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The differential diagnosis of chest pain
The differential diagnosis of chest pain samer kareem 4,508 Views • 3 years ago

Chest pain is a frequent complaint of patients seeking urgent medical assistance, and accounts for an estimated 2-4 per cent of all A&E visits in the UK (Becker, 2000). Generally, acute chest pain should be considered cardiovascular in origin until proven otherwise and it is common in clinical practice to err on the conservative or ‘safe’ side when evaluating people with chest pain. Individuals with suspected ischaemic chest pain must be evaluated rapidly for several reasons: - Myocardial ischaemia, if prolonged and severe, can cause myocardial infarction (necrosis); - Treatment strategies that achieve myocardial salvage (thrombolytic therapy or primary coronary angioplasty) are available for patients with acute coronary syndromes and these treatments reduce morbidity and mortality;

Rotator Cuff Repair Surgery
Rotator Cuff Repair Surgery samer kareem 4,143 Views • 3 years ago

Rotator cuff repair is surgery to repair a torn tendon in the shoulder. The procedure can be done with a large (open) incision or with shoulder arthroscopy, which uses small buttonhole-sized incisions.

Dyslipidemia
Dyslipidemia samer kareem 6,393 Views • 3 years ago

High cholesterol, or dyslipidemia, means that there is an imbalance of fats (lipids), circulating in your blood stream. Cholesterol is a fatty substance your body uses to make hormones and metabolize food.

Urinary Tract Infection
Urinary Tract Infection samer kareem 10,318 Views • 3 years ago

To identify an UTI, keep an eye out for the following symptoms: A burning feeling when you urinate. A frequent or intense urge to urinate, even though little comes out when you do. Pain or pressure in your back or lower abdomen. Cloudy, dark, bloody, or strange-smelling urine. Feeling tired or shaky.

Infertility in Women
Infertility in Women samer kareem 4,405 Views • 3 years ago

Problems that affect ovulation, and the hormones involved with ovulation, are the most common cause of female infertility. They include: Polycystic Ovarian Syndrome (PCOS). Women with PCOS do not ovulate regularly and they experience infrequent or absent menstrual cycles.

Hormone Action
Hormone Action samer kareem 31,477 Views • 3 years ago

A hormone is a chemical messenger that enables communication between cells. Hormones are secreted by the glands of the endocrine system and they serve to maintain homeostasis and to regulate numerous other systems and processes, including reproduction and development.

Bariatric surgery
Bariatric surgery samer kareem 8,367 Views • 3 years ago

Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery). The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Each surgery has its own advantages and disadvantages.

Blackheads, Cysts & Pimples
Blackheads, Cysts & Pimples samer kareem 3,190 Views • 3 years ago

Blackheads, Cysts & Pimples

The Effect Of alcohol To Pancreas
The Effect Of alcohol To Pancreas samer kareem 9,679 Views • 3 years ago

Here we’ll explain the symptoms of pancreatitis, how alcohol causes the condition and the other health problems it can lead to. You probably don’t pay much attention to your pancreas. But that small, tadpole-shaped organ behind your stomach and below your ribcage is pretty important. It produces two essential substances: digestive juices which your intestines use to break down food, and hormones that are involved in digestion, such as insulin, which regulates your blood sugar levels. Pancreatitis is when your pancreas becomes inflamed and its cells are damaged. Heavy drinking can cause pancreatitis. But if you drink within the government’s low risk unit guidelines, you should avoid upsetting this important organ.

Cardiac Axis in 5 min
Cardiac Axis in 5 min samer kareem 14,778 Views • 3 years ago

It then spreads down the bundle of his and then purkinje fibres to cause ventricular contraction. So when viewing the heart from the front, the direction of depolarisation is 11 o'clock to 5 o'clock. The general direction of depolarisation is known as the cardiac axis.

APGAR Test
APGAR Test samer kareem 20,539 Views • 3 years ago

Although the Apgar score was developed in 1952 by an anesthesiologist named Virginia Apgar, you also might hear it referred to as an acronym for: Appearance, Pulse, Grimace, Activity, and Respiration. The Apgar test is usually given to a baby twice: once at 1 minute after birth, and again at 5 minutes after birth.

