Thoracic duct

Introduction The thoracic cavity has complex networks of lymphatics which have a fundamental immunological function protecting intrathoracic organs such as the lungs, pleura, oesophagus and mediastinum. These networks drain interstitial fluid from the lungs, chyle from the gastrointestinal tract, and white blood cells and other immune components (Brotons et al., 2012). Thoracic lymphatics are involved in several diseases that most thoracic surgeons are concerned about. The most important pathologies affecting thoracic lymphatics are cancers spreading from intrathoracic organs. As lymphatic involvement by cancerous cells guide tumour staging, prognosis and management (Brotons et al., 2012), it is crucial to have a good understanding of thoracic…

it could be in Los Angeles?” Travis groans and ask if she knows a phone number of anybody she is close to. “ Oh yeah!” Sarah pulls out her phone and goes in her contact list. “Give me that!” yells Mr.Pickle. Travis calls her mother ( her mother was the only person in her contacts list) and asks for a ransom. “ Did you call my mom for dinner, what are we having?” “ No, I threatened to torture you if your mom didn’t give me one million dollars.” Travis says casually. “ Oh Travis, you silly…

structures in the thoracic cavity; therefore pneumothorax would be demonstrated on a radiograph as an evenly dark area inside the thoracic cavity due to its greater radiolucency than lung structures (Bushong, 2012). This makes the examination essential for the patient. In accordance with Trust 1 Adult plain film protocols (2014) an erect Postero-Anterior (PA) chest examination was undertaken. Furthermore Des Jardins et al (2015) concur with standing PA chest examination for patients who are not…

What if you and your family had to go in hiding? How would you prepare for hiding? What would you do to prepare, and what would you need? Well, the answer to those questions is what I will be answering. Finally, how would your needs be different if you were going to hiding for a week, month, or year? What would you need if you went in to hiding? You would need the two main things to live food and water. Also making a shelter would be good for a prolonged period of time hiding. You would…

Duct tape was also invented in the 40’s but it wasn’t made for a lot of uses like now a days, it was meant to sealing ammunition cases in WW2, it was a water resistant tape. It got its name for the reasons, one, that the material that was made from was cotton duct and two, that it was use for ducts but it became weak and it fell off. Another great invention was made from Karl Pabst, who came up with the idea of a vehicle that was fast and could meet with the specifications of the army. They send…

the high temperature epoxy to seal around the tubes and pipe. Then I used the epoxy to seal top on and left to adhere overnight. The next day I tried to bend the edges over on the top and somehow broke the seal the epoxy created. I believe the cold temperature overnight had caused the epoxy to not bond correctly. I did not have enough time to reapply the epoxy and wait for it to bond before presenting at Project Palooza. I had to improvise and decide to try to use duct tape. As the final step I…

A little background information on Gary who came to the clinic with right shoulder pain. Gary is a 40 year old self-employed painter. He has had a cortisone injection that proved to be helpful for about five months. However, the pain returned and is a 5/10. Gary has been taking ibuprofen which hasn’t helped and using ice for some relief. There are several possible causes for Gary’s shoulder pain. For example, Gary could have Adhesive Capsulitis, Glenohumeral Osteoarthritis, Bicep Tendonitis,…

A progress note from Dr. Johnson, dated 07/17/2017, indicated that the claimant presented with a mid/low back pain radiating to his feet and toes with numbness. She had nerve block injection in the sciatic nerve, bilaterally. On a follow-up visit with Dr. Johnson dated 07/26/2017, it was noted that the claimant had been having anxiety issues with her thyroid effect on her hair. She stated that it feels like her hair was growing. The claimant had bilateral sciatic nerve block injection on…

This is a 32-year-old male with a 7/3/2014 date of injury, due to a MVA. DIAGNOSIS; Cervical spin e S/S, Lumbar spine S/S, Left shoulder S/S 12/08/15 progress note describes that the patient complains of neck pain at a 6/10-scale level; low back pain at a 6-7/10-scale level, which radiates to the right leg; left shoulder pain at a 4/10-scale level, which radiates to the left arm; and sleep problems. PE revealed slight to moderate spasticity and tenderness over the para-cervical muscles. ROM of…

This is a 45-year-old male with a 2-20-2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: Sprain of joints and ligaments of unspecified parts of neck, initial encounter 01/11/16 Progress Report describes that 15 minutes were spent in review of the results from the urinary drug screen, which was administered at the previous visit and deciding whether any modifications are appropriate to the treatment regimen. The pain is better and down to a 3/10. The neck…