean M. Fox
Drs. Claire Milam, Alyssa Thomas, Breeanna Lorenzen, and Travis Barlock are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Diaphragmatic Injury
• Malignant Pleural Effusion
• Subcutaneous Emphysema
• Tension Pneumothorax
• Pulmonary Contusion
• Complete Lung Consolidation
• Tuberculosis
Diagnosis of ruptured pulmonary hydatid cyst by means of flexible fiberoptic ...Abdulsalam Taha
There are three radiological signs considered diagnostic of ruptured pulmonary hydatid cyst (PHC): perivesicular pneumocyst, double domed arch and water lily. Apart from these, every localized radiological density seen in any patient above the age of 3 in an endemic area should be looked upon as possible ruptured hydatid. Nevertheless, situations where the diagnosis of ruptured PHC is difficult are far from being rare in countries of high endemiology. Thus a preliminary bronchoscopy is a perfectly justifiable step in the diagnostic work-up. Herein, we report 3 selected cases of Iraqi patients with ruptured PHC in whom definitive diagnoses were made using the flexible fiberoptic bronchoscope (FOB).
Publication Name: The Journal of Thoracic and Cardiovascular Surgery
Publication Date: 2005
view on jtcvsonline.org
Drs. Milam, Thomas, Lorenzen, and Barlock’s CMC X-Ray Mastery Project: August...Sean M. Fox
Drs. Claire Milam, Alyssa Thomas, Breeanna Lorenzen, and Travis Barlock are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these educational, self-guided radiology slides. This set will cover:
• Diaphragmatic Injury
• Malignant Pleural Effusion
• Subcutaneous Emphysema
• Tension Pneumothorax
• Pulmonary Contusion
• Complete Lung Consolidation
• Tuberculosis
The role of traf3 and cyld mutationin the etiology of human papillomavirus dr...TÀI LIỆU NGÀNH MAY
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HOẶC
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tai lieu tong hop, thu vien luan van, luan van tong hop, do an chuyen nganh
Abdominal Pain as Initial Presentation of Lung Adenocarcinomaasclepiuspdfs
Isolated celiac lymph node metastasis (ICLNM), in general, is not common with a reported incidence of 5–10% for lung adenocarcinoma. Lung adenocarcinoma rarely metastasizes to the celiac lymph node leading to abdominal pain. It is not typical for ICLNM to be the initial presentation of lung adenocarcinoma as well. In this case, a 56-year-old man presented with a 4-week history of persistent periumbilical dull pain. Workup was remarkable for celiac lymph node mass which turned out to be adenocarcinoma with unknown primary cancer. Whole body position emission tomography scan and biopsy of the mass with immunohistochemistry could identify lung adenocarcinoma as the primary cancer. After a well-informed discussion of options for chemotherapy drugs with the patient, the decision was made to pursue bevacizumab combined with chemotherapeutics. He was charged home with abdominal pain relief and outpatient follow-up after short-course of chemotherapy.
Lung cancer is the leading cause of cancer incidence and cancer death for both men and women.
Malignant chest tumor can be primary, arising within the lung, chest wall, or mediastinum, or it can be a metastasis from a primary tum or site elsewhere in the body.In approximately 70 percent of the patient with lung cancer disease has spread to regional lymphatic and other sites by the time of diagnosis
The role of traf3 and cyld mutationin the etiology of human papillomavirus dr...TÀI LIỆU NGÀNH MAY
Để xem full tài liệu Xin vui long liên hệ page để được hỗ trợ
: https://www.facebook.com/thuvienluanvan01
HOẶC
https://www.facebook.com/garmentspace/
https://www.facebook.com/thuvienluanvan01
https://www.facebook.com/thuvienluanvan01
tai lieu tong hop, thu vien luan van, luan van tong hop, do an chuyen nganh
Abdominal Pain as Initial Presentation of Lung Adenocarcinomaasclepiuspdfs
Isolated celiac lymph node metastasis (ICLNM), in general, is not common with a reported incidence of 5–10% for lung adenocarcinoma. Lung adenocarcinoma rarely metastasizes to the celiac lymph node leading to abdominal pain. It is not typical for ICLNM to be the initial presentation of lung adenocarcinoma as well. In this case, a 56-year-old man presented with a 4-week history of persistent periumbilical dull pain. Workup was remarkable for celiac lymph node mass which turned out to be adenocarcinoma with unknown primary cancer. Whole body position emission tomography scan and biopsy of the mass with immunohistochemistry could identify lung adenocarcinoma as the primary cancer. After a well-informed discussion of options for chemotherapy drugs with the patient, the decision was made to pursue bevacizumab combined with chemotherapeutics. He was charged home with abdominal pain relief and outpatient follow-up after short-course of chemotherapy.
Lung cancer is the leading cause of cancer incidence and cancer death for both men and women.
