Carcinoid Syndrome | Serotonin-Secreting Tumors | 5-Minute Review 🖐

[@MedicosisPerfectionalis]

💊 Autacoids Pharmacology Course: www.medicosisperfectionalis.com/

[@ThatsWhy-]

Would you please do a review on lung sarcoids against lung tumor carcinoid? Or/And about kinds of granuloma? And, the differences between them? I am struggling

[@DrMnike-]

You are the perfect example of “fun and intelligent” professor. I wish I could have your teachings when I was a student 26 years ago! Now it is great that I can review themes and remember the importance of clinic correlation! I love your videos!

[@michibou4656]

When I truly don't understand a topic I know I have to look for your videos. You're an amazing teacher. Greetings from Argentina!

[@MedicosisPerfectionalis]

Thank you 🙏

[@wiememo8648]

There's something magical about MEDICOSIS which YOU ALWAYS PUT THE THINGS I'M ALWAYS CONFUSED about, and AT THE RIGHT TIME. Just wow. Thank youu so much 🥺🥺🥺🧡

[@MedicosisPerfectionalis]

My pleasure 😇 Thank you ☺️

[@ABC-fv7ow]

You make 'boring' medicine topics interesting.Thats your Quality.Big fan of yours.🙏

[@MedicosisPerfectionalis]

Thank you so much 😊

[@michelenichele294]

You are not only informative and artistic, funny and magical!

[@dowkhalifa9023]

That’s what’s called a comprehensive review about carcinoid syndrome, you even get to know the price of Ferric chloride lol.

[@MedicosisPerfectionalis]

Haha 🤣

[@besshinson1614]

Thanks!

[@besshinson1614]

I know it’s not much, I’m just a temporarily struggling college student but I definitely believe in reciprocity. Thank You for making this so easy to understand!🙌🏽❤️🙏🏽

[@MedicosisPerfectionalis]

My pleasure 😇

[@annawright4545]

Holly Smokes, this is borderline impossible - to see these processes this clearly and be able to pack it up in 11 minutes.

[@MedicosisPerfectionalis]

Oh 🥺 Thank you so much, Anna! I am so delighted to read your comment!

[@ahmedalalrubiay8605]

Why your explination is so cute😭😭 We love u forever❤️ ((Collection of Iraqi medical students 🌺🌺🌺🌺🌺🌺))

[@MedicosisPerfectionalis]

Thank you so much 😊

[@Ali-fl5zv]

Just on time. Thanks for the good work

[@MedicosisPerfectionalis]

My pleasure 😇

[@debigdogk9563]

Excellent job. Very well presented. God bless you 🙏🙏🙏🙏🙏

[@MedicosisPerfectionalis]

God bless you too!

[@Sreeja196]

You are doing an exceptional job

[@MedicosisPerfectionalis]

Thank you 🙏

[@ahmedsabra7075]

شكرا جدا لحضرتك على الشرح الجميل ده ربنا يجازيك كل خير ❤❤

[@MedicosisPerfectionalis]

🙏🙏🙏

[@natalievancouver8188]

I have MEN & Neuroendocrine Carcinoid Cancer that started in my appendix. I was told by all my specialists that 1 in 5 million of people with this have it started in the appendix. I think you said most start in the appendix? Most people I’ve met have liver, GI and intestine primary tumours. I’ve only met one person with the same as me. Thanks for this schematic. I had/have wheezing, flushing and itchy it’s horrible. I’ve had 4 surgeries to remove the Mets

[@MedicosisPerfectionalis]

How is your health now?

[@natalievancouver8188]

@@MedicosisPerfectionalis I’m about to have my 4th surgery in two years. The Octreotide helps the symptoms but they aren’t 100% gone. I’ve also developed a rare allergy to one of my chemo meds that had me covered in hives, blisters, redness, itching and wheezing so this month has been difficult. Hopefully after this surgery my symptoms will improve cause it’s not easy especially being diagnosed during the pandemic.

[@mumtaznaveed4696]

Legends are alive. U r one them. Messi of medicine!!

[@MedicosisPerfectionalis]

Thank you 😊

[@javiertorresmendez6773]

This video is amazing Thank you so much

[@MedicosisPerfectionalis]

My pleasure! Would you please help me by sharing?

