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.

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Obstetrics is the field of medicine which encompasses the care of a woman during pregnancy and childbirth. In that way it is very unique, as when assessing these patients, your actually also assessing another the child.

Blood enters the heart through two large veins, the inferior and superior vena cava, emptying oxygen-poor blood from the body into the right atrium. As the atrium contracts, blood flows from your right atrium into your right ventricle through the open tricuspid valve.

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Glycogen storage disease (GSD, also glycogenosis and dextrinosis) is the result of defects in the processing of glycogen synthesis or breakdown within muscles, liver, and other cell types. GSD has two classes of cause: genetic and acquired.

Kyphosis, also known as a round back or hunchback, is a condition in which the spine in the upper back has an excessive curvature. The upper back, or thoracic region of the spine, is supposed to have a slight natural curve.

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Vertebrobasilar insufficiency is typically secondary to emboli, thrombi, or arterial dissection. The labyrinth and brainstem are commonly affected, and symptoms may include vertigo, dizziness, dysarthria, diplopia, and numbness.

ADC was first identified early in the AIDS epidemic as a common and novel CNS syndrome.(4,5) The three components of the term, AIDS dementia complex embody central features of the condition. AIDS emphasizes its morbidity and poor prognosis, particularly when its severity is at stage 2 or greater (see Table 1), a severity comparable to other clinical AIDS-defining complications of HIV-1 infection. Dementia designates the acquired and persistent cognitive decline with preserved alertness that usually dominates the clinical presentation and determines its principal disability. Complex emphasizes that this disease not only impairs the intellect, but also concomitantly alters motor performance and, at times, behavior. This involvement of the nervous system beyond cognition is evidence of a wider involvement of the CNS than occurs in some other types of dementia such as Alzheimer's disease. Additionally, myelopathy may be an important, indeed predominating, aspect of ADC, and organic psychosis may also be a feature in a subset of patients (see Rheumatologic and Musculoskeletal Manifestations of HIV). These manifestations are therefore also encompassed within this term. By contrast, neither neuropathy nor functional psychiatric disturbance are included in ADC.

This is a Video in Clinical Medicine from the New England Journal of Medicine. Tympanocentesis in Children with Acute Otitis Media Overview Tympanocentesis is defined as needle aspiration of fluid from the middle ear. In children with acute otitis media, drainage of pus from the middle ear results in a rapid and marked improvement in symptoms and enables the clinician to prescribe tailored antimicrobial therapy. This video will demonstrate the technique of tympanocentesis. Indications Tympanocentesis is recommended in children with refractory acute otitis media, in immunocompromised children with otitis media, and in children with suppurative complications of acute otitis media, . . . .

Encephalopathy means disorder or disease of the brain. In modern usage, encephalopathy does not refer to a single disease, but rather to a syndrome of global brain dysfunction; this syndrome can have many different organic and inorganic causes.

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Probes, landmarks, and general windows to obtain transthoracic echo views

Overbite is a type or malocclusion or an overjet. A lot of people don’t realize that they have an overbite, as they believe their condition is not serious enough to obtain dental attention. This could also for the reason that other cases of overbites are so minor to be noticeable. However, others have serious overbite condition that can make the person’s top jaw look much larger or the bottom jaw significantly smaller. But one thing to remember, overbite can actually cause some dental problems. This condition can change the structure of your face and affect the way you talk. The most popular form of overbite correction is orthodontic treatment. Your dentist will fix the overbite with the help of rubber bands and dental braces to pull the upper teeth back. Tooth extraction may be suggested if overcrowding complicates the overbite so as to provide room for your front teeth. In extreme conditions, overbite surgery may be needed to place your jaw backwards or forwards. Furthermore, if severe overbite is not corrected during adulthood, the teeth may continue to shift and trigger dental issues such as gum disease.

Wondering how pregnancy happens? It’s not as simple as it seems! Pregnancy takes several days, and there are lots of steps. Here are the basics on how pregnancy works.

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Interrupted aortic arch (IAA) is the absence or discontinuation of a portion of the aortic arch, the section of the aorta that turns downward toward the lower half of the body. Once the diagnosis of this rare defect is suspected and confirmed, treatment and surgical intervention are vitally important. Heart models and animation were developed by the Cincinn

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