Thoracic case
•Download as PPTX, PDF•
0 likes•1 view
Mr. Ansari, a 48-year-old diabetic and hypertensive man from Birgunj, Parsa, presented with a three month history of a right-sided abdominal lump and 15 days of vague right abdominal pain and fullness. On examination, a 20x20cm soft to firm mass was found in his right lumbar region that was mobile laterally but fixed posteriorly and non-painful. Imaging showed a large retroperitoneal mass. Exploratory laparotomy revealed a 20x20cm retroperitoneal mass adherent to nearby structures but without invasion, appearing lipomatous with central necrosis. The diagnosis was a retroperitoneal mass, possibly a liposarcoma or angiomyolipoma
Report
Share
Report
Share
Recommended
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.
Diverticular disease
This document discusses three cases of acute abdominal conditions seen by a surgical gastroenterologist.
Case 1 involves a 55-year-old male with left lower quadrant pain and fever diagnosed with diverticulitis based on CT findings. The patient underwent left hemicolectomy with sigmoid resection and diverting loop ileostomy.
Case 2 describes a 53-year-old male with abdominal pain found to have an acute SMA thrombosis on CT angiography. The patient was treated conservatively with heparin and antibiotics.
Case 3 involves a 65-year-old cirrhotic male with SMV thrombosis found on CECT. The patient deteriorated clinically despite conservative management and required small bowel resection during
Pancreatic_Cancer_-_Rhim.power point presentation
- A 72-year-old man presented with vague abdominal discomfort after eating for 8-9 months and unintentional 20lb weight loss. CT scan showed atrophy of the pancreas and dilation of the pancreatic duct.
- Endoscopic ultrasound with fine needle aspiration was recommended due to high suspicion of pancreatic neoplasm based on presentation and imaging findings.
- Pathology confirmed pancreatic ductal adenocarcinoma, which has very poor survival outcomes due to late stage at diagnosis but surgery offers the only chance for cure.
A.pptx
1) The 80-year-old male patient presented with 5 months of abdominal pain, weight loss, and recent vomiting. Imaging showed a pancreatic mass encasing the splenic artery and gastric outlet obstruction.
2) Laboratory tests showed elevated tumor markers consistent with a probable malignant pancreatic mass.
3) The pre-op diagnosis is a pancreatic mass likely malignant causing gastric outlet obstruction. The proposed surgical plan is a palliative double bypass surgery including gastrojejunostomy, jejunostomy, and cholecystojejunostomy.
carcinoma breast case presentation .pptx
This document summarizes the case of a 62-year-old female patient who presented with a lump in her right breast. On examination, a 4 cm irregular, mobile lump was detected. Investigations including mammography and biopsy confirmed a diagnosis of invasive ductal carcinoma. The patient underwent a modified radical mastectomy with axillary clearance. Histopathology of the specimen found grade 2 invasive ductal carcinoma with clear margins and no lymph node metastasis. The final diagnosis was invasive ductal carcinoma of the right breast, stage T2N0M0.
Presentation1
A 45 year old lady, a housewife Came with continuous bleeding since 20 days and Irregular cycles with heavy flow since 1yr.
ANTE NATAL CARE
Mrs. Rabeya presented with 10 weeks of amenorrhea and morning sickness. After examination and investigations, she was diagnosed with a 10 week pregnancy. She was advised regular antenatal checkups every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, and weekly until delivery. Minor issues like nausea, backache, constipation, and leg cramps were discussed. Exercise was not recommended except for light household activities, with certain conditions like IUGR requiring rest. The goals of antenatal care were outlined as identifying and treating issues early to improve maternal and infant health outcomes.
Gastroradio.pptx
This case involves a 29-year-old female teacher presenting with right upper quadrant pain for 3 months and jaundice for 20 days. Investigations revealed elevated liver enzymes and bilirubin. Imaging showed a large hepatic mass and biopsies indicated metastatic adenocarcinoma. The second case is a 61-year-old female with recurrent abdominal pain and vomiting over 4 months. Imaging found an enlarged liver with a large heterogeneous mass. Biopsies were inconclusive but imaging suggested possible gallbladder carcinoma with metastases. Both patients underwent further endoscopic and imaging workup to characterize the liver lesions and evaluate for obstruction.
Recommended
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.
