urhealth March 2018 Nu Mu Lambda...
|
|
- Curtis Osborne
- 5 years ago
- Views:
Transcription
1 March
2 Health & Wellness Committee Bro. Trenton Taylor Committee Chair Bro. William J. Bennett, M.D., Ph.D. Medical Editor Contents Portal Hypertension 3 12 Renal Artery Stenosis Holiday Depression & Stress Bro. Antonio Pruitt, PT, DPT, MPA Editor, Rehabilitation & Wellness Bro. Darius Branch Editor, Life & Style Bro. Ya Ron Brown Bro. Deshea Young Bro. Errlando Mason Bro. Vincent Crawford Bro. Thomas Bonds Bro. Eric Harding Bro. BJ Jones Bro. Chad Pitts Bro. Reginald Warren Bro. Kenneth Lively Bro. Detrick Stanford Bro. Donald Graham Bro. Bryant Williams Bro. Roman Mendes Bro. Deshaun Safford your Editors: Bro. William Bennett williambennettmd@gmail.com Bro. Antonio Pruitt, drptherapy@yahoo.com Bro. Darius Branch, rbranch06@gmail.com 2
3 What is Portal Hypertension? Portal hypertension is an increase in the blood pressure within a system of veins called the portal venous system. Veins coming from the stomach, intestine, spleen, and pancreas merge into the portal vein, which then branches into smaller vessels and travels through the liver. If the vessels in the liver are blocked due to liver damage, blood cannot flow properly through the liver. As a result, high pressure in the portal system develops. This increased pressure in the portal vein may lead to the development of large, swollen veins (varices) within the esophagus, stomach, rectum, or umbilical area (belly button). Varices can rupture and bleed, resulting in potentially life-threatening complications. What Causes Portal Hypertension? The most common cause of portal hypertension is cirrhosis of the liver. Ciffhosis is scarring which accompanies the healing of liver injury caused by hepatitis, alcohol, or other less common causes of liver damage. In cirrhosis, the scar tissue blocks the flow of blood through the liver. Other causes of portal hypertension include blood clots in the portal vein, blockages of the veins that carry the blood from the liver to the heart, a parasitic infection called schistosomiasis, and focal nodular hyperplasia, a disease seen in people infected with HIV, the virus that may lead to AIDS. Sometimes the cause is unknown. What Are the Symptoms of Portal Hypertension? The onset of portal hypertension may not always be associated with specific symptoms that identify what is happening in the liver. But if you have liver disease that leads to cirrhosis, the chance of developing portal hypertension is high. The main symptoms and complications of portal hypertension include: 3
4 Gastrointestinal bleeding marked by black, tarry stools or blood in the stools, or vomiting of blood due to the spontaneous rupture and hemorrhage from varices Ascites (an accumulation of fluid in the abdomen) Encephalopathy or confusion and forgetfulness caused by poor liver function. Reduced levels of platelets, blood cells that help form blood clots, or white blood cells, the cells that fight infection How Is Portal Hypertension Diagnosed? Usually, doctors make the diagnosis of portal hypertension based on the presence of ascites or of dilated veins or varices as seen during a physical exam of the abdomen or the anus. Various lab tests, X-ray tests, and endoscopic exams may also be used. How Is Portal l Hypertension Treated? Unfortunately, most causes of portal hypertension cannot be treated. Instead, treatment focuses on preventing or managing the complications, especially the bleeding from the varices. Diet, medications, endoscopic therapy, surgery, and radiology procedures all have a role in treating or preventing the complications. Other treatment depends on the severity of the symptoms and on how well your liver is functioning. Treatment may include: Endoscopic therapy. This is usually the first line of treatment for variceal bleeding and consists of either banding or sclerotherapy. Banding is a procedure in which a gastroenterologist uses rubber bands to block off the blood vessel to stop bleeding. Sclerotherapy is occasionally used when banding cannot be used and is a procedure in which a blood-clotting solution is injected into the bleeding varices to stop bleeding. Medications. Nonselective beta-blockers (nadolol or propranolol) may be prescribed alone or in combination with endoscopic therapy to reduce the pressure in varices and further 4
5 5
6 reduce the risk of bleeding. Nonselective beta blockers are also prescribed to prevent a first variceal hemorrhage in a patient with varices that are felt to be at risk for bleeding. Esophageal variceal banding has also been used for that purpose, especially in patients who can't take beta blockers. The drug lactulose can help treat confusion and other mental changes associated with encephalopathy. What Lifestyle Changes Should Be Made for Portal Hypertension? Maintaining good nutritional habits and keeping a healthy lifestyle may help you avoid portal hypertension. Some of the things you can do to improve the function of your liver include the following: Do not use alcohol or street drugs. Do not take any over-the-counter or prescription drugs or herbal medicines without first consulting your doctor or nurse. (Some medications may make liver disease worse.) Follow the dietary guidelines given by your health care provider, including eating a lowsodium (salt) diet. You will probably be required to consume no more than 2 grams of sodium per day. Reduced protein intake may be required if confusion is a symptom. A dietitian can create a meal plan for you. Other Treatment Options for Portal Hypertension If endoscopic therapy, drug therapy, and/or dietary changes don't successfully control variceal bleeding, you may require one of the following procedures to reduce the pressure in these veins. Decompression procedures include: Transjugular intrahepatic portosystemic shunt (TIPS): This procedure involves placing a stent (a tubular device) in the middle of the liver. The stent connects the hepatic vein with the portal vein, which reroutes blood flow in the liver and helps relieve pressure in abnormal veins. 6
