However, as stated above, the overall survival rate post surgery is still dismal. The pancreaticoduodenectomy (Whipple procedure) is the conventional surgical treatment for pancreatic cancer in the head or uncinate process of the pancreas 3. The traditional Whipple procedure included removal of the pancreatic head, duodenum, first 15 cm of the jejunum, common bile duct, and gallbladder, and a partial gastrectomy 3. Newer variants such as subtotal stomach-preserving pancreaticoduodenectomy and…
is typically approached from the right. A wide Kocher maneuver is performed to mobilize the duodenum and head of the pancreas. The ascending colon and hepatic flexure are mobilized with right medial visceral rotation. The duodenum and right colon are reflected to the left to expose the retro-pancreatic or supra-pancreatic portal vein. Occasionally, we enter the lesser sac and divide the neck of pancreas if exposure of more distal portal vein is required. Control of bleeding from portal…
Formal Care Plan: Pneumonia Biographical Data The patient is a 78 year old Hispanic female. She was born in Houston, Texas. She is married and has 2 children and is a retired school teacher. Present Health-Illness Status She was admitted into the hospital from the emergency room with pneumonia. The patient states she drove herself to the emergency room because she was feeling very sick and short of breath. She states she had been feeling like this for the past 3 days. She finally decided to…
Thyroidectomy 1 Running Head: Thyroidectomy Throidectomy American Career College Surge 270 Assignment 2 Thyroidectomy 2 Pathology: Thyroidectomy is the surgical procedure for removal of thyroid. The patient can be effect with Goiter, Thyroiditis, Hyperthyroidism, Graves disease, Thyroid nodule, Thyroid storm and thyroid cancer. These can effects patient’s metabolism and cause nervousness, restlessness, emotional liability, fast speech,…
Frank Taylor must be a very successful automobile dealer to have such a high number of extreme TYPE A personalities on his payroll. The stresses of a work environment of that nature must add to the effects on the employees. People with Type A Behavior Pattern (TABP) have a number of physical, emotional, psychological and behavioral indicators that have an impact on their overall health. People with TABP might associate with the following responses: facial muscle tension and tics, high levels…
kill some participants, it can also break bones and inflict permanent brain damage in people who have had a substantial number of head blows. How to Knock Someone Out One-punch knockouts are what's considered in sports-fighting as a clean knockout, meaning that the fist connects with the temple, jaw or chin, and the fighter is instantly knocked out. The blow to the head rattles the brain, and its jostled back and forth against the front, back, or sides of the skull causing unconsciousness. The…
rotate the probe 90º Needle tip /entire length difficult to visualise Needle tip /entire length & J tip guidewire can be visualised Easier because oSimultaneously can see both vein & artery oCan differentiate between vein and artery by compression Little cumbersome oSimultaneously cannot see both vein & artery oTechnically difficult to maintain centre of vein PROBE PREPARATION Apply gel to probe footprint Place probe into a sterile covering /sleeve There should be no air between…
intake. Patient well kept, dressed well and appropriate mood. Skin, Hair Nails: Patient denies rashes, jaundice, pruritus discharge, or any new skin abnormalities, bruising or bleeding. Head: The patient denies headache or head pain and denies head or neck trauma, pain or limitation of range of motion to head or neck. Eyes: Patient reports no visual disturbances. Patient denies eye pain, eye swelling, eye discharge, eye dryness or…
(Gaul, MeBlinger, Holle-Lee, Neeb, 2017) b) What will your physical exam include? Physical examination will include vital signs and general appearance (eg, whether restless or calm in a dark room). A general examination with a focus on the head and neck and a full neurological exam should be assessed. The neurological examination involves the patient’s speed, symmetry, and coordination while moving to the examining table, as well as, posture and gait (Newman,…
to the skeletal system. Muscles produce heat to help maintain body temperature when temperature begin to drop we shiver to warm up. This section showed the muscle of the head. Orbicularilis oris is muscle the around the month, Orbicularis oris is the muscle around the eyes, Temporalis is fan-shaped muscle on each side of the head. Buccinator is the mandible at the side of the face. It forms the anterior part of the cheek or the…