Mr. B, a middle-aged man, experienced abdominal pain after eating fatty foods that radiated to his back and caused nausea. An examination and ultrasound were planned to evaluate for possible biliary diseases like cholelithiasis. Cholelithiasis, or gallstones, occur when bile contains too much cholesterol and not enough bile salts, causing stones to form in the gallbladder or ducts. Gallstones are often diagnosed by ultrasound and may be treated by laparoscopic cholecystectomy to remove the gallbladder.
The patient is a 25-year-old man presenting with worsening malaise, anorexia, nausea and fever over the past 10 days. Yesterday he noted dark urine and pale stools. On examination, the patient has icteric conjunctivae, a temperature of 38.8属C and tender enlarged liver. Urinalysis was positive for bilirubin and urobilinogen. The tasks are to take a further history, arrange investigations including liver function tests and abdominal imaging, explain the likely illness of hepatitis to the patient, and advise on immediate management including treatment and follow up.
Jaundice is caused by high bilirubin levels in the blood and results in a yellowing of the skin and eyes. It can be classified as pre-hepatic, hepatic, or post-hepatic depending on whether the cause is upstream, within, or downstream of the liver. A bilirubin level over 35 亮mol/L is needed for clinical jaundice. Causes include excessive bilirubin production from hemolysis, impaired liver function from infections, drugs or autoimmune diseases, or obstruction of bile flow from gallstones or tumors. A physical exam and lab tests are used to diagnose the type and cause of jaundice.
- Hepatocellular injury patterns are seen with elevated AST and ALT and are often caused by drugs, alcohol, viral hepatitis, steatohepatitis, autoimmune conditions, and genetic disorders. Cholestatic patterns feature elevated alkaline phosphatase and can be from intrahepatic causes like primary biliary cirrhosis or extrahepatic causes like gallstones, cholangiocarcinoma, or chronic pancreatitis. Isolated hyperbilirubinemia may indicate hemolysis, liver disease, or genetic conditions affecting bilirubin metabolism.
- Jaundice is caused by increased bilirubin in the blood due to excessive production, defective processing in the liver, or impaired passage of bilirubin from the liver to the gut.
- Obstructive jaundice, the most common cause, occurs when bilirubin fails to reach the gut due to blockages like gallstones or pancreatic cancer.
- Obstructive jaundice requires prompt diagnosis and treatment to remove the blockage to prevent complications like biliary cirrhosis.
This document outlines the approach to a patient presenting with jaundice. It begins with an introduction to bilirubin metabolism and the four main types of jaundice: hemolytic, hepatic, obstructive, and cholestatic. For each type, it describes the underlying causes, characteristic laboratory findings, and clinical features. The document then discusses the diagnostic workup, including liver function tests and imaging studies. It concludes with guidelines for differentiating the jaundice types and summarizing treatments based on the specific cause.
This document discusses two types of cholestatic liver diseases: Primary Biliary Cirrhosis (PBC) and Primary Sclerosing Cholangitis (PSC). PBC primarily affects women ages 40-60 and is characterized by persistent fatigue and presence of antimitochondrial antibodies. PSC most commonly affects men ages 20-30, often accompanies inflammatory bowel disease, and is diagnosed using imaging that shows a "string of beads" pattern in bile ducts. While no treatment reverses these conditions, ursodeoxycholic acid and liver transplantation can help manage symptoms and improve outcomes.
This document discusses the evaluation of upper gastrointestinal bleed. It begins with the anatomy of the upper GI tract and then lists common causes of bleeding from the esophagus, stomach, and duodenum. It describes the clinical presentations of GI bleeding such as hematemesis, melena, and hematochezia. For diagnosis, it recommends initial assessment, history, physical exam, lab tests, and endoscopy. Treatment approaches include medical management, endoscopic procedures, balloon tamponade, and surgery with the priority being control of the hemorrhage. It provides more details on treatment of variceal bleeding from the esophagus and stomach as well as non-variceal bleeding such as from peptic ulcer
New Microsoft PowerPoint Presentation (1).pptxabeerarajput
油
Gallstones form in the gallbladder from changes in bile components and can be made of cholesterol, calcium bilirubin, or a mix. They develop due to conditions that cause sluggishness in the gallbladder. Gallstones may cause no symptoms but can result in pain if they block bile ducts. Causes include too much cholesterol in bile, too much bilirubin, or issues with gallbladder emptying. Complications include gallbladder inflammation, bile duct blockage, or pancreatitis. Treatment depends on symptoms and complications.
