After a woman gets hit by a car on her bicycle, her leg is left in horrible shape and Holly claims it’s the worst leg injury of her career in this clip from Season 2, Episode 4, “Fallen Brother.” #Nightwatch
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From executive producer Dick Wolf comes “Nightwatch,” an hour-long series following elite teams of emergency responders as they risk their lives to work the busiest and most unnerving shift of the day: the overnight shift.
A&E leads the cultural conversation through high-quality, thought provoking original programming with a unique point of view. Whether it’s the network’s distinctive brand of award-winning disruptive reality or groundbreaking documentary, A&E makes entertainment an art form. Visit us at aetv.com for more info.
Tune in to Live Rescue, Fridays at 9/8c on A&E, and stay up to date on all of A&E’s premieres at http://aetv.com/schedule.
Check out this compilation of some of the worst accidents caught on Live Rescue, including a man with a serious face injury, plus more. #LiveRescue
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“Live Rescue” follows firefighters, paramedics and EMTs from across the country as they bravely put their lives on the line responding to emergency rescue calls. Emmy® Award-winner Matt Iseman joins “Live Rescue” with impressive media and medical credentials.
A&E leads the cultural conversation through high-quality, thought provoking original programming with a unique point of view. Whether it’s the network’s distinctive brand of award-winning disruptive reality or groundbreaking documentary, A&E makes entertainment an art form. Visit us at aetv.com for more info. Video Rating: / 5
Melissa Bagloo, MD, a surgeon at the Center for Metabolic and Weight Loss Surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center, discusses diseases of the gallbladder, specifically gallstones or Cholelithiasis, their management and treatment options.
You can learn more about gall bladder disease at Columbia University Department of Surgery at: http://www.columbiasurgery.org/general/gallbladder.html (less info)
Gallbaldder diseases such as cholecystitis, cholelithiasis, cholangitis taught in handwritten tutorial for USMLE. We will be looking at pathophysiology, symptoms, investigations and management.
CHOLELITHIASIS and CHOLEDECHOLITHIASIS
Two type of stones are the most common. The first is Cholesterol stone and the second is the pigmented stone. Cholesterol stone is formed due to high levels of cholesterol or not removing cholesterol fast enough. Etiology, old age, female (especially pregnant) Obesity and rapid weight loss. Also can be caused by decrease emptying of the gallbladder which leads to supersaturation of the the cholesterolel. Pathophysiology this is due to fasting state, pregnancy, spinal cord injury can decrease neurological signal to the gallbladder to contract. There are two types of pigments depending on the color. Black is due to hemolysis (sickle cell anemia and thalessemia) Brown is due to some sort of infection that is present.
Clinical signs and symptoms of Cholelithiasis
Usually asymptomatic, incidental finding. There are just a few stones in the gallbladder. No problems until the neck of the gallbladder is obstructed and this causes pain in epigastrium to the left flank which radiates to the back and the scapula. Symptoms will be associated with eating, because when eating there is contraction of the gallbladder.
Investigations for Cholelithiasis
Ultrasound investigation is the first choice where the stones can be visualized. CT/MRI to see some of the complications of cholelithiasis.
Treatment
If it is asymptomatic than there is no treatment is necessary. But if it becomes symptomatic than you can try oral bile acids, lithotripsy, but if this isn’t working or unavailable then do cholecystectomy.
Complications
Gallstone Ileus there is a tract formed between gallbladder and duodenum. choledecholithiasis or pancreatitis and cholecystitis.
CHOLEDECHOLITHIASIS
Stone formation in the bile duct. Most common origin is from the cholelithiasis.
Clinical signs and symptoms
It can also remain asymptomatic, just like cholelithiasis. But if it gets down to common bile duct than it can also cause obstructive jaundice. Right upper quadrant pain.
Investigations
ERCP investigation can detect and remove the stone.
