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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . Riverside Methodist Hospitals recently became one of the first medical centers in the United States to obtain new technology to treat one type of atrial fibrillation, a serious heart rhythm disorder that affects about three million Americans. The catheter-based technique uses the first approved cryoballoon to safely and effectively freeze and isolate the cardiac tissue responsible for the initiation of paroxysmal atrial fibrillation (PAF), with the goal of eliminating the rhythm disorder at its source. "This is an exciting innovation that provides us with a more efficient approach over existing methods to correct this problem in patients who do not respond to medication," said Dr. Gregory A. Kidwell, MD, a cardiac electrophysiologist at Riverside and Dublin Methodist Hospital. "With this technology, we can more easily restore the heart's natural rhythm and return patients to normal activities soon after treatment." Atrial fibrillation is characterized by irregular and often rapid rhythms in the upper heart chambers (atria), resulting in typical symptoms of palpitation, breathlessness and fatigue. If left untreated, atrial fibrillation increases the risk of stroke and heart failure. PAF is a type of atrial fibrillation that stops and starts on its own. However, the arrhythmia can transition into more persistent or permanent forms - particularly if not managed properly. The new catheter ablation procedure at Riverside Methodist prevents unwanted electrical currents from ...
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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . Public Parts: How Sharing in the Digital Age Improves the Way We Work and Live A visionary and optimistic thinker examines the tension between privacy and publicness that is transforming how we form communities, create identities, do business, and live our lives. Thanks to the internet, we now live—more and more—in public. More than 750 million people (and half of all Americans) use Facebook, where we share a billion times a day. The collective voice of Twitter echoes instantly 100 million times daily, from Tahrir Square to the Mall of America, on subjects that range from democratic reform to unfolding natural disasters to celebrity gossip. New tools let us share our photos, videos, purchases, knowledge, friendships, locations, and lives.Yet change brings fear, and many people—nostalgic for a more homogeneous mass culture and provoked by well-meaning advocates for privacy—despair that the internet and how we share there is making us dumber, crasser, distracted, and vulnerable to threats of all kinds. But not Jarvis. In this shibboleth-destroying book, Public Parts argues persuasively and personally that the internet and our new sense of publicness are, in fact, doing the opposite. Jarvis travels back in time to show the amazing parallels of fear and resistance that met the advent of other innovations such as the camera and the printing press. The internet, he argues, will change business, society, and life as profoundly as Gutenberg's invention, shifting power from old ...
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The energy source for heart muscle is mostly sugar and fat, and to a lesser degree, protein. Muscles need far more oxygen to process fat than to process sugar. The blood supply to heart muscle comes from large arteries on the outside of the heart. Diabetics have narrowed arteries because high blood sugar levels cause plaques to form and reduce the diameter of the coronary arteries. The increased need for blood flow from burning fat and the decreased blood flow from narrowed arteries put diabetics at very high risk for heart attacks, heart failure and sudden death. The increased use of oxygen increases blood levels of oxidants that further damage the inner linings of arteries.

Another study from Sweden shows that many people discover that they are diabetic only after they have had a heart attack. Researchers recorded blood sugar levels in men who had had heart attacks and then did sugar tolerance tests at discharge and three months later. They found that 35 percent had diabetic sugar tolerance tests at hospital discharge and 40 percent had impaired sugar tolerance tests three months later (Lancet, Volume 359, 2002).

Therefore, 40 percent of people who have heart attacks are diabetic, even though they may not know it. Many of the diabetics had normal HBA1C blood tests, the standard test to measure diabetic control. Furthermore, the patients who were unknown diabetics had a much higher rate of sudden death from their heart attacks than those who were not diabetic. The authors recommend that all people with heart attacks be tested for diabetes.

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Third Heart Sound

Causes Of Afib - Third Heart Sound.

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How is Third Heart Sound

Third Heart Sound Tube. Duration : 0.68 Mins.


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First Responders, EMTs, and Paramedics Are Not Just "Ambulance Drivers"

Vagal Afib - First Responders, EMTs, and Paramedics Are Not Just "Ambulance Drivers".
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Vagal Afib! Again, for I know. Ready to share new things that are useful. You and your friends.

