Gastrointestinal | Liver Circulation & Portal Hypertension

Поделиться
HTML-код
  • Опубликовано: 26 ноя 2024

Комментарии • 528

  • @smithsabrinaa
    @smithsabrinaa 5 лет назад +404

    You deserve a large portion of my tuition, thank you for recognizing your gift and sharing it with others.

    • @johnnysins6940
      @johnnysins6940 Год назад +1

      Conversion of Phytonadione into menaquinone-4:
      1. Phytonadione into menadione
      1(a). Phytonadione is converted into it's oxidized form called Phylloquinone thorough a process called hydroxylation by an enzyme called Phytoene-desaturase.
      1(b). Phylloquinone is converted into menadione through a process called Prenylation by an enzyme called UbiA prenyltransferase domain-containing 1 (UBIAD1). Prenylation is the addition of a prenyl group to a substrate, the prenyl group is geranylgeranyl. Geranylgeranyl is a long, hydrophobic chain that is made up of two isoprene units.
      2. Menadione into menaquinone-4
      2(a). Menadione is converted into menadione-geranyl through a process called prenylation by an enzyme called UbiA prenyltransferase domain-containing 1 (UBIAD1).
      2(b). MK-4 synthase is an enzyme that catalyzes the addition of four prenyl groups to menadione-geranyl. The prenyl groups are derived from the coenzyme Q10 molecule. The reaction catalyzed by MK-4 synthase results in the formation of a molecule called menaquinone-4.
      Is this process incorrect or not?

  • @austinbly8406
    @austinbly8406 3 года назад +106

    It's incredible that you can talk for 45 minutes straight with few mistakes and little to no editing. Thanks for this video!

  • @Supsup516
    @Supsup516 6 лет назад +141

    best channel in the world

  • @tenzinpalzom
    @tenzinpalzom 4 года назад +295

    When he said trust me for this, I'm like I trust you with whole of my both atrium and ventricles 🥺

    • @dr.babitachopra679
      @dr.babitachopra679 Год назад +1

      😃

    • @johnnysins6940
      @johnnysins6940 Год назад

      Conversion of Phytonadione into menaquinone-4:
      1. Phytonadione into menadione
      1(a). Phytonadione is converted into it's oxidized form called Phylloquinone thorough a process called hydroxylation by an enzyme called Phytoene-desaturase.
      1(b). Phylloquinone is converted into menadione through a process called Prenylation by an enzyme called UbiA prenyltransferase domain-containing 1 (UBIAD1). Prenylation is the addition of a prenyl group to a substrate, the prenyl group is geranylgeranyl. Geranylgeranyl is a long, hydrophobic chain that is made up of two isoprene units.
      2. Menadione into menaquinone-4
      2(a). Menadione is converted into menadione-geranyl through a process called prenylation by an enzyme called UbiA prenyltransferase domain-containing 1 (UBIAD1).
      2(b). MK-4 synthase is an enzyme that catalyzes the addition of four prenyl groups to menadione-geranyl. The prenyl groups are derived from the coenzyme Q10 molecule. The reaction catalyzed by MK-4 synthase results in the formation of a molecule called menaquinone-4.
      Is this process incorrect or not?

    • @selo5124
      @selo5124 5 месяцев назад +1

      both Atria* ☝🤓

  • @ChiomaMorah
    @ChiomaMorah 3 года назад +120

    I wish this channel was available way back undergrad day☹️. Anyways, I am sitting for a professional exam and this video makes me cover a one week reading for instance, in just a few hours. I have never understood anatomy like I do now after watching your videos! I now enjoy studying anatomy. You were born with a rare gift, thank you so much for sharing with the world.

