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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.

Kocher's method of relocating a dislocated shoulder
Kocher's method of relocating a dislocated shoulder samer kareem 4,277 Views • 2 years ago

This is a demonstration of the Kocher's method of relocating a dislocated shoulder

Norepinephrine
Norepinephrine samer kareem 1,771 Views • 2 years ago

Norepinephrine is synthesized from dopamine by dopamine β-hydroxylase.[7] It is released from the adrenal medulla into the blood as a hormone, and is also a neurotransmitter in the central nervous system and sympathetic nervous system where it is released from noradrenergic neurons.

What is a stent, and how does it work?
What is a stent, and how does it work? samer kareem 2,018 Views • 2 years ago

This video describes the effects of heart disease and explains how stents are used to treat damaged arteries.

3D How To: Ultrasound Guided Paricardiocentesis Procedure - SonoSite Ultrasound
3D How To: Ultrasound Guided Paricardiocentesis Procedure - SonoSite Ultrasound samer kareem 2,051 Views • 2 years ago

Using 3D animations we have come up with a new way of demonstrating how to perform portable ultrasound examinations

Aortoiliac Occlusive Disease
Aortoiliac Occlusive Disease samer kareem 1,666 Views • 2 years ago

Aortoiliac occlusive disease (AIOD) occurs commonly in patients with PAD. Significant lesions in the aortoiliac arterial segment are exposed easily by palpation of the femoral pulses. Any diminution of the palpable femoral pulse indicates that a more proximal obstruction exists. Obstructive lesions may be present in the infrarenal aorta, common iliac, internal iliac (hypogastric), external iliac, or combinations of any or all of these vessels. Occasionally, degenerated nonstenotic atheromatous disease exists in these vessels and may manifest by atheroembolism to the foot, the "blue toe" or "trash foot" syndrome. Generally, patients with aortoiliac PAD have a poorer general prognosis than those with more distal PAD.

Dyslipidemia
Dyslipidemia samer kareem 6,330 Views • 2 years ago

High cholesterol, or dyslipidemia, means that there is an imbalance of fats (lipids), circulating in your blood stream. Cholesterol is a fatty substance your body uses to make hormones and metabolize food.

Clonidine
Clonidine samer kareem 2,137 Views • 2 years ago

Clonidine lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels to relax and your heart to beat more slowly and easily. The Catapres brand of clonidine is used to treat hypertension (high blood pressure). The Kapvay brand is used to treat attention deficit hyperactivity disorder (ADHD). Clonidine is sometimes given with other medications

Emergency Neck Breathing Tube Insertion Procedure
Emergency Neck Breathing Tube Insertion Procedure samer kareem 21,492 Views • 2 years ago

A video demonstrating the proper insertion of the Quicktrach emergency cricothyrotomy device.

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.

Hepatitis D Virus
Hepatitis D Virus samer kareem 1,672 Views • 2 years ago

Hepatitis D, also known as the delta virus, is an infection that causes the liver to become inflamed. This swelling can impair liver function and cause long-term liver problems, including liver scarring and cancer. The condition is caused by the hepatitis D virus (HDV). This virus is rare in the United States, but it’s fairly common in the following regions: South America West Africa Russia Pacific islands Central Asia the Mediterranean

Abscess Drainage
Abscess Drainage samer kareem 1,534 Views • 2 years ago

An abscess is an infectious process characterized by a collection of pus surrounded by inflamed tissue. [1, 2] Abscesses can form anywhere in the body, from a superficial skin (subcutaneous) abscess to deep abscesses in muscle, organs, or body cavities. Patients with subcutaneous skin abscesses present clinically as a firm, localized, painful, erythematous swelling that becomes fluctuant (see the image below).

Interstitial Lung Disease Chest x-ray
Interstitial Lung Disease Chest x-ray samer kareem 5,088 Views • 2 years ago

The diffuse lung diseases tend to cause infiltrative opacification in the periphery of the lung. As the name of the group of diseases suggests, they are diffuse. While the consolidation or ground-glass change is usually bilateral, it may be localised, e.g. radiation pneumonitis.

Importance of Exercise with Respiratory illness
Importance of Exercise with Respiratory illness samer kareem 902 Views • 2 years ago

The Irish Thoracic Society speak about the importance of Exercise with Chronic or Acute Respiratory illnesses/ Diseases and respiratory distress

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

Labor And Delivery During Vaginal Child Birth

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.

Liver cholestasis
Liver cholestasis samer kareem 2,805 Views • 2 years ago

Cholestatic liver disease is a condition that results from an impairment of bile formation or bile flow to the gallbladder and duodenum (first section of the small intestine). ... The effects of cholestasis are profound and widespread, leading to worsening liver disease and systemic illness.

How to Develop your Child's Brain?
How to Develop your Child's Brain? samer kareem 5,254 Views • 2 years ago

Scientists have found that every baby has genius potential, a child's education must begin early in order to develop the potential it has. Pregnancy is not too early to start, as evidence indicating that the developing fetus can learn is ever mounting.

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