thoracic duct aneurysm

-

•If no dissection : control the risk factor , treat HTN , stop smoking , B blockers ARB decrease TGFb , prophylactic surgery if > 5.5cm in ascending aorta or > 6.5cm in descending aorta .•If dissection : control BP by esmolol then surgical repair .


Comments

Post a Comment

Popular posts from this blog

Anemia

-
Image
definition   :  a condition in which there is a deficiency of red cells or of haemoglobin in the blood, resulting in pallor and weariness symptome : Easy fatigue and loss of energy. Unusually rapid heart beat, particularly with exercise. Shortness of breath and headache, particularly with exercise. Difficulty concentrating. Dizziness. Pale skin. Leg cramps. inominua                                                                                                                              causes : iron deficiency b12 deficiency and folate deficiency decrese blood cell production  blood loss red blood cell destruction ( extra and intra hemolys...
Read more

antibiotics

-
Image
mecanisme of action: 1) inhibit bacterial cell wall (  B-lactamantibiotics , vancomycin ) 2) inhibit bacterial cell membrane ( daptomycin ) 3) inhibit bacterial protein synthesis (  aminoglycoside , tetracycline , macrolids ) 4) inhibit bacterial DNA synthesis ( flouroquinolones  )              ciprofloxacin , levofloxacin , norfloxacin  5) antifolate ( trimethoprime , cotrimaxazole )              cotrimaxazole = trimethoprime+sulfamethaxazole 
Read more

Coronary artery bypass grafting

-
Indication :  1) 3 vessels disease 2) occlusion of the  left main coronary artery 3) occlusion of the left proximal anterior descending coronary artery 4) chronic disabling angina vessels used :  1) great saphenous vein  2) internal thoracic artery ( the best )
Read more