[@Letmeknowpls]

Your videos are very helpful. I get to recapitulate everything about a topic in a short time with each learning sth new.♥️

[@MedicosisPerfectionalis]

Thank you so much 😊

[@nara9793]

omg thank you also please never retire from youtube

[@MedicosisPerfectionalis]

Thank you :)

[@hiiii4854]

I really needed this ❤️❤️❤️ thank you 🙏

[@MedicosisPerfectionalis]

My pleasure 😇

[@lama-6598]

Your explanation does make perfect sense. 👍🏻

[@MedicosisPerfectionalis]

Thank you 🙏

[@rishabhparmar7490]

Another gr8 explanation and congrats on passing 500k subscribers can you make approach to Peripheral neuropathy next plz

[@MedicosisPerfectionalis]

Thank you 🙏 I will try but I can’t promise!

[@MsAqswdefr]

Proud of you as Egyptian ! Mo Salah of medicine 😂😂

[@MedicosisPerfectionalis]

Haha 😂

[@sheenponte1470]

What color will the urine turn if it is NOT carcinoid syndrome?

[@joshfriend6020]

What color should the test be if it's negative?

[@kevinjulenesawatzky5700]

What does it indicate if your urine changes colour in the ferric chloride test but you don’t have carcinoid syndrome symptoms?

[@Amar-rl9pq]

Your videos are very helpful thank you

[@domenicoferrante8082]

THX YOU YOU RE THE BEST !!

[@MedicosisPerfectionalis]

Thank you so much!

[@juzek2205]

How can I reach you? I need a solid doctor's advice

[@MedicosisPerfectionalis]

I am not a practicing physician! You can reach me here: www.medicosisperfectionalis.com/

[@medicinewithdrshamama.92]

Perfect explanation 👍👍

[@MedicosisPerfectionalis]

Thank you 😊

[@kevinjulenesawatzky5700]

Great video!! Just wondering about that ferric chloride solution as it already seems to be a brown reddish colour when made?

[@kathyjordan3361]

I have the same question

[@kathyjordan3361]

I actually just did the test myself. I made a comparison with regular water. There is a difference in the color. The urine one turned a much darker brown. I can definitely see the side by side difference.

[@kevinjulenesawatzky5700]

@@kathyjordan3361 lol nice. I kind of went down a rabbit hole with this experiment. My conclusion on it though is it is probably highly useful if a doctor is highly suspicious of carcinoid syndrome as the patient would probably have high amounts of serotonin in the urine most of the time. My results were all over the place. But I can conclude that my first and second void makes a dark brown red compared to the other samples obtained in the household lol. By noon my sample seems to be on target with the other samples. I don’t know why my sample does that in the morning but I’m sure there are other things that react with the ferric chloride solution.

[@joshfriend6020]

Did you ever figure out if the the color change or not if it's normal?

[@markm7101]

So 5HTP supplementation probably increases the probably of right heart valve dysfunction?

[@MedicosisPerfectionalis]

Everything is possible! Theoretically it make sense. However, it needs to be tested empirically.

[@michelenichele294]

You are not only informative and artistic, but funny and magical. (Maybe I got it right this time.) 🤭

[@adinahwithkaden]

I had a pulmonary carcinoid. No hormones, though.

[@basilsheikhahmad1499]

Excellent job. Very well presented. i have a question, shouldn't fibrosis cause stenosis and not regurgitation like in tricuspid? thankyou anyway

[@MedicosisPerfectionalis]

Thank you! If the fibrosis affected an area that’s responsible for valve closing, then the valve wouldn’t be able to close -> Regurgitation. Recall that rheumatic fever (the same disease) can cause mitral stenosis or regurgitation.

[@mohamedamineyaich6250]

I'm so greatful that your cousin struggeled with Chemistry

[@MedicosisPerfectionalis]

Haha 🤣 You read the story 😅

[@ppmny7015]

I'm waiting for the Dotatate PET Scan for NETs. If they find a tumor, I'm naming it Dufus.

[@MedicosisPerfectionalis]

Best of luck to you!

[@ppmny7015]

@@MedicosisPerfectionalis Thank you!

[@Dr.Alakazam]

I almost killed myself when you said ‘Science is not your cousin but your parents are’

[@MedicosisPerfectionalis]

Dad jokes! Sorry 😢

[@راجيهرحمهربي-و2ج]

Thank you, you are awesome

[@reemna117]

I really would appreciate it if you make a Video explaining how you learn about a topic how you collect information how to make them this organised and connected please

[@MedicosisPerfectionalis]

Thank you for letting me know! Quick tip: when you’re trying to learn and understand, you should forget about university, professors, exams, rankings,…etc…There should be you, a book, and a pencil. You should have one objective: “to understand what you’re reading.” The more you actively read, the more you’ll understand…Then bring a piece of paper and try to connect the dots together…It’s a pleasurable and fulfilling experience!