A number of years back I decided to become a Firefighter. First off, I thought that it would be a good idea to consult with my friends that were already in the field. A good friend of mine told me that in order to make yourself a better candidate for hire, I needed to become a Paramedic, but even before that, I must first become an EMT. I thought it was going to be a breeze, but after my first day of class, I realized that maybe I bit off more than I can chew, and that Firefighters knew a lot more than I originally thought. You see, I was just like you, a member of the general public that thought that the people inside the ambulance were in fact just the "drivers," it turns out that this could not be further than the truth.

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How is First Responders, EMTs, and Paramedics Are Not Just "Ambulance Drivers"

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First Responders, EMTs, Paramedics and other EMS personel are highly trained professionals that take great pride in being the first line of defense in the treatment of your loved ones. This specialized group of people can be found anywhere in the field or the hospital. One thing for sure, is that if you have ever had chest pain, shortness of breath, or have found yourself trapped in a burning car you will quickly see that these people are not just licensed to drive, but are quick on their feet, highly trained, specialized personal.

So, what do EMS personal know? There are many levels to the knowledge base of the workers that represent those in EMS and each have their own personal expertise. It is often difficult to determine who is who when 911 is called, but "typically" the Paramedic is the highest level of "pre-hospital" medical care you can receive in the field. Paramedics have the ability to administer a multitude of drugs that can help even the most desperate of victims. Paramedics have specialized skills and treatments that they are authorized to administer to patients that include, but are not limited to the following:

Various Advanced life support medications that vary per region

PROCEDURES AND SKILLS
RSI (RAPID SEQUENCE INTUBATION)
External Jugular Vein Access
Transcutaneous Cardiac Pacing
Oral Endotracheal Intubation
Oral Endotracheal Intubation
Synchronized Cardioversion
Insertion of Nasogastric/Orogastric Tube
Needle Thoracostomy
Intraosseous Infusion
Nasotracheal Intubation
Needle Cricothyrotomy
Vagal Maneuvers
Axial Spinal Stabilization
Pulse Oximetry
Esophageal Tracheal Airway Device (ETAD)

MEDICAL EMERGENCIES
Adult Respiratory Emergencies
Shock (Non-Traumatic)
Altered Level of Consciousness/Seizures
Poisonings (ALS)
Adult Airway Obstruction
Heat Related Emergencies
Cold Related Emergencies
Poisonings (BLS)

CARDIAC EMERGENCIES - ADULT
Suspected Acute
Adult Tachycardias
Non-Traumatic Hypertensive Crisis
Adult Bradycardia
Adult Cardiac Arrest
12 Lead Electrocardiography
Automatic External Defibrillation AED

PEDIATRIC EMERGENCIES
Pediatric Cardiac Arrest (1 Day to 14 years of Age)
Pediatric Altered Level of Consciousness
Pediatric Respiratory Emergencies
Pediatric Seizure
Pediatric Allergic Reaction
Pediatric Airway Obstruction

TRAUMA
Trauma Triage Criteria & Destination
Adult Trauma
Pediatric Trauma
Glasgow Coma Scale Operational Definition
Fractures and Dislocations

BURN
Burn Criteria & Destination
Adult Burns
Pediatric Burns

OBSTETRICAL/NEONATAL EMERGENCIES
Newborn Care
Obstetrical Emergencies

MCI/HAZMAT
Medical Response to a Multi-Casualty Incident
Medical Response to a Haz-Mat Incident

TRANSFER OF PATIENTS
EMT-P Inter-facility Transport Guidelines
Inter-facility Transport - Nurse Staffed Units
Transport of Patients
Cardiovascular "Stemi" Receiving Centers

POLICIES AND PROCEDURES
Physician on Scene
Suspected Sudden Infant Death Syndrome Incident
Responsibility for Patient Management
Reporting Incidents of Suspected Abuse/Neglect
Patient Refusal of Care or Other Patient Request
Guidelines for Adult Refusal of Care
Determination of Death on Scene
Withholding Resuscitative Measures
POLST Form
EMSA DNR Form
Do Not Resuscitate (DNR)

A Paramedic operates under the license of the Medical Director. The Medical Director is a licensed doctor in that Paramedic state, city, or county. Paramedics have a limited scope of practice that is referenced in their Protocols. Protocols are basically the foundation to the treatment the Paramedic operates within. Paramedics operate under the strict guidelines of these rules set forth by medical direction. Protocols can vary across the United States. Some Paramedics have more protocols than others, and have the ability to operate autonomously within these protocols. Typically Paramedics that are in rural areas have more ability to perform more skills and give more medications than their counterparts in the "big city", because medical care is so far away and time in a true medical emergency is of the essence.