Treatment
ERCP and some analgesics for pain, and anti-biotics to prevent further infection
Gallbladder infection is called Cholecystitis and the bile duct infection is called cholangitis
CHOLECYSTITIS
Etiological causes
Any type of obstruction. The most common obstruction is the gallstone (cholelithiasis) but it can also be due to worm or parasite such as clonorchis senensis, ascaris lumbricoides, and fasciola hepatica. This can cause cholecystitis and cholangitis. It can also occur without obstruction which is known as acalculous cholecystitis. TPN sickle cell and Diabetic patients.
Clinical Signs and Symptoms
You will see the same pain as cholelithiasis except much longer and more severe. Whereas cholithiasis it is two hours, cholecystitis is 6 hours. There will also be a fever (no rigors) leukocytosis. Gallbladder mass which is generally a late finding and it is associated with jaundice found in less than 10 percent of cases. Murphy’s Sign – increase tenderness as they are inspiring
Investigations
CBC – leukocytosis
Amylase to rule out acute pancreatitis, but only greater than 1000IU is significant
Ultrasound you will find thickened gallbladder wall, pericholecystic fluid of bile sludge.
X-ray – radioopaque stone, rule out pneumonia,
CT – perforation and empyema
Treatment
Conservative treatment – IV analgesics anti-biotics
Also give bowel rest by giving NPO
Surgery – laparoscopic cholecystectomy
CHOLANGITIS
Infection of bile duct or inflammation of bile duct.
Caused by obstruction from choledecholithiasis or stricture, pancreatitis.
CLINICAL
Charcot’s Triad – Right Upper Quadrant Pain, Fever and Jaundice
Reynold’s Pentad – Hypotension, Altered Mental status
INVESTIGATIONS
Ultrasound shows dilated bile ducts
ERCP – see the stones and remove them
Laboratory – leukocytosis, bile duct, Raised ALP, Raised Amylase, High bilirubin
TREATMENT
Acute treatment of cholangitis – IV Fluids, Analgesics and Anti-Biotics. Monitor hemodynamics
Definitive Treatment – 48 hours of being afebrile. ERCP
There are several parasites common to dogs which can also affect humans, with children being the most vulnerable. This is why proper deworming is the key to avoiding serious repercussions and consequences for both the animal and ourselves. If a disease is zoonotic, it means it can be passed on from an animal species to a human. In this AnimalWised video we answer whether humans can get parasites from dogs by discussing zoonotic diseases and their effects. We will also share the the most effective methods of prevention. If you love your dog you will obviously want them to have the best chance of a healthy life by preventing parasitic infestation. The same can be said for the rest of your family. Head on over to our website to learn more: https://www.animalwised.com/deworming-dogs-preventing-and-treating-parasites-987.html
On AnimalWised you’ll discover a high quality channel that’s exclusively devoted to the Animal Kingdom. You’ll find all sorts of content: from training, diet or beauty and everything that can be useful for you as a pet owner or animal lover. Want to become AnimalWised? Take a look and have fun with us!
AnimalWised Web – https://www.animalwised.com/ Video Rating: / 5
This video is a brief overview of Infectious Diseases. We will take a look at what they are, some terms used to describe characteristics of infectious diseases and different types. Historically, infectious diseases were the main cause of deaths around the world. Even now, they are a significant global public health issue leading to millions of deaths each year.
This video was created by Ranil Appuhamy
Voiceover – James Clark
For more information about infectious diseases, have a look at these websites:
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Disclaimer:
These videos are provided for educational purposes only. Users should not rely solely on the information contained within these videos and is not intended to be a substitute for advice from other relevant sources. The author/s do not warrant or represent that the information contained in the videos are accurate, current or complete and do not accept any legal liability or responsibility for any loss, damages, costs or expenses incurred by the use of, or reliance on, or interpretation of, the information contained in the videos. Video Rating: / 5
Any idea why some Diseases spread easily through contact, while some do not spread at all? Why are some Diseases contagious while others do not get caught with mere communication?
