DRRANJITSINGH 58f4a983e229e60a187a8889 False 110 1
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'central hilar structure'
EBUS lymphnode 1. Size short axis : less or more than 1cm 2. Shape : Oval or round ; when ratio of short axis vs . long axis of lymph node is smaller than 1.5cm , the lymph node defined as round. If ration more than 1..5cm it is oval. 3. Margin indistinct or distinct : if more than 50% is clearly visible with a high echoic border they are distinct . If less than 50% and margin unclear determined indistinct. 4.Echogenecity; Homogenous or heterogenous. 5. Presence or absence of central hilar structure CHS CHS defined as linear flat hyperechoic area in the center of lymph node which indicate prediction of metastatic L node
How to identify benign lymphnode while doing ultrasound OVAL SHAPE, HILAR FAT, ABSCENCE OF NECROSIS, INDISTINCT BORDERS
050003E70201Sonographic character of Malignant lymph node Round shape Heterogeneous echigenecity Central necrosis Distinct borders Rich blood flow more than four d
Sleep apnoea and risk of post-operative infection: beyond cardiovascular impact. the risk of pneumonia or sepsis is more than doubled in patients with a predominance of central, rather than obstructive, respiratory events
Obstructive Sleep Apnea and Diabetes Obstructive sleep apnea (OSA) is a chronic treatable sleep disorder and a frequent comorbidity in patients with type 2 diabetes. Cardinal features of OSA, including intermittent hypoxemia and sleep fragmentation, have been linked to abnormal glucose metabolism. The relationship between OSA and type 2 diabetes may be bidirectional in nature given that diabetic neuropathy can affect central control of respiration and upper airway neural reflexes promoting sleep-disordered breathing. Despite the strong association between OSA and type 2 diabetes, the effect of treatment with continuous positive airway pressure (CPAP) on markers of glucose metabolism has been conflicting. Variability with CPAP adherence may be one of the key factors behind these conflicting results. Lastly, accumulated data suggests an association between OSA and type 1 diabetes as well as gestational diabetes.