Low Thyroid - Could It Be A T3 Problem?
Low Thyroid - Could It Be A T3 Problem? samer kareem 5,831 Views • 3 years ago

NTIS refers to a syndrome found in seriously ill or starving patients with low fT3, usually elevated RT3, normal or low TSH, and if prolonged, low fT4. It is found in a high proportion of patients in the ICU setting, and correlates with a poor prognosis if TT4 is <4ug/dl. The patho-physiology includes suppression of TRH release, reducedT3 and T4 turnover, reduction in liver generation of T3, increased formation of RT3, and tissue specific down-regulation of deiodinases, transporters, and TH receptors. Although long debated, tissue TH levels are definitely reduced, and tissue hypothyroidism is presumably present. This is often not clinically evident because of the brief duration, and reduced but not absent tissue levels of TH. Although recognized for nearly 4 decades, interpretation of the syndrome is contested, because of lack of data. Some observes, totally without data, argue that it is a protective response and should not be treated. Other observers (as in this review) present available data suggesting, but not proving, that thyroid hormone replacement is appropriate, not harmful, and may be beneficial. The best form of treatment (TRH,TSH,or T3+T4) and possible accompanying treatments (GHRH, Cortisol, nutrition, insulin) lack consensus. In this review current data are laid out for reader’s review and judgment.

Cortisol and Glucocorticoids
Cortisol and Glucocorticoids samer kareem 3,681 Views • 3 years ago

The vast majority of glucocorticoid activity in most mammals is from cortisol, also known as hydrocortisone. Corticosterone, the major glucocorticoid in rodents, is another glucocorticoid. Cortisol binds to the glucocorticoid receptor in the cytoplasm and the hormone-receptor complex is then translocated into the nucleus, where it binds to its DNA response element and modulates transcription from a battery of genes, leading to changes in the cell's phenotype. Only about 10% of circulating cortisol is free. The remaining majority circulates bound to plasma proteins, particularly corticosteroid-binding globulin (transcortin). This protein binding likely decreases the metabolic clearance rate of glucocorticoids and, because the bound steroid is not biologically active, tends to act as a buffer and blunt wild fluctuations in cortisol concentration.

Transfusion Reactions Part 1
Transfusion Reactions Part 1 samer kareem 1,670 Views • 3 years ago

A hemolytic transfusion reaction is a serious complication that can occur after a transfusion of blood. The red blood cells that were given in the transfusion are destroyed by the patient's immune system. There are other types of allergic transfusion reactions that do not cause hemolysis.

Types of cerebral palsy
Types of cerebral palsy samer kareem 1,686 Views • 3 years ago

Cerebral palsy refers to brain damage that occurs before a child is five years old. Therefore, adults cannot develop cerebral palsy. However, cerebral palsy does not get better or worse with age, so when a child has the condition, he or she will continue to have the condition into adulthood.

Binswanger's Disease
Binswanger's Disease samer kareem 2,910 Views • 3 years ago

Binswanger's disease is a type of vascular dementia that involves white matter infarcts. Patients with this disease usually present with apathy, agitation, and bilateral corticospinal or bulbar signs

Cerebellum Examination
Cerebellum Examination samer kareem 14,675 Views • 3 years ago

Definition. The principal signs of cerebellar dysfunction are the following: Ataxia: unsteadiness or incoordination of limbs, posture, and gait. A disorder of the control of force and timing of movements leading to abnormalities of speed, range, rhythm, starting, and stopping.

Intestinal Lymphangiectasia
Intestinal Lymphangiectasia samer kareem 4,011 Views • 3 years ago

Idiopathic Hypoproteinemia or Intestinal Lymphangiectasia is a malabsorption disease due to abnormalities of the lymph vessels.

Scaphoid Hand Fracture Management
Scaphoid Hand Fracture Management samer kareem 1,465 Views • 3 years ago

An animation for Acumed demonstrating their new line of screws for fixing fractures. This one is focused on a Scaphoid fracture in the hand.

How to increase breast milk supply
How to increase breast milk supply samer kareem 2,370 Views • 3 years ago

How to increase breast milk supply How to Naturally Boost & Increase your breast milk supply

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