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urgical management of proximal humerus fractures may be categorized either according to fracture type (eg, Neer type, anatomic type, greater tuberosity, surgical neck, anatomic neck, articular surface, lesser tuberosity fragments) or according to method of fixation (eg, closed reduction with no fixation, percutaneous fixation, open reduction with internal fixation [ORIF], humeral head replacement associated with tuberosity fixation
What Causes TMD? We don’t know what causes TMD. Dentists believe symptoms arise from problems with the muscles of your jaw or with the parts of the joint itself. Injury to your jaw, the joint, or the muscles of your head and neck -- like from a heavy blow or whiplash -- can lead to TMD. Other causes include: Grinding or clenching your teeth, which puts a lot of pressure on the joint Movement of the soft cushion or disc between the ball and socket of the joint Arthritis in the joint Stress, which can cause you to tighten facial and jaw muscles or clench the teeth
Lumbar puncture is a common emergency department procedure used to obtain information about the cerebrospinal fluid (CSF) for diagnostic and, less commonly, therapeutic reasons. Please refer to the full article on Lumbar Puncture for more details on the lumbar puncture procedure. Lumbar puncture is typically performed via “blind” surface landmark guidance. The surface landmark technique is reported to be successful in a high percentage of attempted lumbar punctures; however, surface landmark identification of underlying structures has been shown to be accurate only 30% of the time. [1] Unsuccessful identification of proper landmarks often leads to increased difficulty in obtaining CSF, if the procedure is performed, and a higher rate of complications. Few alternatives are available in these cases. If available, fluoroscopic-guided lumbar puncture may be performed. If not, treatment is sometimes initiated empirically without obtaining CSF. Disadvantages of using fluoroscopy include limited availability or necessary transport of the patient outside of the emergency department, inability to directly visualize the spinal canal, and inherent radiation exposure
The digestive system is a group of organs working together to convert food into energy and basic nutrients to feed the entire body. Food passes through a long tube inside the body known as the alimentary canal or the gastrointestinal tract (GI tract).
A seizure occurs when there’s abnormal electrical activity in the brain. Seizures may go virtually unnoticed. Or, in severe cases, they may produce a change or loss of consciousness and involuntary muscle spasms called convulsions. Seizures usually come on suddenly and vary in duration and severity. A seizure may be a one-time event, or you may have seizures repeatedly. Recurrent seizures are called epilepsy, or a seizure disorder. Less than one in 10 people who has a seizure develops epilepsy. Experts classify seizures into two general categories and many subtypes based on the pattern of the attack. Generalized seizures involve both sides of the brain from the start of the attack. Common subtypes include tonic-clonic (grand mal) and absence seizures (petit mal). Febrile and infantile spasms are two types of generalized seizures that occur almost exclusively in young children. Partial (or focal) seizures are the second major seizure type. These begin in a specific area of the brain and may be contained there. Or they may spread to the entire brain. With simple partial seizures, the person remains conscious. Complex partial seizures involve impaired consciousness. What Causes Seizures? Often the cause of a seizure is unknown. Many conditions can provoke seizures, including: Stroke Brain tumors Head injuries Electrolyte imbalance Very low blood sugar Repetitive sounds or flashing lights, such as in video games Medications, such as antipsychotics and some asthma drugs Withdrawal from medications, such as Xanax, narcotics, or alcohol Use of drugs such as cocaine and heroin Cancer Brain infections, such as meningitis