7 Distal splenorenal shunt (DSRS): This procedure connects the vein from your spleen to the vein from the left kidney in order to reduce pressure in the varices and control bleeding. What Tests Might Be Performed Before the TIPS and DSRS Procedures? res? Before receiving either of these procedures for portal hypertension, the following tests may be performed to determine the extent and severity of your condition: Evaluation of your medical history A physical exam Blood tests Angiogram (an X-ray test that takes pictures of the blood flow within a particular artery) Ultrasound Endoscopy Before either the TIPS or DSRS procedure, your doctor may ask you to have other tests, which may include an eletrocardiogram (EKG) (a test that records the electrical activity of your heart), chest X-ray, or additional blood tests. If your doctor thinks you will need additional blood products (such as plasma), they will be ordered at this time. What Happens During the TIPS Procedure? During the TIPS procedure, a radiologist makes a tunnel through the liver with a needle, connecting the portal vein to one of the hepatic veins (veins connected to the liver). A metal stent is placed in this tunnel to keep it open. The procedure reroutes blood flow in the liver and reduces pressure in abnormal veins, not only in the stomach and esophagus, but also in the bowel and the liver. 7
8 8
9 This is not surgery. The radiologist performs the procedure within the vessels under X-ray guidance. The process lasts one to three hours, but you should expect to stay in the hospital overnight after the procedure. How Successful Is the TIPS Procedure? The TIPS procedure controls bleeding immediately in more than 90% of patients with portal hypertension. However, in about 20% of patients, the shunt may narrow, causing varices to re-bleed at a later time. What Complications Are Associated With TIPS? Shunt narrowing or blockage can occur within the first year after the TIPS procedure. Followup ultrasound exams are performed frequently after the TIPS procedure to detect these complications. The signs of a blockage include increased ascites (accumulation of fluid in the abdomen) and re-bleeding. This condition can be treated by a radiologist who re-expands the shunt with a balloon or repeats the procedure to place a new stent. Encephalopathy, or abnormal functioning of the brain, can occur with severe liver disease. Hepatic encephalopathy can become worse when blood flow to the liver is reduced by TIPS, which may result in toxic substances reaching the brain without being metabolized first by the liver. This condition can be treated with medications, diet, or by making the shunt inaccessible. What Happens in the DSRS Procedure? The DSRS is a surgical procedure during which the vein from the spleen (called the splenic vein) is detached from the portal vein and attached to the left kidney (renal) vein. This surgery selectively reduces the pressure in the varices and controls the bleeding associated with portal hypertension. It is usually performed only in patients with good liver function. 9
10 A general anesthetic is given before the surgery, which lasts about four hours. You should expect to stay in the hospital from seven to 10 days following surgery. How Successful Is the DSRS Surgery? The DSRS procedure provides good long-term control of bleeding in many people with portal hypertension. DSRS controls bleeding in more than 90% of patients, with the highest risk of any re-bleeding occurring in the first month. What Complications Are Associated With DSRS Surgery? Ascites, an accumulation of fluid in the abdomen, can occur with DSRS surgery. This can be treated with diuretics and by restricting sodium in the diet. Follow-Up Care Following TIPS or DSRS Procedures Follow-up care for TIPS and DSRS can differ depending on where the procedures are performed. Here are basic guidelines: Ten days after hospital discharge, meet with your surgeon or hepatologist (liver specialist) to evaluate your progress. Lab work will likely be done at this time. Six weeks after the TIPS procedure (and again three months after the procedure), an ultrasound is often done so your doctor can check that the shunt is functioning properly. You may have an angiogram (an X-ray of blood vessels) if the ultrasound indicates that there is a problem. You will also likely have lab work done at these times. Six weeks after the DSRS procedure (and again three months after the procedure), the surgeon will evaluate your progress. Lab work may be done at these times. Six months after either the TIPS or DSRS procedure, an ultrasound may be done to make sure the shunt is working properly. 10
11 11
12 Twelve months after either procedure, another ultrasound of the shunt is often done. Also, you may have an angiogram so that your doctor can check the pressure within the veins across the shunt. If the shunt is working well, every six months after the first year of follow-up appointments, you may have an ultrasound, lab work, and visit with your doctor. More frequent follow-up visits may be necessary, depending on your condition. Attend all follow-up appointments as scheduled to ensure that the shunt is functioning properly. Be sure to follow the dietary recommendations that your health care providers give you. Attend all follow-up appointments as scheduled to ensure that the shunt is functioning properly. Be sure to follow the dietary recommendations that your health care providers give you. Other Treatments for Portal Hypertension Liver transplant. This is done in cases of end-stage liver disease. Devascularization. A surgical procedure that removes the bleeding varices; this procedure is done when a TIPS or a surgical shunt is not possible or is unsuccessful in controlling the bleeding. Paracentesis. This is a procedure in which the accumulation of fluid in the abdomen (ascites) is directly removed. The results are usually temporary and the procedure will need to be repeated as needed. Sources: webmd.com Medical References (2018); The Merck Manual (2018) 12
13 Renal Artery Stenosis Renal artery stenosis is a narrowing of arteries that carry blood to one or both of the kidneys. Most often seen in older people with atherosclerosis (hardening of the arteries), renal artery stenosis can worsen over time and often leads to hypertension (high blood pressure) and kidney damage. The body senses less blood reaching the kidneys and misinterprets that as the body having low blood pressure. This signals the release of hormones from the kidney that lead to an increase in blood pressure. Over time, renal artery stenosis can lead to kidney failure. Causes of Renal Artery Stenosis More than 90% of the time, renal artery stenosis is caused by atherosclerosis, a process in which plaque made up of fats, cholesterol, and other materials builds up on the walls of the blood vessels, including those leading to the kidneys. More rarely, renal artery stenosis can be caused by a condition called fibromuscular dyplasia, in which the cells in the walls of the arteries undergo abnormal growth. More commonly seen in women and younger people, fibromuscular dyplasia is potentially curable. Risk Factors for Renal Artery Stenosis Renal artery stenosis is often found by accident in patients who are undergoing tests for another reason. Risk factors include: Older age Being female Having hypertension Having other vascular disease (such as coronary artery disease and peripheral artery disease) Having chronic kidney disease 13
