completed due to obesity and possible cardiac problems. Renal History: The patient has longstanding history of chronic kidney disease in the setting of longstanding uncontrolled hypertension. He has never had a kidney biopsy done. He had a renal ultrasound done in June 2013 that showed multiple simple cysts bilaterally of benign appearance with possible diagnosis of polycystic kidney disease. The patient was never diagnosed with autosomal dominant polycystic kidney disease in the past. No…
and vomiting (1). Intussusception was considered adverse prognosis previously with fatal outcomes in the past. Prompt diagnosis and effective treatment has lead to better management in the present time (2). In this article, we review the role of ultrasound (US) in the diagnosis of intussusception and its influence on the management. The clinical symptoms of intussusception are inconclusive in more half of the cases. Correlation between clinical and radiological findings have been reported only…
barrier denies 100% of large molecule drugs to pass and 98% of small molecule drugs”. (Chen, C. C., Wu, S., & Konofagou, E. E. ,2014) A team at Sunnybrook health center in Toronto was able to conduct a successful trail which proved that the Focused Ultrasound with the help of microbubble can loosen the blood brain barrier and allow the drug to pass to the affected area in of the…
The mitral valve is a valve that allows blood flow from one chamber of the heart, the left atrium, to another called the left ventricle. In mitral valve prolapse, the valve slips backward due to the abnormal size of or damage to the mitral valve tissues. Mitral valve prolapse is a common cause of a heart murmur caused by a "leaky" heart valve. For most people with mitral valve prolapse, the cause is unknown. It can be caused by conditions in which cartilage is abnormal (connective tissue…
What is the suspected diagnosis? The patient seems to be suffering from a blood clot located in her left leg. More specific, the patient seems to be suffering from Deep vein thrombosis(DVT) . DVT mainly affects large veins that are located in the thigh or lower leg. Deep vein thrombus can cause swelling in the leg and is usually only seen in one leg, but it is possible for both legs to be affected at the same time. Another symptom of DVT is leg pain located in the calf area, which may…
Mississippi is a terrible place to live for women. In order to obtain an abortion, womenmust have an ultrasound, a fetal heart tone procedure, counseling, and a “notification ofservices.” All are designed to make the woman feel guilty, so that she will not get an abortion.The worst part is, she can only get an abortion if her life is in danger or the baby was conceivedthrough rape or incest. Something is probably wrong if a woman is forced to feel guilty aboutsaving her life or getting rid of…
The 44-year-old obese female is admitted to the emergency room with fever, severe abdominal pain on the upper right side that radiates to the scapula and nausea. I believe this patient is experiencing acute cholecystitis, gallbladder attack. The signs and symptoms of acute cholecystitis includes: intense or sudden pain in the upper right part of the stomach, worsening pain with deep breathing extending to the lower part of the right shoulder blade, shortness of breath due to pain, nausea and…
Canine Renal Dysplasia An autosomal-dominant disease characterized by delayed maturation of renal tissue. This leads to renal degeneration, protein-losing nephropathy and prolonged renal disease. A genetic predisposition is seen in the Bull terrier, Carin terrier and German Shepherd. Early onset of the disease is rare and is typically seen over the age of 5. The penetrance of Renal Dysplasia is low and small percentages are clinically affected. The percentage of fetal glomeruli…
the Baby Center, some people show no symptoms, while others may have pelvic pressure, cramping, backache, vaginal discharge that changes in volume and color, and spotting. 4. Testing done to diagnose an incompetent cervix includes transvaginal ultrasound, a pelvic exam to determine if the sac is protruding,…
Patient F.C. physical exam presents with a male whose general appearance resembles his stated age. He appears ill with noted restlessness, sweating profusely and in acute pain (being bent forward on the exam table). His vital signs are abnormal with a low B/P of 85/60, elevated HR of 120, elevated respiratory rate of 35 and a temperature of 101.4. His weight is 154 lbs and a height of 5’ 7.5”; BMI is normal at 23.8. Patient is awake and oriented to person, place and time; able to follow…