Diverticular disease
This document discusses three cases of acute abdominal conditions seen by a surgical gastroenterologist.
Case 1 involves a 55-year-old male with left lower quadrant pain and fever diagnosed with diverticulitis based on CT findings. The patient underwent left hemicolectomy with sigmoid resection and diverting loop ileostomy.
Case 2 describes a 53-year-old male with abdominal pain found to have an acute SMA thrombosis on CT angiography. The patient was treated conservatively with heparin and antibiotics.
Case 3 involves a 65-year-old cirrhotic male with SMV thrombosis found on CECT. The patient deteriorated clinically despite conservative management and required small bowel resection during
Pancreatic_Cancer_-_Rhim.power point presentation
- A 72-year-old man presented with vague abdominal discomfort after eating for 8-9 months and unintentional 20lb weight loss. CT scan showed atrophy of the pancreas and dilation of the pancreatic duct.
- Endoscopic ultrasound with fine needle aspiration was recommended due to high suspicion of pancreatic neoplasm based on presentation and imaging findings.
- Pathology confirmed pancreatic ductal adenocarcinoma, which has very poor survival outcomes due to late stage at diagnosis but surgery offers the only chance for cure.
A.pptx
1) The 80-year-old male patient presented with 5 months of abdominal pain, weight loss, and recent vomiting. Imaging showed a pancreatic mass encasing the splenic artery and gastric outlet obstruction.
2) Laboratory tests showed elevated tumor markers consistent with a probable malignant pancreatic mass.
3) The pre-op diagnosis is a pancreatic mass likely malignant causing gastric outlet obstruction. The proposed surgical plan is a palliative double bypass surgery including gastrojejunostomy, jejunostomy, and cholecystojejunostomy.
carcinoma breast case presentation .pptx
This document summarizes the case of a 62-year-old female patient who presented with a lump in her right breast. On examination, a 4 cm irregular, mobile lump was detected. Investigations including mammography and biopsy confirmed a diagnosis of invasive ductal carcinoma. The patient underwent a modified radical mastectomy with axillary clearance. Histopathology of the specimen found grade 2 invasive ductal carcinoma with clear margins and no lymph node metastasis. The final diagnosis was invasive ductal carcinoma of the right breast, stage T2N0M0.
Presentation1
A 45 year old lady, a housewife Came with continuous bleeding since 20 days and Irregular cycles with heavy flow since 1yr.
ANTE NATAL CARE
Mrs. Rabeya presented with 10 weeks of amenorrhea and morning sickness. After examination and investigations, she was diagnosed with a 10 week pregnancy. She was advised regular antenatal checkups every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, and weekly until delivery. Minor issues like nausea, backache, constipation, and leg cramps were discussed. Exercise was not recommended except for light household activities, with certain conditions like IUGR requiring rest. The goals of antenatal care were outlined as identifying and treating issues early to improve maternal and infant health outcomes.
Gastroradio.pptx
This case involves a 29-year-old female teacher presenting with right upper quadrant pain for 3 months and jaundice for 20 days. Investigations revealed elevated liver enzymes and bilirubin. Imaging showed a large hepatic mass and biopsies indicated metastatic adenocarcinoma. The second case is a 61-year-old female with recurrent abdominal pain and vomiting over 4 months. Imaging found an enlarged liver with a large heterogeneous mass. Biopsies were inconclusive but imaging suggested possible gallbladder carcinoma with metastases. Both patients underwent further endoscopic and imaging workup to characterize the liver lesions and evaluate for obstruction.
Part IV Gasitrointesitinal disorders pharmacotherapy.pptx
This document provides an outline for a lecture on gastrointestinal disorders and pharmacotherapy. It begins with an overview of gastrointestinal tract evaluation, including important components of the patient history, physical examination, and diagnostic tests. Common symptoms of gastrointestinal dysfunction are described. The document then discusses specific diagnostic studies and procedures used to evaluate gastrointestinal disorders, including radiographic, endoscopic, and imaging approaches. Evaluation of gastrointestinal reflux disease is reviewed in detail.
Abdominal Examination
1) The document provides guidelines for performing an abdominal examination, including inspection, palpation, percussion, and auscultation.
2) Seven sample patient cases are described to demonstrate how findings from the abdominal exam can be used to arrive at diagnoses. Diagnoses included fatty liver, splenomegaly, sigmoid carcinoma, ascites, hydronephrosis, carcinoid tumor, and schwannoma.