    • @johnnysins6940
      @johnnysins6940 Год назад

      Conversion of Phytonadione into menaquinone-4:
      1. Phytonadione into menadione
      1(a). Phytonadione is converted into it's oxidized form called Phylloquinone thorough a process called hydroxylation by an enzyme called Phytoene-desaturase.
      1(b). Phylloquinone is converted into menadione through a process called Prenylation by an enzyme called UbiA prenyltransferase domain-containing 1 (UBIAD1). Prenylation is the addition of a prenyl group to a substrate, the prenyl group is geranylgeranyl. Geranylgeranyl is a long, hydrophobic chain that is made up of two isoprene units.
      2. Menadione into menaquinone-4
      2(a). Menadione is converted into menadione-geranyl through a process called prenylation by an enzyme called UbiA prenyltransferase domain-containing 1 (UBIAD1).
      2(b). MK-4 synthase is an enzyme that catalyzes the addition of four prenyl groups to menadione-geranyl. The prenyl groups are derived from the coenzyme Q10 molecule. The reaction catalyzed by MK-4 synthase results in the formation of a molecule called menaquinone-4.
      Is this process incorrect or not?

  • @drdeliz3748
    @drdeliz3748 3 года назад +29

    It would have made my life a lot easier if this videos had been available when I attended medical school. Always had doubts over certain subjects (I missed school time because of disease and for the death of my son). You explained everything better than anyone. So clearly... You are quite amazing.

  • @izzahflipsthetable7336
    @izzahflipsthetable7336 3 года назад +23

    Ninja nerd team out here saving med students' lives. God bless yall :"D

  • @obedbagona7402
    @obedbagona7402 4 года назад +19

    As a medical student, this was super helpful, especially as we're discussing Schistosomiasis in our current case study. God bless you bro.

  • @mirriambesa
    @mirriambesa Год назад +1

    Iam a nurse student, l really enjoy this advanced knowledge on portal circulation and hypertension. Thank you so much

  • @herbaboa
    @herbaboa 3 года назад +4

    Same here, studying for a professional exam, enjoying all aspects of medicine combining these lectures with papers...he is brilliant and sends so much energy and empathy through his eyes. I will be definitely taking some of the courses he offers. The universe loves you ninja 🤓!

  • @mikegox2275
    @mikegox2275 3 года назад +13

    You're the reason I passed my biochemistry exam. Thanks very much for sharing the informative videos💯💟

  • @EduMutasimAli
    @EduMutasimAli 10 месяцев назад +2

    i don't how anatomy could be without you

  • @kabweleviticus9149
    @kabweleviticus9149 2 года назад +1

    This is the best explanation I've ever gotten about this stuff, Im a RADIOGRAPHER by profession, this explanation makes sense
    I feel Bad for the I reported on sonograms before knowing this

  • @lyonsdavid
    @lyonsdavid 2 года назад +11

    I've been diagnosed with non-alcoholic fatty liver disease, high blood pressure, and high cholesterol I'm just here trying to learn as much as I can about my liver, I never gave it much thought before I always thought the heart, brain, or lungs where you're most important organ but now I know the liver is actually the most important organ thank you Doctor.

  • @nedamahboobnia5979
    @nedamahboobnia5979 5 лет назад +2

    you are the best teacher in the world

  • @aramhakobyan8549
    @aramhakobyan8549 4 года назад +32

    Best tutor ever. thank you so much for all this lectures!!!

    • @christintesnar613
      @christintesnar613 2 года назад +1

      Sooooo good…. Teaching is his calling/niché

  • @banabdulqadr5299
    @banabdulqadr5299 2 года назад +4

    my comment maybe late but i think you are a little bit sick we really appreciate your hard work, these videos have helped alot

  • @woodrowmeeks5009
    @woodrowmeeks5009 Год назад

    Finally, someone who can explain this subject.

  • @alluparantha
    @alluparantha 3 года назад +1

    I'm a nursing lecturer and your videos are my go to. Thank you sir 🙏

  • @Medicine.Course
    @Medicine.Course 3 года назад

    Usually I get bored with long videos but yours I can't even think if I will get bored ,I wish you explain all medical lectures ,then I won't have any thing other to do rather than watching your videos,Dr Zach .