14 14
15 Having diabetes Using tobacco Having an abnormal cholesterol level Symptoms of Renal Artery Stenosis Renal artery stenosis usually does not cause any specific symptoms. Sometimes, the first sign of renal artery stenosis is high blood pressure that is extremely hard to control, along with worsening of previously well-controlled high blood pressure, or elevated blood pressure that affects other organs in the body. Diagnosis of Renal Artery Stenosis If your doctor suspects that you have renal artery stenosis, he or she may order tests to either confirm suspicions or rule it out. These include: Blood tests and urine tests to evaluate kidney function Kidney ultrasound, which uses sound waves to show the size and structure of the kidney Doppler ultrasound, which measures blood-flow speed in arteries to the kidney Magnetic resonance arteriogram and computed tomographic angiography, imaging studies that use a special dye (contrast medium) to produce a 3-D image of the kidney and its blood vessels Treatments for Renal Artery Stenosis Initial treatment for renal artery stenosis is often medication. The condition may require three or more different drugs to control high blood pressure. Patients may also be asked to take other medications, such as cholesterol-lowering drugs and aspirin. In some cases, an intervention such as angioplasty, often with stenting or surgery, may be recommended. With angioplasty, a catheter is inserted into the body through a blood vessel 15
16 and guided to the narrowed or blocked renal artery. A balloon on the catheter is then inflated to open up the inside of the artery. A stent can then be placed to keep the area open. Surgery to bypass the narrowed or blocked portion of the artery and/or remove a nonfunctioning kidney may be needed for some patients. If you're diagnosed with renal artery stenosis, it's important to discuss the risks of the different treatments with your doctor. The side effects of blood pressure medications may include dizziness, sexual problems, headache, and cough. Complications of angioplasty include bruising, bleeding, additional kidney damage, and the possibility that the arteries can close again. Sources: JAMA Patient Page: "Renal Artery Stenosis." (2018); Agency for Healthcare Research and Quality: "Renal Artery Stenosis Treatments: A Guide for Consumers." (2018); Weinberg, M. Cleveland Clinic Journal of Medicine, March 2010; Simon, J. Cleveland Clinic Journal of Medicine, March
17 Holiday Depression and Stress The holiday season for most people is a fun time of the year filled with parties, celebrations, and social gatherings with family and friends. For many people, it is a time filled with sadness, self-reflection, loneliness, and anxiety. What causes holiday blues? Sadness is a truly personal feeling. What makes one person feel sad may not affect another person. Typical sources of holiday sadness include: Stress Fatigue Unrealistic expectations Over-commercialization Financial stress The inability to be with one's family and friends Balancing the demands of shopping, parties, family obligations, and house guests may contribute to feelings of being overwhelmed and increased tension. People who do not view themselves as depressed may develop stress responses, such as: Headaches Excessive drinking Over-eating Insomnia Others may experience post-holiday sadness after New Year's Day. This can result from builtup expectations and disappointments from the previous year, coupled with stress and fatigue. 19 tips for coping with holiday stress and depression: 17
18 1. Make realistic expectations for the holiday season. 2. Set realistic goals for yourself. 3. Pace yourself. Do not take on more responsibilities than you can handle. 4. Make a list and prioritize the important activities. This can help make holiday tasks more manageable. 5. Be realistic about what you can and cannot do. 6. Do not put all your energy into just one day (i.e., Thanksgiving Day, New Year's Eve). The holiday cheer can be spread from one holiday event to the next. 7. Live and enjoy the present. 8. Look to the future with optimism. 9. Don't set yourself up for disappointment and sadness by comparing today with the good old days of the past. 10. If you are lonely, try volunteering some time to help others. 11. Find holiday activities that are free, such as looking at holiday decorations, going window shopping without buying, and watching the winter weather, whether it's a snowflake or a raindrop. 12. Limit your drinking, since excessive drinking will only increase your feelings of depression. 13. Try something new. Celebrate the holidays in a new way. 14. Spend time with supportive and caring people. 15. Reach out and make new friends. 16. Make time to contact a long-lost friend or relative and spread some holiday cheer. 17. Make time for yourself! 18. Let others share the responsibilities of holiday tasks. 19. Keep track of your holiday spending. Overspending can lead to depression when the bills arrive after the holidays are over. Extra bills with little budget to pay them can lead to further stress and depression. Is the environment and reduced daylight a factor in winter time sadness? 18
19 19
20 Animals react to the changing season with changes in mood and behavior. People change behaviors as well, when there is less sunlight. Most people find they eat and sleep slightly more in wintertime and dislike the dark mornings and short days. For some, however, symptoms are severe enough to disrupt their lives and to cause considerable distress. These people may be suffering from seasonal affective disorder (SAD). Research studies have that found phototherapy is effective in treating people that suffer from SAD. Phototherapy is a treatment involving about a half hour a day of exposure to artificial sunlight. For many sufferers of SAD, phototherapy can be a highly effective treatment either alone or in combination with medicines, psychotherapy, or both." Sources: webmd.com (2018); Medicinenet: Holiday Depression and Stress (2018) 20
urhealth May 2018 Nu Mu Lambda...
