Pediatric Neurological Examination Introduction

Examination of Neck Swelling

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Female Intermittent Self Catheterization

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Integrative Physical Examination Lecture

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Neurological Examination

Intra-Uterine Device IUD Removal

Intra-Uterine Device IUD Insertion Demonstration

the elbow is the second most frequently dislocated major joint, after the shoulder. It is the most commonly dislocated joint in children. [1] More than 90% of all elbow dislocations are posterior dislocations. This injury entails disengagement of the coronoid process of the ulna from the trochlea of the humerus with movement posteriorly. [2] The mechanism of injury is typically a fall onto an outstretched hand (FOOSH) with the elbow in extension upon impact.

Posterior dislocations with associated fractures, also known as complex posterior dislocations, often require open reduction and fixation (ORIF). These dislocations are often associated with significant ligamentous injury. In some cases, complex posterior elbow dislocations may be managed with closed reduction. Posterior elbow dislocations that are neglected, as is not uncommon in developing countries, can often be effectively treated with open reduction. [9] Delayed vascular compromise is an important complication after reduction. All patients should be observed for a period of approximately 2-3 hours after reduction. If no evidence of vascular compromise arises, patients can be sent home with appropriate follow-up and instructions to watch for further problems.

Bone healing can be divided into four stages: inflammation; soft callus formation; hard callus formation; remodeling.

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- elbow dislocations in children are a relatively uncommon; - peak incidence occurs in adolescence between 11-15 years. - posterior dislocations are most common type; - posterior dislocation usually results from fall on outstretched hand w/ forarm supinated & elbow extended or partially flexed; - coronoid process, which nl resists posterior displacement of ulna, is relatively small in children; - anterior capsule of elbow joint is torn by force of the impact transmitted upward thru the ulna and radius

A case of replantation of a completely amputated arm

Common types of fractures include: Stable fracture. The broken ends of the bone line up and are barely out of place. Open, compound fracture. The skin may be pierced by the bone or by a blow that breaks the skin at the time of the fracture. ... Transverse fracture. ... Oblique fracture. ... Comminuted fracture.

http://vencer-la-diabetes-rapido.info-pro.co/ Como Controlar La Diabetes Tipo 2 Naturalmente Sin Medicamentos, Pre Diabetes Y Diabetes Tipo 1. https://youtu.be/BOSkQ5MnjT0 Que es la Insulina? Una definición practica sin adentrarnos en terminos estrictamente medicos es que la insulina es una hormona formada por 51 aminoácidos. Dentro del páncreas, las células beta producen la hormona llamada insulina. Con cada comida, las células beta liberan insulina para ayudar al cuerpo a utilizar o almacenar en la sangre la glucosa que se obtiene de los alimentos. Su déficit provoca la diabetes mellitus y su exceso provoca hiperinsulinismo con hipoglucemia. En las personas con diabetes tipo 1, el páncreas no produce insulina. Las células beta han sido destruidas y se necesitan inyecciones de insulina para utilizar la glucosa de las comidas. Las personas con diabetes tipo 2 producen insulina, pero sus cuerpos no responden bien a la misma. Algunas personas con diabetes tipo 2 necesitan medicamentos para la diabetes o inyecciones de insulina para ayudar a su cuerpo a utilizar la glucosa para obtener energía. * La insulina no se puede tomar como una píldora, ya que se descompone durante la digestión al igual que la proteína en los alimentos. Se debe inyectar en la grasa debajo de la piel para que llegue a la sangre. Existen diferentes tipos de insulina en función de la rapidez con que trabajan, y en funcion de su duración. La insulina viene en diferentes concentraciones, la más común es U-100. Tipos de insulina: * De Acción Rápida: Comienza a trabajar unos 15 minutos después de la inyección, con picos en aproximadamente 1 hora, y continúa trabajando por un tiempo de 2 a 4 horas. Tipos: Insulina glulisina (Apidra), la insulina lispro (Humalog) y la insulina aspart (NovoLog). * Regular o de Acción Corta: Generalmente llega al torrente sanguíneo a los 30 minutos después de la inyección, picos de entre 2 a 3 horas después de la inyección, y es efectiva durante aproximadamente 3 a 6 horas. Tipos: Humulin R, Novolin R * De Acción Intermedia: Generalmente llega al torrente sanguíneo de aproximadamente 2 a 4 horas después de la inyección, picos de 4 a 12 horas y eseficaz durante aproximadamente 12 a 18 horas. Tipos: NPH (Humulin N, Novolin N) * De Acción Prolongada: Alcanza el torrente sanguíneo varias horas después de la inyección y tiende a disminuir los niveles de glucosa de manera bastante uniforme durante un período de 24 horas. Tipos: La insulina detemir (Levemir) y la insulina glargina (Lantus) Nota: Esta información debes consultarla siempre con tu medico especialista. La insulina Tiene 3 Características: El inicio: Es el tiempo antes de que la insulina alcance el torrente sanguíneo y se inicie la reducción de la glucosa en sangre. Pico: Es el tiempo durante el cual la insulina está surtiendo el máximo efecto en términos de reducción de la glucosa en sangre. La duración: Es cuánto tiempo la insulina continúa reduciendo la glucosa sanguínea.

Basic ECG Interpretation Our ECG Interpretation Training and Reference Guides provide basic lessons for ECG analysis as well as a quick reference guide for over 40 types of ECG tracings. The arrhythmia drills and quizzes allow you to practice ECG interpretation. What is ECG Interpretation? An electrocardiogram or ECG, records electrical activity in the heart. An ECG machine records these electrical signals across multiple heart beats and produces an ECG strip that is interpreted by a healthcare professional. How Electrocardiograms Work - ECG Strips To briefly summarize the components of a normal ECG tracings, it consist of waveform components which indicate electrical events during one heart beat. These waveforms are labeled P, Q, R, S, T and U. P wave is the first short upward movement of the ECG tracing. It indicates that the atria are contracting, pumping blood into the ventricles. The QRS complex, normally beginning with a downward deflection, Q; a larger upwards deflection, a peak (R); and then a downwards S wave. The QRS complex represents ventricular depolarization and contraction. The PR interval indicates the transit time for the electrical signal to travel from the sinus node to the ventricles. T wave is normally a modest upwards waveform representing ventricular repolarization. ECG Interpretation illustration spacer image ECG Training - Introduction The focus of this introductory ECG course is to provide a tutorial about the main features of ECGs along with a method for analyzing ECGs. This method includes assessment of rhythm, calculating heart rate, observing P-wave forms, measurement of intervals and segments and the evaluation of other relevant waves. ECG practice exercises serve to reinforce the lesson content.