The technique of elastography was introduced into the clinic for the purpose of improving the diagnostic performance of thyroid carcinoma. Due to its a noninvasive nature and later on with additional imaging modality features, Ophir et al. [44] proposed elastography in 1991 for the purpose of evaluating the stiffness of tissue and it has been widely used ever since. Many studies have indicated that adding elastographic technique to conventional US can help to improve the differentiation of thyroid lesions [45, 46]. Elastography is based upon the mechanical principles that tissue displacement is more in softer tissue than in harder tissue; hence elastography can be used to estimate the tissue stiffness in way that can reflect the nature of lesions. Various studies have indicated that the increased in tissue hardness is mostly associated with a raising risk of malignancy [47]. …show more content…
Initial evaluations of these two techniques in clinical trials have indicated that they may improve the diagnostic performances of differentiating benign from malignant lesions and help to reduce the number of unnecessary benign thyroid biopsies [15, 16]. Strain elastography is a previous elastography technique; however, it requires manual compression by the operator and can only provide semi-quantitative images [17]. The second type of elastography is shear-wave elastography (SWE). SWE is the latest elastographic technique with more reproducible and less operator-dependent and doesn’t rely much on external force. SWE can measure quantitative elastographic values which can be expressed in either kPa or m/s [18 -
Presented is Milton Larsen, a 84 year-old African American veteran who lives with his step-daughter Dina in a small home. Mr. Larsen’s bedroom is located in the basement, where he spends most of his time with his cat Snuggles. The objective data gathered from Milton Larsen’s case scenario is as followed: a medical diagnosis of hypertension and left knee osteoarthritis. He is prescribed metoprolol tartrate and spironolactone for his hypertension and he takes ibuprofen for aggravation of the left knee related to frequent trips to the upstairs bathroom. At a recent visit to his primary care physician Milton Larsen stated the following subjective data “Dina gets mad at my cat and takes it out on me.”
Pathophysiology ANAT1066 Case study assessment Case study (b) INTRODUCTION Base on the clinical and laboratory data provided, the patient is suffering from Graves’ disease, a cause of hyperthyroidism which is a type of thyrotoxicosis. Clinical manifestation of Graves’ disease (GD) includes diffuse thyroid enlargement, palpitation and hyperthyroidism (Fukishima et al 2009). Other symptoms are ophthalmophathy which result in exopthalmos (bulging of the eye), and dermopathy (oedema) (mencori et al 2014). Hyperthyroidism has some symptoms such as heat intolerance, sweating and weight loss (mencori et al 2014). Tachycardia (a faster than normal heart rate at rest) and bruit (indicate hyper dynamic circulation) are among
A sonographer will give patents ultrasounds to look at their heart, liver, veins, pregnant women. It is waves that bounce back an image to the prob. A sonographer will be able to tell by the ultrasound if there is a problem with the heart, any problems with the liver, and for pregnant women it’ll allow the mother to see their precious baby and it will allow the doctor to detect anything that might possibly be wrong with the baby. In this medical field you are required to use your hands and your mind. You have to move the stick around to be able to get the correct imaging on the screen, you have to move it around on a pregnant woman's belly to try to produce the most enhanced pictures on the baby to be able to see if there is anything wrong
All health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and
Every day we are bombarded with ideas of how the human body should look- men need to be muscular and women should be fit and toned. In fact, these norms are taught at a very early age, and through various social institutions. It is especially evident in Disney movies, just take a look a Gaston in Beauty and the Beast, or Ariel in the Little Mermaid, children are constantly being subjected to these masculine and feminine ideals and it will continue throughout their life. Magazines will place photo-shopped models on their front covers, while radio stations promote testosterone boosters for men. Although these ideal body types are impossible to achieve, society still has the expectation that we should strive to be as physically attractive as possible
During the Renaissance health and medicine changed considerably . There were many important changes to the understanding of anatomy and surgery. Important doctors and surgeons discovered different ways of understanding to body and different ways of operating. For example how Vesalius in the 15th century dissected the human body to learn more about anatomy. During this essay I will investigate how far health and medicine improved during the Renaissance by focusing on anatomy and surgery.
CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.
The Victorian Era: a time where perfection was of the upmost important. A period where the ideal man or woman was what was to be expected and anything short of that was typically looked down upon. It was a standard to look beautiful and quaint, and this ideal was especially reflected in Victorian literature. From Jane Eyre being criticized that she is plain, to Lady Bracknell pointing out that Cecily is sadly simple, a person’s viewpoint on another was crucial, and no author was able to tackle this aspect better than Robert Louis Stevenson. In his novella Strange Case of Dr. Jekyll and Mr. Hyde, Mr. Hyde’s appearance and how others view him is taken to the extreme.
Reasons for killing someone can be very difficult to figure out and vary significantly. However, there always is a reason for why something of this nature happens. In some cases the explanation of “no reason” is the whole reason in itself. Finding the triggers and the societal constructs as to what causes a murder and or homicide of someone has been studied by criminologists for hundreds of years. Some theories such as Classical, Biological, Psychological, and Sociological just cusp the surface of, “why” Someone would kill another.
Radiology is a tool frequently used in medicine. Almost everyone will have an X-ray, ultrasound, MRI, or one of any of the many other imaging techniques at some point. The use and development of various radiologic techniques have reduced the need of exploratory surgeries and given us a better idea of what is going on inside our bodies. Radiology as we know it today was was invented over a century ago by a German physicist and Professor named Wilhelm Conrad Roentgen 1. In 1895 he discovered electromagnetic radiation in in a wavelength range, or the X-Ray.
These improvements typically comes in because resolution of MSCT and MRI were not enough for forensic analysis (Thali et al., 2004). Micro-CT is basically a specialised CT with much higher spatial resolution that is very useful in analysing bone structure with patterned injury (Thali et al., 2003). Micro-MR, on the other hand, means magnetic resonance microscopy or MRM. According to Thali et al. (2004), it is very useful in analysing soft tissues injury patterns.
The desire to excel is exclusive of the fact whether someone appreciates it or not. "Excellence" is a drive from inside, not outside. It is not for someone to notice but for your own satisfaction and efficiency. This has been my mantra at all times which made me through.
The Skin Structure and Function: The skin is the largest organ. It covers the whole body and is water-resistant. The skin consists of two layers; the Epidermis and Dermis (under which lies the subcutaneous or fatty layer).
The human body is an amazing thing made up of many different parts. These parts are cells, tissues, organs, and organ systems. For starters, one type of cell makes up one type of tissue. Next, two or more types of tissues make an organ. Then, a few organs working together make an organ system.
BACKGROUND AND LITERATURE REVIEW 2. Clinical Background 2.1 The human spine The human spine (also referred to as vertebral column or spinal column) is a bony structure in the middle of the back starts at the base of the skull and continues to the pelvis. It consists of vertebrae (small bones) and joints (intervertebral disks) together to form a flexible and stable spinal column.