May 2018 1 Health & Wellness Committee Bro. Trenton Taylor Committee Chair Bro. William J. Bennett, M.D., Ph.D. Medical Editor Contents Carotid Artery A Disease 3-24 Bro. Antonio Pruitt, PT, DPT, MPA Editor,
More informationThe Leeds Teaching Hospitals NHS Trust Transjugular Intrahepatic Portosystemic Shunt (TIPS)
n The Leeds Teaching Hospitals NHS Trust Transjugular Intrahepatic Portosystemic Shunt (TIPS) Information for patients Your liver doctor has recommended that you have a Transjugular Intrahepatic Portosystemic
More informationTransjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute
Transjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute You have been given this leaflet because you need a procedure called a transjugular intrahepatic
More informationDRAFT. Angiography: Transjugular Intrahepatic Portosystemic Shunt (TIPS) What to expect. What is a transjugular intrahepatic portosystemic shunt?
UW MEDICINE PATIENT EDUCATION Angiography: Transjugular Intrahepatic Portosystemic Shunt (TIPS) What to expect This handout explains a transjugular intrahepatic portosystemic shunt and what to expect when
More informationTransjugular Intrahepatic Portosystemic Shunt (TIPS) About your procedure
Patient Education Transjugular Intrahepatic Portosystemic Shunt (TIPS) About your procedure This handout explains what a transjugular intrahepatic portosystemic shunt is and what to expect when you have
More informationANGIOPLASTY AND STENTING
ANGIOPLASTY AND STENTING What is angioplasty and stenting? During an angioplasty, your vascular surgeon inflates a small balloon inside a narrowed blood vessel. This balloon helps to widen your blood vessel
More informationLIVER CIRRHOSIS. The liver extracts nutrients from the blood and processes them for later use.
LIVER CIRRHOSIS William Sanchez, M.D. & Jayant A. Talwalkar, M.D., M.P.H. Advanced Liver Disease Study Group Miles and Shirley Fiterman Center for Digestive Diseases Mayo College of Medicine Rochester,
More informationThe 12 Days of Christmas. 12 Ways to. Cope with the Holidays
The 12 Days of Christmas 12 Ways to { Cope with the Holidays Stress and depression can occur at any time in our lives. But, for many people, these feelings occur during the winter months and around the
More informationAdvice to patients having an angioplasty
What is an angioplasty? Advice to patients having an angioplasty An angioplasty is an x ray procedure to open a narrowed or blocked artery in order to improve blood flow. It involves inserting a long tube
More informationurhealth September 2018
September 2018 1 Health & Wellness Committee Bro. Trenton Taylor Committee Chair Bro. William J. Bennett, M.D., Ph.D. Medical Editor Contents Cytomegalovirus (CMV) Infection 3-13 Bro. Antonio Pruitt, PT,
More informationCoronary angioplasty and stents
Tests and Procedures Coronary angioplasty and stents By Mayo Clinic Staff Coronary angioplasty (AN-jee-o-plas-tee), also called percutaneous coronary intervention, is a procedure used to open clogged heart
More informationCORONARY ARTERY PROCEDURES
CORONARY ARTERY PROCEDURES Cardiac Catheterization, Stenting, and Bypass Surgery Coronary Artery Disease Your doctor has told you that you may have coronary artery disease (CAD). Having CAD means that
More informationWhat You Need to Know about a Kidney Transplant
Page 1 of 5 What You Need to Know about a Kidney Transplant This information will help you understand the risks, benefits and possible complications involved in a kidney transplant. Please read it carefully.
More informationCoronary Artery Disease
Coronary Artery Disease This information is at http://www.nhlbi.nih.gov/health/dci/diseases/cad/cad_all.html and is provided by the NHLBI, one of the Institutes of the National Institutes of Health. To
More informationAlpha-1 Antitrypsin Deficiency: Liver Disease
Alpha-1 Antitrypsin Deficiency: Liver Disease Who is at risk to develop Alpha-1 liver disease? Alpha-1 liver disease may affect children and adults who have abnormal Alpha-1 antitrypsin genes. Keys to
More informationIntroduction What Causes Peripheral Vascular Disease? How Do Doctors Treat Peripheral Vascular Disease?... 9
Patient Information Table of Contents Introduction... 3 What is Peripheral Vascular Disease?... 5 What Are Some of the Symptoms of Peripheral Vascular Disease?... 7 What Causes Peripheral Vascular Disease?...
