Aplastic anemia is a hematopoietic disorder caused due to T lymphocyte mediated destruction of stem cells resulting in pancytopenia with a cellular bone marrow and normal cell cytogenetics. The causes of aplastic anaemia may be inherited or acquired. The causes and the diagnostic approach, along with spectrum of severity of this disorder is discussed in this presentation. A detailed discussion of the management options, along with pharmacological therapy and supportive therapy in these cases is also discussed. The treatment options include, in addition to a stem cell transplant, anti-thymocyte globulin, cyclosporine, methyprednisolone and eltrombopag (for patients who have failed treatment on combined modality therapy with ATG and cyclosporine)

Open rhinoplasty without oseotomies peformed by Dr. Robert Dryden and Dr. Brett Kotlus. Basic steps for rasping of dorsal hump and cephalic trim with septoplasty and tip strut.

The Principles of Laparoscopic Suturing

1. What is hemodialysis?
2. Why do you do hemodialysis?
3. How does hemodialysis remove body waste?
4. What are the symptoms and side effects of hemodialysis?
5. How should I eat food when I do hemodialysis?
6. What are some precautions for patients during hemodialysis?


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Physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills and tools of health history and physical exam. To collect data- information about the client’s health, including physiological, psychological, sociocultural and spiritual aspects To establish actual and potential problems To establish the nurse-client relationship Method: The history is done first, then the physical examination focuses on finding data associated with the history. Health History- obtained through interview and record review. Physical exam- accomplished by tools and techniques ** A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. On admission, you will do an admission assessment (not necessarily including everything presented here) and document it on the admission form. You will do a daily shift assessment (patient systems review). And, if client has a specific problem, you may assess only that part of the body (focused). Data Collection: Information is organized into objective and subjective data: Subjective: Apparent only to person affected; includes client’s perceptions, feelings, thoughts, and expectations. It cannot be directly observed and can be discovered only asking questions. Objective: Detectable by an observer or can be tested against an acceptable standard; tangible, observable facts; includes observation of client behavior, medical records, lab and diagnostic tests, data collected by physical exam. ** To obtain data for the nursing health history, you must utilize good interview techniques and communications skills. Record accurately. DO NOT ASSUME. D. Frameworks for Health Assessment There are two main frameworks utilized in health assessment: Head to Toe- systematic collection of data starting with the head and working downward. Functional Health Assessment- Gordon’s 11 functional health patterns that address the behaviors a person uses to maintain health. PERSON is the ACC-ADN framework for assessment. It is similar to Gordon's functional health patterns.

Ellis demonstrates how to administer an intradermal, subcutaneous, and intramuscular injection.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #ClinicalSkills #injections #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #nurseeducator

00:00 What to expect
00:20 Intradermal injections
00:35 Cleaning site
00:54 Explaining bevel up
1:40 Inserting needle
2:00 Injecting medication
2:16 Withdrawing needle
2:29 Subcutaneous Injections
2:39 Selecting site for subcutaneous injections
3:08 Cleaning subcutaneous injections site
3:18 Pinching subcutaneous injections site
3:30 Inserting needle subcutaneous injections
4:13 Injecting medication subcutaneous injections
4:23 Post injection
4:36 Intramuscular injection
4:54 Locating intramuscular injection site
5:18 Cleaning intramuscular injection site
5:38 Inserting needle intramuscular injection
6:28 Anchoring needle intramuscular injection
6:44 Injecting medication intramuscular injection
6:55 Withdrawing needle intramuscular injection
7:05 Disposing of needle
7:43 Cleaning site
8:00 Displacing with Z-track
8:10 Inserting needle
8:23 Releasing tissue

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Second-degree burns (also known as partial thickness burns) involve the epidermis and part of the dermis layer of skin. The burn site appears red, blistered, and may be swollen and painful.

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A step wise approach to the pathogenesis, types, disease entities and diagnosis of vasculitis. This discussion also includes the management options of vasculitis and their adverse drug reactions. In essence, vasculitis is a clfinicopathologic process characterised by inflammation and damage of blood vessels. This may be mainly due to three pathological processes which include immune complex deposition, anti-neutrophillic antibody formation and pathological T lymphocyte response and granuloma formation. The disease entities include Wegner's granulomatosis, Churg Strauss and many others. These present with palpable purpura, unexplained renal dysfunction etc which can be diagnosed based on biopsy and angiogram.