Biliary colic is caused by gallstones forming in the gallbladder or bile ducts, which leads to severe cramping pain in the right upper abdomen. Risk factors include being overweight, high cholesterol, pregnancy, estrogen use, rapid weight loss, and certain medical conditions. The pain occurs after meals and lasts 1-6 hours, with nausea and tenderness in the right upper abdomen. Treatment involves laparoscopic cholecystectomy to remove the gallbladder, along with pain medications and antispasmodics. Nonsurgical options include oral bile acid therapy for patients who cannot undergo surgery.
The document provides tips for using a PowerPoint presentation on acute cholecystitis. It recommends:
1) Freely editing, modifying, and adding your name to slides.
2) Not worrying about number of slides, as half are blank except for titles.
3) Showing blank slides first to elicit student responses before presenting information.
4) Repeating this process of blank slide then information slide at the end for active learning.
5) Using this approach for self-study as well.
6) Checking notes for bibliography citations.
This document discusses symptoms and signs of liver disease. It notes that chronic hepatitis, cirrhosis, cholecystitis and cholangitis are among the most clinically significant liver and bile tract diseases. It describes various complaints patients may report including fatigue, jaundice, abdominal pain, skin itching, and bleeding. Physical exam findings are outlined including signs of liver enlargement (hepatomegaly), ascites, spider angiomas, and other manifestations. Causes, patterns and significance of symptoms are discussed for accurately diagnosing underlying liver conditions.
This document provides an overview of the approach to evaluating and diagnosing a patient with jaundice. It discusses examining various sites on the body for signs of jaundice. Common causes of jaundice are discussed such as those resulting from prehepatic, hepatic, and posthepatic issues. The document outlines the importance of obtaining a thorough history and physical exam. It also discusses initial laboratory tests that should be ordered and how to interpret the results to determine if the jaundice is caused by hepatocellular injury, biliary obstruction, or other issues. Imaging studies and additional lab tests are recommended based on the initial findings.
Alcoholic hepatitis is an inflammation of the liver caused by excessive alcohol intake that leads to liver damage and cell death. It is often a step between fatty liver and cirrhosis. Risk factors include a history of heavy drinking, smoking, genetics, female sex, and obesity. Diagnosis involves history of alcohol abuse, clinical presentation, lab tests showing elevated liver enzymes and bilirubin, ultrasound of an enlarged liver, and biopsy to assess severity. Mild cases are managed with education, vitamins, and rest while moderate to severe cases receive corticosteroids, acetylcysteine, and nutrition support. Prognosis is poor for older patients, those with renal impairment or encephalopathy, and rising white blood cell
This document discusses gallstone disease (cholelithiasis). It describes gallstones as abnormal masses formed in the gallbladder or bile ducts that are a common cause of abdominal pain and dyspepsia. It identifies factors that increase risk of gallstones like gender, age, obesity, pregnancy, and rapid weight loss. It discusses the types of gallstones, pathogenesis, definitions of related conditions, clinical manifestations, complications, and risk factors in more detail over several pages.
The document describes the anatomy and pathologies of the biliary tree. It is made up of the intrahepatic and extrahepatic bile ducts, gallbladder, and common bile duct. Common conditions covered include gallstones, biliary tract tumors, acute acalculous cholecystitis, Mirizzi's syndrome, and primary biliary disorders. Investigations like ultrasound and MRCP are used to diagnose conditions like gallstones, tumors, and bile duct stones. Treatments involve cholecystectomy for gallstones or tumors as well as ERCP for bile duct stone removal or stenting of bile duct cancers.
The document discusses gallstones and their effects, providing information on the pathophysiology, risk factors, clinical manifestations, investigations, and management of gallstone disease and complications like acute cholecystitis. Key points include that gallstones are usually asymptomatic but can cause biliary colic or lead to complications like acute cholecystitis, which is typically treated with cholecystectomy after the inflammation resolves.