  • @westfield90
    @westfield90 5 лет назад +7

    Superb as always. So impressed with your knowledge but also your ability to explain and articulate it all so well. This video was such a revelation to me. I had always assumed all returning blood from all organs was via the inferior vena cava but had no idea of this very clever portal to the liver. God or nature is so brilliant in its designs.

  • @manelomusa2805
    @manelomusa2805 4 года назад +3

    I need to give you my entire tuition 🥺🥺🥺you know your stuff so well and you give it your all when teaching. Thank you so much 🙏🏾

  • @constancedemmas423
    @constancedemmas423 4 года назад +3

    This is fabulous 😊 I recently got a job as a Research Nurse in Hepatology.. new field for me . Although I may not “need “ this understanding to do my job , technically speaking , I am feeling lost without this basic understanding of how the liver works .I so appreciate your help. You are an awesome teacher. Thank-you

  • @karqoa3968
    @karqoa3968 5 лет назад +7

    best teacher Ive had so far

  • @josephsweat867
    @josephsweat867 4 года назад +3

    Great demonstration this guy reminds me of my health teacher in high school, I learned more from him than any other teacher thanks so much.

  • @joycedistler4332
    @joycedistler4332 Год назад +1

    My 62 year old hubby has cirrhosis of the liver, a swollen spleen, a hernia, low blood platelets , low white blood cells and very high bilirubin and asceites (?). His hematologist doctor wants to put him on water pills or drain belly, do a bone marrow biopsy. She told him he needed a liver transplant. We asked her what role diet & nutrition plays in this. She said “NOTHING.” SO……We quit cold Turkey all alcohol, all processed foods, cut down drastically on sugar and salt. No pain meds, no prescriptions. He’s lost 33 lbs since diagnosed in August 22. I’ve only lost 9 ( Damnit). He says he feels so much better. We will - in the short term at least- continue to get blood tests and exam of belly ( CT Scan?) WE believe we can reverse this.

  • @dianameynart3582
    @dianameynart3582 3 года назад +2

    I love your passion and how you simplify ! I am watching this because my BF has portal hypertension and kidney failure -Was total he has esophageal varices as well. Thank you!!!!!! I subscribed!

  • @kiwii1351
    @kiwii1351 3 года назад +3

    Incredibly informative. The best tutoring video. I'm fortunate to have found his channel. Thank you so, so much.

  • @DrVarinderpalSingh
    @DrVarinderpalSingh Год назад +2

    Thanks Zack. Texting you straight from Punjab in India.
    Can’t explain the effect your teaching had on me. So satisfying.
    God bless you bro. ❤️

  • @Biomeducated
    @Biomeducated 6 лет назад +9

    You Sir, are bringing the swag into anatomy/physiology.
    This is what happens when passion and competence are nicely blended.
    If this is your way of studying/reviewing for yourself you are going to know your stuff!
    Exams are a walk in the park for you, me thinks.
    Also , way better source for me to recap GI-Liver basics before starting a PhD in this field.
    Screw dull paper courses, this is the future!

  • @0Deirdre0140
    @0Deirdre0140 2 года назад +1

    You are a truly gifted teacher. …even I can follow you without getting too lost….my nurse training was many moons ago and wasn’t so detailed or well taught! Bless you! Thank you!

  • @KateGlenn
    @KateGlenn 2 года назад +1

    You really know how deliver! Search for info on Portal Hypertention and stumbled upon your video. I can now review the medical write-up with greater understanding. Thank you!👏👏

  • @KhushbooSingh-mw8wg
    @KhushbooSingh-mw8wg 5 лет назад +28

    The most amazing and clear vidoes I have come across yet. This is sth that i had not understood since med school and it all makes so much sense now. Thank you so much :) :) :) :)

    • @RaviRavi-dh1sg
      @RaviRavi-dh1sg 5 лет назад

      Khushboo Singh you completed ..medical

    • @DrNeerajArora
      @DrNeerajArora 3 года назад

      Plz recommended some more channels for hepatology.

