Acute pulmonary embolism (PE) is a significant issue in hospitalized patients, with current treatments focusing on anticoagulation and systemic thrombolysis. Surgical treatments have shown poor outcomes, leading to a rise in endovascular techniques aimed at reducing clot burden. A survey conducted i

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Dive into the realm of pulmonary and critical care as Dr. Michael Forte discusses the intricacies of bronchiectasis and sarcoidosis. Understand the etiologies, diagnosis, investigations, and treatment options for these respiratory conditions. Explore the challenges and nuances of managing patients w

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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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Radiographic imaging plays a crucial role in the evaluation and diagnosis of thoraco-mediastino-pleuro-pulmonary conditions. Techniques like radioscopy, digital radiography, computer tomography, magnetic resonance imaging, conventional pulmonary angiography, and hybrid imaging methods offer detailed

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Point-of-care ultrasound (POCUS) is emerging as a potential tool for confirming endotracheal tube (ETT) positioning in neonates, providing a viable alternative to X-ray examination. The study aims to assess the accuracy of POCUS in determining ETT placement, particularly by using the superior aspect

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The Statewide Pulmonary Rehabilitation Project, funded by Clinical Excellence Queensland, aims to enhance care models for chronic lung diseases like COPD and asthma. The project explores virtual rehabilitation integration, ensuring equity and improved access for patients. Challenges include resource

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Echocardiographic assessment plays a crucial role in the diagnosis, management, and prognostic evaluation of pulmonary arterial hypertension (PAH). This condition is characterized by elevated mean pulmonary arterial pressure and pulmonary vascular resistance, leading to various clinical features suc

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Coronary Artery Bypass Graft (CABG) is a surgical procedure where a blood vessel from another part of the body is grafted onto an occluded coronary artery to bypass blockages. This procedure is less common in women compared to men and is typically indicated for severe coronary artery disease. It is

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Explore the high-pressure and low-pressure circulations supplying the lungs, the concept of physiological shunt in pulmonary circulation, different lung zones based on blood flow, V/Q ratio and its clinical significance, and abnormal V/Q ratio patterns. Delve into the role of pulmonary circulations

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Explore the anatomy of the anterior compartment of the leg and foot, focusing on structures like the anterior tibial artery, deep peroneal nerve, and dorsalis pedis artery. Learn about their origin, course, relations, and branches, as well as conditions like foot drop and fresher's syndrome. The pre

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Pulmonary circulation, as explained by Professor Narsingh Verma, plays a crucial role in the respiratory system, showcasing distinct differences from systemic circulation. The low pressure and resistance in pulmonary circulation allow for optimal gas exchange at the alveolocapillary membrane. Variou

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Pulmonary Function Tests (PFTs) are vital for assessing pulmonary gas exchange through ventilation, diffusion, and lung perfusion. These tests include measurements of lung volume, airway patency, gas exchange efficacy, and pulmonary blood flow. PFTs offer benefits in diagnosing dyspnea, monitoring d

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Expert consensus statements provide guidance on utilizing ultrasound guidance for arterial access, preferring radial over ulnar artery access, and the utility of non-invasive collateral flow assessment. Recommendations include administering heparin post-sheath placement and using low-profile sheaths

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Explore the critical roles of the aorta, pulmonary artery, and coronary arteries in heart function. Discover the impact of a blocked coronary artery and learn about treatments for coronary heart disease. Delve into common heart problems, like leaky valves and irregular heartbeat, and how innovations

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In patients with acute myocardial infarction (AMI) and multivessel coronary artery disease, this study aims to compare fractional flow reserve (FFR)-guided PCI with angiography-guided PCI for non-infarct-related artery lesions. The hypothesis is that selective PCI guided by FFR is superior to routin

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Chronic Obstructive Pulmonary Diseases (COPD) encompass conditions like chronic bronchitis and emphysema, typically caused by factors like cigarette smoking. This presentation delves into the clinical and functional variances between chronic bronchitis and emphysema in COPD patients, along with an e

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In this detailed presentation by Dr. Sushma Tomar, Associate Professor of Anatomy, the intrinsic muscles of the tongue are explored, along with their functions, arterial and venous supply, lymphatic drainage, and nerve supply. The lecture covers the four intrinsic muscles in each half of the tongue,

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Anne Knisely, a 69-year-old female with a history of endometrial cancer, presented with left leg pain, pleuritic chest pain, and shortness of breath. Imaging revealed extensive bilateral pulmonary emboli, right heart strain, and lower extremity deep vein thrombi. She was managed with anticoagulation

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This content provides an in-depth overview of Hantavirus Pulmonary Syndrome, including its clinical presentation, diagnosis, and management. It covers key points such as incubation periods, symptoms, and diagnostic tests like ELISA. The information emphasizes the need for a high index of suspicion d