This document discusses gallbladder diseases including gallstones, cholecystitis, choledocholithiasis, and cholangitis. It provides details on the anatomy and physiology of the biliary tract. The main types and risk factors for gallstone formation are described. Signs and symptoms, investigations, and management are outlined for various gallbladder disorders including cholesterol gallstones, acute cholecystitis, obstructive jaundice, ascending cholangitis, and gallstone ileus. Surgical and endoscopic treatment options are mentioned.
This document discusses the evaluation of jaundice. It begins by classifying jaundice into pre-hepatic, hepatic, and post-hepatic types. Common and uncommon causes of jaundice are then outlined. Signs and symptoms of jaundice are described along with specific examination findings of the abdomen. Aims of investigations are stated as determining the site of biliary obstruction, assessing liver function impairment and its cause, and establishing potential for treatment. Ten specific investigations are then detailed including hematology, liver function tests, bilirubin, alkaline phosphatase, transaminases, urine analysis, serology, abdominal radiology, liver biopsy, and other tests such as ERCP.
Nursing care management of digestive system disorders for Nursing schoolsSalmaMustafa11
油
## **Presentation Description**
**Title:** Gastrointestinal Disorders: Symptoms, Causes, and Management
**Overview:**
This comprehensive presentation provides a detailed overview of various gastrointestinal (GI) disorders, their associated symptoms, and potential causes. It covers a wide range of conditions, including upper and lower GI symptoms, hepatobiliary disorders, pancreatic issues, and other GI-related problems.
**Key Topics:**
* **Symptoms of GI Disorders:**
- Upper GI symptoms (mouth, dysphagia, reflux, nausea, vomiting)
- Lower GI symptoms (diarrhea, constipation, distension, bleeding)
- Hepatobiliary symptoms (pain, jaundice, hepatitis)
- Pancreatic symptoms (dyspepsia, pain, diabetes)
- Other GI symptoms (bloating, pain, dyspepsia)
* **Specific Conditions:**
- Vomiting: Causes, complications, and management.
- Diarrhea: Types, causes, and treatment.
- Abdominal pain: Localization and potential causes.
- Gastrointestinal bleeding: Upper and lower GI bleeding, causes, and management.
- Gastritis, gastroenteritis, and ulcers: Symptoms, causes, and treatment.
- Appendicitis, peritonitis, and hepatic encephalopathy: Overview, symptoms, and management.
- Other conditions: Cholecystitis, fatty liver disease, hepatitis, liver cirrhosis, and portal hypertension.
* **Investigations and Management:**
- Laboratory investigations (stool analysis, blood tests, imaging studies)
- Endoscopy procedures (EGD, colonoscopy)
- Treatment options (medications, surgery, lifestyle changes)
**Target Audience:**
This presentation is suitable for healthcare professionals, medical students, and individuals interested in understanding common GI disorders and their management.
**Purpose:**
To provide a comprehensive resource for understanding and managing various gastrointestinal disorders. The presentation aims to educate viewers on the symptoms, causes, and potential treatments for these conditions.
Alterations in Hepatobiliary System.pptxzeexhi1122
油
This document discusses various hepatobiliary disorders including pancreatitis, pancreatic cancer, liver abscess, hepatic cancer, and liver cirrhosis. It provides information on the anatomy and physiology of the pancreas and liver. For each condition, it describes the causes, signs and symptoms, diagnostic tests, management, nursing care, and potential complications. The document is intended to help understand these gastrointestinal conditions affecting the pancreas and liver.
(1) The patient is a 75-year-old female who presented with left lower quadrant pain, decreased bowel movements, weight loss, and recent vomiting of coffee ground material. (2) Physical exam revealed abdominal tenderness and a palpable mass in the left lower quadrant. (3) Imaging showed features suggestive of a colorectal mass. (4) During surgery, a rectosigmoid mass was found involving nearby structures, consistent with stage IV rectal cancer. (5) The patient underwent a Hartmann's procedure and ileostomy for palliation of bowel obstruction from metastatic rectal cancer.
