Explore Zilebesiran, an investigational RNA interference therapeutic targeting hepatic AGT synthesis for hypertension. Primary findings from Phase 2 trial KARDIA-1 reveal sustained blood pressure reduction. Addressing the unmet need for innovative antihypertensive treatments.

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Liver is the largest gland in our body, and an important metabolic organ which carries out many essential biological functions. The liver is a wedge-shaped, reddish-brown in color with two lobes of different size and shape. The approximate weight of a human liver is 1.5 kilograms. It is in the upper

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Acetaminophen poisoning occurs when the body is overwhelmed by high doses of the drug, leading to liver toxicity and potentially fatal consequences. The mechanism of toxicity involves the depletion of glutathione and the formation of a harmful metabolite, N-acetyl-para-benzoquinoneimine (NAPQI). Con

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Fat Cow Syndrome, also known as Fatty Liver Disease in Cattle, is a condition commonly seen in high-producing cows during the transition period around calving. The disease is characterized by mobilization of excessive body fat to the liver due to negative energy balance, leading to hepatic lipidosis

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Bilirubin, a yellow compound in the catabolic pathway, plays a crucial role in health. Estimating serum bilirubin levels is key in diagnosing conditions like jaundice. Elevated levels, above 2 mg/dl, can indicate disease. Jaundice, characterized by skin and eye discoloration, has pre-hepatic, hepati

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Malnutrition is common in chronic liver disease, leading to complications such as ascites and infections. Sarcopenia and weight loss are prevalent regardless of BMI. Critical care patients with liver disease face challenges due to limited physiological reserve, with main causes for ICU admission bei

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Nasopulmonary drug delivery system, utilizing the nasal route for drug administration, offers advantages such as hepatic first-pass metabolism avoidance and rapid drug absorption. This system is beneficial for pharmacologically active compounds with poor stability in gastrointestinal fluids. While i

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Phenytoin, a medication with high protein binding and hepatic metabolism, exhibits saturated pharmacokinetics with a narrow therapeutic range of 10-20 µg/mL for total serum concentrations. Adverse effects vary with serum levels: minor CNS depression at >15 µg/mL, nystagmus at >20 µg/mL, and ataxi

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Challenging liver cirrhosis management in elderly patients with refractory ascites has high mortality rates, and transplantation is not always viable. Transjugular intrahepatic portosystemic shunt (TIPS) serves as a non-curative treatment option, aiming to reduce portal hypertension. The procedure i

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Perinatal asphyxia refers to the interruption of oxygen supply to the fetus or newborn, leading to metabolic consequences and potential multiorgan dysfunction and long-term neurological issues. The American Academy of Pediatrics (AAP) and the American College of Obstetrics and Gynecology (ACOG) have

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Veins play a crucial role in the circulatory system by carrying deoxygenated blood back to the heart. This lecture covers the general principles of veins, the anatomy of major veins like the superior and inferior vena cavae, tributaries, and their roles in different parts of the body. It also discus

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A 61-year-old female with intractable headache and eye pain was admitted for sepsis secondary to herpes zoster, leading to encephalopathy and CO2 Narcosis. Through accurate Glasgow Coma Score (GCS) documentation, the Severity of Illness (SOI) and Risk of Mortality (ROM) were improved. Coding guideli

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Neonatal seizures are sudden changes in neurologic function of a newborn, involving motor, behavior, and autonomic functions. The pathophysiology includes delays in Na/K ATPase maturation, increased receptor density, and GABAergic transmission. Different types of seizures like subtle, clonic, tonic,

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Understanding the natural history, evaluation, and management of benign liver lesions is crucial for diagnosing incidental liver findings. Common benign liver lesions include hepatic hemangioma, focal nodular hyperplasia, hepatic adenoma, and hepatic cyst. Differential diagnosis plays a key role in

