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mendownjacket : Face consultation formulas
lip color white, the primary injury of blood. lip cyanosis, cold pain in stasis. bright side, the water product. face yellow and black, fatty liver. ear surface focus, anti-cancer. face lean, should care. the absence of disease, will flesh. ... kidneys are water, kidney primary bone and kidney that filter blood circulation; –. weak spleen function. a pinpoint location –. corresponds to the small intestine and heart, mind the small intestine; – ...
2012web » How to measure healthy nails
nails too soft for the Yin Huo-wang; thin brittle hard and soft enough for the liver blood; atrophy more than enough for the heart and spleen; vertical stripes are weak; easy to break those weak heart yang; a body such as the flat were ... whole fingernails have become white,authentic mlb jersey, and were called 'linear white A', 'part of the White A', 'all white A', actually 'point-like white A', 'Linear White A' common in normal children, or for the moment of injury. ...
What are Platelets?
Stimulated by the hormone thrombopoietin, platelets break off the megakaryocytes and enter the blood stream, where they circulate for about 10 days before ending their short lives in the spleen. Normal Results ...
Hepatic & Biliary Trauma. Operative Management Of Liver Injury
OPERATIVE MANAGEMENT OF LIVER INJURY
11. How are acute liver injuries classified?
Show answer
Liver wounds are generally graded on a scale of I to VI according the depth of parenchymal laceration and involvement of the hepatic veins or retrohepatic portion of the inferior vena cava. Optimal methods of obtaining hemostasis vary with the severity of the injury.
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Incoming search terms
pringle maneuver technique liver injury, biliary trauma, finger fracture hepatotomy, liver laceration surgical management, liver laceration/pringle maneuver, liver packing, billiary trauma and its management, finger fracture in liver injuries, grading liver lacerations surgical management, hepatic arterial bleeding management, hepatic fracture, hepatic fracture treatment, hepatic trauma and its management, indication hepatic artery ligation, is penrose drain required to provide pringle maneuver, laceration inferior vena cava, liver fracture surgical management, liver hemorrhage maneuver, liver injury-operative steps, liver laceration management, liver packing for trauma, liver packing in trauma, liver trauma-operative steps, management of hepatic trauma, management of liver injuries, management of liver trauma, operative indications liver laceration, operative management of liver injury, operative management of liver trauma bile, option to control liver hemorrhage,Lower Urinary Tract Injury & Pelvic Trauma
31 LOWER URINARY TRACT INJURY AND PELVIC TRAUMA
Fernando J. Kim M.D., Siam Oottamasathien M.D.
1. What are the causes of bladder injury?
Show answer
Iatrogenic manipulation and penetrating or blunt trauma. Because of the rich detrusor blood supply, bladder injury is usually accompanied by hematuria. Other signs may include suprapubic pain, inability to void, or incomplete recovery of catheter irrigation.
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Pancreatic & Duodenal Injury
27 PANCREATIC AND DUODENAL INJURY
Caesar M. Ursic M.D.
1. How common are pancreatic injuries?
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The pancreas is not commonly injured because of its protected retroperitoneal position, and thus accounts for only 8% of all penetrating and 2% of all blunt visceral injuries.
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Heart Transplantation
91 HEART TRANSPLANTATION
Daniel R. Meldrum M.D., Azad Raiesdana M.D., Jeffrey A. Breall M.D., John W. Brown M.D.
1. Who performed the first experimental heart-lung transplant?
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Alexis Carrel, a French-born American surgeon, developed the vascular techniques required for heart-lung transplantation and performed the first experimental heart-lung transplant in 1907. He transplanted the lungs, heart, aorta, and vena cava of a 1-week-old cat into the neck of a large adult cat. For devising the technique of vascular anastomosis and other outstanding accomplishments, Carrel received the Nobel Prize in 1912 (the first Nobel Prize awarded to a scientist working in an American laboratory).
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Incoming search terms
first anastomosis in heart transplant,Hepatic & Biliary Trauma. Biliary Tract Injury
BILIARY TRACT INJURY
22. Why are complications associated with bile duct leaks?
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Bilomas (i.e., collections of bile) frequently become infected and may result in lethal peritonitis. Biliopleural fistula, a communication between the biliary system and pleural cavity, persists because of the relative negative pressure in the thorax and may result in a bile empyema.
Incoming search terms
biliary trauma, trauma hepatic, biliary tract injury, billiary trauma and its management, fistula biliopleural trauma, hepatic trauma, hepatic trauma and its management, liver trauma and biliary stenting, trauma to biliary tract,Traumatic Brain Injury
18 TRAUMATIC BRAIN INJURY
J. Paul Elliott M.D., Sanjay Misra M.D.
1. Is traumatic brain injury (TBI) a common problem?
Show answer
Yes. In the United States, 1 in 12 deaths is due to injury. One third of traumatic deaths are associated with TBI. Of deaths resulting from motor vehicle accidents, 60% are due to brain injury. Even more common is minor TBI, which accounts for 75% of admissions for head trauma.