So do you still think that EMS personal are just drivers? Let's review just ONE drug that almost all Paramedics are familiar with and use in the field. Keep in mind that this is just one of about 30 drugs Paramedics are able to use in an area located in San Bernardino California's (ICEMA Region). Paramedics are required to recognize when this drug is indicated and not indicated. The drug used below has the capability to save or kill someone under it's use, and is measured by micro grams, per kilogram, per minute, coupled with the desired effects on the a given patient.
-------

Advanced Life Support Medication
DOPAMINE - Sympathetic agonist - A naturally occurring catecholamine and a chemical precursor of
norepinephrine. It acts on alpha-receptors, is dose dependent, and causes peripheral vasoconstriction. The effect on beta 1 receptors causes a positive inotropic effect on the heart, without increasing myocardial oxygen demand as much as Epinephrine. Dopamine maintains renal and mesenteric blood flow, when used in lower therapeutic doses. Used in patients with significant hypertension, when fluid replacement is unsuccessful.
Side Effects: Increased heart rate. Can worsen or induce both narrow complex and wide complex arrhythmias.
Deactivated by alkaline solutions such as Sodium Bicarbonate. May cause hypotension in patients taking Dilantin.
Infiltration of IV will cause localized tissue necrosis. Notify receiving facility if IV infiltrates. Do not give via IO.
Typical Preparations: 200mg/5ml: Ampule or Vial and premixed IV solution.

Dose:
Adult: 5-20mcg/kg/min. For the average adult 400mg of Dopamine in 250ml D5W at a rate of 30-
60 microdrops/minute provides this dose range. Titrate to blood pressure and other signs of
perfusion.
Pediatric: Contraindicated in children under 8 years of age within the ICEMA region.

This concludes our review of the ALS (Advanced Life Support) medication Dopamine.
-------
Sounds easy enough right? Most cab drivers, truck drivers, and airport shuttle drivers know about these things, so why not just call them the "ambulance driver" too? So as you can see, there is just a tad bit more to the ambulance driver than you originally thought. Am I right?

Most people respect and are somewhat familiar with the vast knowledge and extraordinary services nurses provide, but on the other hand have limited knowledge of what the capabilities of EMS are. Many times, I have been asked by nurses in the field if Paramedics are allowed to perform even the simplest of skills such as start an IV. Sometimes, these remarks are said with "tongue in cheek" because of the sometimes "ugly" workplace rivalry between Paramedics and Nurses. Did you know that most Paramedics have the ability to perform more advanced skills than that of their counterparts the nurses? In many states, counties, and cities Paramedics do not require the doctors advanced orders before performing life saving measures or to administer advanced life support medications. Paramedics are allowed to make split second decisions based on their patient's signs and symptoms. The ability to work within their protocols allows the medics to change procedures and medications as the patient's condition improves or worsens. Nurses are required to follow the orders of their doctor before most medications are administered. Another distinctive difference between Paramedics and Nurses is that there are certain skills that may only be performed by Paramedics and Doctors trained to do so. So, Are Paramedics better than Nurses? No, of course not! They are two completely different medical service providers. Paramedics and Nurses both have their limitations. Paramedics, EMTs, and EMS personal are again, specialized personal that are trained to perform specialized work.

So how does one become a Paramedic you ask? The requirements to become a Paramedic vary between states. In most states you must first become an EMT and acquire at least one year of field experience prior to applying to Paramedic school. The next step into getting into Paramedic school is to pass a college proficiency exam, a Paramedic academy entrance exam, oral exam, background check, medical examination, and have the necessary prerequisites to enter the Paramedic academy that can include anatomy, physiology, or medical terminology. The entire academic process can take approximately two years or more. (Depending on the program, prerequisites ETC) Many Paramedic Academy's take one year to complete. Paramedic training is some of the toughest academic training around. Students must maintain a score of at least 80 percent to pass throughout their entire class time or are subjected to dismissal from the academy. Many will have to attempted to pass the Paramedic Academy several times before graduating. Once the academy is completed, students will have to pass a national registry examination, state examination, and finally a local examination. The fees, regulations, and form filling are endless (Especially in "anti-business friendly" California). EMS personal are required to keep their certifications, licenses updated and current by attending skills and continuous education classes. After the completion of mandated training hours, EMS personal must submit completed training certificates noting the minimum skills training hours, academic review have been met, and of course..pay the necessary fees in order to maintain their accreditation or license requirements.