Choledocholithiasis refers to stones in the common bile duct. Stones can form primarily in the bile duct or secondarily migrate from the gallbladder. Primary stones are rare and caused by infections, anomalies, or genetic defects. Secondary stones are more common, originating from gallstones. Stones may be asymptomatic or cause abdominal pain, jaundice, and other symptoms by blocking bile flow. Diagnosis involves blood tests, imaging like MRCP or ERCP. Treatment options include nonsurgical ERCP or shockwave lithotripsy, or surgical procedures like choledochotomy with or without T-tube placement.
This document discusses two types of cholestatic liver diseases: Primary Biliary Cirrhosis (PBC) and Primary Sclerosing Cholangitis (PSC). PBC primarily affects women ages 40-60 and is characterized by persistent fatigue and presence of antimitochondrial antibodies. PSC most commonly affects men ages 20-30, often accompanies inflammatory bowel disease, and is diagnosed using imaging that shows a "string of beads" pattern in bile ducts. While no treatment reverses these conditions, ursodeoxycholic acid and liver transplantation can help manage symptoms and improve outcomes.
This document discusses the evaluation of upper gastrointestinal bleed. It begins with the anatomy of the upper GI tract and then lists common causes of bleeding from the esophagus, stomach, and duodenum. It describes the clinical presentations of GI bleeding such as hematemesis, melena, and hematochezia. For diagnosis, it recommends initial assessment, history, physical exam, lab tests, and endoscopy. Treatment approaches include medical management, endoscopic procedures, balloon tamponade, and surgery with the priority being control of the hemorrhage. It provides more details on treatment of variceal bleeding from the esophagus and stomach as well as non-variceal bleeding such as from peptic ulcer
New Microsoft PowerPoint Presentation (1).pptxabeerarajput
油
Gallstones form in the gallbladder from changes in bile components and can be made of cholesterol, calcium bilirubin, or a mix. They develop due to conditions that cause sluggishness in the gallbladder. Gallstones may cause no symptoms but can result in pain if they block bile ducts. Causes include too much cholesterol in bile, too much bilirubin, or issues with gallbladder emptying. Complications include gallbladder inflammation, bile duct blockage, or pancreatitis. Treatment depends on symptoms and complications.
Biliary colic is caused by gallstones forming in the gallbladder or bile ducts, which leads to severe cramping pain in the right upper abdomen. Risk factors include being overweight, high cholesterol, pregnancy, estrogen use, rapid weight loss, and certain medical conditions. The pain occurs after meals and lasts 1-6 hours, with nausea and tenderness in the right upper abdomen. Treatment involves laparoscopic cholecystectomy to remove the gallbladder, along with pain medications and antispasmodics. Nonsurgical options include oral bile acid therapy for patients who cannot undergo surgery.
The document provides tips for using a PowerPoint presentation on acute cholecystitis. It recommends:
1) Freely editing, modifying, and adding your name to slides.
2) Not worrying about number of slides, as half are blank except for titles.
3) Showing blank slides first to elicit student responses before presenting information.
4) Repeating this process of blank slide then information slide at the end for active learning.
5) Using this approach for self-study as well.
6) Checking notes for bibliography citations.
This document discusses symptoms and signs of liver disease. It notes that chronic hepatitis, cirrhosis, cholecystitis and cholangitis are among the most clinically significant liver and bile tract diseases. It describes various complaints patients may report including fatigue, jaundice, abdominal pain, skin itching, and bleeding. Physical exam findings are outlined including signs of liver enlargement (hepatomegaly), ascites, spider angiomas, and other manifestations. Causes, patterns and significance of symptoms are discussed for accurately diagnosing underlying liver conditions.
This document provides an overview of the approach to evaluating and diagnosing a patient with jaundice. It discusses examining various sites on the body for signs of jaundice. Common causes of jaundice are discussed such as those resulting from prehepatic, hepatic, and posthepatic issues. The document outlines the importance of obtaining a thorough history and physical exam. It also discusses initial laboratory tests that should be ordered and how to interpret the results to determine if the jaundice is caused by hepatocellular injury, biliary obstruction, or other issues. Imaging studies and additional lab tests are recommended based on the initial findings.
