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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.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
939
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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Nephrotic Syndrome III : Nursing Management01:24

Nephrotic Syndrome III : Nursing Management

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Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
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[Lynch Syndrome].

Kiwamu Akagi1

  • 1Division of Molecular Diagnosis and Cancer Prevention, Saitama Cancer Center.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|July 13, 2019
PubMed
Summary

Lynch syndrome, a common inherited cancer predisposition, arises from DNA mismatch repair gene defects. Advances in understanding its epidemiology and multigene panel testing impact cancer prevention and immunotherapy.

Area of Science:

  • Genetics
  • Oncology
  • Hereditary Cancer Syndromes

Background:

  • Lynch syndrome is a frequent autosomal dominant inherited disorder.
  • It significantly elevates risks for colorectal, endometrial, and other cancers.
  • Pathogenic variants in DNA mismatch repair (MMR) genes (MLH1, MSH2, MSH6, PMS2) or EPCAM cause Lynch syndrome.

Purpose of the Study:

  • To summarize recent advancements in Lynch syndrome research.
  • To highlight the implications of new findings for clinical practice.

Main Methods:

  • Review of current literature on Lynch syndrome epidemiology.
  • Analysis of the impact of multigene panel testing on understanding neoplasia pathogenesis.

Main Results:

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  • Enhanced understanding of Lynch syndrome epidemiology.
  • Improved insights into cancer development in Lynch syndrome patients.
  • Identification of implications for prevention, risk reduction, and immunotherapy.

Conclusions:

  • Recent advances provide a deeper understanding of Lynch syndrome.
  • Multigene panel testing and epidemiological insights are crucial for improving patient outcomes through targeted prevention and immunotherapy strategies.