3) Performing a thorough abdominal exam through inspection, palpation, percussion, and auscultation is important for identifying abnormalities and arriving at accurate diagnoses.
1.COPD in laparoscopy surgery 28th Aug.pptx
1. Mr. Irfan, a 68-year-old male carpenter, presented with 4 months of intermittent upper abdominal pain and vomiting.
2. Examination found tender epigastric and right hypochondriac regions. Investigations including ultrasound revealed chronic calculous cholecystitis.
3. He also had a 5-year history of shortness of breath and cough. Examination of his lungs and PFT were consistent with chronic obstructive pulmonary disease.
4. The final diagnosis was chronic calculous cholecystitis and chronic obstructive pulmonary disease.
Ascending cholangitis.pptx
- 76-year-old male presented with abdominal pain, fever, and fluid leakage from a surgical incision site
- He had a previous diagnosis of obstructive jaundice secondary to cholangiocarcinoma and underwent PTBD 2 months ago
- Examination found hypotension, Murphy's sign positive, and palpable gallbladder
- CT scan showed a mass at the porta hepatis occupying the common hepatic duct and signs of portal hypertension
- Provisional diagnosis was ascending cholangitis secondary to PTBD and cholangiocarcinoma
Gi tumor
This 55-year-old male presented with melena, weakness, weight loss, and anemia over the past year. Endoscopy revealed a polypoidal stomach mass, and biopsy showed a gastrointestinal stromal tumor (GIST). CT scan found a 5.7x6.8 cm stomach wall mass without metastases. He underwent a sleeve gastrectomy surgery to remove the tumor. Histopathology of the tumor was consistent with a GIST, and he was referred for adjuvant imatinib therapy due to risk of recurrence or metastases.
class acute abdomen other causes.pdf PPT.pdf
This document discusses various causes of acute abdominal pain, including non-specific abdominal pain (34%), acute appendicitis (28%), acute cholecystitis (10%), small bowel obstruction (4%), perforated peptic ulcer (3%), pancreatitis (3%), and diverticular disease (2%). It describes the pathophysiology of visceral, parietal, and referred pain. It provides details on localized pain patterns from various abdominal organs and conditions. It also outlines the important history, physical exam findings, and initial investigations for evaluating a patient with acute abdominal pain.
Breast lump
A 52-year-old woman presented with a lump in the upper outer quadrant of her right breast that had been growing over the past 2 months. On examination, a 3x3 cm hard, irregular lump was found fixed to the breast tissue but not to the skin or chest wall. A 1.5x1.5 cm mobile lymph node was palpated in the right axilla. The patient's history was notable for menopause at age 45, no family history of breast cancer, and no other health issues. The provisional diagnosis was carcinoma of the right breast, stage IIB.
Bph
This document presents a case report of a 61-year-old male patient admitted with symptoms of benign prostatic hyperplasia (BPH). He reported increased urinary frequency, dribbling, and difficulty emptying his bladder. Examination found an enlarged prostate, which was confirmed on ultrasound and cystoscopy. The patient underwent a transurethral resection of the prostate and had an uneventful postoperative recovery. BPH is caused by an imbalance in hormones that causes the prostate to enlarge. Common symptoms include problems with urination like frequent urination and weak urine stream. Treatment options include medications and surgery.
dermoid.pptx
A 27-year-old female presents with a 3-year history of progressive abdominal enlargement and urinary retention. Physical examination reveals a distended abdomen that is dull to percussion. Imaging shows a well-defined cystic mass in the right ovary. The patient undergoes laparoscopic removal of a massive ovarian cyst, which is diagnosed as a dermoid cyst on histopathology.
2nd challenge in Emergency
This document provides guidance on evaluating and managing patients presenting with abdominal pain. It lists common differential diagnoses for abdominal pain and immediate life-threatening causes that must be recognized. It recommends asking about the pain's location, quality, severity and other details. For testing, it suggests abdominal x-rays, ultrasound, CT scans and labs depending on the situation. The document provides examples of imaging findings and discusses dispositions such as surgical consultation, serial evaluation or discharge depending on the case.
Inflammatory bowel disease
Information about Inflammatory bowel disease in history, different investigations and surgery and post op by Dr Dhaval Mangukiya.
