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Intelligent People Have Fewer Friends, Here's Why...
Intelligent People Have Fewer Friends, Here's Why... samer kareem 1,774 Views • 2 years ago

Intelligent People Have Fewer Friends, Here's Why...

Endoscopic Dacryocystorhinostomy
Endoscopic Dacryocystorhinostomy samer kareem 7,124 Views • 2 years ago

Dacryocystorhinostomy (DCR) is a procedure performed for the treatment of tearing (epiphora) due to blockage of the nasolacrimal duct. Tears originate in the lacrimal gland, located at the upper outer margin of the eye. As tears cross the eye with each blink, they are directed into small openings in the eyelids called puncta. From this point, tears travel through a pathway known as the canalicular system into the lacrimal sac. The lacrimal sac is located between the eye and the nose, and funnels tears into the nasal cavity through the nasolacrimal duct (Figure 1). As this is quite a long path for tears to travel, there can be many causes of excessive tearing. Blockage of the nasolacrimal duct is one common cause, and can be treated by creating a direct opening from the lacrimal sac into the nasal cavity in a procedure known as DCR. The evaluation and management of tearing may involve both an ophthalmologist and an otolaryngologist.

Rheumatic Fever
Rheumatic Fever samer kareem 1,807 Views • 2 years ago

Rheumatic fever is an inflammatory disease that can develop as a complication of inadequately treated strep throat or scarlet fever. Strep throat and scarlet fever are caused by an infection with streptococcus bacteria. Rheumatic fever is most common in 5- to 15-year-old children, though it can develop in younger children and adults. Although strep throat is common, rheumatic fever is rare in the United States and other developed countries. However, rheumatic fever remains common in many developing nations. Rheumatic fever can cause permanent damage to the heart, including damaged heart valves and heart failure. Treatments can reduce damage from inflammation, lessen pain and other symptoms, and prevent the recurrence of rheumatic fever.

Surfactants and Surface Tension
Surfactants and Surface Tension samer kareem 1,762 Views • 2 years ago

Surfactant. Surfactants are compounds that lower the surface tension (or interfacial tension) between two liquids or between a liquid and a solid. Surfactants may act as detergents, wetting agents, emulsifiers, foaming agents, and dispersants.

Nephritis and Nephrotic Syndrome
Nephritis and Nephrotic Syndrome samer kareem 2,423 Views • 2 years ago

Nephritis and Nephrotic Syndrome

Menstrual cycle
Menstrual cycle samer kareem 22,934 Views • 2 years ago

The menstrual cycle is the regular natural change that occurs in the female reproductive system like the uterus and ovaries that make pregnancy possible. The cycle is required for the production of ovocytes, and for the preparation of the uterus for pregnancy.

Nelson's syndrome
Nelson's syndrome samer kareem 4,817 Views • 2 years ago

Nelson syndrome refers to a spectrum of symptoms and signs arising from an adrenocorticotropin (ACTH)–secreting pituitary macroadenoma after a therapeutic bilateral adrenalectomy. The spectrum of clinical features observed relates to the local effects of the tumor on surrounding structures, the secondary loss of other pituitary hormones, and the effects of the high serum concentrations of ACTH on the skin. [1] The first case was reported by Nelson et al in 1958. [2]

Ovulation Calculator
Ovulation Calculator samer kareem 30,388 Views • 2 years ago

Our calculator can help you discover the most fertile days of your menstrual cycle or your “Estimated Fertility Window” based on information you provide.

How Does Diabetes Cause Silent Heart Attacks?
How Does Diabetes Cause Silent Heart Attacks? samer kareem 6,142 Views • 2 years ago

A silent heart attack is a heart attack that has few, if any, symptoms. You may have never had any symptoms to warn you that you've developed a heart problem, such as chest pain or shortness of breath. Having diabetes or prediabetes puts you at increased risk for heart disease and stroke. You can lower your risk by keeping your blood glucose (also called blood sugar), blood pressure, and blood cholesterol close to the recommended target numbersthe levels suggested by diabetes experts for good health. (

Asthma and COPD
Asthma and COPD samer kareem 14,001 Views • 2 years ago

Asthma and COPD

Bowel Obstruction - Causes and Pathophysiology
Bowel Obstruction - Causes and Pathophysiology samer kareem 6,559 Views • 2 years ago

A small-bowel obstruction (SBO) is caused by a variety of pathologic processes. The leading cause of SBO in industrialized countries is postoperative adhesions (60%), followed by malignancy, Crohn disease, and hernias, although some studies have reported Crohn disease as a greater etiologic factor than neoplasia.

