SPI- ARDMS Ultrasound physics passing the national exam. all about artifacts part 1. For those who wants to pass the SPI- ARDMS national exam, you can email me to buy … Continue Reading →
Basic Principles of Ultrasound Physics and Artifacts As a Point of Care Ultrasound (POCUS) enthusiast, you may dread the term “Ultrasound Physics” and wished there was a simple way on … Continue Reading →
EYE Ultrasound -part 1 Dr.Steve Ramsey, PhD -Public Health MSc-(hon) in Med Ultrasound. Ophthalmology sonography, Eye ultrasound. I started the Eye sonography back in 1984 to 1988 in Windsor … Continue Reading →
Intussusception pediatric sonography Dr.Steve Ramsey, PhD -Public Health MSc-(hon) in Med Ultrasound. Intussusception – Sonography. Nick names : Sandwich sign, target sign psudokidney sign, Donut sign, bullseyes sign, ‘pitchfork’ or … Continue Reading →
Intussusception Intussusception is the invagination (or telescoping) of one part of bowel into another. Most typically it involves the ileum into the caecum however can occur anywhere in the bowel. … Continue Reading →
Greeting from our paranormal zone blog . Why you should advertise with us? Our 180.000 and more readers are diverse from all walk of life , covering wide range of … Continue Reading →
Is There a Side-Effect by Using Medical Ultrasound Regarding Autism? My research paper will be published in the U.K. the journal of obst/gynecol. This year and this is a sample … Continue Reading →
Is There A Side-effect By Using Medical ultrasound on Autism? BY SAAD ISMAIL ( Steve Ramsey), PhD. MSc medical ultrasound. Advances in knowledge and application to patient care: This study … Continue Reading →
MSK ultrasound cases Jan 2021 These are some of the cases I usually gets in a day when I do the MSK, abdominal, small parts sonography. For those who want … Continue Reading →
I call my article ; the ghost physics, or the spirit electricity principles. The physics of the other side. Beside the anger issues that some spirits and ghosts do have … Continue Reading →
ultrasound societies Continue Reading →
What is Stromme syndrome? Stromme syndrome is a very rare genetic condition. It affects multiple bodily systems and causes anomalies in the intestines, eyes, and skull.
It can also affect other areas of the body, such as the renal and cardiac systems.
Genetic mutations in the CENPF gene cause Stromme syndrome to occur. The CENPF gene is involved in DNA regulation and synthesis, so mutations to it can affect skeletal development.
Keep reading to learn more about Stromme syndrome, including its causes, symptoms, and outlook.
Stromme syndrome is a genetic condition.
Infants with Stromme syndrome are born with an incomplete intestine, ocular anomalies, and, in most cases, a smaller-than-average skull.
Norwegian pediatrician Petter Strømme and his associates first identified the syndrome. They did so based on two sisters born with:
jejunal, or intestinal, atresia, which refers to a partial or complete absence of the membrane connecting the small intestines to the abdominal wall
ocular anomalies, which are problems with the eyes
cranial anomalies, which are problems with how the skull forms or fuses together
In 2007, clinical geneticist Yolanda van Bever and associates proposed the name “Stromme syndrome” for the condition affecting infants born with similar clinical symptoms.
Genetic mutation to the CENPF gene cause Stromme syndrome.
This gene codes for centromere protein F. The position of this protein suggests that it plays a role in chromosome segregation.
Chromosome segregation occurs when two sister chromatids migrate to opposite poles of the cell nucleus after separating from each other.
3 symptoms characterize Stromme syndrome. These are intestinal atresia, ocular anomalies, and cranial anomalies.
The following sections will look at these in more detail.
One of the main symptoms of Stromme syndrome is jejunal, or intestinal, atresia. Infants with Stromme syndrome are born with intestinal atresia, which refers to the incomplete formation of part of the small intestine.
Intestinal atresia, also known as apple peel syndrome, causes a section of the small intestine to twist around the main artery that sends blood to the colon. This can cause blockages to the intestine.
Infants born with Stromme syndrome tend to have underdeveloped eyes and a variety of eye anomalies. These may include:
Sclerocornea: This is an eye abnormality wherein the cornea blends with the white outer layer of the eyeball, causing there to be no clear-cut boundary between them.
Microphthalmia: This is a condition wherein one or both of the eyes are unusually small.
Microcornea: This is a condition wherein one or both of the corneas are unusually small.
Ptosis: This refers to the drooping or falling of the upper eyelid.
Epicanthus: This refers to a fold of skin on the upper eyelid that covers the inner corner of the eye.
Another common symptom of Stromme syndrome is the presence of cranial anomalies. Infants with Stromme syndrome are likely to have microcephaly .This is a condition that causes an infant to have a much smaller head than usual.
However, not all infants with Stromme syndrome have microcephaly. Some infants with this condition have a typical head circumference.
