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Baby and Toddler Milestones
Baby and Toddler Milestones samer kareem 3,910 Views • 3 years ago

uses video of babies and toddlers to show the communication milestones expected in typically developing children. She also discusses what parents should do if they suspect their child is developmentally delayed

What is Sickle Cell Anemia?
What is Sickle Cell Anemia? samer kareem 6,479 Views • 3 years ago

Sickle cell anemia (sickle cell disease) is a disorder of the blood caused by an inherited abnormal hemoglobin (the oxygen-carrying protein within the red blood cells). The abnormal hemoglobin causes distorted (sickled) red blood cells.

Lipid Lowering Agents
Lipid Lowering Agents samer kareem 2,893 Views • 3 years ago

Lipid-Lowering Agents HMG-CoA reductase inhibitors (statins) These agents inhibit the rate-limiting step in cholesterol biosynthesis by competitively inhibiting HMG-CoA reductase. Note the following: Low-density lipoprotein (LDL) reduction of 25%-60% Examples include Atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Contraindications include hypersensitivity, active liver disease, pregnancy, lactation, coadministration with strong CYP3A4 inhibitors (selected statins) Vitamin B3 Vitamin B3 inhibits very-low-density lipoprotein (VLDL) synthesis. Note the following: LDL reduction of 10% High-density lipoprotein (HDL) increase of 20% Example includes Niacin (nicotinic acid) Contraindications include hypersensitivity, liver disease, active peptic ulcer, severe hypotension, arterial bleeding Fibrates Fibrates enhance lipoprotein lipase, resulting in increased VLDL catabolism, fatty acid oxidation, and triglycerides elimination. They decrease hepatic extraction of free fatty acids. Note the following: LDL reduction of 15% Triglyceride reduction of 35% Examples include Gemfibrozil, fenofibrate, fenofibrate (micronized), fenofibric acid Contraindications include active liver disease, renal disease, primary biliary cirrhosis, gallbladder disease 2-Azetidiones These agents inhibit sterol transporter at brush border and, consequently, intestinal absorption of cholesterol. LDL reduction of 15% Example includes Ezetimibe Contraindications include hypersensitivity, coadministration with statins (if active liver disease) Bile acid sequestrants These agents lower cholesterol and LDL via bile duct sequestration. Note the following: LDL reduction of 15% Examples include Cholestyramine, colesevelam, colestipol Contraindications include biliary/bowel obstruction, serum triglycerides >300-500 mg/dL, history of hypertriglyceridemia-induced pancreatitis

Dissection of the Transverse Process
Dissection of the Transverse Process samer kareem 1,840 Views • 3 years ago

Surgeon performs a dissection of the transverse process during spine surgery, explaining the benefits of including the AQUAMANTYS System from Salient Surgical Technologies during the procedure. The AQUAMANTYS System uses Salient's patented TRANSCOLLATION technology, which has been clinically shown to reduce blood loss and lower blood transfusion rates when used during surgery.

Eye Pressure Test
Eye Pressure Test samer kareem 2,612 Views • 3 years ago

Eye Pressure Test

Domestic Violence Healthcare Response
Domestic Violence Healthcare Response drjeanneking 13,488 Views • 3 years ago

Healthcare providers are in the best position to assess for domestic violence, yet have obstacles to doing so. See the benefits to moving beyond these obstacles for those you serve. And discover an accurate, convenient and confidential way to assess for domestic abuse.

Arterial Blood Gas
Arterial Blood Gas samer kareem 1,354 Views • 3 years ago

Arterial Blood Gas Sampling

Cancers of the lung
Cancers of the lung samer kareem 1,359 Views • 3 years ago

There are three main types of lung cancer. Knowing which type you have is important because it affects your treatment options and your outlook (prognosis). If you aren’t sure which type of lung cancer you have, ask your doctor so you can get the right information.