Risks Of Bloodborne Disease
101 RISKS OF BLOODBORNE DISEASE
Caesar M. Ursic M.D., Doru I. E. Georgescu M.D.
1. What infectious diseases are transmissible via blood transfusion?
Why Get Arterial Blood Gases?
6 WHY GET ARTERIAL BLOOD GASES?
Alden H. Harken M.D.
1. Is breathing really overrated?
Show answer
It may be. A Japanese yoga master survived just fine breathing once per minute for an hour (see reference 1)!
2. Mr. O’Flaherty has just undergone an inguinal herniorrhaphy under local anesthesia. The recovery room nurse asks permission to sedate him. She says that he is confused and unruly and keeps trying to get out of bed. Is it safe to sedate Mr. O’Flaherty?
Show answer
No. A confused, agitated patient in the recovery room or surgical intensive care unit (SICU) must be recognized as acutely hypoxemic until proved otherwise.
3. Mr. O’Flaherty is moved to the SICU, and at 2:00 a.m. the SICU nurse calls to report that he has a Po2 of 148 mmHg on facemask oxygen. Is it okay to roll over and go back to sleep?
Queries 5
Queries 2
Properties In Evaluation Of The Acute Abdomen. Physical Exam
PHYSICAL EXAMINATION
7. Are vital signs important?
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Yes. They are vital. If heart rate and blood pressure are on the wrong side of 100 (heart rate > 100 beats/min, systolic blood pressure < 100 mmHg), watch out! Tachypnea (respiratory rate >16) reflects either pain or systemic acidosis. Fever may develop late, particularly in the immunosuppressed patient who may be afebrile in the face of florid peritonitis.
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Hepatic & Biliary Trauma
25 HEPATIC AND BILIARY TRAUMA
Reginald J. Franciose M.D., Ernest E. Moore M.D.
1. How often is the liver injured in trauma?
Show answer
The liver is both big and central, so it is an easy target.
2. Do the liver and spleen respond similarly to injury?
Show answer
No. The liver has a unique ability to establish spontaneous hemostasis even with extensive injuries. For this reason, the majority of liver injuries in hemodynamically stable patients can be managed nonoperatively. In contrast, many splenic fractures continue to bleed; therefore, a greater percentage require operative intervention.
Splenic Trauma
26 SPLENIC TRAUMA
David J. Ciesla M.D., Ernest E. Moore M.D.
1. What is the physiologic role of the spleen?
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In fetal development, the spleen serves as a major site for hematopoiesis. In early childhood the spleen produces immunoglobulin M (IgM) and tuftsin. The spleen also functions as a filter, allowing resident macrophages to remove abnormal red blood cells (RBCs), cellular debris, and encapsulated and poorly opsonized bacteria.
Blunt Abdominal Trauma
23 BLUNT ABDOMINAL TRAUMA
David J. Ciesla M.D., Ernest E. Moore M.D.
1. What elements of the history are important in evaluating a patient with suspected blunt abdominal trauma (BAT)?
Show answer
First, the mechanism of injury (e.g., motor vehicle collision, automobile-pedestrian accident, fall) is important. In motor vehicle accidents, note the position of the victim in the car, velocity of impact (high, moderate, low), type of accident (front, lateral, or rear impact; side swipe; rollover), and type of restraint used (shoulder restraint, air-bag, lap belt). Information about damage to the vehicle, such as a broken windshield or bent steering wheel, may raise suspicion of cervical and chest injuries. In a fall, it is important to note the distance fallen and the site of anatomic impact. Vertical landing on the feet or in a sitting position causes a different pattern of injury than lateral landing on the side. Serial vital signs and mental status are always important.
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Properties In Evaluation Of The Acute Abdomen
14 PRIORITIES IN EVALUATION OF THE ACUTE ABDOMEN
Alden H. Harken M.D.
1. What is the surgeon’s responsibility when confronted by a patient with an acute abdomen?
Show answer
1. To identify how sick the patient is
2. To determine whether the patient (a) needs to go directly to the operating room, (b) should be admitted for resuscitation or observation, or (c) can be sent safely home
Abernathy’s Surgical Secrets, Updated Edition (Book w / Student Consult)
Author / s: Harken Alden H., Abernathy Charles, Moore Ernest Eugene
Year: 2004
Pages: 473
Publishers: Elsevier Mosby; 5th Bk & Acc edition
ISBN: 0323034160
