Bariatric Surgery: Risks and Rewards
Over 23 million Americans are afflicted with severe #obesity, i.e. their body mass index (in kilograms per square meter) values exceed 35. Of even greater concern is the association of the #adiposity with comorbidities such as diabetes, #hypertension, cardiopulmonary failure, asthma, pseudotumor cerebri, infertility, and crippling arthritis.Diets, exercise, behavioral modification, and drugs are not effective in these individuals. This article examines the effect of surgery on the control of the weight and the comorbidities, as well as the safety of these operations.
Management Of Unexpected Peritoneal Metastases With Primary Colorectal Cancer Using Second-Look Surgery With HIPEC
Peritoneal metastases (PM) will be unexpectedly present in approximately 10% of #colorectalcancerpatients having #primarycancerresection. In the past this was considered to be an incurable condition with a terminal outcome. In patients determined to have #peritonealdissemination at the time of resection, the intervention was considered palliative.
Quantum Magnetic Resonance Therapy: Targeting Biophysical Cancer Vulnerabilities to Effectively Treat and Palliate
Radical paradigm shifts in traditional thinking is paramount to winning the war on cancer and understanding why this disease survives even the most brutal of toxic therapies. There is mounting evidence that #biophysicalsignals are integral to the cycle of initiation, progression and death of #cancercells. Innovative technologies that manipulate this vulnerability in solid tumors could effectively be used to perturb only diseased cells and tissues. Not compromising normally functioning cells while controlling tumor progression, is the ultimate goal for evolving #cancertherapeutics like Quantum Magnetic Resonance Therapy, headed promisingly in that direction.
Impact of Total Mesorectal Excision on Bladder and Sexual Function in Rectal Cancer
Cancer burden continues to be one of the most important challenges in our country India. As per the estimates India has 2-2.5 million cases of #cancer at any given point of time. The estimates show that 7-9 lakh new cases are detected each year and 50% of them die each year. In 2026 the cancer burden is expected to double in number. However, the greener part of it is that advanced investigative tools and modern treatments have increased the 5 year survival of most of the cancers.Cancer is a universal disease but shows #geographical, ethnical and #environmentalvariations from place to place. It is recognized as the second killer disease in humans.
Most probable cause of food poisoning in a child who has eaten Ice Cream 16-18 hrs earlier is :-
- Staph aureus
- Clostridium perfringens
- Clostridium botulinum
- Salmonella typhimurium
A pregnant mother at 32 weeks gestation presents in preterm labour. Therapy with antenatal steroids to induce lung maturity in the fetus may be given in all of the following condition except :
- Prolonged rupture of membranes for more than 24 hours
- pregnancy induced hypertension
- Diabetes mellitus
A 35 year old lady complains dysphagia, Raynaud’s phenomenon, sclerodactyly. Investigations show antinuclear antibody. The likely diagnosis is :-
- Systemic lupus erythematosis
- Systemic sclerosis
- Mixed connective tissue disorder
- Rheumatoid arthritis
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Topic - Liver
By - Dr. Ashutosh Aggarwal
Steatosis is seen in:
a. Wilson disease
c. α1 antitrypsin deficiency
All are the conditions associated with risk of Budd Chiari Syndrome except:
a. Hepatocellular carcinoma
b. Paroxysmal nocturnal hemoglobinuria
d. Antiphospholipid antibody syndrome
Most common tumours of liver are:
a. Cavernous hemangioma
c. Hepatocellular carcinoma
d. Hepatic adenoma
α1 antitrypsin deficiency most common abnormal type is due to genotype Pizz. This is due to substitution of:
a. Glutamine to lysine
b. Glutamine to valine
c. Valine to glutamine
d. Lysine to glutamine
All are the risk factors for hepatocellular carcinoma except:
a. Caroli disease
c. Non-alcoholic fatty liver disease
d. Wilson disease
Steatohepatitis with Mallory Denk bodies are seen in drug:
Peliosis hepatitis is blood filled sinus present in liver. It is associated with use of drug:
a. Oral contraceptive
Serological marker of type 2 autoimmune hepatitis is:
a. Antinuclear antibody
b. Anti-smooth muscle actin
c. Anti-liver kidney microsome – 1
d. Anti-mitochondrial antibodies
Which of the following types of hepatitis is associated with an immune mediated vasculitis characterized by p-ANCA antibodies?
a. Hepatitis A.
b. Hepatitis B.
c. Hepatitis C.
d. Hepatitis D.
Which of the following statements is true for hepatitis A Infection:
a. A carrier state is common following initial infection.
b. Mortality rate is about 10%.
c. Infection is transmitted mainly by parenteral route.
d. Incubation period is 2 — 4 weeks.