[@bekayezme]

Omg…talking about the dumb dr vs a good one..for years I hav wake up to left quadrant extreme cramps. Need to move bowels it won’t happen. Then my BP shoots up, my face gets beet red, I start vomiting and then if I’m lucky the bowels will move..and most times I’m vomiting and on toilet at the same time. I know I’m gonna stroke out one day. Long story short, I had vertigo attack,went to er, told dr about my cramping, told GP, told neurosurgeon, told ent, told eye dr, told ent specialist and the GI. Nobody even mention what it could be until I had to see a cancer blood dr who suggested I get tested for this. He said he had a few patients that had these tumors. I am waiting on the urine results. You never want something to be wrong but I don’t know how much longer I can go through this. My heart beating out of my chest and the high blood pressure is scary. Wish me luck!

[@MedicosisPerfectionalis]

I wish you all the best!

[@esraaabdel_shakoor6609]

رااائع ..كعادتك 🔮🔮

[@MedicosisPerfectionalis]

Thank you 🙏

[@cremebrulee8364]

This was super fun

[@MedicosisPerfectionalis]

Thank you 😊

[@cremebrulee8364]

@@MedicosisPerfectionalis Aaaah can't believe you replied, I'm a big fan

[@IVFRegulation]

Could carcinoid cause Frank's Sign in the right lobe of the ear? (due to the fact of stenosis of the heart arteries)?

[@ButteredToastwKelly]

ferric chloride is already reddish brown/dark brown. how does adding urine and getting the same color a definite positive for cs? Im doing a 24 hr urine for 5hiaa right now. you mean and just slosh my pee with iron and get results faster?

[@guldenaydin9918]

Thank you so much....⚘.

[@MedicosisPerfectionalis]

My pleasure 😇

[@bahar_alrawi]

Gourgeous ❤

[@atharvaphatak5681]

Thankyou so much

[@MedicosisPerfectionalis]

My pleasure 😇

[@memeimry9819]

Why are all egyptian doctors excellent in explaining complicated subjects is it genetic ?😂 Jokes aside I'm arabic and I've heen taught by Egyptian docs they r humorous and hav very smooth ways in teaching complicated subjects😍...May God bless you ❤

[@MedicosisPerfectionalis]

God bless you too!

[@memeimry9819]

OMG can't believe my fav KZbin DOC replied to me...u r awsooooome

[@MedicosisPerfectionalis]

Thank you ☺️

[@memeimry9819]

@@MedicosisPerfectionalisu deserve all the compliments and thank you for posting these fun and veeeery informative medical videos 😊🌼🌼

[@MedicosisPerfectionalis]

You’re always welcome 🙏

[@0Deirdre0140]

So many specialists…I’m the doofus!😂

[@MedicosisPerfectionalis]

:)

[@pamcaldwell7055]

Thank you

[@KADETUL9]

Hello! Thank you for all your work. I have a question sir. In this week I underwent a surgery - biopsy of left supraclavicular node. Short story: when I palpated i felt a lump under my skin, painless + progressive fat loss and tiredness. I am waiting for the results now. I am 23 yrs old My question is - i had 2 left supraclavicular nodes removed (the entire node) - they weren't that big (1-1,5 cm) - do I have a risk for lymphedema? How will the lymph drain in the thoraxic duct? Is my immunity from digestive system affected? I will apreciate your answer because I am also scared about lymphedema and low immunity from the digestive system/lungs etc (abdomen+ left thorax)

[@MedicosisPerfectionalis]

I appreciate your question, but no one can diagnose you or treat you over the internet. I am sorry 😞

[@KADETUL9]

@@MedicosisPerfectionalis Thank you for the answer, but I didn't ask for a diagnose, I just wanted to know about complications - just physiopathology.

[@M1nn0w]

@@KADETUL9 You should consult the doctor looking after your care - you don't want a doctor to give you advice online, we are not insured to do so and could lead to false information for your specific case which could cause harm. Don't trust any advice you do receive in KZbin comments sections, because all qualified and competent doctors know this, and therefore wouldn't be the ones to respond to a query like yours online. Sorry for the disappointment, hope you get the answers from your doctor.