One report states that some infants born with Stromme syndrome have accompanying issues with their renal and cardiac systems.
Healthcare professionals may diagnose Stromme syndrome by observing the infant’s symptoms. However, performing genetic testing can provide full confirmation of the presence of Stromme syndrome.
Sometimes, it is possible to diagnose intestinal atresia before birth. Healthcare professionals can do this during a prenatal ultrasound or fetal MRI scan.
They can also make a diagnosis after birth if the common symptoms of intestinal atresia are present. These symptoms include:
absence of bowel movements
failure to thrive
Healthcare professionals can also observe any cranial and ocular anomalies via an ultrasound or MRI scan before birth. Continue Reading →
Fibroadenomas are common benign (non-cancerous) breast tumors made up of both glandular tissue and stromal (connective) tissue. Fibroadenomas are most common in women in their 20s and 30s, but they can be found in women of any age. They tend to shrink after a woman goes through menopause
A fibroadenoma is usually felt as a lump in the breast which is smooth to the touch and moves easily under the skin.
Fibroadenomas are usually painless, but sometimes they may feel tender or even painful, particularly just before a period.
Most Fibroadenomas are about 1–3cm in size and are called simple Fibroadenomas. When looked at under a microscope, simple Fibroadenomas will look the same all over.
Simple Fibroadenomas do not increase the risk of developing breast cancer in the future.
Some Fibroadenomas are called complex fibroadenoma. When these are looked at under a microscope, some of the cells have different features.
Having a complex fibroadenoma can vary slightly increase the risk of developing breast cancer in the future.
Occasionally, a fibroadenoma can grow to more than 5cm and may be called a giant fibroadenoma. Those found in teenage girls may be called juvenile Fibroadenomas.
It’s not known what causes a fibroadenoma. It’s thought that it probably occurs because of increased sensitivity to the hormone estrogen. Or if the man hold and play with the breast very hard for long time and can injure the fiber tissue.
Breasts are made up of lobules (milk-producing glands) and ducts (tubes that carry milk to the nipple). These are surrounded by glandular, fibrous and fatty tissue. This tissue gives breasts their size and shape.
Fibroadenomas develop from a lobule. The glandular tissue and ducts grow over the lobule and form a solid lump.
Fibroadenomas are often easier to identify in younger women. If you’re in your early 20s or younger, your fibroadenoma may be diagnosed with a breast examination and ultrasound only. However, if there’s any uncertainty about the diagnosis, a core biopsy or FNA will be done. Continue Reading →
Skeletal dysplasias, also known as osteochondrodysplasias, constitute a group of approximately 450 disorders that affect both bone and cartilage. The newest (tenth version) “Nosology and Classification of Genetic Skeletal Disorders” comprises 461 different diseases that are classified into 42 groups based on their clinical, radiographic, and/or molecular phenotypes. Remarkably, pathogenic variants affecting 437 different genes have been found in 425/461 (92%) of these disorders. Many of these disorders result from new (de novo) dominant mutations, and for the autosomal recessive disorders, many occur in families with no history of a skeletal dysplasia.
The prevalence of skeletal dysplasias is estimated to be approximately 2.4 per 10,000 births. Due to high perinatal mortality, the overall prevalence in perinatal deaths is much higher at 9 per 1,000. Although the occurrence of each individual skeletal dysplasia may be rare, as a group they account for a significant number of newborns with congenital anomalies. The presence of a skeletal dysplasia is not always evident at the time of the fetal anatomical survey, and in particular, some non-lethal skeletal dysplasias may only become apparent in the third trimester.
The fetal skeleton develops relatively early, thus the suspicion of a skeletal dysplasia may be possible as early as the first trimester. The appendicular and axial skeleton undergo a programmed pattern of endochondral ossification, whereas the calvarium and portions of the clavicle and pubis ossify via membraneous ossification. Ossification occurs at relatively early gestational ages: the clavicle and mandible at 8 weeks, the appendicular skeleton, ilium, and scapula by 12 weeks, and the metacarpals and metatarsals by 12–16 weeks. The secondary ossification centers become visible later in gestation, beginning with the calcaneus at 20 weeks, the distal femoral epiphysis after 32 weeks, and the proximal tibial epiphysis after 37 weeks. Continue Reading →
Based on the ultrasound findings and SonoSkills pathology checklist analysis I concluded: \
– Complete tear of the long head of the biceps tendon.
– The rotator interval is “empty”. No sign of the long head of the biceps tendon.
– The long head of the biceps tendon has partially retracted. It’s still located in the distal intertubercular groove, probably fixated or stabilized by the tendon’s vinculum (suspensory ligament).
– Minor degree of neovascularization.
The clinical examination findings of the orthopedic surgeon could be confirmed. Furthermore, the surgeon knows that there is a partial retraction of the long head of the biceps tendon, and that no other anatomical structures where involved. This information can help his clinical decision making. Continue Reading →