Endoscopic retrograde cholangiopancreatography (ERCP) has become one of the most important techniques for the diagnosis and treatment of choledocholithiasis. Endoscopic balloon dilatation (EBD) and endoscopic sphincterotomy (ES) are the most important endoscopic techniques used for retrieval of common bile duct stones (1) and ES is the most commonly used method as a standard technique. (2) Despite the relative safety of ES the overall complication rate is about 10%. (3) The short-term risk of pancreatitis
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Annotated Bibliography Gold‚ D. R.‚ Wang‚ X.‚ Wypij‚ D.‚ Speizer‚ F. E.‚ Ware‚ J. H.‚ & Dockery‚ D. W. (1996). Effects of Cigarette Smoking on Lung Function in Adolescent Boys and Girls. New England Journal of Medicine‚ 335(13)‚ 931-937. doi:10.1056/nejm199609263351304 A scholarly article named “Effects of Cigarette Smoking on Lung Function in Adolescent Boys and Girls” that is published by the “New England Journal of Medicine” investigates the relationship between cigarette smoking and lung function
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for Cystic Fibrosis Cystic Fibrosis‚ also called CF‚ is the most common life threatening disorder in the US. It is an inherited disease of the secretory glands (National Blood‚ Heart and Lung Institute‚ 2013). Affecting about 30‚000 people‚ it is an autosomal recessive disorder due to mutations in the CF transmembrane conductance regulator (CFTR) gene (National Blood‚ Heart and Lung Institute‚ 2013). Usually diagnosed at a young age‚ CF causes the mucus‚ sweat and digestive fluids to become thick
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Introduction Balanitis is inflammation of the head of the penis (glans). Balanitis has multiple causes‚ both infectious and noninfectious. What are the causes? Common causes of this condition include: Poor personal hygiene‚ especially in uncircumcised males. Without adequate washing‚ viruses‚ bacteria‚ and yeast collect between the foreskin and the glans. This can cause an infection. Lack of air and irritation from a normal secretion called smegma. This can contribute to balanitis in uncircumcised
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Asthma is a serious debilitating chronic respiratory condition that affects people from all walks of life and it does not discriminate against who it targets. Bernstein and Levy state that Asthma is defined as a major chronic respiratory condition which alter the respiratory function of the body. (Bernstein & Levy 2014‚ p. 03-04) Within the book Clinical Asthma Theory and Practice asthma is defined as a chronic inflammatory disease of the airways characterized by episodes of where the patient may
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aEmphysema Emphysema is a long-term lung disease that results in the destruction of the alveolar walls. Many individuals have both bronchitis‚ which involves a long term couch with mucus‚ and emphysema. This condition is often referred to Chronic Obstructive Pulmonary Disease or COPD. People with this disease do not get enough oxygen and suffer buildup of carbon dioxide in their blood. In normal breathing‚ air is drawn in through the bronchi and into the alveoli‚ which are tiny sacs surrounded
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What is BiPAP? Bilevel positive airway pressure. It has EPAP (same as CPAP only different name) and IPAP. EPAP: expiratory positive airway pressure. IPAP: Inspiratory positive airway pressure. BIPAP has the same benefits of CPAP. CPAP basically prevents you from exhaling all the way‚ and works to keep your lungs open to improve oxygenation‚ and it also keeps your upper airway open to prevent apnea BiPAP also adds a boost of air while you are inhaling -- which is what we call IPAP. What
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Chief complaint is chest pain. HISTORY OF PRESENT ILLNESS Ms. [Name] is a 49-year-old female who has a history of hypertrophic cardiomyopathy with an _____ in place‚ and also has a history of atrial fibrillation. She comes to the emergency department today complaining of chest discomfort. It began 3 days ago and has been constant and persistent since then. The pain is located on center and left side of her chest. It is associated with some shortness of breathe. The pain feels like tightness.
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Bronchial asthma is a chronic inflammatory airways disorder which leads to bronchoconstriction of the trachea and shorten the breath. It is a global serious health problem‚ where 5% to 10% of different age peoples suffer this disorder (Ukena‚ Fishman‚ & Niebling‚ 2008). Bronchial asthma has many manifestations as the recurrent acute shortness of breath episodes‚ which typically occur at night and early morning hours. In addition‚ it could cause other symptoms including wheezing‚ coughing‚ and feeling
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Extra-Corporeal Membrane Oxygenation (ECMO) is a life-saving treatment for severe respiratory failure irresponsive to mechanical ventilation‚ associated or not with haemodynamic instability‚ and its application fields are widening to refractory sepsis and also to elective thoracic procedures. ECMO is replacing conventional cardio-pulmonary by-pass (CPB) even during lung transplantation due to its potential advantages: the absence of full-anticoagulation and the possibility of maintaining the extra-corporeal
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