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Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Related Experiment Videos

Angioembolization in itractable epistaxis--a tertiary care experience.

Maqbool Ahmed Baloch1, Muhammad Sohail Awan, Hassan Nabeel Resident

  • 1Department of Surgery, Section Ootlaryngology, Head & Neck Surgery, Aga Khan Univarsity Hospital, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|July 7, 2012
PubMed
Summary

Angioembolization effectively controls severe nosebleeds (epistaxis) in all patients. This minimally invasive procedure is a safe and successful treatment for intractable epistaxis, with minimal complications.

Related Experiment Videos

Area of Science:

  • Interventional Radiology
  • Otolaryngology
  • Vascular Surgery

Background:

  • Intractable epistaxis poses a significant clinical challenge.
  • Traditional treatments like nasal packing may be insufficient for severe cases.

Purpose of the Study:

  • To evaluate the efficacy and safety of angioembolization for managing intractable epistaxis.
  • To assess the role of angioembolization in controlling severe nosebleeds at Aga Khan University Hospital.

Main Methods:

  • Retrospective chart review of patients undergoing angioembolization for epistaxis (Jan 2001-June 2010).
  • Exclusion of patients with nasal or nasopharyngeal masses.
  • Data analysis using SPSS version 16.

Main Results:

  • 16 patients (87.5% male, mean age 51.2 years) were included.
  • Angioembolization achieved initial 100% success in controlling epistaxis.
  • Two patients required repeat embolization; minor complications occurred in 12.5%.

Conclusions:

  • Angioembolization is a safe and highly effective treatment for intractable epistaxis.
  • The procedure demonstrates a favorable safety profile with minimal complications.
  • It offers a successful alternative for managing severe nosebleeds unresponsive to other methods.