Perforation

Zollinger-Ellison Syndrome (ZES) is a condition in which one or more tumors form in the pancreas or duodenum. The tumors which are called gastrinomas secrete large amounts of the hormone gastrin. The hormone gastrin causes the stomach to produce too much acid which then leads to peptic ulcers. Zollinger- Ellison Syndrome was first described in 1955 by two gentlemen Zollinger and Ellison. At the time the syndrome consisted of the following triad; gastric acid hypersecretion in the presence of…

Chilaiditi’s sign-which is an extremely rare radiographic sign is an incidental radiographic finding of interposition of a colon segment between the liver and the diaphragm. Chilaiditi sign can be initially misdiagnosed as a diaphragmatic hernia or pneumoperitoneum that can need unnecessary surgeries.We report a patient with type-2 diabetes mellitus, who was incidentally diagnosed with Chilaiditi’s sign in order to attract attention to this extremely rare occasion and avoid unnecessary surgery.…

Activity 1: A) http://www.entusa.com/ear_pictures.htm Outer ear section has place for “Click here for Photos” Eardrum and Middle Ear has place for “Click here for Photos” Mastoid section has pictures of mastoiditis (click on “mastoid disease”) This website shows common problems in the outer ear (auricle), ear canal (external auditory canal), the eardrum, and the middle ear (air space behind the eardrum which allows the eardrum to vibrate). It also shows the mastoid disease. The website…

At 2:49 pm on April 15, 2013, two improvised explosive devices (IEDs) detonated near the finish line of the 117th Boston Marathon, immediately killing three bystanders and injuring hundreds (Singh et al., 2016). Prior to the rise in terrorist attacks, most explosive injuries occurred in combat zones. Each blast injury comes with different injuries or a combination of injuries depending on the severity. The injuries have several negative effects on the body. Certain radiologic imaging can be used…

Multi-stage fracturing is an advanced drilling technology that enhances the production capabilities through maximizing the contact area of unconventional wells with the reservoir production zones. During the fracturing process, a special fluid (primarily a mixture of sand and water) is blown out at a high pressure into the shale rock formation creating channels through which hydrocarbons can easily migrate to the well. Multi-stage fracturing is a combination of fracturing and plugging processes.…

Abstract This paper talks about a clinical case study that describes the condition of a 60 year old man. I have identified that this patient presents symptoms of peritonitis. Peritonitis is the inflammation of the peritoneum and is usually caused by diverticulitis which this patient has, also the patient has a cloudy peritoneal fluid which indicates the sign of a bacterium called Bacteroides fragilis. This bacterium is obligately anaerobic and is typically found in the digestive tract of humans.…

Choice “C” is the best answer. This patient has findings characteristic of porcelain gallbladder, brought on by recurrent gallstone formation and gallbladder wall irritation (i.e. chronic cholecystitis). As with gallstone disease in general, this condition occurs predominantly in overweight fertile female patients of middle age. It is a complication of chronic cholecystitis identified by imaging. Inflammatory scarring of the wall, combined with dystrophic calcification within the wall…

Procedures: (all sections consist of clearly stated sequential steps) I. Introduction (The Launch) I will ask the students if they recognize the music that is being played. (The Entertainer) https://www.youtube.com/watch?v=JSpoVH0c-Dw I will expect the students to respond with yes that’s the ice cream truck song. I would go on to explain that this song is one of many songs written by Scott Joplin and is part of a music style known as ragtime. II. Central Part of Lesson (sequential instructional…

the xiphoid and may radiate to the back or shoulders. The pain occurs in periodicity,which tends to recur at intervals of weeks or months and is relieved by food or antacids. The other major complications of peptic ulcer disease are hemorrhage, perforation and penetration, and gastric outlet obstruction. An erosion of an ulcer into an artery or vein can cause hemorrhage. Acute post hemorrhagic anemia is another complication with the peptic ulcer disease. The evidence of bleeding in peptic…

several types: congenital, primary and secondary acquired, recurrent and residual types. The congenital cholesteatoma is a pearly white mass medial to an intact tympanic membrane with normal tympanic membrane, without any ear discharge or ear drum perforation or any otological procedure in the past [1]. Primary acquired cholesteatoma starts with an intact pars tensa and proceeds to the formation of retraction pockets in the attic and then to attic cholesteatoma, in the other hand, the secondary…