Watch this video to find the answers and to understand types of Diseases, Infectious diseases, non-infectious diseases, chronic diseases, and disorders.
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Hiccups cure. This video is on treatment, cures and how to stop and get rid of hiccups fast, as well as what are hiccups.
A hiccup is an automatic action (a reflex) that the body can’t control. During a hiccup your diaphragm (the muscle under your lungs that helps you breathe) contracts. Immediately after this the top of your windpipe (your glottis) closes, making the typical ‘hic’ sound.
I hope my tips help you and good luck! By the way maybe we can do our own little science experiment and see which remedy works best, so please leave a comment below and let me know which one works for you. I will then tally the results up and leave a pinned comment, this may be useful for everyone in the future.
HICCUPS SYMPTOMS:
Everyone has had hiccups, and knows exactly what they are and what they feel like. They affect women and men equally, although persistent hiccups occur much more commonly in men. They happen mainly in the evening.
There is an important difference between short bouts of hiccups and persistent hiccups (lasting longer than 48 hours). Persistent hiccups are more likely to be linked to an underlying illness and you may need medical tests.
CAUSES OF SHORT BOUT HICCUPS:
Most people have bouts of hiccups from time to time. In most cases they start for no apparent reason, last a short while and then stop. Sometimes they are due to:
• Sudden excitement or emotional stress.
• A temporary swollen stomach caused by overeating or eating too fast, drinking fizzy drinks, or swallowing air.
• A sudden change in temperature (very hot or cold food or drinks, a cold shower, etc).
• Alcohol.
• Excess smoking.
CAUSES OF PERSISTENT HICCUPS:
Persistent hiccups are rare. In some cases, persistent hiccups are caused by an underlying disease. Over 100 diseases have been reported to cause hiccups. Some are common, such as acid reflux, and some are rare. You would normally have other symptoms apart from the hiccups.
In some cases of persistent hiccups there is no apparent cause. However, the persistent hiccups can become exhausting and distressing. Examples of conditions which can cause persistent hiccups can be found at the following link:
https://patient.info/health/hiccups-hiccoughs
Please see your doctor if you have persistent hiccups (lasting longer than 48 hours), as medical tests and investigations may be required.
HICCUP REMEDIES:
There are many popular remedies that are said to stop a short bout of hiccups but they are based on people’s individual experiences. It is not clear how effective they are, as they have not been tested by research trials. They include the following:
•Using a technique called the Valsalva manoeuvre. The way to do this is to take a deep breath in, then keep the air inside you while pushing with your muscles as if to force the air out. This is like pushing in childbirth or straining on the toilet.
• Remedy from Dr Eric Voigt and apparently it has a high success rate. Drink water from the opposite side so tilt your head down and drink the water this way. Because of the way the abdomen contracts it may stop hiccups.
• Swallowing granulated sugar.
• Sipping iced water.
• Biting on a lemon or tasting vinegar.
• Pulling on the tongue.
• Breathing- Either hold your breath for a short time, breath fast or breathe into a paper bag.
• Compress the diaphragm by either pulling the knees up to the chest or leaning forward.
• Swallow water while closing the nose.
• Ask someone to scare you.
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ABOUT ME:
Prescribing Media Pharmacist | Extreme Optimist | Bringing Science Through New Videos Every 2 Weeks – Monday 4PM(GMT).
I’m a British – Persian – Iranian prescribing media pharmacist who loves science, making videos and helping people. I work in both GP surgeries and community pharmacy.
DISCLAIMER:
This video is for information only and should not be used for the diagnosis or treatment of medical conditions. Abraham The Pharmacist has used all reasonable care in compiling the information but make no warranty as to its accuracy. Always consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions. Video Rating: / 5
NYU otolaryngologist Dr. Erich Voigt tells us the one thing that he does to stop every single case of hiccups.
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