More informationAbdominal Vascular Arterial Disease
Abdominal Vascular Arterial Disease Abdominal Vascular Arterial Disease People take better care of their health when they know what s going on in their bodies. For those with abdominal vascular arterial
More informationWhat You Need to Know about a Heart Transplant
Page 1 of 8 What You Need to Know about a Heart Transplant This information will help you understand the risks, benefits, and possible complications involved in a heart transplant. Please read it carefully.
More informationCirrhosis. A Chronic Liver Problem
Cirrhosis A Chronic Liver Problem What Is Cirrhosis? Cirrhosis is a chronic (long-lasting) liver problem. It results from damaged and scarred liver tissue. Cirrhosis can t be cured, but it can be treated.
More informationMy Passport. Name: Date of birth:
My Passport Name: Date of birth: This passport has been developed to help you keep track of important information related to your liver condition. You can use this passport to record important details
More informationAtherosclerosis. Atherosclerosis happens when the blood vessels
Atherosclerosis Atherosclerosis happens when the blood vessels that carry oxygen and nutrients from your heart to the rest of your body (arteries) become thick and stiff sometimes restricting blood flow
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationLower Extremity Arterial Disease
Lower Extremity Arterial Disease Circulating the Facts About Peripheral Disease Brought to you by the Education Committee of the Society for 1 www.svnnet.org Peripheral Artery Disease (PAD) Many people
More informationPATIENT INFORMATION FROM YOUR SURGEON & SAGES Laparoscopic Anti-Reflux (GERD) Surgery
Patient Information published on: 03/2004 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) PATIENT INFORMATION FROM YOUR SURGEON & SAGES Laparoscopic Anti-Reflux (GERD) Surgery
More informationDYSPEPSIA Dyspepsia indigestion during or after eating Full Heat, burning or pain Note: one of every four people
What Is Dyspepsia? Dyspepsia, also known as indigestion, can have multiple symptoms. Feelings of indigestion happen during or after eating. If you have indigestion you might feel: Full during a meal. Painful
More informationA VIDEO SERIES. living WELL. with kidney failure HOW KIDNEY FAILURE AFFECTS YOUR BODY
A VIDEO SERIES living WELL with kidney failure HOW KIDNEY FAILURE AFFECTS YOUR BODY Contents 2 Introduction 3 What will I learn? 4 How does kidney failure affect my body? 5 How can I protect my heart
More informationCarotid and Intracranial Stenosis Angioplasty and Stenting
Carotid and Intracranial Stenosis Angioplasty and Stenting UHN Information for patients and families Read this booklet to learn: what carotid and intracranial stenosis are about angioplasty and stenting
More informationTransarterial Chemoembolization (TACE)
Transarterial Chemoembolization (TACE) Princess Margaret Know what to expect Read this booklet to learn: What TACE is...1 How TACE works...2 The benefits of TACE...3 The risks and side effects of TACE...3
More informationClinic Procedures. After your heart transplant. Lab Tests
UW MEDICINE PATIENT EDUCATION Clinic Procedures After your heart transplant We hope your new heart puts you on the road to a productive, healthy, and happy life. To be sure you and your heart are doing
More informationAbdominal Exam: The examination of the abdomen used by physicians to detect an abdominal aortic aneurysm.
Glossary of Terms Abdominal Exam: The examination of the abdomen used by physicians to detect an abdominal aortic aneurysm. Angiogram: A diagnostic test requiring the insertion of a catheter into an artery
More informationOpen Surgery for AAA
Open Surgery for AAA A Weakened Blood Vessel What does it mean to have an abdominal aortic aneurysm (AAA)? This is a balloon-like bulge in a major blood vessel, the aorta. The bulge forms at a weak place
More informationStrokes , The Patient Education Institute, Inc. hp Last reviewed: 11/11/2017 1
Strokes Introduction A stroke or a brain attack is a very serious condition that can result in death and significant disability. This disease is ranked as the third leading cause of death in the United
More informationCancer , The Patient Education Institute, Inc. ocf80101 Last reviewed: 06/08/2016 1
Cancer Introduction Cancer begins in your cells, which are the building blocks of your body. Extra cells can form a mass called a tumor. Some tumors aren t cancerous, while other ones are. Cells from cancerous
More informationYour Angiogram/ Angioplasty and Stenting
Your Angiogram/ Angioplasty and Stenting Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationCholangiocarcinoma (Bile Duct Cancer)
Cholangiocarcinoma (Bile Duct Cancer) The Bile Duct System (Biliary Tract) A network of bile ducts (tubes) connects the liver and the gallbladder to the small intestine. This network begins in the liver
More informationGet Healthy Stay Healthy
Hypertension Management WHAT IS HYPERTENSION (HIGH BLOOD PRESSURE)? Blood pressure is a measure of how hard the blood pushes against the walls of your arteries as it moves through your body. It is normal
More informationCongestive Heart Failure
Congestive Heart Failure GENERAL INFORMATION: What is congestive heart failure? Congestive heart failure is a life-threatening disease that occurs when your heart becomes too weak to pump blood properly.
