diseases of the liver and biliary tract
Diseases of the Liver and Biliary System - part 1 potx
Ngày tải lên :
10/08/2014, 15:20
... to the skin into the liver substance and extracted This is the quick part of the procedure The tip of the needle is now placed on sterile paper and some of the remaining saline flushed through the ... Anatomy of the biliary tract, Development of the liver and bile ducts, Anatomical abnormalities of the liver, Surface marking, Methods of examination, Hepatic morphology, Electron microscopy and ... to a compartment of uncoupling of receptor and ligand (CURL) The receptor and ligand separate The receptor returns to sinusoidal plasma membrane and the ligand enters a lysosome and is degraded...
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Diseases of the Liver and Biliary System - part 2 pot
Ngày tải lên :
10/08/2014, 15:20
... especially the hypothenar and thenar eminences and pulps of the fingers (fig 6.12) Islets of erythema may be found at the bases of the fingers The soles of the feet may be similarly affected The mottling ... diameter and is not obliterated by pressure Venous stars are seen on the dorsum of the foot, legs, back and on the lower border of the ribs Palmar erythema (liver palms) The hands are warm and the ... benzodiazepines and barbiturates (fig 7.9) The binding of any of these ligands opens a chloride channel and after the influx of chloride there is hyperpolarization of the postsynaptic membrane, and neuroinhibition...
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Diseases of the Liver and Biliary System - part 3 potx
Ngày tải lên :
10/08/2014, 15:20
... veins of the caval system Deviation of blood into these channels leads to varicosities in the submucous layer of the lower end of the oesophagus and fundus of the stomach (b) At the anus, the superior ... bypass the block and return blood towards the liver These enter the portal vein in the porta hepatis beyond the block They include the veins at the hilum, venae comitantes of the portal vein and ... by the union of the superior mesenteric vein and the splenic vein just posterior to the head of the pancreas at about the level of the second lumbar vertebra It extends slightly to the right of...
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Diseases of the Liver and Biliary System - part 4 docx
Ngày tải lên :
10/08/2014, 15:20
... one another to form septal bile ducts and so on until the two main hepatic ducts emerge from the right and left lobes of the liver at the porta hepatis Small bile ducts distal to the canals of Hering ... with other variations of the A(TA)nTAA allele have also shown elevated serum total bilirubin levels, including the alleles 5/6, 5/7 and 7/8 [5] In Asians and the Japanese, the frequency of the ... micrograph of the canalicular biliary system porters, from the microsomes to the bile canalicular membrane The peri-canalicular cytoplasm contains elements of the cytoskeleton of the hepatocyte:...
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Diseases of the Liver and Biliary System - part 5 pot
Ngày tải lên :
10/08/2014, 15:20
... serum IgG anti-HDV is found There may be a window period between the disappearance of one and the detection of the other Loss of IgM anti-HDV confirms the resolution of HDV infection, whereas persistence ... both as monotherapy, and, on the basis of recently completed large trials, in combination with ribavirin The cost and availability makes all these treatments out of reach of the millions of sufferers ... introspection by the patient Antiviral therapy The aim is to control infectivity, eradicate the virus and prevent the development of cirrhosis However, permanent loss of HBeAg and HBV DNA are unusual and...
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Diseases of the Liver and Biliary System - part 6 pps
Ngày tải lên :
10/08/2014, 15:20
... lipids synthesized in the liver itself The origin depends upon the dose of ethanol ingested and the lipid content of the diet After an acute, isolated ingestion of a large dose of ethanol the fatty ... redox state of the liver The hydrogen generated replaces fatty acid as a fuel and is followed by triglyceride accumulation and fatty liver The redox state of the liver changes, protein synthesis is ... related to the severity of the liver disease [72] The extent of the nutritional defect depends on the type of alcoholic, whether of low socioeconomic status where protein-calorie malnutrition often...
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Diseases of the Liver and Biliary System - part 8 ppt
Ngày tải lên :
10/08/2014, 15:20
... throughout the world except in New Zealand, Australia and some parts of the west Pacific The Borrelia multiply in the liver, invading liver cells and causing focal necrosis Just before the crisis the ... abscess in the left lobe of the liver may show a crescentic deformity of the lesser curve of the stomach US is the most useful (fig 29.7) CT shows the abscess with a somewhat irregular edge and low ... the liver parenchyma The lesions produced are single or multiple and of variable size The amoebic abscess is usually about the size of an orange The most frequent site is in the right lobe, often...