Details of Low Anterior Resection(LAR), Arterial Supply, Venous Drainage, Ports, Position, Modified Lithotomy, Vessel Ligation, Lymph Nodes, Nerves Anatomy, Superior Hypogastric Plexus, Lateral Pelvic Nerves, Correct TME, Anastomosis etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
Crohn's Disease by Dr Harsh Shah, Kaizen Hospital, Ahmedabad, India
Crohn's disease is an inflammatory bowel disease. It is commonly misdiagnosed as either appendicitis, Tuberculosis or perianal fistulas.
Crohn's Disease
Crohn's disease is a chronic inflammatory bowel disease that can involve any part of the gastrointestinal tract from mouth to anus. It is characterized by periods of remission and relapse. Three case studies are presented where the initial diagnoses were missed, but were later found to be Crohn's disease based on histopathological findings. Key learning points are the importance of thorough history taking, use of appropriate investigations like CT scans and colonoscopy with biopsies to confirm diagnoses, and considering Crohn's disease in cases of recurrent or unusual presentations of conditions like appendicitis and fistula-in-ano. Early diagnosis and treatment with immunomodulators can help manage the disease effectively and preserve bowel function.
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: Septembe...
1) The document discusses several adult abdominal imaging case studies presented by physicians from Carolinas Medical Center and Levine Children's Hospital.
2) It provides an overview of the ongoing abdominal imaging interpretation project, which is co-sponsored by emergency medicine and surgery residency programs and shares cases internationally.
3) The document reviews a systematic approach to reviewing abdominal CT scans, focusing on following blood flow and anatomical structures from top to bottom and right to left.
Zambia association of general surgeons hernia presentation
A 42-year-old male presented with a strangulated right inguinal hernia. He underwent surgery where the gangrenous bowel loops including the cecum were removed via a right hemicolectomy. An ileostomy was then placed. Post-operatively, the patient recovered well with no infections and was comfortable. The discussion points focused on managing strangulated hernias in low-resource versus high-resource settings.
Clinical cases
This document discusses four clinical cases involving gallstones and bile duct issues.
Case 1 involves a 40-year-old woman with acute gallstone pancreatitis who underwent medical treatment and may require surgery if symptoms recur. Case 2 is a 53-year-old woman with vague upper abdominal symptoms who was managed medically with follow up. Case 3 is a 67-year-old woman with jaundice, weight loss, and elevated tumor marker found to have a hilar mass requiring further investigation and management. Case 4 is a 41-year-old woman with acute gallstone pancreatitis and CBD stones seen on ultrasound who requires further evaluation and treatment.
Audit Asoj 2080.pptx
This patient presented with right flank pain and abdominal distension. Imaging showed cholelithiasis and perforated abdominal viscus. She underwent classical Graham's patch repair for duodenal ulcer perforation. Post-operatively, she developed septic shock, metabolic acidosis, and hypoglycemia. She was deemed to have a poor prognosis and died from septic shock secondary to duodenal ulcer perforation peritonitis, which was exacerbated by the surgical stress of the repair procedure.
Obstructive jaundice
The patient is a 65-year-old male with a history of chronic pancreatitis who presents with jaundice, weight loss, clay-colored stools, and itching. On examination, he appears jaundiced and emaciated with scratch marks and a palpable mass in the right upper abdomen. Imaging shows a mass in the head of the pancreas causing dilation of the pancreatic and bile ducts. Given the clinical findings and imaging results, pancreatic cancer is suspected. Biopsy of the mass confirms pancreatic adenocarcinoma. Surgical resection offers the only chance of cure but many patients have advanced disease at presentation.
Avoiding errors in diagnosing abdominal pain
This document provides guidance on evaluating and diagnosing abdominal pain. It emphasizes the importance of thorough history taking and examination. Key vital signs and pain scores should be assessed. Analgesics can be given early without delaying diagnosis. Stability must be reassessed after interventions. Specific considerations are provided for different age groups and gender. Common patterns associated with various diagnoses are outlined. Four case studies are presented highlighting errors in diagnosis, including appendicitis mistaken for wall abscess, hernia nerve entrapment, testicular torsion, and opioid overdose masked by vague complaints. The takeaway is to be diligent and persistent until reaching a diagnosis.