Hepatitis is an inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer. Hepatitis viruses are the most common cause of hepatitis in the world but other infections, toxic substances (e.g. alcohol, certain drugs), and autoimmune diseases can also cause hepatitis. There are 5 main hepatitis viruses, referred to as types A, B, C, D and E. These 5 types are of greatest concern because of the burden of illness and death they cause and the potential for outbreaks and epidemic spread. In particular, types B and C lead to chronic disease in hundreds of millions of people and, together, are the most common cause of liver cirrhosis and cancer. Hepatitis A and E are typically caused by ingestion of contaminated food or water. Hepatitis B, C and D usually occur as a result of parenteral contact with infected body fluids. Common modes of transmission for these viruses include receipt of contaminated blood or blood products, invasive medical procedures using contaminated equipment and for hepatitis B transmission from mother to baby at birth, from family member to child, and also by sexual contact. Acute infection may occur with limited or no symptoms, or may include symptoms such as jaundice (yellowing of the skin and eyes), dark urine, extreme fatigue, nausea, vomiting and abdominal pain.

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Stem Cell Hair Regrowth, Hair Regrowth Products For Men, Best Hair Regrowth Method--- http://hairlossblackbook.plus101.com/ --- How Can I Regrow My Hair? Hair recession or baldness is one topic that many would not like to discuss. But closing your eyes to the fact will not make it go away. If you really want to deal with the problem, you will need to face it head on and learn more about the why hair loss occurs and the various ways that you can use to deal with the problem. A deeper understanding will be your key to regrowing your hair and eliminating the fears associated with it. So, want to learn the real answer regarding the question of “how can I regrow my hair?” here are a few things you might want to understand a bit further first. Which type of hair loss are you experiencing? There are many factors that can promote hair loss and while male pattern baldness is indeed the most common reason, the problem is in no way exclusive to men only as there are other factors that can cause hair loss even on women. Some factors that can promote hair loss may include: Damage from too much perming, excessive coloring or bleaching. Severe emotional or mental stress Hormonal changes (in women) Traction alopecia Parasites Autoimmune diseases and others… Finding out exactly which of these problems you’re having will be detrimental to finding the right solution for your problem and will serve as an essential and necessary first step. There are many possible solutions that you can find to regrow your hair as well. The solutions can range from the simplest up to the most technologically advanced methods. Laser therapy, transplants, steroidal injections, Propecia, Minoxidil, etc. – you might already be familiar with some of these products or methods because you might have already tried one or two of them. The problem with this is the fact that not many of them can guarantee you full effects. Some even have damaging side effects that can further worsen the pain that you are feeling. But do not lose hope; there is still another avenue for hair regrowth that you might have missed – the natural route. There are actually many herbal and naturally developed products that have been known to work quite well for individuals experiencing hair loss and it might just be the answer to your question of “How can I Regrow my hair.” If you would like to know more about these types of products, one good guide you can get more information from can be found at http://hairlossblackbook.plus101.com/

Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition also can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels. An autoimmune disorder, rheumatoid arthritis occurs when your immune system mistakenly attacks your own body's tissues. Unlike the wear-and-tear damage of osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful swelling that can eventually result in bone erosion and joint deformity. The inflammation associated with rheumatoid arthritis is what can damage other parts of the body as well. While new types of medications have improved treatment options dramatically, severe rheumatoid arthritis can still cause physical disabilities.

http://cure-insomnio-para-siempre.good-info.co/ Paralisis Del Sueño, Como Combatir El Insomnio, Insomnio Tratamiento, Consejos Para Dormir Bien. https://youtu.be/kYvaazgJMv4 Seguramente después de haber leído usted se habrá hecho una pregunta clave: ¿Comer mal afecta al insomnio? La respuesta es sí. Una mala dieta es razón de suficiente para padecer de insomnio y es por ello que es importante que usted modifique sus conductas alimenticias si quiere disfrutar de un sueño reparador. La ingesta exagerada de carbohidratos y grasas puede llegar a perturbar nuestro metabolismo y dificulta nuestra digestión, haciendo de este modo, le sea imposible conciliar el sueño. ¿Se Puede Combatir El Insomnio Con Una Dieta? Lo primero que debe saber acerca de la dieta y su relación con el insomnio es que el mejor régimen para terminar con es la prevención y la planificación: haga una rutina firme, coma siempre a la misma hora y evite ingerir alimentos media hora antes dormir. También le recomiendo que no abuse de la cafeína ni de los carbohidratos. Evite además los alimentos que no sean fáciles de digerir o que le provocan algún tipo de alergia. ¿Existen Alimentos Que Combatan El Insomnio? Hay algunos elementos que pueden ayudarlo a conciliar el sueño y sentirse relajado y distendido a la hora de prepararse para el descanso. Tenga en cuenta, fundamentalmente, si usted padece de insomnio, que lo ideal es optar por una cena frugal y reposada a fin de evitar sobresaltos y condiciones que no le permitan dormir profundamente. ¿Qué Alimentos Debe Considerar Para Evitar El Insomnio? Hay una serie de alimentos concretos que usted puede considerar en si dieta para irse a la cama con la expectativa de un mejor sueño. Estos son alguno de los alimentos que debe evitar: Paralisis Del Sueño, Como Combatir El Insomnio, Insomnio Tratamiento, Consejos Para Dormir Bien