More informationPercutaneous Transluminal Angioplasty (PTA) and Stenting For PVS Patients
Percutaneous Transluminal Angioplasty (PTA) and Stenting For PVS Patients There are two types of blood vessels in the body arteries and veins. Arteries carry blood rich in oxygen from the heart to all
More informationGuide to Cardiology Care at Scripps
Guide to Cardiology Care at Scripps Cardiology is the word in health care associated with heart, but the body s vascular system is also an important part of heart care. Your body has more than 60,000 miles
More informationCORONARY ARTERY BYPASS GRAFT
CORONARY ARTERY BYPASS GRAFT Coronary artery disease develops because of hardening of the arteries (arteriosclerosis) that supply blood to the heart muscle. In the diagnosis of coronary artery disease,
More informationSteps Against Recurrent Stroke (STARS)
Steps Against Recurrent Stroke (STARS) Take steps against recurrent stroke by making the necessary changes in your life Your Guide to Ischemic What Happened to Me? You had a stroke. The stroke you had
More informationLaparoscopic Anti-Reflux (GERD) Surgery Patient Information from SAGES
SAGES Society of American Gastrointestinal and Endoscopic Surgeons https://www.sages.org Laparoscopic Anti-Reflux (GERD) Surgery Patient Information from SAGES Author : SAGES Webmaster Surgery for Heartburn
More informationArch Angiography. Exceptional healthcare, personally delivered
Exceptional healthcare, personally delivered This leaflet has been prepared to tell you about arch angiography. It will explain what will happen during this procedure and we hope that it will answer some
More informationCarotid Artery Stenting
Disclaimer This movie is an educational resource only and should not be used to manage cardiovascular health. All decisions about the management of Carotid Artery Disease must be made in conjunction with
More informationCirrhosis Patient Teaching Information
Cirrhosis Patient Teaching Information CIRRHOSIS What is Cirrhosis: Cirrhosis is the end stages of a liver disease. Over time, from years to decades, fibrosis (or scar tissue) progresses through stages
More informationINFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk INFORMATION
More informationAngiogram, angioplasty and stenting
Angiogram, angioplasty and stenting Who is this leaflet for? This leaflet is for people who are having: an angiogram angioplasty (with or without a stent) An angiogram (also called an arteriogram or angiography)
More informationEDUCATION. Peripheral Artery Disease
EDUCATION Peripheral Artery Disease Peripheral Artery Disease You may have circulation problems that have to do with your blood vessels. You may feel aches, pains, cramps, numbness or muscle fatigue when
More informationPROCEDURES FOR PERIPHERAL ARTERIAL DISEASE
PROCEDURES FOR PERIPHERAL ARTERIAL DISEASE Improving Blood Flow and Relieving Pain Learning About PAD Your doctor has told you that you have peripheral arterial disease (PAD). This means the arteries in
More informationPERCUTANEOUS BILIARY DRAINAGE
PERCUTANEOUS BILIARY DRAINAGE MEDICAL IMAGING INFORMATION FOR PATIENTS Introduction This booklet tells you about the procedure known as percutaneous biliary drainage, explains what is involved and what
More informationStep 1: Help your patients come prepared to their appointment. Step 2: Important communication reminders for the first follow-up visit
Making the Most of the Follow-Up Visit It s not enough for a patient to keep their follow-up appointment the appointment must also be a good one. Here are important reminders for a clinician, particularly
More informationCardiac Catheterization Lab Procedures
Patient Education Cardiac Catheterization Lab Procedures This booklet describes cardiac catheterization. It also details how to prepare for the procedure and the care needed after it is done. Before You
More informationMedicines for Chronic Liver Disease
UW MEDICINE PATIENT EDUCATION Medicines for Chronic Liver Disease Treating common conditions This handout gives basic information about how the liver works and what happens during liver failure. It describes
More informationPeripheral Vascular/Arterial Disease (PVD/PAD) Patient Guide. Guide contents: 2 What Is PVD/PAD? 3 The Risks 3 Diagnosing the Condition
Guide contents: 2 What Is PVD/PAD? 3 The Risks 3 Diagnosing the Condition 4 Medication & Treatment 5 Key Questions to Ask Your Cardiologist 6 Symptom Tracker 7 Appointment Calendar 8 Health Journal 9 Your
More informationMichele Bettinelli RN CCRN Lahey Health and Medical Center
Michele Bettinelli RN CCRN Lahey Health and Medical Center Differentiate the types of varices Identify glue preparations utilized when treating gastric varices Review the process of glue administration
More informationFrom the Cerebrovascular Imaging and Intervention Committee of the American Heart Association Cardiovascular Council
American Society of Neuroradiology What Is a Stroke? From the Cerebrovascular Imaging and Intervention Committee of the American Heart Association Cardiovascular Council Randall T. Higashida, M.D., Chair
More informationNeuroform Microdelivery Stent System
Neuroform Microdelivery Stent System Patient Information Booklet TABLE OF CONTENTS What is the Purpose of This Booklet?...2 What is a Wide Neck, Intracranial Aneurysm?...2 What is the Treatment for Wide
More informationCarotid Angioplasty and Stenting
Carotid Angioplasty and Stenting Your Carotid Artery Problem The carotid arteries are blood vessels in the neck that carry blood to the brain. One or both of your carotids is narrowed due to a buildup
More informationLAPAROSCOPIC GALLBLADDER SURGERY
LAPAROSCOPIC GALLBLADDER SURGERY Treating Gallbladder Problems with Laparoscopy A Common Problem If you ve had an attack of painful gallbladder symptoms, you re not alone. Gallbladder disease is very common.