Alcoholic hepatitis is an inflammation of the liver caused by excessive alcohol intake that leads to liver damage and cell death. It is often a step between fatty liver and cirrhosis. Risk factors include a history of heavy drinking, smoking, genetics, female sex, and obesity. Diagnosis involves history of alcohol abuse, clinical presentation, lab tests showing elevated liver enzymes and bilirubin, ultrasound of an enlarged liver, and biopsy to assess severity. Mild cases are managed with education, vitamins, and rest while moderate to severe cases receive corticosteroids, acetylcysteine, and nutrition support. Prognosis is poor for older patients, those with renal impairment or encephalopathy, and rising white blood cell
This document discusses gallstone disease (cholelithiasis). It describes gallstones as abnormal masses formed in the gallbladder or bile ducts that are a common cause of abdominal pain and dyspepsia. It identifies factors that increase risk of gallstones like gender, age, obesity, pregnancy, and rapid weight loss. It discusses the types of gallstones, pathogenesis, definitions of related conditions, clinical manifestations, complications, and risk factors in more detail over several pages.
The document describes the anatomy and pathologies of the biliary tree. It is made up of the intrahepatic and extrahepatic bile ducts, gallbladder, and common bile duct. Common conditions covered include gallstones, biliary tract tumors, acute acalculous cholecystitis, Mirizzi's syndrome, and primary biliary disorders. Investigations like ultrasound and MRCP are used to diagnose conditions like gallstones, tumors, and bile duct stones. Treatments involve cholecystectomy for gallstones or tumors as well as ERCP for bile duct stone removal or stenting of bile duct cancers.
The document discusses gallstones and their effects, providing information on the pathophysiology, risk factors, clinical manifestations, investigations, and management of gallstone disease and complications like acute cholecystitis. Key points include that gallstones are usually asymptomatic but can cause biliary colic or lead to complications like acute cholecystitis, which is typically treated with cholecystectomy after the inflammation resolves.
This document discusses gallbladder diseases including gallstones, cholecystitis, choledocholithiasis, and cholangitis. It provides details on the anatomy and physiology of the biliary tract. The main types and risk factors for gallstone formation are described. Signs and symptoms, investigations, and management are outlined for various gallbladder disorders including cholesterol gallstones, acute cholecystitis, obstructive jaundice, ascending cholangitis, and gallstone ileus. Surgical and endoscopic treatment options are mentioned.
This document discusses the evaluation of jaundice. It begins by classifying jaundice into pre-hepatic, hepatic, and post-hepatic types. Common and uncommon causes of jaundice are then outlined. Signs and symptoms of jaundice are described along with specific examination findings of the abdomen. Aims of investigations are stated as determining the site of biliary obstruction, assessing liver function impairment and its cause, and establishing potential for treatment. Ten specific investigations are then detailed including hematology, liver function tests, bilirubin, alkaline phosphatase, transaminases, urine analysis, serology, abdominal radiology, liver biopsy, and other tests such as ERCP.
Nursing care management of digestive system disorders for Nursing schoolsSalmaMustafa11
油
## **Presentation Description**
**Title:** Gastrointestinal Disorders: Symptoms, Causes, and Management
**Overview:**
This comprehensive presentation provides a detailed overview of various gastrointestinal (GI) disorders, their associated symptoms, and potential causes. It covers a wide range of conditions, including upper and lower GI symptoms, hepatobiliary disorders, pancreatic issues, and other GI-related problems.
**Key Topics:**
* **Symptoms of GI Disorders:**
- Upper GI symptoms (mouth, dysphagia, reflux, nausea, vomiting)
- Lower GI symptoms (diarrhea, constipation, distension, bleeding)
- Hepatobiliary symptoms (pain, jaundice, hepatitis)
- Pancreatic symptoms (dyspepsia, pain, diabetes)
- Other GI symptoms (bloating, pain, dyspepsia)
* **Specific Conditions:**
- Vomiting: Causes, complications, and management.
- Diarrhea: Types, causes, and treatment.