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Portal vein imaging is crucial for evaluating conditions affecting the abdominal part of the gastrointestinal tract. Techniques such as spleno-portography and CT triphasic contrast imaging are used to visualize the portal vein and diagnose anomalies like portal-systemic collaterals and porto-systemi

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The large intestine plays a crucial role in digestion. This comprehensive overview covers the different parts of the large intestine, characteristic features of the colon, anatomy details, peritoneal covering, relations with surrounding structures, arterial and nerve supply, and important flexures l

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Wernicke-Korsakoff Syndrome (WKS) comprises Wernicke's Encephalopathy (WE) and Korsakoff Syndrome. WE presents with altered mental status, ocular signs, and ataxia, while Korsakoff Syndrome manifests as amnesia and confabulations. Untreated WE can progress to Korsakoff Syndrome in about 80% of cases

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A detailed description of a compound tubulo-acinar gland with serous-secreting nature is provided, highlighting its cellular composition, arrangement of ducts, and connective tissue organization. The glandular structure, including adenomeres, centroacinar cells, and myoepithelial cells, is discussed

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Recognize major complications of liver cirrhosis including hepatic failure, portal hypertension, ascites, hepatorenal syndrome, and esophageal varices. Learn about the pathogenetic mechanisms, clinical features, and pathological findings associated with these complications.

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Learn about the major complications of liver cirrhosis, including portal hypertension, hepatic failure, ascites, spontaneous bacterial peritonitis, and more. Explore the pathogenetic mechanisms, clinical features, and pathological findings associated with these complications, and understand the impa

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Exercise therapy plays a crucial role in managing nonalcoholic fatty liver disease (NAFLD) by improving hepatic aminotransferases and reducing steatosis. Lifestyle modifications, including increased physical activity, are essential in the treatment of NAFLD. This includes aerobic exercise, resistanc

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This case study delves into a challenging scenario where a hepatologist grapples with a patient presenting HLH associated with liver injury in the context of sarcoidosis. Despite inconclusive initial investigations, further work-up reveals indications of secondary HLH/MAS. The management involves a

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The equine stomach is relatively small compared to the horse's body size, with distinct regions such as the cardia, fundus, body, and pyloric region. It is located on the left side of the abdomen, under the ribs. The stomach's blood supply includes branches from the aorta, splenic artery, and hepati

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View detailed radiology imaging of the esophagus and stomach conducted by Dr. A. Alhawas, showcasing various anatomical structures such as the splenic artery, abdominal aorta, common hepatic artery, and more. Explore pathologically changed layers in pyloric stenosis, arterial blood supply to the pyl

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The liver is a crucial organ with dual functions and a complex anatomical structure. It consists of hepatic lobes and lobules, where hepatocytes play a vital role in various functions. The liver receives blood supply from both the hepatic artery and portal vein, allowing for essential processes such

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Prion diseases, such as Transmissible Spongiform Encephalopathies (TSEs), are rare and fatal neurological disorders affecting both humans and animals. These diseases are characterized by long incubation periods, neuronal loss, and the absence of an inflammatory response. Caused by abnormal folding o

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Subacute or chronic fatal neurodegenerative disease in adult cattle, Bovine Spongiform Encephalopathy (BSE) is a transmissible spongiform encephalopathy with spongy degeneration in the CNS. It is caused by an infectious protein called prion and is mostly found in Europe, with potential zoonotic impa

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Acute liver failure is a severe condition characterized by rapid liver dysfunction within 6 months of symptom onset, leading to encephalopathy, coagulopathy, and jaundice. This condition can be classified as hyperacute, acute, subacute, fulminant, or sub-fulminant based on the duration from jaundice

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Drug-induced liver injury (DILI) can present as cholestasis, hepatocyte necrosis, steatosis, vascular damage, and hepatic fibrosis. Various drugs like antibiotics, NSAIDs, recreational drugs, and herbal remedies can cause liver damage. Recognizing DILI is crucial in patients with liver dysfunction o

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