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Ellis demonstrates how to connect an NG tube to suction.
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Common Benign Pain Syndromes--Symptoms and Etiology:
1. Non-specific musculoskeletal pain: This is the most common cause of back pain. Patients present with lumbar area pain that does not radiate, is worse with activity, and improves with rest. There may or may not be a clear history of antecedent over use or increased activity. The pain is presumably caused by irritation of the paraspinal muscles, ligaments or vertebral body articulations. However, a precise etiology is difficulty to identify.
2. Radicular Symptoms: Often referred to as "sciatica," this is a pain syndrome caused by irritation of one of the nerve roots as it exits the spinal column. The root can become inflamed as a result of a compromised neuroforamina (e.g. bony osteophyte that limits size of the opening) or a herniated disc (the fibrosis tears, allowing the propulsus to squeeze out and push on the adjacent root). Sometimes, it's not precisely clear what has lead to the irritation. In any case, patient's report a burning/electric shock type pain that starts in the low back, traveling down the buttocks and along the back of the leg, radiating below the knee. The most commonly affected nerve roots are L5 and S1.
3. Spinal Stenosis: Pain starts in the low back and radiates down the buttocks bilaterally, continuing along the backs of both legs. Symptoms are usually worse with walking and improve when the patient bends forward. Patient's may describe that they relieve symptoms by leaning forward on their shopping carts when walking in a super market. This is caused by spinal stenosis, a narrowing of the central canal that holds the spinal cord. The limited amount of space puts pressure on the nerve roots when the patient walks, causing the symptoms (referred to as neurogenic claudication). Spinal stenosis can be congenital or develop over years as a result of djd of the spine. As opposed to true claudication (pain in calfs/lower legs due to arterial insufficiency), pain resolves very quickly when person stops walking and assumes upright position. Also, peripheral pulses should be normal.
4. Mixed symptoms: In some patients, more then one process may co-exist, causing elements of more then one symptom syndrome to co-exist.
Hold your elbows at shoulder level and place the backs of your hands together with your wrists bent at 90 degrees. This position increases the pressure on the median nerve. If the test reproduces or worsens your symptoms (pain and tingling in your hands), you may have carpal tunnel syndrome.
This is the incredible moment a new-born baby arrived still inside its amniotic sac, completely intact. The tiny infant can be seen moving and stretching still inside the sac, as medics prepare to snip the new born free. The amniotic sac is a thin but durable membrane filled with fluid which helps keep a baby warm and safe from bumps during pregnancy. When it breaks, this is typically referred to as a woman's 'waters breaking' shortly before she gives birth. But in rare cases, less than 1-in-80,000 births, the baby is delivered with the membranes still intact and this is known as a 'caul birth'. Some babies are born with part of the membrane still attached to them, but to be born completely encased in the intact membrane is incredibly rare. Many people still believe the phenomenon to be a good omen for the child's infancy and it is has even been suggested, but not proven, that caul babies will always have a natural affinity for water. The video was taken in Spain on Saturday and captures the rare moment the baby was born with the membrane covering its entire body, just minutes after its twin was delivered normally.
how do you know if I have a clogged duct or mastitis? You'll always have a clogged duct before you have mastitis and sometimes mastitis can be prevented if you jump on it fast enough. A clogged duct may be red, it can be a tender lump on one side or the other, just feel a little bit painful in one area when you nurse, and the best thing to do is apply warm compresses especially before nursing, massage the area from your armpit down towards the nipple, and then nurse your baby. The goal is to unclog that duct, get your baby to fully empty the breast, and hopefully it will prevent an infection. An infection or mastitis develops if the clogged duct isn't unclogged and bacteria start to harbor and grow and then you have an infection. Symptoms can be the same as a clogged duct as far as how the breasts feel. You might notice a red tender area or a lump. In addition to that you usually do have a fever or flu-like symptoms or just have generalized malaise, and fatigue, and aches. If you feel this way, call your doctor as soon as possible because it requires treatment. An antibiotic is the treatment as well as drinking lots of fluids and nursing your baby as frequently as possible. The milk that comes from the clogged duct is not harmful for your baby but sometimes it tastes a little extra salty and babies refuse it. If that's the case be sure to pump so that you're emptying your breast frequently. The more frequently you empty your breast the quicker you'll get over the infection. Also, of course, taking the antibiotics your doctor has prescribed and be sure to finish the entire course. If you have any other questions for me in the future feel free to ask them on our Facebook page at Facebook.com/IntermountainMoms and recommend us to your friends and family too.
Ever considered getting laser eye surgery, but didn’t know how it worked? Allow us to help!
There are three different main types of laser eye surgery: LASIK, SMILE, and Surface Laser Treatments, and each can be explained pretty easily.
LASIK uses two lasers to open up a thin flap on the surface of the cornea, and then reshapes the cornea underneath. The flap is then placed back over the reshaped cornea, and heals independently with time.
SMILE uses one laser to reshape the cornea through a small, self-healing hole.
And Surface Eye Treatments remove the clear skin over the eye, to then reshape the cornea underneath with - you guessed it - a laser!