Next, they traced the external jugular vein and its tributary veins on the surface of the right side of the neck and head. On the left side where the sternomastoid was cut, the students then located the deeper vessels running alongside the trachea, internal jugular vein, and the common carotid artery. In the abdominal cavity, the groups then exposed and studied the hepatic portal vein and its tributaries. They then identified the tributaries of the post cava, the renal, adrenolumbar, iliolumbar, iliac, and caudal vessels. The arteries of the gonads then came off the abdominal aorta cranial where the spermatic arteries were found.
CC Mrs. Newcomb is a 51-year-old female here today complaining of abdominal pain. HPI The patient tells me that she has trouble with abdominal pain on and off for several years. She, a little more than a year ago, went through an extensive evaluation with William E. Maher, MD in gastroenterology for abdominal pain and ultimately was told that this was likely IBS.
Localization of the pain was consistent from the T4 to T5dermatome (on the right anterior, lateral and posterior chest wall). He described the pain as severe stabbing and lancinating with a numeric rating scale (NRS) of 8/10. The patient also reported sleep disturbances due to the pain, which had begun 20 day earlier but had aggravated within the last 1 week. He had a 3-year history of taking anticoagulants for the management of arterial fibrillation. At our pain clinic we prescribed tramadol and low dose pregabalin, but they failed to provide pain relief.
Detailed physical exam reveals no head injury, no neck, back pain or midline spinal tenderness. Right clavicle guarding and malformation, ecchymosis and tenderness right posterior thoracic region, no evidence of flail chest (Caroline, 2014). No abdominal tenderness or distention, no pelvic pain or neurological deficit in any limbs. Pain score 6/10, 8/10 on deep inhalation (Breivik et al., 2008) (Appendix 4). Auscultation reveals reduced breath sounds mid-axillary right side.
Except it did not go away. Next thing I knew I was at the doctor for stomach pain and chest pain in December. That night I was rushed to Arkansas Children’s Hospital, in fear that I had appendicitis. Once again, I found myself listing off symptoms. “Stomach pain, fatigue, chest pain, nausea dizziness,” I would list off to them.
The causes of aneurysms are sometimes unknown. Some may be congenital, meaning a person is born with them. An aneurysm may also occur as the result of aortic disease or an injury. (AHA) There are three types, Abdominal Aortic Aneurysm, Thoracic Aortic Aneurysm, and the last but not least, Cerebral Aneurysm. The aneurysm that Loeys and Marfan contains is Thoracic Aortic Aneurysm.
Swelling only occurs on the back of the hands and feet and moves into the finger and toes. This may be the first sign of sickle cell in infants. The spleen helps filter out abnormal red blood cells and helps fight infections. At times the spleen traps many cells that should be in the bloodstream and it grows large. This causes anemia.
In fact, it is painless. The doctor told me I was lucky they found it, otherwise, we wouldn 't have even known. But the cause of my stomach pains and heart pains is still unknown. They think it 's from stress though, like the Aneurysm." "So what now?"
As an aneurysm increases in size, the risk of rupture increases leading to uncontrolled bleeding. Although they may occur in any blood vessel particularly lethal examples include aneurysms of the Circle of Willis in the brain, aortic aneurysms affecting the thoracic aorta and abdominal aortic aneurysms. Classification: Aneurysms
The appendix is a tubular, blind ending structure at the base of the cecum averaging 3 inches in length, with no known physiology. Acute appendicitis is inflammation of the appendix and is seen to have the greatest occurrence between the ages of 10-19 years.1 Patients with acute appendicitis commonly show a positive McBurney’s sign.1,2,3 Luminal obstruction and inflammation are the most common causes resulting from hyperplasia, parasites and foreign bodies in the appendix.2 Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and Ultrasound (US) are all imaging modalities with special qualities specific in finding causes for abdominal pain including appendicitis. Ultrasound, being operator dependent, has specific techniques used in locating the appendix and visualizing abnormalities that correlate with appendicitis. Differentials for acute appendicitis consist of gastrointestinal structural and pelvic pathologies.2,4 Appendectomy (surgical removal of the appendix) is used as treatment along with rare incidences of nonsurgical, antibiotic treatments.5
According to research studies, Peripheral artery disease (PAD) had been commonly underdiagnosed, undertreated, and poorly understood. [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894725/]. Study result demonstrates that underdiagnosis of PAD in primary care practice may have been the reason for ineffective secondary prevention of the high ischemic cardiovascular risk associated with PAD. The symptoms of Peripheral arterial disease can be mistaken for symptoms of other medical conditions, such as hip pain (a symptom of PAD), is commonly mistaken for arthritis.
The slight risks, previous pelvic/abdominal surgery, smoking, douching, intercourset be considered unless an ultrasound examination shows an ectopic pregnancy or an adnexal mass that looks like an ectopic pregnancy. If there is no proven sonographic image for an ectopic pregnancy there is a very low chance for a tubal pregnancy to be visualized or palpated during pregnancy. Therefore, the best choice in this case for the patient is a medical