Malignant chest tumor can be primary, arising within the lung, chest wall, or mediastinum, or it can be a metastasis from a primary tum or site elsewhere in the body.In approximately 70 percent of the patient with lung cancer disease has spread to regional lymphatic and other sites by the time of diagnosis
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
The Inoperable Bronchogenic Carcinoma.pdf
1. الرحيم الرحمن هللا بسم
The Inoperable
Bronchogenic Carcinoma:
Four Case Reports
Prof. Abdulsalam Y Taha
College of Medicine
University of Sulaimani
2022 1
2. Introduction
Bronchogenic carcinoma (BGC) is a
highly fatal and very common cancer
in both genders affecting smokers
and even non-smokers. Surgery, the
best therapy for this cancer, is
unfortunately not an option for a
great number of patients with
inoperable BGC (IBGC). The term
(Inoperable) is used to describe
tumors which are beyond surgery for
either a technical factor (non-
resectable) or a medical factor. 2
3. The Cases
Four cases with inoperable bronchogenic
carcinoma (IBGC) admitted to the
Department of Thoracic Surgery,
Sulaymaniyah Teaching Hospital,
Sulaymaniyah, Region of Kurdistan, Iraq
on different times after 2003 are
presented herein. Reasons of
inoperability of BGC are discussed here
besides presentation of the 4 cases.
3
4. Case 1 Left BGC with left phrenic
nerve palsy (elevated
hemidiaphragm)
4
Clubbing of Fingers
Courtesy of Prof. Abdulsalam Y Taha
Courtesy of Prof. Abdulsalam Y Taha
5. Case 2 Left Pancoast Tumor in a
37-years Old Man
5
Courtesy of Prof. Abdulsalam Y Taha
9. Case 2: Diagnostic left thoracotomy
for incisional biopsy followed by deep
X-ray therapy
9
Courtesy of Prof. Abdulsalam Y Taha
10. Case 3: IBGC in a 78-years old
man presented with productive
cough and SOB for a few
months
10
Courtesy of Prof. Abdulsalam Y Taha
11. Case 3: RLL collapse
consolidation 11
Courtesy of Prof. Abdulsalam Y Taha
12. 12
Stagnant secretions
in RMB
RMB tumor
involving carina
funnel shaped bronchus
after aspiration of secretions
stenosis of RUL
bronchus intermedius tumor
Courtesy of Prof.
Abdulsalam Y Taha
Courtesy of Prof.
Abdulsalam Y Taha
Courtesy of Prof.
Abdulsalam Y Taha Prof.
Abdulsalam
13. Case 4: A 70-years old man with IBGC (small
cell lung cancer, skin and adrenal glands
metastases)
13
Courtesy of Prof. Abdulsalam Y Taha
14. Case 4: Skin Nodule
14
Courtesy of Prof. Abdulsalam Y Taha
15. Case 4: Left hilar mass on CXR
15
Courtesy of Prof. Abdulsalam Y Taha
21. Signs of Inoperability in BGC
1. Poor pulmonary reserve.
2. Distant metastases.
3. Small cell lung cancer.
4. Unilateral or bilateral recurrent laryngeal
nerve paralysis.
5. Horner’s syndrome.
6. Phrenic nerve paralysis.
7. Pancoast tumor. 21
22. Signs of Inoperability in BGC…
8. Malignant pleural effusion
9. Chest wall involvement (relative)
10. Involvement of the contralateral lung
11. Involvement of the contralateral
mediastinal lymph nodes (LNs) or the
unilateral or contralateral supraclavicular
LNs (N3 Disease).
12. A tumor within the trachea or involving
the carina or in the main stem bronchus less
than 2 cm from the carina.
13. Superior vena cava (SVC) obstruction
syndrome.
22
23. Comment…
In 1997 study, we found that “95.8% of
Iraqi patients were inoperable. Many
patients had more than one sign of
inoperability. The commonest one was
poor respiratory functions. Some of the
signs were clinical e.g. SVC obstruction,
radiological e.g. rib erosion, while others
were bronchoscopic e.g. vocal cord
paralysis, widened and immobile carina,
carinal tumor and main stem bronchus
close to the carina” [1]. 23
24. Comment…
The reasons for this high inoperability were 1.
The aggressive nature of the disease so when
the symptoms developed, the tumor was too
advanced 2. The patients usually consulted
doctors too late as respiratory symptoms were
attributed to smoking and chronic bronchitis 3.
There was unfortunately a delay in referral of
patients to bronchoscopy by the physicians; the
patient either received only symptomatic
treatment or misdiagnosed and treated as a
case of pulmonary tuberculosis [1].
24
25. Take Home Message
It is hoped that with smoking cessation, BGC
incidence would decrease. Moreover, patients'
education and physicians' orientation would
ensure earlier patients' consultation and
earlier referral of the patients for diagnostic
bronchoscopy and imaging studies to make the
diagnosis earlier. The increasing use of
thoracoscopic surgery would offer safer surgery
for more patients deemed to be inoperable
before. We aim to get a diagnosis of BGC in our
patients at an earlier stage so that more
“curative” operations would be performed.
25
26. Bibliography
[1] Abdul Salam Yaseen Taha. The use of
fiberoptic bronchoscope in the diagnosis
of bronchogenic carcinoma. BJS March
1997;3:31-36
26