İn this case report; an advance stage HCC patient which has no spesific symptom, incidentally detected and has rarely seen multiple splenic metastases was summarized. İn our country a case report including 2 cases about this subject is present(8). İn conclusion; it shouldnt be forgotten that HCC can metastate to spleen even it is rarely seen and HCC should be considered when the splenic metastases were
Polyclonal B-cell hyperreactivity with abnormalities of autoregulation have been reported, the histopathologic substrate of Sjogren’s syndrome is characterized by presence of lymphocytic infiltrates in glandular and extraglandular sites. Microscopic examinations of enlarged parotid or submandibular glands reveal benign lymphoepithelial lesion, characterized by epimyoepithelial islands in a lymphocytic infiltrate with replacement of acini. In the minor salivary glands the characteristic feature is focal lymphocytic
Pain was sudden in onset, mild and dull aching type and was intermittent in nature, and aggravated at night; there was no specific reliving factor. There was no contributory medical history. On extra oral examination the patient had a deviated nasal septum towards the right side. A scar was seen on the on the right side of the face, medial to the pinna.
On examination was found to have crepitus over chest and neck. Chest X ray revealed oblique fracture of left 1st rib with minimal displacement and linear radiolucent areas of air streaks noted in soft tissue neck, pulmonary hilar and left scapular region (Fig1a,b). CT scan was performed immediately. Non-enhanced Axial Sections of CT Neck/Thorax mediastinal window showed presence of air in the mediastinum with extension to neck (Fig2a,b). Non-enhanced Axial Sections of CT thorax lung window showed streaks of air surrounding vessels of neck, thyroid, trachea, oesophagus and ascending aorta with extension of air into pericardium(Fig 3,4) .The
For example when performing a trial on the effectiveness of acupuncture for back pain the trial is riddled with problems from the start whether it is investigating the effectiveness of acupuncture, osteopathy or any other intervention. Chaitow a prominent osteopath comments on the problems encountered when performing clinical trials on back
The fourth group involves a few features such as transepiphyseal plate fracture in children, hyperflexion injury with fracture of articulatng surface of less than half and hyperextension injury with fracture of articulating surface more than half along with early or late volar subluxation of the distal phalanx (Parvizi & Kim, 2010, p.286). Other signs and symptoms of mallet finger would be a pop or rip sensation felt in the affected finger during time of injury. Immediately after injury, pain can be felt when the injured finger is moved. The individual might also find passive movement of the finger possible but it is difficult to straighten the bent finger at the last joint with their own strength.
Upon reviewing literature, there was no available data comparing between accuracy of free hand and computer guided immediate implant placement. In addition there was no available data correlating accuracy to the esthetic prosthetic position of the placed implants. PICOS P- Patients with fresh extraction sockets I- Computer guided immediate implant placement in fresh extraction sockets CFree-Hand immediate implant placement in fresh extraction sockets O Outcome measure (s) (Cassetta et al. 2011) Outcome name Measuring Device
Hind brain (Rhombincephalan) the hind brain contain the brain stem and the medulla oblongata (Myelencephalon) form by the anterior thickening of basal plate and posterior alar plate separated by sulcus in the fourth ventricle. The hind brain continues to form the spinal cord. As like cerebrum, cerebellum has fissured mass in the posterior cranial fossa attached with brain stem by three pairs of peduncles. From the base of the brain stem the 12 pairs of cranial nerves are arising. The motor nuclei of the IX, X, XI and XII cranial nerves line in the fourth ventricle is formed by the basal plate neurons.
In progress of the Paget disease,maybe the affected bones will occur deformities, for example twisted, misshapen of limb, and scoliosis. Sometimes that affected bones can be fracture,usually at the longer bones in your arms and legs. There is a few symptoms of fractured bone: • Pain and swelling • Bruising and changes colour in a skin around. • The limb and body part can be bent at an unsual angle.
The loose blood clots can block the artery in the heart and become pulmonary embolism (PE). A pulmonary embolism is dangerous conditions that can lead to fatal because of blood supplies from the heart to the other parts of the body are failed. DISEASE CLASSIFICATION Deep vein thrombosis can be classified to three categories which is idiopathic, acute and chronic.
DOI: 6/2/2011. Patient is a 49-year-old female phlebotomy technician who sustained a work-related injury to her left shoulder when she was struck by a fellow worker. Patient is status post left shoulder superior labrum anterior and posterior repair, decompression, and resection of the left distal end of the clavicle on 1/31/2011. Urine drug screen obtained on 03/25/16 showed positive for tramadol, desmethyltramadol and acetaminophen.
Identify the best radiological evaluation method for any of the following: Impingement syndrome, rotator cuff tear, and biceps tendon tear. Each diagnostic modality has a particular feature in diagnosing the shoulder lesions such as impingement syndrome, rotator cuff tear, and tear of the biceps tendon of a human musculoskeletal system and its surrounding structures. Ultrasound (US) US is the most efficient imaging method for detecting the shoulder impingement caused by calcified bony deposits, irregularities or abnormalities of the bursa and surrounding structures (Ostlere, 2003). Based on the eighty-two eligible meta-analysis articles conducted by Roy et al.
DOI: 4/16/2012. Patient is a 29-year-old male technician who sustained injury when he was 25-feet up on a ladder when the ladder slid and he fell onto the pavement. He had an open reduction internal fixation (ORIF x 2) for a compound tibia fibula fracture and had hardware removal in 4/25/2013. MRI of the lumbar spine performed on 3/24/2016 revealed L5-S1 small right paracentral disc protrusion without significant spinal canal stenosis or neuroforaminal narrowing.