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The aorta is the primary vessel carrying fresh blood to vital organs and any functional or structural defect can lead to a high risk situation. Abdominal Aortic Aneurysm (AAA) is a serious disorder which results in the permanent dilatation of the terminal portion of the abdominal aorta which is prone to rupture and a major cause of death in the developed countries encountered in recent years (Vorp, 2006). Aneurysm develops due to the degeneration of the aortic wall which results in the increased pressure of blood on the vessel wall and can result in its mechanical disruption and internal haemorrhage. Mostly such aneurysms are encountered in aging males but incidences in females have also occurred. The usual symptoms are abdominal and back pain as well as tenderness on palpation (Davis & Taylor, 2007). In case of rupture, the prognosis is usually grave with little chances of recovery after open surgery, as usually at such advanced ages comorbidities are the complicating factors. Regular monitoring and scanning in persons predisposed to such a condition is therefore absolutely essential and a surgical intervention can be undertaken before the rupture actually occurs. The usual approach employed for a long time was open surgery, but a new technique of endoluminal repair developed by Volodos and Parodi in 1991 subsequently named as endovascular abdominal aortic aneurysm repair (EVAR) revolutionized the treatment as a more successful and less invasive procedure (Davis & Taylor, 2007). The technique has received encouraging response from surgeons in different locations and is steadily being refined by making it less invasive through the use of newer innovations of technology as well as trying for a percutaneous access to the aorta. Elective surgery is indicated based on the prediction of an impending rupture when risk parameters such as the size and growth rate of the aneurysm are evaluated. When the aortic diameter increases to an extent > 5.5 cm in males or the
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Typical signs of ectopic pregnancy include abdominal pain, amenorrhea (absence of menstrual periods), vaginal bleeding or spotting (Stoppler, 2010 ), however symptoms may vary depending upon if the tubal rupture has occurred or not.
In the first study, sexual operation was calculated in an online ease sample of sixty five women who had endured voluntary hysterectomy. The outcomes indicated that a majority of the women experienced enhanced sexual operation after hysterectomy. Women who had hysterectomy to correct endometriosis testified less progression in sexual operation as compared to those who underwent hysterectomies for different reasons.
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American Journal of Physiology and Heart Circulation Physiology; 251: 734.
Cairns, C.B., Moore, F.A., Haenel, J.B., Gallea, B.L., Ortner, J.P., and Rose, S.J., et al., (1997). Evidence For Early Supply Independent Mitochondrial Dysfunction In Patients Developing Multiple Organ Failure After Trauma.
Also spleenectomy and perforated duodenal ulcer repair but could not remember the dates.
MEDICAL HISTORY:-Medication Penicillin for infection prevention since he had splenectomy, Ventolin inhalar, furosemide, co-codamal, GTN spray INTIAL CARE:-ambulance service was called on 13thOctober 2006 at 15.16.
Diagnosis at present is based on the clinical history, and the physical examination findings of the examiner. Confirmation of the diagnosis is made easier by the more sensitive, specific and accurate imaging techniques of our times. In its pathogenesis, articles have shown no sole explanation for its occurrence.
Population based studies have indicated that the incidence of SAH in the United Kingdom is around 10 cases per 100,000 of population on an annual basis. The traditional treatment of SAH used to be neurosurgical clipping which involved surgically opening up the cranium in
The doctor of chiropractic detected an enlarged pulsatile mass upon abdominal palpation. (10).
Lateral lumbosacral weight bearing view. The AAA anterior to L3—L4 was measured at 4.2 cm. Also note the degenerative changes, most prominent at L5/S1 with
ut of crime zones is done using (Henry, 2003) Geographical Information Systems (GIS) which is tallied using statistics of crime in particular regions. This means that police officers do not need to make random patrols but rather target specific regions that are notorious in
The experts actively engage in responding to questionnaires with the aim of reducing the range of responses arriving close to consensus of the experts . In this method, the experts answer the questions and
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