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Diseases of the Liver and Biliary System - part 9 pptx
Ngày tải lên :
10/08/2014, 15:20
... softening of secondary malignant growths also occur Congenital anomalies of the biliary tract The liver and biliary tract develop from a bud-like outpouching of the ventral wall of the primitive ... laterally over the gallbladder down to the duodenum, to the hepatic flexure of the colon and even to the right lobe of the liver, perhaps closing the foramen of Winslow In a milder form, a band of tissue ... anomaly the gallbladder lies under the left lobe of the liver, to the left of the falciform ligament This may be caused by the gallbladder migrating to a position under the left lobe of the liver...
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Diseases of the Liver and Biliary System - part 10 docx
Ngày tải lên :
10/08/2014, 15:20
... usually used The left lobe of the donor liver is excised and the right lobe anastomosed to the portal vein, inferior vena cava and aorta of the recipient The donor liver hypertrophies and the recipient’s ... into the liver They cause complete obstruction of the extra-hepatic bile ducts with intra-hepatic biliary dilatation and enlargement of the liver The gallbladder is collapsed and flaccid If the ... which there is no acceptable, alternative therapy The patient and the family must understand the magnitude of the undertaking and be prepared to face the difficult early postoperative period and...
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Tài liệu Infectious Diseases of the Head and Neck pptx
Ngày tải lên :
19/02/2014, 08:20
... a nodular mass at the angle of the jaw The masses gradually increase in size and number and form sinuses that open onto the face and neck Although infection is often seen in the jaw area, Actinomyces ... in the host following the fly bite The sandfly inoculates the host with the organisms in the promastigote stage Once the organisms are inoculated, they are phagocytized by host macrophages The ... cat, and, in the soil, if they are exposed to the right conditions, will grow into infectious oocysts The tachyzoites are the proliferating form of the organism, and, when present in tissue, they...
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BỆNH GAN VÀ ĐƯỜNG MẬT ( LIVER AND BILIARY TRACT DISEASE ) ppt
Ngày tải lên :
13/07/2014, 16:20
... liệu pháp làm tan sỏi (dissolution therapy) hay tán sỏi sóng sốc (shock-wave) thể (bằng nội soi ) hay thể 28/ MÔ TẢ HAI LOẠI TRỊ LIỆU LÀM TAN SỎI (DISSOLUTION THERAPY)? Liệu pháp làm tan axit mật ... THERAPY)? Liệu pháp làm tan axit mật đường miệng (oral bile acid dissolution therapy), thường với ursodeoxycholic acid (Ursofalk, Ursochol), dành cho bệnh nhân với sỏi mật nhỏ (thường < 1cm), cấu ... dissolution) dùng dung môi, thường methyl tertbutyl, cho qua catheter, đặt trực tiếp vào túi mật Các biến chứng biến chứng gây việc đặt catheter tác dụng phụ chất dung môi rò vào tá tràng, thiếu máu...
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BỆNH GAN VÀ ĐƯỜNG MẬT ( LIVER AND BILIARY TRACT DISEASE ) - Phần 1 docx
Ngày tải lên :
13/07/2014, 16:20
... cầu hình cầu (spherocytosis) có khả bị sỏi sắc tố (pigment stones) 9/ BÙN MẬT (BILIARY SLUDGE) LÀ GÌ? Bùn mật (biliary sludge) cấu tạo chất kết tủa vi thể cholesterol hay calcium bicarbonate ... khí thấy trường hợp bất túc huyết quản Thường xảy nơi đàn ông bệnh nhân bị đái đường thường kèm theo nhiễm khuẩn huyết (sepsis) 2/ CÓ PHẢI TẤT CẢ CÁC SỎI MẬT ĐỀU GÂY ĐAU? CÓ PHẢI VIỆC KHÔNG CÓ ... nên triệu chứng y hệt triệu chứng gây nên sỏi túi mật Bùn mật (sludge) liên kết với đau quặn gan (biliary colic), viêm tụy tạng, viêm mật quản (cholangitis), viêm túi mật (cholecystitis) Bùn mật...
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Diseases of the Gallbladder and Bile Ducts - part 1 pdf
Ngày tải lên :
09/08/2014, 14:22
... Anatomy and physiology of the biliary tree and gallbladder James Toouli and Mayank Bhandari OBJECTIVES • Describe the anatomy of the liver and biliary tract • Highlight the surgical anatomy of the liver ... system The confluence takes place at the right of the hilus of the liver, anterior to the portal venous bifurcation and overlying the origin of the right branch of the portal vein (Fig 1.5) The biliary ... stimulated, the gallbladder contracts steadily, the sphincter relaxes and bile flow into the duodenum increases Liver anatomy To understand the anatomy and physiology of the biliary tract and the production...
