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| #SurgicalTips: Chirurgia e melanoma Arriva l’estate e con l’esposizione solare spesso può capitare di notare che alcuni “nei” (o “nevi”, in linguaggio medico) appaiano, scompaiano o mutino. Come distinguere quindi quei nevi sospetti da tenere d’occhio dai nevi che normalmente sono presenti sulla nostra cute? Ecco qui una pratica guida in 5 punti “ABCDE” per un self check-up rapido: A- di “Asimmetria”: tracciando una sottile linea che divide il nevo in due metà, se individuate particolari asimmetrie di un lato rispetto all’altro, che siano esse molto visibili (macroscopiche) o leggermente accennate, è comunque utile effettuare un esame più approfondito; B- di “Bordi e margini irregolari”: osservando i bordi, la presenza di una circonferenza molto irregolare, poco rotonda, può indicare anch’essa un nevo sospetto; C- di “Colore”: al centro del nevo spesso il colore è uniforme, se così non fosse e/o notate variazioni cromatiche o colori insoliti, è sempre utile rivolgersi ad uno specialista per un controllo; D- di “Diametro”: spesso i nevi sospetti raggiungono dimensioni maggiori di 6mm di diametro; E- di “Evoluzione”: nevi di nuova insorgenza in pazienti con più di 30 anni o nevi che cambiano rapidamente aspetto vanno controllati. Per questo può essere utile fotografarsi i nevi più preoccupanti a distanza di qualche mese per osservarne gli eventuali cambiamenti. Ricordiamo comunque che questi criteri sono utili ai fini di uno screening iniziale, facile e intuitivo per tutti, ma che non vanno considerati come strumenti diagnostici e in nessun caso possono sostituire il parere e l’esame medico. E’ comunque indicato eseguire una mappatura dei nevi una volta l’anno circa, soprattutto in caso di familiarità per lo sviluppo di nevi sospetti o in presenza di fattori predisponenti. [Su facebook trovate il contenuto integrale con ulteriori info sullapplicazione della chirurgia] | Contenuto a cura di @ela_setteducati e @toutanas | Revisionato da @antonellamoschillo #nei #chirurgia #abcde #melanoma #dermatologia #mappatura #prevenzione #mdicina - @medinunoscatto on Instagram

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A little different post than normal. You may have noticed that we use photos from @kenhub_official. We found their company on YouTube first, their content is out of this world. Check them out all you Movement and Anatomy nerds, especially the students. We reached out and asked if we could strike up some sort of partnership, if we could pay for rights to use their images in our courses and also when we post on social media. In a day where we are over and over seeing others steal content, it was important to us to make sure ours is always posted with permission. Almost always, our posts are applied anatomy. Not just origins and insertions but application to the fitness athlete or to movement in general. But this graphic and their description was too great to pass up. Needless to say @movement.physio learned our Cranial Nerves before the Harry Potter era. We were today years old when we read this updated mnemonic: On On On They Traveled And Found Voldemort Guarding Very Ancient Horcruxes. (Olfactory, Optic, Occulomotor, Trochlear, Trigeminal, Abducens, Facial, Vestibulocochlear, Glossopharangeal, Vagus, Accessory, Hypoglossal). So just a shout out to Kenhub for bringing the fun into our learning today. check out their YouTube, Facebook, Instagram or our favorite, at www.kenhub.com and remember that you can always brush up on your basics, no matter how long you have been doing this! #anatomy #medicaleducation #medEd #physiotherapy #modernrehabilitation #coaching #mentorship #biggerpicture #bethechange - @movement.physio on Instagram

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Read on for tips I use when I look at an abdominal CT...⁣⁣ ⁣⁣ 👨🏽‍💻Coming into radiology as someone who was mainly concerned with what was going on above the diaphragm I found the world of abdominal CT fairly daunting. But by getting to grips with the anatomy of the abdomen things became a whole lot clearer ⁣⁣ ⁣⁣ 👨🏽‍💻At this level of the abdomen we get a nice demonstration of the superior mesenteric artery – we can’t see the superior mesenteric vein here but normally the vein should lie to the right of the artery at the level of the pancreas, if this is reversed then consider intestinal malrotation which can predispose to midgut volvulus⁣⁣ ⁣⁣ 👨🏽‍💻I always check to see there is a clean layer of fat surrounding the SMA – if this is infiltrated consider a malignant pathology such as a pancreatic tumour⁣⁣ ⁣⁣ 👨🏽‍💻Always follow the vessels no matter which CT it is you’re looking at, be it head, neck, chest or abdomen. I always follow the portal veins within the liver formed at the confluence by the splenic vein (which runs posterior to the pancreas) and the superior mesenteric vein which runs vertically. In patients with liver cirrhosis and pancreatitis in particular you are looking for a filling defect or occluded vessel representing thrombosis⁣⁣ ⁣⁣ 👨🏽‍💻There aren’t many retroperitoneal structures that cross the midline but the left renal vein is one of them – characteristically this passes anterior to the aorta from the left kidney to the IVC but in some people this can have a retroaortic course where it passes behind the aorta. I have seen the occasional incidental left renal vein thrombosis so it is worth checking for filling defects! This is a must in cases of renal cell carcinoma which likes to spread into the IVC via the renal veins⁣⁣ ⁣⁣ 🔻@theradiologistpage - @theradiologistpage on Instagram

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