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Stress-related mucosal disease (SRMD) is an acute, erosive gastritis representing conditions ranging from stress-related injury to stress ulcers (1, 2). Stress-related injury is superficial mucosal damage that presents primarily as erosions, whereas stress ulcers are deep, focal mucosal damage penetrating the submucosa with high risk for gastrointestinal bleeding (2, 3). Mucosal damage has been reported to occur during the first 24 hours of hospital admission in 75% to 100% of intensive care unit (ICU) patients (4, 5). Clinically important gastrointestinal bleeding can cause hemodynamic instability and increase the need for red blood cell transfusions (1). Significant bleeding may also increase the length of stay in the ICU and mortality (1).
A detailed description of the Arterial Pulse including its waveform and pathological subtypes. Also discussed are the abnormal rates (tachycardia and bradycardia) and their causes, abnormal rhythm (including regularly regular and irregularly irregular pulses) and abnormal character (including pulses bisferiens, pulses parvus et tarsus, pulsus alternans, pulses paradoxus and others.) Description of pulse in various pathological states including Aortic stenosis and aortic regurgitation is also included. Finally there is also a description of the peripheral signs of aortic regurgitation.
Presence of several characteristic diabetic foot pathologies such as infection, diabetic foot ulcer and neuropathic osteoarthropathy is called diabetic foot syndrome. Due to the peripheral nerve dysfunction associated with diabetes (diabetic neuropathy), patients have a reduced ability to feel pain.
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This video illustrates an IM injection for deltoid muscle.
Note that vaccines and other medications can be administered through the deltoid muscle. I will give you some tips through this video.
It is important to check your client’s details such as their medication, time, dose, and the route to be used. Different research works are subject to change the protocols for insertion thus, it is necessary to be up to date with the current changes.
Assemble all the supplies and conduct hand sanitation. Usually, I wear gloves before giving any injection in as much as the CDC may state it is optional unless the patient has an open lesion and contact of body fluids is likely to happen.
Use the acromion process landmark to locate the deltoid muscle. Move your fingers about two widths below the landmark. The patient’s adipose tissue determines the choice of needle length. Note that the needle gauge is determined by the type of medication you plan to give to the patient.
The Z-track technique is recommended rather than pinching the patient’s skin. Pull the patient’s skin to the side using one hand. Use a 90 degree angle to insert the needle to the patient’s skin. At the rate of 10 seconds per mL gently depress the plunger.
Remove the needle carefully and engage the safety precautions then dispose of the needle appropriately in the sharps container. Gauzing helps to cover the injection site.
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Join the Amoeba Sisters a they explore different muscle tissues and then focus on the sliding filament theory in skeletal muscle! This video also briefly talks about muscle naming, some vocabulary (such as agonists and antagonists) before focusing on the sliding filament model. Video also mentions general roles of tropomyosin and troponin.
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Table of Contents:
00:00 Intro
0:39 Muscle Tissue Types
1:58 Muscle Characteristics
2:33 Skeletal Muscle Naming and Arrangement
3:26 Actin Myosin and Sarcomere
4:32 Sliding Filament Model
6:55 Tropomyosin an Troponin
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Factual References:
Betts, J. Gordon, et al. “10.3 Muscle Fiber Contraction and Relaxation - Anatomy and Physiology 2e | OpenStax.” Openstax.org, 20 Apr. 2022, openstax.org/books/anatomy-and-physiology-2e/pages/10-3-muscle-fiber-contraction-and-relaxation.
Urry, Lisa A, et al. Campbell Biology. 11th ed., New York, Ny, Pearson Education, Inc, 2017.
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Further Reading Recommendations:
What about I and A bands? What actually initiates the power stroke? How does calcium get released and from where? Remember, there is a lot more detail! We recommend this page from Openstax to learn more:
https://openstax.org/books/bio....logy-2e/pages/38-4-m
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The Amoeba Sisters videos demystify science with humor and relevance. The videos center on Pinky's certification and experience in teaching biology at the high school level. Amoeba Sisters videos only cover concepts that Pinky is certified to teach, and they focus on her specialty: secondary life science. Learn more about our videos here: https://www.amoebasisters.com/our-videos
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Follow along on a typical day with UCSF Medical Center's chief of cardiothoracic surgery Dr. Tom Nguyen. Take a walk on rounds with his team as they check on patients who are recovering or preparing for heart valve surgeries to treat conditions such as mitral valve prolapse and mitral regurgitation. Get a glimpse into the operating room as Dr. Nguyen and his team use the latest non-invasive techniques to help patients achieve the best outcomes.
0:00 Surgeon begins day with morning report
0:53 Meet with fellows and visit patients
1:28 Surgeon thoughts on his practice
Minimally Invasive Surgeries
2:09 Mitral valve replacement for mitral stenosis
3:11 Mitral valve repair for AFib and mitral regurgitation
3:36 Stopping the heart
4:15 Culture 1 - Everyone's voice matters
4:45 Mitral valve repair for heart murmur
5:12 Culture 2 - Patient first
To view more UCSF videos relating to Mitral Regurgitation Treatment and Aortic Stenosis Treatment view:
Mitral Regurgitation Treatment Options https://youtu.be/7nUUOMx4tJ0
Aortic Stenosis Treatment Options https://youtu.be/A2rZK0oFWcc
If you want to learn more about the Cardiac Surgery clinic and to request an appointment visit: https://www.ucsfhealth.org/cli....nics/cardiac-surgery
#dayinthelife #heartsurgeon #heartsurgery #CardiacSurgery #Cardiology #ucsf #drnguyen#ucsfhealth #Cardiothoracic