Treatment for Hyperparathyroidism)
Treatment for Hyperparathyroidism) samer kareem 1,762 Views • 3 years ago

Churg Strauss
Churg Strauss samer kareem 1,451 Views • 3 years ago

Eosinophilic granulomatosis with polyangiitis (EGPA)—or, as it was traditionally termed, Churg-Strauss syndrome—is a rare systemic necrotizing vasculitis that affects small-to-medium-sized vessels and is associated with severe asthma and blood and tissue eosinophilia. [1] Like granulomatosis with polyangiitis (Wegener granulomatosis), and the microscopic form of periarteritis (ie, microscopic polyangiitis), EGPA is an antineutrophil cytoplasmic antibody (ANCA)–associated vasculitide. [2, 3, 4, 5] In 1951, Churg and Strauss first described the syndrome in 13 patients who had asthma, eosinophilia, granulomatous inflammation, necrotizing systemic vasculitis, and necrotizing glomerulonephritis. [3] In 1990, the American College of Rheumatology (ACR) proposed the following six criteria for the diagnosis of Churg-Strauss syndrome [6] : Asthma (wheezing, expiratory rhonchi) Eosinophilia of more than 10% in peripheral blood Paranasal sinusitis Pulmonary infiltrates (may be transient) Histological proof of vasculitis with extravascular eosinophils Mononeuritis multiplex or polyneuropathy

Fingernail Abscess Infection Treatment
Fingernail Abscess Infection Treatment Mohamed Ibrahim 24,920 Views • 3 years ago

Paronychia Fingernail Abscess Infection Treatment

How To Calm A Crying Baby
How To Calm A Crying Baby samer kareem 2,007 Views • 3 years ago

How to Read a CT Scan of the Head
How to Read a CT Scan of the Head samer kareem 2,337 Views • 3 years ago

Head CT Interpretation Made Easy

Facts about Blood Pressure
Facts about Blood Pressure samer kareem 2,321 Views • 3 years ago

Open Splenectomy HD Surgery Video
Open Splenectomy HD Surgery Video Mohamed Ibrahim 31,358 Views • 3 years ago

Splenectomy is a surgical procedure that partially or completely removes the spleen.

Immune Responses During a Lupus Flare
Immune Responses During a Lupus Flare samer kareem 2,585 Views • 3 years ago

⁣Immune Responses During a Lupus Flare Video

Multiple Lipoma removal surgery
Multiple Lipoma removal surgery samer kareem 10,123 Views • 3 years ago

Blood Viscosity
Blood Viscosity samer kareem 1,451 Views • 3 years ago

When the hematocrit rises to 60 or 70%, which it often does in polycythemia, the blood viscosity can become as great as 10 times that of water, and its flow through blood vessels is greatly retarded because of increased resistance to flow. This will lead to decreased oxygen delivery.

Hypernatremia
Hypernatremia samer kareem 1,394 Views • 3 years ago

Sodium levels are tightly controlled in a healthy individual by regulation of urine concentration and an intact thirst mechanism. Hypernatremia (defined as a serum sodium level >145 mEq/L) is rare in patients with preserved thirst mechanism. When hypernatremia does occur, it is associated with a high mortality rate (>50% in most studies). Given this high mortality rate, the emergency physician must be able to recognize and treat this condition. This article discusses the patients in whom hypernatremia should be suspected and how to initiate workup and administer appropriate treatment. In general, hypernatremia can be caused by derangement of the thirst response or altered behavioral response thereto (primarily psychiatric patients, and elderly patients who are institutionalized), impaired renal concentrating mechanism (diabetes insipidus [DI]) secondary to kidney pathology (nephrogenic DI) or difficulty with the neurohormonal control of this concentrating mechanism (central DI), or by losses of free water from other sources.

Basal Cell Carcinoma Excision on the Leg
Basal Cell Carcinoma Excision on the Leg samer kareem 13,021 Views • 3 years ago

⁣Basal Cell Carcinoma Excision on the Leg procedure

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