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Diseases of the Gallbladder and Bile Ducts - part 2 potx
Ngày tải lên :
09/08/2014, 14:22
... collectively as fibropolycystic diseases of the liver are characterized by dilatation and varying degrees of fibrosis of different levels of the intrahepatic biliary tree These disorders include congenital ... and in the biliary tree and are, in general, associated with bacterial colonization of the biliary tree and ascending cholangitis Chapter 3: Epidemiology of diseases of the bile ducts and gallbladder ... examination They can Chapter 3: Epidemiology of diseases of the bile ducts and gallbladder be distinguished from stones by their fixed position in the gallbladder and by the lack of an acoustic...
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Diseases of the Gallbladder and Bile Ducts - part 3 pdf
Ngày tải lên :
09/08/2014, 14:22
... Involvement of the main trunk of the portal vein Involvement of both branches of the portal vein or bilateral involvement of the hepatic artery and portal vein Vascular involvement on one side of the liver ... ducts, and increased enhancement of the periphery of the liver during the hepatic arterial phase Cystic dilatation of the bile duct Congenital biliary cysts occur not only in the extrahepatic biliary ... of the basket against and into a metal over-sleeve Either the stone or the basket breaks, resolving the problem Chapter 5: Endoscopic diagnosis and treatment of disorders of the biliary tree and...
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Diseases of the Gallbladder and Bile Ducts - part 4 pot
Ngày tải lên :
09/08/2014, 14:22
... al The role of radiation therapy in cancer of the extra-hepatic biliary system: an analysis of thirteen patients and a review of the literature of the effectiveness of surgery, chemotherapy and ... approaches for the biliary tree and gallbladder by irradiation They further characterized the injury as “vacuolation, swelling, and necrosis of the epithelial cells of the ducts, and by a slow and atypical ... isolated and marked with vessel loops lization of the liver from the diaphragm the right liver is turned to the midline Then the entire posterior liver is freed from the anterior face of the retrohepatic...
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Diseases of the Gallbladder and Bile Ducts - part 5 potx
Ngày tải lên :
09/08/2014, 14:22
... At the time of reconstruction there is often evidence of dissection on the left side of the common duct, even to the point of exposure of the portal vein [12] Sometimes one clip is placed on the ... some cases of classical injuries The deceptive flaring appearance is caused by the separation of the cystic and common hepatic ducts or the side of the common hepatic duct and the side of the gallbladder ... sheath of the main right portal pedicle Therefore, to find the bile duct within the sheath of the right portal pedicle, the cystic plate must be detached from the anterior surface of the sheath of the...
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Diseases of the Gallbladder and Bile Ducts - part 6 pptx
Ngày tải lên :
09/08/2014, 14:22
... intravenously and will normally be taken up by the liver and then the gallbladder Uptake by the liver and excretion into the duodenum without filling of the gallbladder is indicative for occlusion of the ... between the chest cavity and the biliary tract Pleural biliary fi stulas are defined as fistulas between the biliary tract and pleural space whereas the access of a thoracobiliary fistula to the bronchial ... addition, they not definitively manage the biliary disease [75] Morbidity and mortality The morbidity and mortality are mostly determined by the presence of comorbid diseases of the patient and the...
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Diseases of the Gallbladder and Bile Ducts - part 7 pdf
Ngày tải lên :
09/08/2014, 14:22
... nature of cystic diseases of the biliary tract • Understand the role of liver resection for biliary cystadenoma and cystadenocarcinoma Introduction Cystic lesions of the bile ducts and liver can ... polycystic liver disease • Understand the various types of genetic background in polycystic liver disease • Name the classification of cystic diseases of the biliary tract • Understand the premalignant ... resection of the gallbladder fossa includes which segments of the liver? a I and IVb b IVb and V c V and VIII d IVb and VIII The term “extended cholecystectomy” may encompass a resection of all of the...
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Diseases of the Gallbladder and Bile Ducts - part 8 pptx
Ngày tải lên :
09/08/2014, 14:22
... Further investigation to delineate the role of these peptides in the etiology of PSC is required The major criticism of the theories of colonic toxins causing PSC comes from studies looking at the ... segment VI of the liver b compression of the right portal vein c enlargement of the perihilar lymph nodes d encasement of the main hepatic artery in the hilar mass 5.3 A PTC is placed and the cholangiography ... histology, there was progression of disease in out of 10 patients on placebo and but in only 11 out of 20 on therapy The incidence of side-effects was relatively low and included paresthesias and hypertrichosis,...
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