Main Java[All of the Base Concepts}.docx
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Advanced Java[Extra Concepts, Not Difficult].docx
This is part 2 of my Java Learning Journey. This contains Hashing, ArrayList, LinkedList, Date and Time Classes, Calendar Class and more.
More Related Content
Similar to Thoracic case
Part IV Gasitrointesitinal disorders pharmacotherapy.pptx
This document provides an outline for a lecture on gastrointestinal disorders and pharmacotherapy. It begins with an overview of gastrointestinal tract evaluation, including important components of the patient history, physical examination, and diagnostic tests. Common symptoms of gastrointestinal dysfunction are described. The document then discusses specific diagnostic studies and procedures used to evaluate gastrointestinal disorders, including radiographic, endoscopic, and imaging approaches. Evaluation of gastrointestinal reflux disease is reviewed in detail.
Abdominal Examination
1) The document provides guidelines for performing an abdominal examination, including inspection, palpation, percussion, and auscultation.
2) Seven sample patient cases are described to demonstrate how findings from the abdominal exam can be used to arrive at diagnoses. Diagnoses included fatty liver, splenomegaly, sigmoid carcinoma, ascites, hydronephrosis, carcinoid tumor, and schwannoma.
3) Performing a thorough abdominal exam through inspection, palpation, percussion, and auscultation is important for identifying abnormalities and arriving at accurate diagnoses.
1.COPD in laparoscopy surgery 28th Aug.pptx
1. Mr. Irfan, a 68-year-old male carpenter, presented with 4 months of intermittent upper abdominal pain and vomiting.
2. Examination found tender epigastric and right hypochondriac regions. Investigations including ultrasound revealed chronic calculous cholecystitis.
3. He also had a 5-year history of shortness of breath and cough. Examination of his lungs and PFT were consistent with chronic obstructive pulmonary disease.
4. The final diagnosis was chronic calculous cholecystitis and chronic obstructive pulmonary disease.
Ascending cholangitis.pptx
- 76-year-old male presented with abdominal pain, fever, and fluid leakage from a surgical incision site
- He had a previous diagnosis of obstructive jaundice secondary to cholangiocarcinoma and underwent PTBD 2 months ago
- Examination found hypotension, Murphy's sign positive, and palpable gallbladder
- CT scan showed a mass at the porta hepatis occupying the common hepatic duct and signs of portal hypertension
- Provisional diagnosis was ascending cholangitis secondary to PTBD and cholangiocarcinoma
Gi tumor
This 55-year-old male presented with melena, weakness, weight loss, and anemia over the past year. Endoscopy revealed a polypoidal stomach mass, and biopsy showed a gastrointestinal stromal tumor (GIST). CT scan found a 5.7x6.8 cm stomach wall mass without metastases. He underwent a sleeve gastrectomy surgery to remove the tumor. Histopathology of the tumor was consistent with a GIST, and he was referred for adjuvant imatinib therapy due to risk of recurrence or metastases.
class acute abdomen other causes.pdf PPT.pdf
This document discusses various causes of acute abdominal pain, including non-specific abdominal pain (34%), acute appendicitis (28%), acute cholecystitis (10%), small bowel obstruction (4%), perforated peptic ulcer (3%), pancreatitis (3%), and diverticular disease (2%). It describes the pathophysiology of visceral, parietal, and referred pain. It provides details on localized pain patterns from various abdominal organs and conditions. It also outlines the important history, physical exam findings, and initial investigations for evaluating a patient with acute abdominal pain.
Breast lump
A 52-year-old woman presented with a lump in the upper outer quadrant of her right breast that had been growing over the past 2 months. On examination, a 3x3 cm hard, irregular lump was found fixed to the breast tissue but not to the skin or chest wall. A 1.5x1.5 cm mobile lymph node was palpated in the right axilla. The patient's history was notable for menopause at age 45, no family history of breast cancer, and no other health issues. The provisional diagnosis was carcinoma of the right breast, stage IIB.