Heparin Induced Thrombocytopenia (HIT)
Heparin Induced Thrombocytopenia (HIT) samer kareem 9,357 Views • 2 years ago

All forms of heparin (including low-molecular-weight heparin such as enoxaparin) must be stopped immediately in patients with suspected heparin-induced thrombocytopenia (HIT) while awaiting diagnostic confirmation. Patients with HIT remain at high risk of thrombosis even after discontinuation of heparin. Therefore, an alternate, rapidly acting, non-heparin anticoagulant such as direct thrombin inhibitor (eg, argatroban, bivalirudin) must be started immediately.

Herpes Encephalitis
Herpes Encephalitis samer kareem 7,401 Views • 2 years ago

Herpes simplex encephalitis is characterized by acute-onset (<1 week) fever, headaches, seizures, altered mental status, and focal neurologic findings such as hemiparesis or cranial nerve deficits. This patient's weakness/fatigue for >1 week, heart murmur, history of drug abuse, and absence of focal neurologic deficits make endocarditis with mycotic aneurysm more likely than herpes encephalitis

Meningococcal meningitis
Meningococcal meningitis samer kareem 7,049 Views • 2 years ago

Meningococcal meningitis - causes, features, symptoms and treatment

Candida endophthalmitis
Candida endophthalmitis samer kareem 1,862 Views • 2 years ago

Patients with candida endophthalmitis who have chorioretinitis with vitreal involvement should be treated with vitrectomy and systemic antifungal therapy with amphotericin B (Choice B) and/or fluconazole. An early vitrectomy improves the likelihood of a positive outcome, and intravitreal injection of amphotericin B may be of help. Prompt diagnosis and treatment of candida endophthalmitis is essential, as the condition can worsen quickly.

Macular translocation
Macular translocation samer kareem 9,844 Views • 2 years ago

The fovea was moved 425 to 1,700 microm (965+/-262 microm) superiorly or inferiorly. Follow-up time was 2 to 12 months (median 8 months). Complications included macular pucker (3 eyes), subfoveal hemorrhage (2 eyes), macular hole (1 eye), and progression of cataract in phakic eyes (3 eyes). Thirteen of 20 eyes showed various degrees of proliferative vitreoretinopathy with epiretinal membrane formation over the inferior peripheral retina with the inferior retinal detachment stabilized by the silicone oil. One eye progressed to phthisis bulbi. Initial visual acuity ranged from 20/80 to 20/800 (median 20/150) and final visual acuity ranged from light perception to 20/200 (median 20/1000).

ASPERGILLOSIS
ASPERGILLOSIS samer kareem 5,644 Views • 2 years ago

Aspergillosis is the name given to a wide variety of diseases caused by infection by fungi of the genus Aspergillus. The majority of cases occur in people with underlying illnesses such as tuberculosis or chronic obstructive pulmonary disease (COPD), but with otherwise healthy immune systems.

Acute Intermittent Porphyria
Acute Intermittent Porphyria samer kareem 10,113 Views • 2 years ago

Acute intermittent porphyria (AIP) is a rare autosomal dominant metabolic disorder affecting the production of heme, the oxygen-binding prosthetic group of hemoglobin. It is characterized by a deficiency of the enzyme porphobilinogen deaminase.

Liver Cirrhosis
Liver Cirrhosis samer kareem 11,881 Views • 2 years ago

Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism. The liver carries out several necessary functions, including detoxifying harmful substances in your body, cleaning your blood and making vital nutrients.Apr 6, 2016

Exterior Cerclage
Exterior Cerclage samer kareem 2,216 Views • 2 years ago

Cerclage is indicated in a patient with a history of painless cervical dilation and a second trimester loss. It is also indicated in a patient with a history of preterm birth and a short cervix found on ultrasound between 16-24 weeks gestation. Cerclage placement occurs after the first trimester in case the pregnancy is genetically abnormal and would likely result in a first trimester loss.

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