I hope that this article has given you a greater understanding of capabilities of the "ambulance driver" and to know that this term is considered to be little insulting by some in the EMS field. So, the next time your loved one finds themselves at the mercy of the 911 system, you can feel a sense of relief knowing that a "cab driver" is not on the way, but an "ambulance driver" is.

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Stoop Kid - Replay

Causes Of Afib - Stoop Kid - Replay.

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How is Stoop Kid - Replay

Stoop Kid - Replay Tube. Duration : 4.42 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . I do not own this beat. Subcscribe to the channel, follow me on Twitter @StoopKidRapper and like me on Facebook at Facebook.com/StoopKidRapper. LYRICS: Verse 1 Ok, it's Stoop Kid, listen up pipsqueaks The rap Joe Dimaggio, I give you nothin but hit streaks Step up in the club and you know what's the deal Shit call me Jeff Gordon 'cause I know how to wheel This alcohol fuckin got me in a pickle Lookin for a dime but shit I'll settle for a nickel Ain't slayin no more, I ain't slayin no less though Tired of this shit, tryna put it to rest yo Decided tonight, I'm takin home the best That's when I saw a dime, short blonde bitch, big chest Not to mention shorty's ass was fat like Peter Griffin Buncha faggots tryin to hit it, but they all wiffin Uh, I said listen, uh uh Shit you don't even know what you missin, uh uh These dudes ain't nothin but a bunch of fuckin pussies, waitin to pounce Shit bid 'em all a nice day and tell 'em to bounce Tryin to impress you talkin bout they cheddar But you like Lebron James girl, you deserve better Like a sprinkler, I could make you wetter Make it rain so much, you'll complain about the weather Chorus Oh, shit I put pussies to work like a weekday Each day, I make 'em sing, like Vijay And shorty take a video when we play so she can watch on replay. she can watch on replay If they lucky I give 'em free rates, lift 'em up like free weights Then make it snow like Green Bay But shorty take a video when we play so she can watch on replay, she can ...
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Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy

Vagal Afib - Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy.
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Vaso - Vagal Syncope

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How is Vaso - Vagal Syncope, Cardiac Syncope and Epilepsy

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The exact mechanism of syncope is still under study. In this condition, there appears to be a transitory fall in blood pressure due to the failure of peripheral resistance. This momentary fall in blood pressure causes a decreased flow of blood to the brain, leading to syncope, during which time there is a transient/brief form of unconsciousness, and the patient may fall to the ground, if he remains standing, i.e., does not sit, or lie immediately. Before his fall, he may feel some symptoms like nausea, giddiness, vertigo, disturbance of vision/hearing, blurring of vision or odd noises in the ears, body pallor, rapid respiration and sweating, etc.

If the attack is a prolonged one, in some of the cases, even twitching/jerky movements, or open convulsions may occur, thus creating some difficulty in diagnosing the condition clinically. Such attacks occur usually only in a standing/upright position. They do not occur when the patient is either lying down or sitting. The patient is not confused after the attack, although he still may be undergoing feelings of nausea.

This problem appears particularly in normal young adults, especially in females, with no obvious pathology which could account for these attacks. Such cases are usually seen in day-to-day practice, and can be embarrassing enough to cause anxiety.

The attacks are usually precipitated when a person keeps standing for a long time, e.g., as is sometimes seen in school students when they gather for their morning prayers (childhood syncope), or in older students standing for hours in various laboratories, and similarly in policemen and soldiers, when they happen to stand on duty at one place for a considerable length of time.

Also, the attacks are aggravated when a person suddenly stands up after lying down or sitting for a long period, or when the person gets up suddenly during his sleep at midnight/morning. Further, bad news or sight of blood, i.e., emotional shock, intense fear/pain, hot weather or a stuffy atmosphere, hunger, intake of excessive alcohol or loss of fluids, i.e., dehydration etc., may also initiate these attacks.

