Coronary artery disease
Coronary artery disease (CAD) is the most common type of heart disease. It is the leading cause of death in the United States in both men and women.CAD happens when the arteries that supply blood to heart muscle become hardened and narrowed. This is due to the buildup of cholesterol and other material, called plaque, on their inner walls. This buildup is called atherosclerosis. As it grows, less blood can flow through the arteries. As a result, the heart muscle can't get the blood or oxygen it needs. This can lead to chest pain (angina) or a heart attack. Most heart attacks happen when a blood clot suddenly cuts off the hearts' blood supply, causing permanent heart damage. Over time, CAD can also weaken the heart muscle and contribute to heart failure and arrhythmias. Heart failure means the heart can't pump blood well to the rest of the body. Arrhythmias are changes in the normal beating rhythm of the heart. NIH: National Heart, Lung, and Blood Institute
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Super Specialist in Reproductive Endocrinology
Shivam Medicare Clinic
Consulting Physician
NHL Municipal Medical College
M.D (Medicine)
PHC Bichpuri and ESI Dispensary Chippitola Agra & SN Medical College Agra & Fatehgarh
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SN Medical College, Agra
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Lower abdominal pain *Chief Complaints* Abdominal pain. *History* Postmenopausal for 12 years. No history of post menopausal bleeding. Complaints of abdominal pain . No other complaints *Vitals* Vitals were stable. Pulse 88/ min. BP-120/86 mm Hg. *Physical Examination* Per abdomen there was mass palpable around 20 weeks size of gravid uterus ...mostly on left side mobile from side to side. No guarding/ rigidity/ tenderness. No free fluid. Per vaginal examination . Uterus was palpable separate from the mass and was senile. Mass was around 14*15 cm. Mobile . *Investigations* CA 125 was 5645 Ultrasound solid cystic mass arising from left ovary. Uterus was senile. Right ovary normal. Minimal free fluid in abdomen. CECT revealed same findings *Diagnosis* Complex left ovarian neoplasm *Management* Laparotomy was done. There was 18*14 cm mass arising from left ovary lobulated appearance. No surface excrescences. No surface growth. Other ovary was cystic around 3*3 cm. . Uterus senile. Hysterectomy with bilateral salpingo ovariotomy done.
Dr. Viraj R. Naik2 Likes8 Answers - Login to View the image
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