More informationThis information explains the advice about the care and treatment of people with stable angina that is set out in NICE clinical guideline 126.
Information for the public Published: 1 July 2011 nice.org.uk About this information NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and the treatments
More informationNorthumbria Healthcare NHS Foundation Trust. Laparoscopic Cholecystectomy. Issued by the Department of Upper Gastrointestinal Surgery
Northumbria Healthcare NHS Foundation Trust Laparoscopic Cholecystectomy Issued by the Department of Upper Gastrointestinal Surgery Laparoscopic Cholecystectomy This leaflet explains why you have been
More informationAortic and Iliac Artery Occlusive Disease (Updated 10.08)
S PATIENT INFORMATION oregon surgical specialists Aortic and Iliac Artery Occlusive Disease (Updated 10.08) Abdominal aortic and iliac artery occlusive disease occurs when the arteries in your abdomen
More informationAn Introduction to Bariatric Surgery
An Introduction to Bariatric Surgery What is bariatric surgery? Bariatric surgery is a treatment used to help people with obesity manage their health and weight. Why use surgery to manage obesity? Obesity
More informationCardiovascular Disease Risk Factors:
Cardiovascular Disease Risk Factors: Risk factors are traits or habits that increase a person's chances of having cardiovascular disease. Some risk factors can be changed. These risk factors are high blood
More informationPercutaneous (Keyhole) Removal of Kidney Stone(s)
Who can I contact if I have a problem when I get home? If you experience any problems related to your surgery or admission once you have been discharged home. Please feel free to contact 4A, 4B or 4C ward
More informationInserting a percutaneous biliary drain and biliary stent (a tube to drain bile)
Patient information - Radiology Unit Tel 0118 322 7991 Inserting a percutaneous biliary drain and biliary stent (a tube to drain bile) Introduction This leaflet tells you about the procedures known as
More informationUnderstanding Stroke
MINTO PREVENTION & REHABILITATION CENTRE CENTRE DE PREVENTION ET DE READAPTATION MINTO Understanding Stroke About This Kit Stroke is the fourth leading cause of death in Canada after heart disease and
More informationTranscatheter Aortic Valve Implantation:
Transcatheter Aortic Valve Implantation: Information for Patients and Families FD.635.D356.PHC (R.May-18) cover1 Transcatheter Aortic Valve Implantation: Information for Patients and Families Previously
More informationResponsibilities for diabetes care. What care to expect and how to prepare for a consultation?
Responsibilities for diabetes care. What care to expect and how to prepare for a consultation? People with diabetes should expect to get the best of care to keep them in good health. In order to do this,
More informationThis information explains heart failure, including causes and signs of heart failure, how heart failure is diagnosed, and how it s treated.
PATIENT & CAREGIVER EDUCATION Heart Failure This information explains heart failure, including causes and signs of heart failure, how heart failure is diagnosed, and how it s treated. About Heart Failure
More informationBLOOD PRESSURE. Unit 3: Transportation and Respiration
BLOOD PRESSURE Unit 3: Transportation and Respiration Blood Pressure The force of your blood pushing on the walls of your arteries. How is Blood Pressure Measured? Measured at an artery in the arm and
More informationEsophageal Cancer. Source: National Cancer Institute
Esophageal Cancer Esophageal cancer forms in the tissues that line the esophagus, or the long, hollow tube that connects the mouth and stomach. Food and drink pass through the esophagus to be digested.
More informationIntroduction 3. What is Peripheral Vascular Disease? 5. What Are Some of the Symptoms of Peripheral Vascular Disease? 6
Patient Information Table of Contents Introduction 3 What is Peripheral Vascular Disease? 5 What Are Some of the Symptoms of Peripheral Vascular Disease? 6 What Causes Peripheral Vascular Disease? 7 How
More informationUnderstanding Peripheral
Patient Information Guide Understanding Peripheral Artery Disease Innova Vascular Self-Expanding Stent System Table of Contents Glossary... 2 What is Peripheral Artery Disease?... 4 Treating Peripheral
More informationSURGERY LAPAROSCOPIC ANTI-REFLUX (GORD) SURGERY
LAPAROSCOPIC ANTI-REFLUX (GORD) If you suffer from heartburn, your surgeon may have recommended Laparoscopic Anti-reflux Surgery to treat this condition, technically referred to as Gastro-oesophageal Reflux
More informationHeart Disease (Coronary Artery Disease)
Heart Disease (Coronary Artery Disease) Understanding how the heart works To understand heart disease, you must first know how the heart works. The heart is like any other muscle, requiring blood to supply
More informationHeart Failure. Symptoms and Treatments. FloridaHospital.com
Heart Failure Symptoms and Treatments FloridaHospital.com Understanding Heart Failure According to the American Heart Association, one in five people over age 40 will develop heart failure. Right now,
More informationBleeding in the Digestive Tract
Bleeding in the Digestive Tract National Digestive Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH U.S. Department of Health
More informationIntermittent Claudication
Intermittent Claudication Exceptional healthcare, personally delivered Ask 3 Questions Preparation for your Appointments We want you to be active in your healthcare. By telling us what is important to
More informationWhat Is Cirrhosis? CIRRHOSIS. Cirrhosis occurs when the liver is. by chronic conditions and diseases. permanently scarred or injured
What Is Cirrhosis? Cirrhosis occurs when the liver is permanently scarred or injured by chronic conditions and diseases. Common causes of cirrhosis include: Long-term alcohol abuse. Chronic viral hepatitis
More informationHeart Disease. Signs and Symptoms
Heart Disease The term "heart disease" refers to several types of heart conditions. The most common type is coronary artery disease, which can cause heart attack, angina, heart failure, and arrhythmias.