[@IVFRegulation]

If 5HIAA + Chromogranin A + Gastrin are slightly increased, do they confirm carcinoid tumor existence?

[@MedicosisPerfectionalis]

They suggest it…only a biopsy can confirm it.

[@Deam0007]

I just had a labor result today . From 0-25 is the normal range of Serotonin. My level is extremely high 333 ng/mL. I'm scared what could that cause because I don't take any medication.

[@عبدالرحمنمحمد-ط2و7ز]

I have been tired for a long time and have lost a lot of weight, and the stool has been dropping fatty balls, and for a while the symptoms have increased, and after tests it was found that serotonin was high in the body and indoleacetic acid, nuclear pictures were made, FDG, as well as gallium and Tatuk, and nothing appeared in it. Doctors say that the carcinoids are slow in growth and slow in spreading. I now suffer from a burning pain in my back from the inside and in my bones there was a sticky, burning substance. After the descent of the fat balls from me, the heartburn stopped, as well as the abdominal pain. Doctors are puzzled that they think that these tumors came down with the stool, and they are confused about the necessary pictures to show the spread of carcinoids. Is the i123IMBG image useful for detecting the spread of carcinoids? Is my case similar or do you know about it, please come back to me, I am waiting impatiently. Is the treatment of carcinoids simple and can it be cured? The doctors told me that the symptoms and examinations of all carcinoids confirm this, but the pictures did not show anything to hide me that it is weak and did not absorb somatostein in the picture, so they may make a picture of iodine

[@peace4475]

Thankyou 💖

[@MedicosisPerfectionalis]

My pleasure 😇

[@chaddyboy408]

What kind of doctor do I visit to get this diagnosis? I'm in the population of people who just sits at home and suffers because I don't trust doctors

[@MedicosisPerfectionalis]

A “good” gastroenterologist or endocrinologist.

[@mediziner4283]

just wow

[@Cathy-ux9xd]

Question. I was being tested for MCAS/mastocytosis and had a high 5-HIAA. My allergy doctor is concerned. My tryptase was normal and I need to repeat this when flaring. I take Zoloft however. Can this drug cause a false positive??

[@jmac2576]

Not sure if you ever found this out but, yes it is recommended that you do not use SSRI's 48 hours before these tests.

[@Cathy-ux9xd]

@@jmac2576 quest lab refused to process my blood sample for serum serotonin because I’m on Zoloft. I still don’t have answers.

[@basictobougie3343]

if your professor taught you this ......i will quit youtube and work for garbage company........hahahaaha....thanks for making it fun.

[@MedicosisPerfectionalis]

My pleasure 😇

[@Abdul-Rahman3207]

صحيح اللي يقولون انك عربي؟

[@MedicosisPerfectionalis]

True!

[@JohnMushitu]

Why is a 5-minute review 11 minutes? 😭

[@JohnMushitu]

Really helpful tho 🔥

[@Sunnysingh-ef8pb]

Just love u at first side

[@MedicosisPerfectionalis]

Thank you!

[@craccozelpa]

As a doofus student, I enjoy getting bullied by you on a daily basis

[@MedicosisPerfectionalis]

Haha 😂 I was joking 🙃 You’re a friend, not a doofus!

[@suzanneswindall6307]

Wow

[@MedicosisPerfectionalis]

:)

[@idontwannabeanonymous4725]

"Almost no one knows this" 🤣

[@MedicosisPerfectionalis]

😊😊

[@muhammadahmed6038]

🤗🤗🤗I want to stalk you…….I meant shadow

[@MedicosisPerfectionalis]

😂

[@asmrnaturopath]

Moral of the lesson: Don't be a doofus doctor

[@MedicosisPerfectionalis]

Exactly!

[@alaasoliman3887]

👏👍👍

[@طبيبمسلم-ث8ض]

If you are a muslim , i hope that you are proud of islam , and ask others to enter islam in your lectures and everywhere There is nothing better than calling for islam . May Allah guides us all ومن أحسن قولا ممن دعا إلى الله وعمل صالحا وقال إنني من المسلمين 🥰

[@Zain_altouka]

🤍🤍🤍

[@MedicosisPerfectionalis]

:)

[@pranavc254]

Go work in a garbage company my professor told that

[@annchris4302]

😂😂😂

[@sakinasaify6048]

Wow