Recovery in vaso - vagal syncope occurs after the person lies down. There is no underlying cause. There is only a failure of peripheral resistance which causes the various conditions mentioned above.

Cardiac syncope

Cardiac syncope, i.e., syncope as a result of some underlying heart disease, occurs suddenly, without any warning symptoms. In such cases, there is a sudden fall in cardiac output/blood pressure, as a result of various diseases of the heart, like arrhythmias, such as when the heart rate is very high (paroxysmal atrial tachycardia-PAT, atrial fibrillation), or in a heart block (Stokes-Adams attack) when the heart rate becomes extremely slow, or in advanced cases of aortic stenosis (aortic valve disease), which result in a decreased flow of blood to the brain, etc. Hence detailed tests like electrocardiogram ECG (with a long rhythm strip), Holter monitoring (to detect arrhythmias), echocardiography (to detect aortic / other valvular diseases), etc., are required, besides an EEG, in some cases, for specific diagnosis and treatment.

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Atrial Fibrillation

Causes Of Afib - Atrial Fibrillation.

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How is Atrial Fibrillation

Atrial Fibrillation Tube. Duration : 1.67 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . With her son's wedding approaching, 55-year-old grade school teacher Susan Meyer had a lot to look forward to. Unfortunately, she was feeling too tired to do much celebrating. Meyer had lived with mitral valve stenosis for 15 years, so she was used to feeling less than 100%. But in May of 2005, Meyer could tell something had changed. "I was tired all the time. My heartbeat had always been very irregular, but it was wearing me out more than usual," says Meyer. A visit to the emergency room revealed she had atrial fibrillation, a condition which causes an erratic heartbeat. A cardiac catheterization revealed multiple blood clots in her lungs. Meyer was immediately referred to Ralph Damiano, MD, chief of cardiac surgery at Barnes-Jewish and Washington University School of Medicine. "By the time I saw Meyer she was past the point where medicines could help anymore and the only real option was surgery," says Dr. Damiano. In July of 2005, Dr. Damiano gave Meyer a new mechanical mitral valve, repaired another valve, and performed a Cox-Maze procedure to correct the atrial fibrillation. First performed at Barnes-Jewish by surgeon James Cox, MD, in 1987, surgeons at Barnes-Jewish and Washington University have performed this operation longer than any medical center in the world. In Meyer's case, all these procedures performed by Dr. Damiano were minimally invasive, saving Meyer from the dramatic scarring and longer recovery of a cracked-sternum procedure. Moreover, Dr. Damiano and ...
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How to draw your own blood

Causes Of Afib - How to draw your own blood.

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How is How to draw your own blood

How to draw your own blood Video Clips. Duration : 6.22 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . My name is Suzanne Stewart and I am a Coumadin patient. This means I take anti-coagulation meds to thin out my blood because I had a heart attack in 2005 & a stroke/CVA in 2006. The stroke was caused from something I have called "Atrial Fibrillation." I had to get my blood drawn so often & because of a horribly painful neurological disease "RSD/CRPS" I cannot drive but ten miles/ or mins. So my Cardiologist got this blood draw kit for me to be able to draw my own blood at home! I thought if anyone is having trouble with your Kit, then this little "how to" video will help remind and show you what to do! Thank you for watching.
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Cat Pneumonia - An Owner's Guide to Pneumonia in Cats

Causes Cad - Cat Pneumonia - An Owner's Guide to Pneumonia in Cats.
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Pneumonia in cats is a serious condition. It occurs when there is inflammation in the lungs. The condition can quickly become life-threatening as it progresses. As the disease advances, your cat will have more and more trouble breathing. It can effectively be treated if caught early enough.

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How is Cat Pneumonia - An Owner's Guide to Pneumonia in Cats

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Causes

The inflammation in the lungs is a condition caused by bacteria. However, this is usually the result of a viral infection that affects your cat's lower respiratory tract. Common viruses that can result in cat pneumonia include feline parainfluenza virus and calicivirus.

Symptoms

Pneumonia in cats is easily noticeable as your feline will appear extremely ill. He will stop eating and drinking which can lead to dehydration, a potentially serious condition. As the disease advances, your cat will have breathing difficulty. Some cats also develop a fever.