More informationContrast Materials Patient Safety: What are contrast materials and how do they work?
Contrast Materials Patient Safety: What are contrast materials and how do they work? Which imaging exams use contrast materials? How safe are contrast materials? How should I prepare for my imaging procedure
More informationLAPAROSCOPIC APPENDICECTOMY
LAPAROSCOPIC APPENDICECTOMY WHAT IS THE APPENDIX? The appendix is a small, fingerlike pouch of the intestinal tract located where the small and large join. It has no known use. It is postulated that the
More informationTreatment for early pancreatic cancer
13 11 20 Information and support Treatment for pancreatic cancer Contents Treatment for early pancreatic cancer Surgery What to expect after surgery Neoadjuvant and adjuvant therapies Treatment for advanced
More informationInformation about TIA
Information about TIA Transient Ischemic Attack (mini-stroke) Did I have a TIA? Did you have stroke-like symptoms such as slurred speech or weakness in one arm that seemed to go away after a few minutes
More informationDON T LET LEG PAIN BECOME A REAL THREAT.
DON T LET LEG PAIN BECOME A REAL THREAT. These three words have the power to change lives. Between 8 to 10 million Americans are estimated to suffer from poor blood flow to the legs and feet potentially
More informationNephrostomy Tube Urology Patient information Leaflet
Nephrostomy Tube Urology Patient information Leaflet Page 1 Why do I need this procedure? Because there is a blockage that is preventing urine draining from the kidney down the tube (ureter) into the bladder.
More informationHaving a diagnostic catheter angiogram
Having a diagnostic catheter angiogram This information leaflet will explain what an angiogram is and why you have been sent for one. Please read this leaflet carefully. If you have any questions or concerns
More informationDear patient and family,
The Johns Hopkins Hospital, Division of Interventional Neuroradiology Dear patient and family, Welcome to Johns Hopkins Medicine! Your doctor has referred you to Johns Hopkins Pediatric Interventional
More informationCirrhosis of the Liver
What I need to know about Cirrhosis of the Liver NATIONAL INSTITUTES OF HEALTH National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services What I need to know about
More informationEVALUATION & LISTING. Your Child s Liver Transplant Evaluation. What is the Liver?
EVALUATION & LISTING Your Child s Liver Transplant Evaluation The University of Michigan is a national leader in liver transplantation, as well as the surgical and medical management of patients with liver
More informationLeg artery disease. Information for patients Sheffield Vascular Institute
Leg artery disease Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed as having leg artery disease. This leaflet explains more about leg artery disease and answers
More informationAngioplasty Your quick guide
Angioplasty Your quick guide Coronary heart disease is the UK s single biggest killer. For over 50 years we ve pioneered research that s transformed the lives of people living with heart and circulatory
More informationPATIENT EDUCATION. Treatments for Coronary Artery Disease
PATIENT EDUCATION Treatments for Coronary Artery Disease General Information The heart is a powerful muscle that pumps oxygen-rich blood throughout your body. The blood vessels that supply oxygen to your
More informationColon Cancer Surgery
Colon Cancer Surgery Introduction Colon cancer is a life-threatening condition that affects thousands of people. Doctors usually recommend surgery for the removal of colon cancer. If your doctor recommends
More informationOpen Radical Removal of the Kidney
Who can I contact if I have a problem when I get home? If you experience any problems related to your surgery or admission once you have been discharged home. Please feel free to contact 4A, 4B or 4C ward
More informationYOUR GUIDE TO. Understanding Your Angina Diagnosis and Treatment
YOUR GUIDE TO Understanding Your Angina Diagnosis and Treatment Our goal at the Mercy Health Heart Institute is to help you be well. Our experienced team includes cardiologists, cardiovascular surgeons,
More informationE X P L A I N I N G STROKE
EXPLAINING STROKE Introduction Explaining Stroke is a practical step-by-step booklet that explains how a stroke happens, different types of stroke and how to prevent a stroke. Many people think a stroke
More informationall about your heart...
For a healthy heart If you smoke, stop smoking. Eat lots of fruit and vegetables and less fat. Be more active every day. Be a healthy weight. Relax take time out for yourself. Local contact: For more information
More informationHeart Healthy Living Tips
Diabetes and Heart Disease Awareness Healthy Living with Diabetes sm and Heart Healthy Living sm Wisconsin Newsletter Fall 2011 Heart Healthy Living Tips What do eating healthy, being active, maintaining
More information