The patient can be subjected to intraoperative cholangiography wherein a stent in the bile duct will be placed and a radiopaque dye will be injected. X-rays will be taken. This is to locate the level of obstruction and to confirm if there is a common bile duct obstruction. In extracting stones, the surgeon can prefer doing an endoscopic retrograde cholangiopancreatography or ERCP and perform basket extraction of the common bile duct stone; or to surgically remove the sphincter of Oddi to allow easy passage of the stones.
One of the nutrients that is greatly reduced in the process of juicing is fiber. In addition, during the juicing process, some antioxidants may be lost or destroyed in the process.
Answer:
Multiple Sclerosis is an inflammatory disease in which myelin sheath of nerve cells of brain and spinal cord are damaged.
Explanation:
Cause:- (Exact cause of inflammation is not known)
- But damage is caused due to attack by autoimmune cells or antibodies against myelin sheath.
Types of tissues attack:-
- Oligodendrocytes and myelin sheath is damaged and stripped away from axon and the process is known as demyelination.
- Myelin sheaths are made up of fatty tissues and help in transmission of electric impulse.
Result of immune system attack:-
- Damaged myelin sheath stop forming whIte matter of central nervous system.
- Hence disrupt coordinating communication between different brain regions.
Signs and symptoms:- vary from person to person
- Diminished eyesight.
- Disrupt motor coordination.
- Weak sensory perception.
- Fatigue and dizziness.
- Speech disorder.
- Muscle weakness and spasticity.
- Difficulty in urination and stool.
Diagnosis and treatment:-
- Diagnosis include MRI T2 findings and cerebrospinal fluid specific oligoclonal bands.
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<span>a. the effect of oil spills on marine animals</span>