Treatment

As mentioned earlier, cat pneumonia is caused by bacteria. Therefore, treatment involves the use of antibiotics. It's important not to discontinue this medication too soon or the bacteria may become resistant. As you already know, some cats with this condition experience trouble breathing. These cats will need to be provided with supplemental oxygen.

When your cat goes back home with you from the vet, there are a few things you can do to make him more comfortable. Make sure he has a warm, dry place to rest. If you can, you should also be a humidifier in the room. You will also need to prevent your cat from exercising too hard, or he may experience more trouble breathing.

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Acalculus Cholecystitis

Causes Chf - Acalculus Cholecystitis.
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Acalculus cholecystitis (AAC) is a disease which is frequently unrecognized. It occurs due to gallbladder ischemia and bile stasis with an estimated incidence of 1.5%. It is common in septic patients or in patients recovering from abdominal sepsis. It is most commonly diagnosed in the ICU setting and diagnosis is often delayed due to the severity of underlying disorder.

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How is Acalculus Cholecystitis

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Causes of Acalculus Cholecystitis are diverse and most commonly the patients are sick and being managed in ICU. These can be divided into
Cardiac causes Abdominal aortic aneurysm 0.7 to 0.9% Valvular diseases and Post Coronary Artery Bypass Grafting.12% Congestive Heart Failure Trauma and Burns Diabetes Mellitus, Abdominal vasculitis Cholesterol embolization of the cystic artery Resuscitation from hemorrhagic shock or cardiac arrest Malignancy such as Leukemias Metastasis to Porta Hepatis PTBD (percutaneous trans hepatic biliary drainage procedures) BMT (Bone marrow transplant) 4% Secondary infection of Gall Bladder Obstructive Biliary system Pathophysiology

The pathophysiology of Acalculus Cholecystitis includes

1.Bile Stasis due Dehydration which leads to inspissated bile.

2. Mucosal injury of the gall bladder wall.

3. Lysophosphatidylcholine is an agent in bile which is directly responsible.

4. Total parenteral nutrition

Gallbladder Ischemia

Gallbladder ischemia is central to the pathogenesis of AAC. An interrelationship between ischemia and stasis has been suggested, leading to hypo perfusion of the gall bladder It has been hypothesized that the fundamental lesion leading to AAC is failure of the gallbladder micro circulation with cellular hypoxia leading to cell death.

Jaundice caused by Acalculus Cholecystitis may be caused most often by sepsis-related cholestasis, or rarely by extrinsic compression of the common duct by stones.

Clinical Profile

AAC represents 50% to 70% of all cases of acute cholecystitis in toddlers and older children. Dehydration is a common precipitant, as are acute bacterial infections and viral illnesses, such as hepatitis and upper respiratory tract infections. Portal lymph adenitis with extrinsic cystic duct obstruction may be etiologic in viral infections. Recent reports suggest that the pathogenesis may be similar to that in adults

Diagnoses

Ultrasound Abdomen is helpful in diagnosis and the ultrasound findings are-

Gallbladder wall thickness >3 mm, intramural lucencies, gallbladder distension, pericholecystic fluid and intramural sludge. CT Scan of the Abdomen has higher sensitivity in detecting acalculus cholecystitis.

Frequently, the diagnosis is delayed and the disease progresses to ischemia, gangrene and perforation.

Treatment at bedside is percutaneous cholecystostomy and some times cholecystectomy

For obstruction of the Common Bile Duct (CBD) emergency decompressive procedures in the form of endoscopic stenting, PTBD or open Common Bile Duct drainage and T Tube placement have been advocated

The mortality of AAC is high in the range of 30% but effective early treatment can ensure cure.

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Acomplia dosage

Causes Of Afib - Acomplia dosage.

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How is Acomplia dosage

Acomplia dosage Video Clips. Duration : 0.30 Mins.


We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . link to online store medstorepills.com Acomplia dosage Weightloss Medication Acomplia/Rimonabant/Zimulti information. Read information how to take Acomplia it may be useful for you Riobant I looked at the forecast last night and saw nothing but dark clouds and raindrops. Then, much...
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Cause Celeb Susan Lucci Buzz LeeAlexandertv.dub

Causes Of Afib - Cause Celeb Susan Lucci Buzz LeeAlexandertv.dub.

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How is Cause Celeb Susan Lucci Buzz LeeAlexandertv.dub

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