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How to Prevent Strokes
How to Prevent Strokes samer kareem 4,586 Views • 2 years ago

Here are seven ways to start reining in your risks today, before a stroke has the chance to strike. Lower blood pressure. ... Lose weight. ... Exercise more. ... Drink — in moderation. ... Treat atrial fibrillation. ... Treat diabetes. ... Quit smoking.

General Assessment and Vital Signs
General Assessment and Vital Signs samer kareem 6,509 Views • 2 years ago

The examination room should be quiet, warm and well lit. After you have finished interviewing the patient, provide them with a gown (a.k.a. "Johnny") and leave the room (or draw a separating curtain) while they change. Instruct them to remove all of their clothing (except for briefs) and put on the gown so that the opening is in the rear. Occasionally, patient's will end up using them as ponchos, capes or in other creative ways. While this may make for a more attractive ensemble it will also, unfortunately, interfere with your ability to perform an examination! Prior to measuring vital signs, the patient should have had the opportunity to sit for approximately five minutes so that the values are not affected by the exertion required to walk to the exam room. All measurements are made while the patient is seated. Observation: Before diving in, take a minute or so to look at the patient in their entirety, making your observations, if possible, from an out-of-the way perch. Does the patient seem anxious, in pain, upset? What about their dress and hygiene? Remember, the exam begins as soon as you lay eyes on the patient. Temperature: This is generally obtained using an oral thermometer that provides a digital reading when the sensor is placed under the patient's tongue. As most exam rooms do not have thermometers, it is not necessary to repeat this measurement unless, of course, the recorded value seems discordant with the patient's clinical condition (e.g. they feel hot but reportedly have no fever or vice versa). Depending on the bias of a particular institution, temperature is measured in either Celcius or Farenheit, with a fever defined as greater than 38-38.5 C or 101-101.5 F. Rectal temperatures, which most closely reflect internal or core values, are approximately 1 degree F higher than those obtained orally. Respiratory Rate: Respirations are recorded as breaths per minute. They should be counted for at least 30 seconds as the total number of breaths in a 15 second period is rather small and any miscounting can result in rather large errors when multiplied by 4. Try to do this as surreptitiously as possible so that the patient does not consciously alter their rate of breathing. This can be done by observing the rise and fall of the patient's hospital gown while you appear to be taking their pulse. Normal is between 12 and 20. In general, this measurement offers no relevant information for the routine examination. However, particularly in the setting of cardio-pulmonary illness, it can be a very reliable marker of disease activity. Pulse: This can be measured at any place where there is a large artery (e.g. carotid, femoral, or simply by listening over the heart), though for the sake of convenience it is generally done by palpating the radial impulse. You may find it helpful to feel both radial arteries simultaneously, doubling the sensory input and helping to insure the accuracy of your measurements. Place the tips of your index and middle fingers just proximal to the patients wrist on the thumb side, orienting them so that they are both over the length of the vessel.

Direct Laryngoscopy: MICU Fellows Airway Course
Direct Laryngoscopy: MICU Fellows Airway Course samer kareem 23,349 Views • 2 years ago

Direct Laryngoscopy: MICU Fellows Airway Course

The Bone Marrow Aspiration
The Bone Marrow Aspiration samer kareem 8,719 Views • 2 years ago

A bone marrow biopsy is part of a bone marrow test that takes a sample of your solid bone tissue. This test looks for abnormalities in your blood cells and signs of any diseases. You can request anesthesia or a sedative before the biopsy, and manage any pain afterward with over-the-counter medications.

SEX DURING PREGNANCY
SEX DURING PREGNANCY samer kareem 5,212 Views • 2 years ago

SEX DURING PREGNANCY & 7 Tips For A Healthy Pregnancy

New Device can keep heart beating perfectly forever
New Device can keep heart beating perfectly forever samer kareem 7,828 Views • 2 years ago

New Device can keep heart beating perfectly forever

vaginal repair surgery
vaginal repair surgery samer kareem 8,091 Views • 2 years ago

posterior augmentation

Romberg's Test
Romberg's Test samer kareem 18,211 Views • 2 years ago

A patient who has a problem with proprioception can still maintain balance by using vestibular function and vision. In the Romberg test, the standing patient is asked to close his or her eyes. A loss of balance is interpreted as a positive Romberg's test.

Remove of ascaris lumbricoides
Remove of ascaris lumbricoides samer kareem 2,256 Views • 2 years ago

Remove of ascaris lumbricoides worms due to intestinal obstruction

Sturge-Weber Syndrome
Sturge-Weber Syndrome samer kareem 4,254 Views • 2 years ago

-Sturge-Weber syndrome manifests as a facial port-wine stain and leptomeningeal angiomatosis.

Sciatica Pain Relief Physiotherapy
Sciatica Pain Relief Physiotherapy samer kareem 3,689 Views • 2 years ago

Take your left leg and place your ankle against the knee. Hold the position for a moment before changing legs. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve causing pain. Repeat by switching sides and doing the same exercise with the other leg.

Long Head Biceps
Long Head Biceps samer kareem 3,124 Views • 2 years ago

Biceps tendonitis, also called bicipital tendonitis, is inflammation in the main tendon that attaches the top of the biceps muscle to the shoulder. The most common cause is overuse from certain types of work or sports activities.

Vaginal Child Birth
Vaginal Child Birth samer kareem 47,215 Views • 2 years ago

Labor And Delivery During Vaginal Child Birth

External breathing lung transplant
External breathing lung transplant samer kareem 13,079 Views • 2 years ago

External breathing lung transplant

Upper Eyelid Reconstruction
Upper Eyelid Reconstruction samer kareem 2,117 Views • 2 years ago

Live Surgery: Upper Eyelid Reconstruction - Tenzel Flap

Hypertensive Urgency vs. Emergency
Hypertensive Urgency vs. Emergency samer kareem 9,071 Views • 2 years ago

The Hypertensive urgency must be distinguished from hypertensive emergency. Urgency is defined as severely elevated blood pressure (ie, systolic >220 mm Hg or diastolic >120 mm Hg) with no evidence of target organ damage.

Hypertensive Emergency Treatment
Hypertensive Emergency Treatment samer kareem 5,313 Views • 2 years ago

Hypertensive urgency must be distinguished from hypertensive emergency. Urgency is defined as severely elevated blood pressure (ie, systolic >220 mm Hg or diastolic >120 mm Hg) with no evidence of target organ damage.

Patent Ductus Arteriosus Ligation
Patent Ductus Arteriosus Ligation s 24,919 Views • 2 years ago

This video: Patent ductus arteriosus (PDA) is a persistent opening between two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby's circulatory system before birth that usually closes shortly after birth. If it remains open, however, it's called a patent ductus arteriosus. A small patent ductus arteriosus often doesn't cause problems and might never need treatment. However, a large patent ductus arteriosus left untreated can allow poorly oxygenated blood to flow in the wrong direction, weakening the heart muscle and causing heart failure and other complications. Treatment options for a patent ductus arteriosus include monitoring, medications and closure by cardiac catheterization or surgery.

Hernia
Hernia samer kareem 62,867 Views • 2 years ago

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach).

Tendons & Tendinitis
Tendons & Tendinitis samer kareem 15,128 Views • 2 years ago

Tendons are thick cords that join your muscles to your bones. When these tendons become irritated or inflamed, it is called tendinitis. This condition causes acute pain and tenderness, making it difficult to move the affected joint. Read more

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