  • @taniam.9026
    @taniam.9026 5 лет назад +10

    I wish you were my teacher!! You explain everything sooo well! Thank you!

  • @usawwaimin6771
    @usawwaimin6771 5 лет назад +2

    The best channel in the world

  • @Medicine.Course
    @Medicine.Course 3 года назад

    I like it when you say alright and take a deep breath,I feel lovely❤️

  • @saqomahdi6413
    @saqomahdi6413 4 года назад +2

    I actually came here came here not knowing the gross anatomy and now im leaving knowing the whole circulation thank you sooo much🙏🙏

  • @lovemagicandroad
    @lovemagicandroad 2 года назад

    AWSOME VIDEO, Thank you so much. I'm a Board Certified Internist and didn't recall how the basic flow throught the liver went any more. So appreciate this fantastic video. I'm currently visiting Sweden (am a dual citizen) from Cal and parked myself here at a lovely Medical library. Finished watching your video here. Loved it!

  • @tripti1339
    @tripti1339 3 года назад

    If I have to choose one channel on RUclips for life time, it is gonna be this one. ❤️❤️

  • @chilufyachewe3843
    @chilufyachewe3843 3 года назад +2

    This guy is so good, he requires to teach at my university 🙌

  • @Nehasharma0a
    @Nehasharma0a 3 года назад +1

    Sensei you are amezing love from india 🇮🇳, just the way you teaching us is great...

  • @ShubhalaxmiNaruni
    @ShubhalaxmiNaruni 2 года назад +1

    OMG IM SO GLAD I FOUND YOU... explained in a very well stepwise manner... Thank you so much...

  • @sarayounis9776
    @sarayounis9776 2 года назад +1

    Professor Zach thank you so much you are the best thing to ever happen to a med student. Magnificent explanation

  • @AkshatDave-qb1pe
    @AkshatDave-qb1pe Год назад

    Incredible! What a bright shining lamp you are! Sir you are like the lamp which burns itself to illuminate the medical world. You explained so nicely in short time that was not possible for me to understand even after trying for many days. God bless you. Our good wishes are always with you.

  • @I_love_BTS_2025
    @I_love_BTS_2025 4 года назад +3

    Thank you so much sir for your wonderful lecture, it is so useful and helpful to me.I couldn't understand this portion when I learnt from lecturers in our medical college, but once i listen to your lectures everything becomes crystal clear.You are really doing such a great service through these selfless efforts.I wish you good luck and all the courage to do more wonderful videos like this always in future.
    I am a fan of Ninja Nerds, from Sri Lanka

  • @simionepowell6400
    @simionepowell6400 2 года назад +2

    Thank you for providing a comprehensive, in-depth analysis of the Liver. You have given me a new appreciation of the liver, I am even tempted to give up alcohol to protect this hard-working filtering system.

  • @mollybissell9277
    @mollybissell9277 2 года назад

    This video just changed my life THANK YOU SO MUCH

  • @frankkayemba2633
    @frankkayemba2633 3 года назад

    Incredible, am really grate. You increased my efficiency amidst the work load of medical school.

  • @user-hf4sr5jr2d
    @user-hf4sr5jr2d 4 года назад

    you are the best teacher in this entire universe..... I wanna meet you but staying in the other corner of the world..

  • @loveasmr5336
    @loveasmr5336 3 года назад +1

    This is a great video for a patient like me. I have PBC. Your diagrams are really easy to understand thank you. I am waiting for the result on my portal Doppler scan.

  • @luziqa4046
    @luziqa4046 6 лет назад +3

    perfect teacher, perfect video, perfect understanding & knowledge !!!

  • @MrKythor
    @MrKythor 2 года назад

    gold standard for humanity right here

  • @aslbekyuldoshev5264
    @aslbekyuldoshev5264 3 года назад +3

    Thank you. Now I'm more interested in medicine than before because of your lessons

  • @arlonbaas8800
    @arlonbaas8800 3 года назад +2

    My daughter passed away at 31 from Cirrhosis of the Liver. Thanks for helping me understand more about what happened.

