HCCs, who initially managed by percutaneous RFA. From June 2000 through December 2006, among HCC, 256 patients with HCC were treated with RFA in our center, we identified 64 with cirrhosis and thrombocytopenia as reflected by a platelet count 37-99 x 109 /L. Statistical analysis was performed for factors suggested to contribute to bleeding or liver decompensation. Selection Criteria for RFA Procedures. In our institute, the decision of treatment is individually for each patient by a…
lymphocytosis, pericarditis, lymphadenopathy, pyrexia of unknown origin, tonsillitis, immunoglobulin levels raised (plasma or serum), coombs positive, direct, VDRL positive, proteinuria, maculopapular rash, hepatocellular, jaundice, cold agglutinins, thrombocytopenia, and myocarditis. ("Complications of…
splenomegaly (seen in pt’s ultrasound) and ascites (pt currently has). When blood flow is obstructed through the portal vein, the following increase in pressure in the splenic vein causes an enlarged spleen and increased rate to blood cell destruction → thrombocytopenia anemia → more platelets removed from circulation and sequestered in the spleen → impaired clot formation → esophageal bleeding. In ascites, there is an accumulation of protein rich fluid in the abdominal cavity. Though portal…
Halstead, 2007 on definition of assessment of learning as “simply to find out what and how well people are learning what we teach, without any intend to give a grade” (p.59). So far I participated in teaching classes on Sepsis and Heparin Induced Thrombocytopenia, they were presented with lecture and PowerPoint presentation. The assessment and evaluation of teaching and learning were conducted with one-minute questions and case studies. The case study was prepared and multiple choice…
On arrival to the hospital, she was unresponsive and in asystole. She responded to CPR and one round of CPR, and started on IV fluids. Her initial lab work gave the picture of severe hemolysis, severe thrombocytopenia, lactic acidosis, severe anion-gap and treatment resistant metabolic acidosis, babesiosis (nearly 100% infected cells on the peripheral blood smear) and acute kidney injury. Recommendations for exchange transfusion and hemodialysis were made…
Preeclampsia and eclampsia were first documented by Hippocrates around 400 BC. He believed that a headache associated with a seizure in pregnancy was considered bad. This was the first documented case where it was considered to be a complication to a mother’s pregnancy. Early treatment for Preeclampsia and eclampsia was to bring the body’s fluid status back to normal. They tried to achieve this through altered diets, purging and blood-letting. It was not until 1739 that doctors and…
Paranoid Schizophrenia Definition: Paranoid schizophrenia is one type of schizophrenia in which, the person is preoccupied with delusions or frequent auditory hallucinations or both. The person is fearful and suspicious, thinking someone or something is will hurt or kill them. Cause/Risk Factors: The exact cause is unknown. Contributing risk factors include: • Psychological factors • Social and environmental factors • Infection while in the womb • Genetics • Serious infection during early…
“Disseminated intravascular coagulation (DIC) is a life-threatening acquired pathologic process in which the clotting system is abnormally activated, resulting in widespread clot formation in the small vessels throughout the body. The pathophysiology is excess thrombin is generated, followed by deposition of fibrin strands in the body tissues.” (Ball, 2012) “The circulating fibrin fragments later begin to interfere with platelet aggregation and other aspects of the clotting mechanism, resulting…
such seizures are short-lived and rarely lead to long-term health problems. As with all vaccines, there can be minor symptoms, including fatigue and mild fever. There have been records of symptoms such as permanent brain damage, deafness and thrombocytopenia, but these cases are rare. There are instances when the MMR vaccine should not be administered, such as, in the immunocompromised, pregnant women or if an individual has a life-threatening allergy to any component of the vaccine. These…
The patient revealed that she is married with two children. Her husband and both children are very supportive and want what is best for her. Her mother and father are both alive and well and have been visiting her at the hospital; they are also very supportive. She currently works at Green Valley Elementary School and states they have been very accommodating with the health issues she has been dealing with. She stated she used to be a smoker, but quit a long time ago. She also stated that when…