New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 53:22-54:33 And and then finally some patients will have an arch, aortic arch aneurysm and they may have symptoms that are attributed to the aneurysm. If, as long…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 51:56-53:18 And then finally and these were some of the biggest talking points that we added on to the, to the regulations for type A dissection. When there is de…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 50:55-51:51 And finally, the, there's class 2A recommendation when it comes to type A aortic dissections and this, this did come from a lot of discussion and that…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 49:22-50:51 Some of the reasons why this became a class one recommendation in, in terms of malperfusion, this is paper that came out of the University of Michigan…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 46:22-49:18 For the class, I'm going to go through this fairly quickly. These are the class one recommendations for type A aortic dissections and I've included th…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 40:54-46:17 Okay moving on to pregnancy. As Maya commented earlier that the emphasis on shared decision making and the importance of counseling, genetic counselin…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 38:08-40:48 Moving on to vascular Ehlers-Danlos syndrome in, and in vEDS. In imaging the aorta and the branches is very important because it may identify arterial…

30:17-36:57 This, this slide just emphasizes a little bit of difference in management and Loeys-Dietz syndrome, so in Loeys-Dietz syndrome imaging because aneurysm disease is more widespread than in Marfan syndrome that baseline MR or CT a…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 27:36-30:06 Dr. DeAnda is going to walk us through surgical thresholds in Marfan syndrome aortic root enlargement. では、DeAnda先生からマルファン症候群の大動脈基…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 25:57-27:33 Okay, what's new in Marfan syndrome? Well, moving on to medical therapy. Those on the, on the webinar tonight with Marfan syndrome they're probably we…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 20:53-25:55 Dr. DeAnda is going to talk about some of the surgical thresholds. では、DeAnda先生から外科手術のしきい値についてお話いただきます。 Some of this has c…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 17:08-20:51 The recommendations are written like this, so I won't go over every single one but it emphasizes again in somebody, in a patient who has thoracic aort…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 14:07-17:03 So what we're going to do over the next half hour or so is we're going to review some of the topics that are encompassed in the new guidelines based o…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 10:57-14:08 So this is not a new concept but I think what's so important about the document is how all these various numbers and sizes and things that we talk abo…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 9:03-10:48 Maya Brown Zimmerman is going to talk to us about one of the most important aspects of the guidelines, the concept of shared decision making. では、ガ…

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 7:10-9:00 One of the most important parts of the guidelines is really a whole section on emphasizing how to measure the aorta. Everyone who sees individuals and, …

New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you? 3:56-7:06 This is the front page of the document that Maya and Abe and I are going to review. Some of the information on updates in genetic aortic disease, its ev…

Loeys-Dietz Gastroenterology and Allergy Q&A 42:34-45:52 Q:At what point do you decide a child needs a feeding tube? In this example as a seven-year-old that's really struggling to put on weight. 栄養チューブが必要となるのはどの時点でしょ…

Loeys-Dietz Gastroenterology and Allergy Q&A 38:57-40:39 Q:We've had a couple of questions. I see Julie, I know Lincoln has tree nut allergies, so asking about a young child a type 2, you know, when would you use an EpiPen, would you not u…

Loeys-Dietz Gastroenterology and Allergy Q&A 35:55-37:00 Q:Would you say the same for chronic or even like periodic vomiting? 慢性的な嘔吐や周期的な嘔吐の対処法を教えてください。 A:Absolutely, so, if, if, if you have chronic vomiting that …

Loeys-Dietz Gastroenterology and Allergy Q&A 34:39-35:54 Q:How about treatments or medications to identify or alleviate with chronic diarrhea? 慢性的な下痢の原因を調べる方法、対処法を教えてください。 A:I think there again I think a GI work…

Loeys-Dietz Gastroenterology and Allergy Q&A 32:43-34:24 Q:When, when it gets to the point that a child would need a feeding tube like ages two or three because of the they're not able to gain weight should they expect to have that tube fo…

Loeys-Dietz Gastroenterology and Allergy Q&A 28:59-32:41 Q:Several questions about sort of like general weight gain I know you touched on that, so if we could expand a little bit on, you know, aside from Miralax, exercise, fiber for kids o…

Loeys-Dietz Gastroenterology and Allergy Q&A 19:00-24:14 Q:Inflammation of the colon, is this common a common part of LDS? What is a solution and then this person is saying, "I've had two scopes, both just showed inflammation", so wonderin…

Loeys-Dietz Gastroenterology and Allergy Q&A 17:05-18:53 Q:Can allergies, food allergies specifically, change with time in adults and/or children? We've had a couple questions about that. One specifically citing like had, had an allergy to…

Loeys-Dietz Gastroenterology and Allergy Q&A 15:05-16:54 Q:This one is about an eczema flare. It says the pediatrician will not run a food panel for allergies, only environmental. Any suggestions? じんましんが出ているのに、小児科では食物ア…

Loeys-Dietz Gastroenterology and Allergy Q&A 13:24-14:48 Q:At what point does an intolerance become an allergy? 食物不耐症が食物アレルギーに変わるのはどの時点ですか？ A:So they're actually very different things. One doesn't necessarily tur…

Loeys-Dietz Gastroenterology and Allergy Q&A 11:10-11:41 Lastly, there are disorders of gut-brain interaction. This is a newer name, a functional abdominal pain, is a name functional abdominal disorders, irritable bowel syndromes, so these…

Loeys-Dietz Gastroenterology and Allergy Q&A 9:08-11:08 Very frequently in connective tissue disorders such as Loeys-Dietz syndrome you will see constipation very frequently. ロイス・ディーツ症候群のような結合組織疾患では、頻繁に便秘がみら…

Loeys-Dietz Gastroenterology and Allergy Q&A 7:05-9:06 Also in connective tissue disorders and in some people with Loeys-Dietz syndrome they can have weight gain, can be problematic, so this is also seen in Marfan syndrome as well. It can …