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The white nipple sign# (its importance in variceal bleeding)

August 16, 2017

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60 -year -old female patient presented with upper GI bleeding 2 months ago. Upper GI endoscopy revealed GII esophageal varices that were ligated at 2 sessions of endoscopy. also, there were small gastric varices in the first endoscopy, but in the third session of upper GI endoscopy, gastric varix became prominent so it was injected with 5 amp amacryl plus lipiodol.

#neurology #introduction to neurological diseases

https://www.youtube.com/watch?v=G8J3Y_dQLl4 https://www.youtube.com/shorts/6JGSF0uP8EI https://www.youtube.com/watch?v=zCwhBsdHIV0 https://www.youtube.com/watch?v=LhHfDp-XK5U #neurology #introduction to neurological diseases The cerebral lobes are formed of an outer gray matter, the “cerebral cortex.” composed of nerve cells & an inner white matter composed of nerve fibers conducting impulses to & from the cerebral cortex. The lesion in the prefrontal area: personality changes with antisocial behavior, disinterest in people, inappropriate jocularity ( laughing ) & loss of personal hygiene.

على هامش مؤتمر الجهاز الهضمى والكبد SHELA#

على هامش مؤتمر الجهاز الهضمى والكبد when to refer the patient to surgery 1- achalasia 2-tracheoesophageal fistula 3- neuroendocrine tumors 4-sigmoid volvulus

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