- Abdominal pain: Localization and potential causes.
- Gastrointestinal bleeding: Upper and lower GI bleeding, causes, and management.
- Gastritis, gastroenteritis, and ulcers: Symptoms, causes, and treatment.
- Appendicitis, peritonitis, and hepatic encephalopathy: Overview, symptoms, and management.
- Other conditions: Cholecystitis, fatty liver disease, hepatitis, liver cirrhosis, and portal hypertension.
* **Investigations and Management:**
- Laboratory investigations (stool analysis, blood tests, imaging studies)
- Endoscopy procedures (EGD, colonoscopy)
- Treatment options (medications, surgery, lifestyle changes)
**Target Audience:**
This presentation is suitable for healthcare professionals, medical students, and individuals interested in understanding common GI disorders and their management.
**Purpose:**
To provide a comprehensive resource for understanding and managing various gastrointestinal disorders. The presentation aims to educate viewers on the symptoms, causes, and potential treatments for these conditions.
Alterations in Hepatobiliary System.pptxzeexhi1122
油
This document discusses various hepatobiliary disorders including pancreatitis, pancreatic cancer, liver abscess, hepatic cancer, and liver cirrhosis. It provides information on the anatomy and physiology of the pancreas and liver. For each condition, it describes the causes, signs and symptoms, diagnostic tests, management, nursing care, and potential complications. The document is intended to help understand these gastrointestinal conditions affecting the pancreas and liver.
(1) The patient is a 75-year-old female who presented with left lower quadrant pain, decreased bowel movements, weight loss, and recent vomiting of coffee ground material. (2) Physical exam revealed abdominal tenderness and a palpable mass in the left lower quadrant. (3) Imaging showed features suggestive of a colorectal mass. (4) During surgery, a rectosigmoid mass was found involving nearby structures, consistent with stage IV rectal cancer. (5) The patient underwent a Hartmann's procedure and ileostomy for palliation of bowel obstruction from metastatic rectal cancer.
Choledocholithiasis refers to stones in the common bile duct. Stones can form primarily in the bile duct or secondarily migrate from the gallbladder. Primary stones are rare and caused by infections, anomalies, or genetic defects. Secondary stones are more common, originating from gallstones. Stones may be asymptomatic or cause abdominal pain, jaundice, and other symptoms by blocking bile flow. Diagnosis involves blood tests, imaging like MRCP or ERCP. Treatment options include nonsurgical ERCP or shockwave lithotripsy, or surgical procedures like choledochotomy with or without T-tube placement.
pleurisy- refers to inflammation of both layers of pluraeKhushiMawa
油
Pleurisy is inflammation of the pleura (membranes surrounding the lungs) that causes sharp, knifelike chest pain that worsens with inspiration. It is commonly caused by pneumonia, tuberculosis, pulmonary embolism, or trauma. Diagnosis involves chest x-ray and examination of pleural fluid. Treatment focuses on underlying causes and pain relief through analgesics, anti-inflammatories, nerve blocks, or position changes to ease breathing. Complications can include pleural effusions or respiratory issues from shallow breathing.
Creatines Untold Story and How 30-Year-Old Lessons Can Shape the FutureSteve Jennings
油
Creatine burst into the public consciousness in 1992 when an investigative reporter inside the Olympic Village in Barcelona caught wind of British athletes using a product called Ergomax C150. This led to an explosion of interest in and questions about the ingredient after high-profile British athletes won multiple gold medals.
I developed Ergomax C150, working closely with the late and great Dr. Roger Harris (1944 2024), and Prof. Erik Hultman (1925 2011), the pioneering scientists behind the landmark studies of creatine and athletic performance in the early 1990s.
Thirty years on, these are the slides I used at the Sports & Active Nutrition Summit 2025 to share the story, the lessons from that time, and how and why creatine will play a pivotal role in tomorrows high-growth active nutrition and healthspan categories.