Bph
This document presents a case report of a 61-year-old male patient admitted with symptoms of benign prostatic hyperplasia (BPH). He reported increased urinary frequency, dribbling, and difficulty emptying his bladder. Examination found an enlarged prostate, which was confirmed on ultrasound and cystoscopy. The patient underwent a transurethral resection of the prostate and had an uneventful postoperative recovery. BPH is caused by an imbalance in hormones that causes the prostate to enlarge. Common symptoms include problems with urination like frequent urination and weak urine stream. Treatment options include medications and surgery.
dermoid.pptx
A 27-year-old female presents with a 3-year history of progressive abdominal enlargement and urinary retention. Physical examination reveals a distended abdomen that is dull to percussion. Imaging shows a well-defined cystic mass in the right ovary. The patient undergoes laparoscopic removal of a massive ovarian cyst, which is diagnosed as a dermoid cyst on histopathology.
2nd challenge in Emergency
This document provides guidance on evaluating and managing patients presenting with abdominal pain. It lists common differential diagnoses for abdominal pain and immediate life-threatening causes that must be recognized. It recommends asking about the pain's location, quality, severity and other details. For testing, it suggests abdominal x-rays, ultrasound, CT scans and labs depending on the situation. The document provides examples of imaging findings and discusses dispositions such as surgical consultation, serial evaluation or discharge depending on the case.
Inflammatory bowel disease
Information about Inflammatory bowel disease in history, different investigations and surgery and post op by Dr Dhaval Mangukiya.
Details of Low Anterior Resection(LAR), Arterial Supply, Venous Drainage, Ports, Position, Modified Lithotomy, Vessel Ligation, Lymph Nodes, Nerves Anatomy, Superior Hypogastric Plexus, Lateral Pelvic Nerves, Correct TME, Anastomosis etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
Crohn's Disease by Dr Harsh Shah, Kaizen Hospital, Ahmedabad, India
Crohn's disease is an inflammatory bowel disease. It is commonly misdiagnosed as either appendicitis, Tuberculosis or perianal fistulas.
Crohn's Disease
Crohn's disease is a chronic inflammatory bowel disease that can involve any part of the gastrointestinal tract from mouth to anus. It is characterized by periods of remission and relapse. Three case studies are presented where the initial diagnoses were missed, but were later found to be Crohn's disease based on histopathological findings. Key learning points are the importance of thorough history taking, use of appropriate investigations like CT scans and colonoscopy with biopsies to confirm diagnoses, and considering Crohn's disease in cases of recurrent or unusual presentations of conditions like appendicitis and fistula-in-ano. Early diagnosis and treatment with immunomodulators can help manage the disease effectively and preserve bowel function.
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: Septembe...
1) The document discusses several adult abdominal imaging case studies presented by physicians from Carolinas Medical Center and Levine Children's Hospital.
2) It provides an overview of the ongoing abdominal imaging interpretation project, which is co-sponsored by emergency medicine and surgery residency programs and shares cases internationally.
3) The document reviews a systematic approach to reviewing abdominal CT scans, focusing on following blood flow and anatomical structures from top to bottom and right to left.
Zambia association of general surgeons hernia presentation
A 42-year-old male presented with a strangulated right inguinal hernia. He underwent surgery where the gangrenous bowel loops including the cecum were removed via a right hemicolectomy. An ileostomy was then placed. Post-operatively, the patient recovered well with no infections and was comfortable. The discussion points focused on managing strangulated hernias in low-resource versus high-resource settings.
Clinical cases
This document discusses four clinical cases involving gallstones and bile duct issues.
Case 1 involves a 40-year-old woman with acute gallstone pancreatitis who underwent medical treatment and may require surgery if symptoms recur. Case 2 is a 53-year-old woman with vague upper abdominal symptoms who was managed medically with follow up. Case 3 is a 67-year-old woman with jaundice, weight loss, and elevated tumor marker found to have a hilar mass requiring further investigation and management. Case 4 is a 41-year-old woman with acute gallstone pancreatitis and CBD stones seen on ultrasound who requires further evaluation and treatment.
Audit Asoj 2080.pptx
This patient presented with right flank pain and abdominal distension. Imaging showed cholelithiasis and perforated abdominal viscus. She underwent classical Graham's patch repair for duodenal ulcer perforation. Post-operatively, she developed septic shock, metabolic acidosis, and hypoglycemia. She was deemed to have a poor prognosis and died from septic shock secondary to duodenal ulcer perforation peritonitis, which was exacerbated by the surgical stress of the repair procedure.