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Breathing exercises, also known as ventilatory training, play a crucial role in improving pulmonary status, enhancing endurance, and increasing overall functionality in daily activities. These exercises help retrain respiratory muscles, improve ventilation, reduce breathing effort, enhance gas excha

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ACST-2 is a randomized trial comparing carotid artery stenting (CAS) versus carotid artery surgery (CEA) in asymptomatic patients with severe carotid stenosis. The trial, published in The Lancet in August 2021, involved 3625 patients. While surgery has been shown to reduce stroke rates, modern medic

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Explore the intricate details of coronary artery anatomy with a focus on the right and left coronary arteries, as well as variations such as large right dominance, small right dominance, co-dominance, and left dominance. Learn about the importance of understanding these structures in relation to car

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Pulmonary hydrotherapy is being explored as a safe and effective form of exercise for COPD patients, challenging previous beliefs about water-based activities. South Tees Pulmonary Rehabilitation Service is examining the benefits of hydrotherapy in improving exercise capacity and quality of life, ba

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This informative content details the histo-anatomy of blood vessels, pathophysiology of atherosclerosis, peripheral ischemia, and carotid artery disease. It covers the definition, risk factors, and processes involved in atherosclerosis, including endothelial cell function, blood flow dynamics, and f

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Patients with coronary artery disease should be screened for peripheral vascular disease as it is a frequent integrator of global cardiovascular risk. The association of atherosclerosis in various arterial diseases highlights the importance of identifying multisite artery disease. The prevalence and

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Dr. Suneesh K., a Senior Resident in the Dept. of Cardiology at Calicut Medical College, delves into the crucial role of ECG analysis in identifying the culprit artery during ST-elevation myocardial infarction (STEMI). This presentation covers coronary circulation, blood supply of the heart, prevale

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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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Division of Endovascular Interventions at Mount Sinai Hospital, New York, treated a 71-year-old female patient with bilateral lower extremity claudication using endovascular procedures. The patient had a history of hypertension, diabetes, hyperlipidemia, and smoking, with peripheral artery disease a

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Postural drainage therapy is an intervention used for airway clearance by mobilizing secretions in specific lung segments towards the central airways. It involves placing the patient in various positions to facilitate gravity-assisted drainage. The therapy includes manual techniques such as percussi

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Pharmacodynamic effects of switching P2Y12 inhibitors from ticagrelor to clopidogrel in coronary artery disease patients were investigated in the SWAP-4 study. De-escalation between these agents is common for various reasons. The study assessed the impact of clopidogrel loading dose, maintenance dos

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Haemodynamic consequences of acute pulmonary embolism (PE) include increased mean pulmonary artery pressure, rise in right ventricular preload and end-diastolic pressure, risk of right ventricular failure, and decreased pulmonary blood flow leading to low systolic blood pressure. Arterial hypoxia ca

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Pulmonary Arterial Hypertension (PAH) is a progressive disease characterized by increased blood pressure in the pulmonary artery, veins, or capillaries. This condition can lead to right ventricular failure and eventual death if left untreated. PAH can have various causes, including idiopathic factor

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Explore the key structures of the heart, including arteries like the pulmonary artery, aorta, and coronary arteries. Learn how these blood vessels function to ensure oxygenated blood is efficiently transported to different parts of the body. Visual aids included.

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Pulmonary hemorrhage in infants is a severe condition characterized by bloody discharge from the upper respiratory tract or endotracheal tube, often associated with prematurity, lung complications, infections, or trauma. The etiology, pathophysiology, clinical manifestations, and diagnosis of pulmon

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A 61-year-old male with a history of diabetes, hypertension, and coronary artery disease presented with abnormal body movements suggestive of seizures. Following admission and neurology evaluation, a radial artery pseudoaneurysm was incidentally discovered. Percutaneous transluminal angioplasty (PTA

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Explore the key concepts related to arteries, including their definition, anastomosis, end arteries, aorta divisions, and major artery distribution in the body. Learn about the general principles of arteries and their role in blood circulation, emphasizing the importance of anastomoses. Dive into th

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This update highlights best practices for transradial angiography and intervention, including topics such as ultrasound guidance for transradial access, ulnar artery access recommendations, and future study opportunities. The importance of developing proficiency with ultrasound guidance, utilizing r

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Coronary artery bypass grafting (CABG) or heart bypass surgery, is a major heart surgery performed by an expert cardiovascular thoracic surgeon to improve blood flow to the heart. It is a treatment for coronary artery disease. Coronary Artery disease

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This comprehensive update discusses recent findings and ongoing studies related to carotid artery disease treatment options, particularly focusing on revascularization procedures in symptomatic and asymptomatic patients. Key trials like ECST-2, ACTRIS, EVA-3S, SPACE, ICSS, CREST, and more are highli

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