Cardiac Arrhythmia definition, classification, normal sinus rhythm, characteristics , types and management with medical ,surgical & nursing, health education and nursing diagnosis for paramedical students.
legal Rights of individual, children and women.pptxRishika Rawat
油
A legal right is a claim or entitlement that is recognized and protected by the law. It can also refer to the power or privilege that the law grants to a person. Human rights include the right to life and liberty, freedom from slavery and torture, freedom of opinion and expression, the right to work and education
Rabies Bali 2008-2020_WRD Webinar_WSAVA 2020_Final.pptxWahid Husein
油
A decade of rabies control programmes in Bali with support from FAO ECTAD Indonesia with Mass Dog Vaccination, Integrated Bite Case Management, Dog Population Management, and Risk Communication as the backbone of the programmes
Chair and Presenters Sara A. Hurvitz, MD, FACP, Carey K. Anders, MD, FASCO, and Vyshak Venur, MD, discuss metastatic HER2-positive breast cancer in this CME/NCPD/CPE/AAPA/IPCE activity titled Fine-Tuning the Selection and Sequencing of HER2-Targeting Therapies in HER2-Positive MBC With and Without CNS Metastases: Expert Guidance on How to Individualize Therapy Based on Latest Evidence, Disease Features, Treatment Characteristics, and Patient Needs and Preferences. For the full presentation, downloadable Practice Aids, and complete CME/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4f8sUs7. CME/NCPD/CPE/AAPA/IPCE credit will be available until March 2, 2026.
Presentaci坦 que va acompanyar la demostraci坦 prctica de metge d'Innovaci坦 Jos辿 Ferrer sobre el projecte Benestar de BSA, nom d'IDIAP Pere Gol, el 5 de mar巽 de 2025 a l'estand de XarSMART al Mobible Word Congress.
FAO's Support Rabies Control in Bali_Jul22.pptxWahid Husein
油
What is FAO doing to support rabies control programmes in Bali, Indonesia, using One Health approach with mass dog vaccination and integrated bite case management as main strategies
Title: Regulation of Tubular Reabsorption A Comprehensive Overview
Description:
This lecture provides a detailed and structured explanation of the mechanisms regulating tubular reabsorption in the kidneys. It explores how different physiological and hormonal factors influence glomerular filtration and reabsorption rates, ensuring fluid and electrolyte balance in the body.
Who Should Read This?
This presentation is designed for:
鏝 Medical Students (MBBS, BDS, Nursing, Allied Health Sciences) preparing for physiology exams.
鏝 Medical Educators & Professors looking for structured teaching material.
鏝 Healthcare Professionals (doctors, nephrologists, and physiologists) seeking a refresher on renal physiology.
鏝 Postgraduate Students & Researchers in the field of medical sciences and physiology.
What Youll Learn:
Local Regulation of Tubular Reabsorption
鏝 Glomerulo-Tubular Balance its mechanism and clinical significance
鏝 Net reabsorptive forces affecting peritubular capillaries
鏝 Role of peritubular hydrostatic and colloid osmotic pressures
Hormonal Regulation of Tubular Reabsorption
鏝 Effects of Aldosterone, Angiotensin II, ADH, and Natriuretic Peptides
鏝 Clinical conditions like Addisons disease & Conn Syndrome
鏝 Mechanisms of pressure natriuresis and diuresis
Nervous System Regulation
鏝 Sympathetic Nervous System activation and its effects on sodium reabsorption
Clinical Correlations & Case Discussions
鏝 How renal regulation is altered in hypertension, hypotension, and proteinuria
鏝 Comparison of Glomerulo-Tubular Balance vs. Tubulo-Glomerular Feedback
This presentation provides detailed diagrams, flowcharts, and calculations to enhance understanding and retention. Whether you are studying, teaching, or practicing medicine, this lecture will serve as a valuable resource for mastering renal physiology.
Keywords for Easy Search:
#Physiology #RenalPhysiology #TubularReabsorption #GlomeruloTubularBalance #HormonalRegulation #MedicalEducation #Nephrology
Solubilization in Pharmaceutical Sciences: Concepts, Mechanisms & Enhancement...KHUSHAL CHAVAN
油
This presentation provides an in-depth understanding of solubilization and its critical role in pharmaceutical formulations. It covers:
Definition & Mechanisms of Solubilization
Role of surfactants, micelles, and bile salts in drug solubility
Factors affecting solubilization (pH, polarity, particle size, temperature, etc.)