Obstructive jaundice
The patient is a 65-year-old male with a history of chronic pancreatitis who presents with jaundice, weight loss, clay-colored stools, and itching. On examination, he appears jaundiced and emaciated with scratch marks and a palpable mass in the right upper abdomen. Imaging shows a mass in the head of the pancreas causing dilation of the pancreatic and bile ducts. Given the clinical findings and imaging results, pancreatic cancer is suspected. Biopsy of the mass confirms pancreatic adenocarcinoma. Surgical resection offers the only chance of cure but many patients have advanced disease at presentation.
Avoiding errors in diagnosing abdominal pain
This document provides guidance on evaluating and diagnosing abdominal pain. It emphasizes the importance of thorough history taking and examination. Key vital signs and pain scores should be assessed. Analgesics can be given early without delaying diagnosis. Stability must be reassessed after interventions. Specific considerations are provided for different age groups and gender. Common patterns associated with various diagnoses are outlined. Four case studies are presented highlighting errors in diagnosis, including appendicitis mistaken for wall abscess, hernia nerve entrapment, testicular torsion, and opioid overdose masked by vague complaints. The takeaway is to be diligent and persistent until reaching a diagnosis.
Similar to Thoracic case (20)
Part IV Gasitrointesitinal disorders pharmacotherapy.pptx
Part IV Gasitrointesitinal disorders pharmacotherapy.pptx
Crohn's Disease by Dr Harsh Shah, Kaizen Hospital, Ahmedabad, India
Crohn's Disease by Dr Harsh Shah, Kaizen Hospital, Ahmedabad, India
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: Septembe...
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: Septembe...
Zambia association of general surgeons hernia presentation
Zambia association of general surgeons hernia presentation
Recently uploaded
Main Java[All of the Base Concepts}.docx
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Advanced Java[Extra Concepts, Not Difficult].docx
This is part 2 of my Java Learning Journey. This contains Hashing, ArrayList, LinkedList, Date and Time Classes, Calendar Class and more.
How to deliver Powerpoint Presentations.pptx
"How to make and deliver dynamic presentations by making it more interactive to captivate your audience attention"
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxMohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh
How to Fix the Import Error in the Odoo 17
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Hindi varnamala | hindi alphabet PPT.pdf
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...Nguyen Thanh Tu Collection
https://app.box.com/s/tacvl9ekroe9hqupdnjruiypvm9rdaneChapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
How to Create a More Engaging and Human Online Learning Experience
How to Create a More Engaging and Human Online Learning Experience Wahiba Chair Training & Consulting
Wahiba Chair's Talk at the 2024 Learning Ideas Conference. Leveraging Generative AI to Drive Nonprofit Innovation
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...Nguyen Thanh Tu Collection
https://app.box.com/s/qhtvq32h4ybf9t49ku85x0n3xl4jhr15How to Make a Field Mandatory in Odoo 17
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Recently uploaded (20)
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
How to Create a More Engaging and Human Online Learning Experience
How to Create a More Engaging and Human Online Learning Experience
Leveraging Generative AI to Drive Nonprofit Innovation
Leveraging Generative AI to Drive Nonprofit Innovation
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
Thoracic case
- 2. Case Details • Mr Ansari • 48yr male • From Birgunj, Parsa • Muslim
- 3. Case Details • Right sided abdominal lump for 3 months • Right sided vague abdominal pain for 15 days • Abdominal fullness and anorexia present • Normal bowel and bladder habbit • Known diabetic and hypertensive • Metformin, Linagliptin and glimepiride • Losartan and atorvastatin • Chews tobacco left few months back
- 4. On Examination • Vitals = stable • General condition = good • No palor no icterus no edema • P/A: lump of size 20*20cm at right lumbar region, soft to firm in consistency, globular, mobile laterally but fixed with posterior surface, non painful, no features of IVC obstruction • DRE: normal • Other systemic examination normal
- 5. USG abdomen
- 6. CECT Abdomen and pelvis
- 9. • Diagnosis : Retroperitoneal mass ?liposarcoma or AML • Plan : exploratory laparotomy and excision of mass
- 10. OT findings • About 20*20cm retroperitoneal mass ,with irregular margins, solid to cystic , semi mobile , inside cocoon along with small and large intestine causing pressure effects • Adherent to IVC, right gonadal vessels, right ureter and right kidney without invasion • On cut section : lipomatous lesion with central fat necrosis surrounded by thick irregular capsule
- 12. Thank you