    • @NinjaNerdOfficial
      @NinjaNerdOfficial  3 года назад +4

      We are sorry for your loss. We couldn't begin to understand your loss, but hopefully the understanding you've gained can bring you some closure.

  • @Strykerman88
    @Strykerman88 3 года назад +1

    Thanks for helping me understand how this works. My mom’s doctor is suggesting that speaking with a specialist about getting her TIPS procedure. This is scary stuff! 😔

  • @navneetkour6774
    @navneetkour6774 4 месяца назад

    How can someone be so so so brilliant ❤

  • @ngocdu6639
    @ngocdu6639 4 года назад +1

    One of the best tutor!!
    Thank you very much

  • @dianar.6047
    @dianar.6047 3 года назад +2

    This has helped me during my pathophysioly class! Thank you ! 😊

  • @istreamkerala1
    @istreamkerala1 4 года назад

    It hurts that your voice is weak... Great teacher💓

  • @sadafbashir5787
    @sadafbashir5787 5 лет назад +26

    Aww while teaching hus expressions were so cute.. gosh I am in love with him :(

  • @donnasides6884
    @donnasides6884 3 года назад

    I am not a student and I enjoy your explanations.

  • @yvonneasay3012
    @yvonneasay3012 Год назад

    This video is an answer to prayer! Thanks!!

  • @scooberdoo72
    @scooberdoo72 11 месяцев назад +1

    Thank you for the knowledge shared. As it gives me more understanding about my diagnoses. And how things work❤

  • @lisacervantes9792
    @lisacervantes9792 5 лет назад +2

    Perfect explanation of liver circulation!

  • @alaatalal3283
    @alaatalal3283 2 года назад +3

    you are a PHENOMENON bro!

  • @jimlogan9883
    @jimlogan9883 2 года назад

    Excellent! Thank you so much for an informative presentation. I have liver disease and appreciated this video.

  • @ramandkirandonthi9374
    @ramandkirandonthi9374 3 года назад +1

    Excellent information & very well spoken. In Gastric bypass surgery most common to see Vitamin -A deficiency ( fat soluble Vitamin absorbed from stomach ) from Ophthalmology standpoint & patients have to take Vitamin -A regularly as a medicine. Thanks

  • @YOU_IN_A_TUBE
    @YOU_IN_A_TUBE 3 года назад

    ma man right here doing God's work, dude you deserve to lecture at Harvard

  • @deeppurple3489
    @deeppurple3489 5 лет назад +4

    I was diagnosed with portal hypertension of the liver. I've several nodules also but nothing more. This was very imformative and made me feel better about the outcome about the stunt placement.
    My only worry now are the nodules.

    • @saqomahdi6413
      @saqomahdi6413 4 года назад

      Hope you get better soon

    • @Yavi609
      @Yavi609 4 года назад

      Mere papa ko cld h stage 4 portal hypertension h medicines chal rhi h...unki life ko danger to nhi h?

  • @alleeea8200
    @alleeea8200 5 лет назад +2

    Understand the hepatic portal Sys much better.
    Sir, thank you for the thorough explanation...salute!

  • @meee16milu61
    @meee16milu61 3 года назад +1

    Wow! so clear teaching, you are the best, thank you.