Methods to enhance drug solubility (Buffers, Co-solvents, Surfactants, Complexation, Solid Dispersions)
Advanced approaches (Polymorphism, Salt Formation, Co-crystallization, Prodrugs)
This resource is valuable for pharmaceutical scientists, formulation experts, regulatory professionals, and students interested in improving drug solubility and bioavailability.
Local Anesthetic Use in the Vulnerable PatientsReza Aminnejad
油
Local anesthetics are a cornerstone of pain management, but their use requires special consideration in vulnerable groups such as pediatric, elderly, diabetic, or obese patients. In this presentation, well explore how factors like age and physiology influence local anesthetics' selection, dosing, and safety. By understanding these differences, we can optimize patient care and minimize risks.
This presentation provides a detailed exploration of the morphological and microscopic features of pneumonia, covering its histopathology, classification, and clinical significance. Designed for medical students, pathologists, and healthcare professionals, this lecture differentiates bacterial vs. viral pneumonia, explains lobar, bronchopneumonia, and interstitial pneumonia, and discusses diagnostic imaging patterns.
Key Topics Covered:
Normal lung histology vs. pneumonia-affected lung
Morphological changes in lobar, bronchopneumonia, and interstitial pneumonia
Microscopic features: Fibroblastic plugs, alveolar septal thickening, inflammatory cell infiltration
Stages of lobar pneumonia: Congestion, Red hepatization, Gray hepatization, Resolution
Common causative pathogens (Streptococcus pneumoniae, Klebsiella pneumoniae, Mycoplasma, etc.)
Clinical case study with diagnostic approach and differentials
Who Should Watch?
This is an essential resource for medical students, pathology trainees, and respiratory health professionals looking to enhance their understanding of pneumonias morphological aspects.
Acute & Chronic Inflammation, Chemical mediators in Inflammation and Wound he...Ganapathi Vankudoth
油
A complete information of Inflammation, it includes types of Inflammation, purpose of Inflammation, pathogenesis of acute inflammation, chemical mediators in inflammation, types of chronic inflammation, wound healing and Inflammation in skin repair, phases of wound healing, factors influencing wound healing and types of wound healing.
Unit 1: Introduction to Histological and Cytological techniques
Differentiate histology and cytology
Overview on tissue types
Function and components of the compound light microscope
Overview on common Histological Techniques:
o Fixation
o Grossing
o Tissue processing
o Microtomy
o Staining
o Mounting
Application of histology and cytology
2. Introduction
- Cholelithiasis refers to the presence of
gallstones in the gallbladder.
- Epidemiology: More common in females,
people over 40 years old, and individuals with
obesity or metabolic syndrome.
- Types of Gallstones:
Cholesterol stones (most common).
Pigment stones (black or brown).
3. Clinical Signs and Symptoms
- Asymptomatic: Many patients remain
asymptomatic.
- Symptomatic (Biliary Colic):
Pain: Right upper quadrant or epigastric
pain, radiates to the back or right shoulder,
often occurs after fatty meals.
Nausea and Vomiting.
Jaundice (if bile duct obstruction occurs).
Fever and Chills (in cases of infection, e.g.,
cholecystitis).
4. Diagnostic Methods
Laboratory Tests:
- Liver function tests (LFTs): Elevated bilirubin,
ALT, AST, and ALP.
- Complete blood count (CBC): Increased WBC
count in infection.
- Pancreatic enzymes (amylase, lipase): To rule
out pancreatitis.
Instrumental Diagnosis:
6. Complications of Untreated
Gallstones
- Acute cholecystitis.
- Choledocholithiasis (stones in bile ducts).
- Pancreatitis.
- Gallbladder cancer (rare but serious).
7. Conclusion
- Gallstone disease is common but treatable.
- Early diagnosis and appropriate management
are key.
- Surgical removal is the definitive treatment
for symptomatic cases.
8. References
- Medical textbooks and clinical guidelines.
- Reliable journals and articles on gallstone
disease.
- Imaging and diagnostic studies on
cholelithiasis.