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Related Concept Videos

Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

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Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
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Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
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Restless Leg Syndrome and Night Terrors01:27

Restless Leg Syndrome and Night Terrors

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Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

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IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
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[RESULTS OF TREATMENT FOR MIRIZZI SYNDROME].

I N Mamontov

    Klinichna Khirurhiia
    |September 29, 2018
    PubMed
    Summary

    This study analyzed 21 Mirizzi syndrome patients, finding endoscopic interventions effective in diagnosis and treatment. Some patients avoided surgery after procedures like lithotripsy and stenting.

    Area of Science:

    • Gastroenterology and Hepatology
    • Surgical Gastroenterology

    Background:

    • Mirizzi syndrome (MS) presents diagnostic and therapeutic challenges.
    • Accurate diagnosis is crucial for effective management of MS.

    Purpose of the Study:

    • To analyze the diagnostic utility of ultrasound and endoscopic retrograde cholangiopancreatography (ERCP) for Mirizzi syndrome types I and II.
    • To evaluate the outcomes of combined endoscopic and surgical treatment strategies for MS.

    Main Methods:

    • Retrospective analysis of 21 patients diagnosed with Mirizzi syndrome.
    • Diagnostic assessment using ultrasound and ERCP.
    • Treatment involved staged endoscopic interventions (lithotripsy, stenting, drainage) followed by surgical procedures when necessary.

    Main Results:

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    • Ultrasound and ERCP demonstrated significant informativity in diagnosing MS types I and II.
    • Endoscopic interventions, including lithotripsy, lithoextraction, biliary stenting, and nasobiliary drainage, were the primary treatment stage.
    • Approximately 14.3% of patients did not require subsequent surgical intervention after endoscopic procedures.
    • Surgical variants included cholecystectomy for type I, and partial cholecystectomy with biliary plasty, cholecystofistulolithotomy, and hepaticojejunostomy for type II.

    Conclusions:

    • Endoscopic retrograde cholangiopancreatography and ultrasound are valuable tools for diagnosing Mirizzi syndrome.
    • A minimally invasive endoscopic approach can successfully treat certain cases of Mirizzi syndrome, potentially obviating the need for surgery.
    • Tailored surgical interventions are effective for complex Mirizzi syndrome cases refractory to endoscopic treatment.