  • @PROPHYLAXISU
    @PROPHYLAXISU 4 года назад +1

    Yesterday I can’t remember this topic when I studied with book suddenly I remember everything about liver after this miraculous video 📼 hats off bro u r hulk

  • @frfr77
    @frfr77 6 лет назад +13

    Wonderful Work as always ,thanks to all the team :)

  • @lindamcintyre8054
    @lindamcintyre8054 2 года назад

    I'm learning more about this my son had got hospitalized because bad liver but u mo god is good and a lot of prayers I dont wish no kind of sickness like all these now days glaucoma cataracts this that and the other but ithank everyone for their prayers

  • @ScottDamery
    @ScottDamery 3 года назад +1

    its like watching my memory working in live action ....awesome job. I always used colored pens/pencils to draw similar thoughts

  • @amrutharajeev9722
    @amrutharajeev9722 2 года назад +1

    Excellent explanation...hat's off to the effort taken

  • @sandeepkumar-um1qh
    @sandeepkumar-um1qh 4 года назад

    thank you so much for giving us this content in free

  • @chittadas858
    @chittadas858 3 года назад +1

    such a great teacher you are...your efforts should be really appreciated...

  • @salonisogale2718
    @salonisogale2718 4 года назад

    Never understood anything better than this!!!

  • @harsha2165
    @harsha2165 4 года назад +1

    Loved this lecture. I have watched many many and this is one of the best one. TY

  • @vccuong1
    @vccuong1 2 года назад

    I find this video so valuable as I am a patient currently with GI tract bleeding. I have this bleeding from about 3 months after the whipple surgery till now, a total of 4 times getting in the hospital but the doctors still not be able to find the source or the root cause of the GI tract bleeding. I have some blood clot in the portal vein which I am now thinking it is the main cause of my bleeding. Thank you so much.

  • @MsAasifa
    @MsAasifa 5 лет назад

    how do u remember so many things.u r a gift of god to all of us. u r simply great.where were u since so many years.we missed u .

  • @supriyatiwari6734
    @supriyatiwari6734 5 лет назад +2

    It's awesome.. really very informative..thank u so much for u efforts...I highly appreciate ur simple diagrams...keep going

  • @rjyoti4375
    @rjyoti4375 4 года назад

    This channel is a blessing!

  • @kratikatiwari5960
    @kratikatiwari5960 Год назад +1

    Love you man ❤ ur awesome you make everything easy make every concept clear now I know reason of Caput Medusa

  • @edwardngmenpielpoore9875
    @edwardngmenpielpoore9875 4 года назад

    thank you sir. you are the best on youtube

  • @rebekahconley895
    @rebekahconley895 3 года назад +1

    you are fantastic..... such a good teacher!!!

  • @roshnasahadevan9086
    @roshnasahadevan9086 4 года назад +1

    So well explained. God bless you

  • @Mryounesfly
    @Mryounesfly 4 года назад +1

    Artistic presentation, really clear explanation thanks to you guys

  • @quickdesign7653
    @quickdesign7653 3 года назад +1

    You are amazing zack , all love and respect ❤️

  • @sittoris
    @sittoris 4 года назад +1

    Great video. Really liked your gesticulations when describing sagital and coronal views - very easy to understand.

  • @starrysky4216
    @starrysky4216 8 месяцев назад

    Thank you so much you literally answered 5 questions of my homework ❤

  • @bridgetjima7795
    @bridgetjima7795 4 года назад +2

    Thanks u made life easier on that topic 🙏🙏

  • @izzygee2216
    @izzygee2216 5 лет назад +2

    By far you are the best I’ve seen! Thank you so much for your exceptional and detailed video! 🙏🏽👏🏽👍🏽😌God bless you!

  • @mayly5289
    @mayly5289 3 года назад +1

    May you have a long and healthy life

  • @janaabhilash4577
    @janaabhilash4577 3 года назад +1

    Lots of love from india❤️❤️❤️🇮🇳🇮🇳

  • @feliciaraecrowe1056
    @feliciaraecrowe1056 3 года назад +1

    Good information and making it understandable!

  • @captiantapcan
    @captiantapcan 3 года назад +1

    You are amazing. I always learn so much from you. 🙏🙏

  • @EasiMedwithRKranjeetkumar
    @EasiMedwithRKranjeetkumar 3 года назад

    Best channel in the world 🌍

  • @TheRealBaldGuy
    @TheRealBaldGuy 4 года назад +11

    31:47 (Clinical Part)