Colon Irritable Tratamiento Natural, Tratamiento Sindrome Intestino Irritable, Colon Irritable Cura--- http://intestino-irritable-tratamiento.plus101.com --- Los Alimentos Desencadenantes De SCI, Esta dolencia gastrointestinal puede ser desencadenada por ciertos alimentos o grupos de alimentos, de los cuales podemos mencionar específicamente seis de ellos. Lo aconsejable es que evite su consumo si usted sufre o es propenso a sufrir SII. 1 - Los alimentos fritos, especialmente los fritos con aceites que contienen ácidos grasos trans hidrogenados. Dentro de este grupo encontramos las llamadas comidas rápidas. 2 - La carne y los productos lácteos: las carnes grasas, especialmente de las granjas industriales, carnes procesadas y la leche pasteurizada. Para reemplazar estos alimentos, se puede utilizar leche de soja o la llamada carne orgánica, proveniente de ganado alimentado a base de pasto, libre de químicos, antibióticos y hormonas de crecimiento. 3 - Los productos horneados procesados incluyendo panes envasados, pasteles y galletas. Contienen azúcar refinada y grasas malas, así como harina blanca refinada. A veces es posible que contengan jarabe de maíz alto en fructosa. Si usted sufre del SII, puede optar por la compra de productos de panadería directamente de una panadería de su confianza o hacer sus propios productos caseros con ingredientes enteros. Trigo germinado, los sustitutos del trigo, como el trigo sarraceno espelta, u otros granos utilizados en productos de panadería (sin aditivos perjudiciales) también pueden ser una opción que no va a afectar a su organismo. Lea atentamente las etiquetas de los productos que consume y ante cualquier duda, debe asesorarse. 4 - El café y el alcohol pueden crear respuestas ácidas del esfínter inferior del esófago y la válvula ileocecal, que es el esfínter entre los intestinos grueso y delgado que se abre brevemente y se cierre la mayor parte del tiempo para evitar que los fluidos intestinales se mezclen. La causa principal de muchos de los problemas del SII y de otras enfermedades digestivas más graves se da cuando la válvula ileocecal permanece abierta demasiado tiempo. Todas las demás recomendaciones relativas a los alimentos y los hábitos alimentarios son relevantes para evitar que esto ocurra. 5 - Los edulcorantes artificiales: El sorbitol puede no ser tan peligroso neurológicamente como el aspartamo y otros edulcorantes artificiales, pero estimula los síntomas del SII. Para obtener más consejos sobre alimentación sana que lo ayude a aliviar sus síntomas del SII, puede dirigirse al sitio http://intestino-irritable-tratamiento.plus101.com

Happy New Year 2017

Vocal Cord Surgery HD

Each person's knee is different. This is why UC San Diego Health offers several surgical options for knee replacements to tailor care to each person's injury and health. Each surgical approach has benefits for the right surgical candidate. Our surgeons can discuss what option is most appropriate for each person.

To learn more about knee replacement options at UC San Diego Health, visit:
https://health.ucsd.edu/specia....lties/orthopedics/jo

Francis Gonzales, MD, is a board-certified orthopedic surgeon who specializes in adult hip and knee joint replacement surgery. Learn more about Dr. Gonzales: https://providers.ucsd.edu/det....ails/11935/orthopedi

UC San Diego Health is repeatedly ranked among the nation's best in orthopedic care by U.S. News & World Report. We are also a Blue Distinction Center recognized for our treatment expertise and better overall patient results for knee replacement, as well as a designated Center of Excellence for orthopedic care by Optum. This means you'll receive expert, safe and cost-effective care.

UC San Diego Health's orthopedic surgeons are the first and only in San Diego to offer customized knee replacements with the ROSA knee system — for a faster recovery and more natural feeling knee. Talk to one of our surgeons about whether a ROSA knee replacement is right for you. https://health.ucsd.edu/specia....lties/orthopedics/jo#a

Urinary Bladder Medical Exam