Elbow ossification centers mnemonic in a child

CRITOE

• C: Capitellum
• R: Radial head
• I: Internal (medial) epicondyle
• T: Trochlea
• O: Olecranon
• E: External (lateral) epicondyle

* CRITOE is the order in which the ossification centers of the elbow appear.

Note that:- Ossification centers may be mistaken for fractures on x-ray.
Example:
If you see only three accessory bony fragments about an elbow joint, these bony pieces should be in the areas of the capitellum, radial head and the internal (medial) epicondyle. If one of the three bony fragments is in the area where you would expect to see the external epicondyle, then that piece actuallyrepresents an avulsion fracture of the distal, lateral humerus, rather than a normal external epicondyle.

* General rule of thumb for the time of appearance of the ossification centers is "1-3-5-7-9-11," which are the ages in years that the ossification centers appear, corresponding to the CRITOE.

Ear Wash System by Welch Allyn

Designed with safety in mind, the Welch Allyn Ear Wash System includes several built-in features that reduce side effects associated with other ear irrigation devices - including vertigo, nausea, deeper cerumen impaction, perforated ear drums, and other tympanic membrane damage.


What makes the Welch Allyn Ear Wash System truly revolutionary is its built-in Hydrovac Action. This proprietary technology features simultaneous irrigation and suction capabilities, which means all discharge is directed away from you and the patient. And since you can easily control and monitor suction, water temperature, and pressure levels, the Ear Wash System is ideal for patients of all ages. What's more, it comes with over ten feet of clear, heavy-duty plastic tubing that lets you position the patient almost anywhere in the room, as well as visualize the process.

Basic Medical Biochemistry: A Clinical Approach

Dr. Dawn Marks and her coauthors cover human biochemistry in a reasonably comprehensive fashion for students, using case studies to show the relationship between biochemistry and clinical problems. Facts and pathways are presented to emphasize how the underlying biochemistry is related to the body's overall physiological functioning.

Publisher: Lippincott Williams & Wilkins | ISBN: 068305595X | edition 1996 | PDF | 806 pages | 53,6 mb

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Syringomyelia

Syringomyelia is a disease in which fluid-filled cavities, often referred to as syrinxes, form within the spinal cord. These syrinxes typically persist at abnormally high pressure which causes progressive neurological symptoms as ................

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Vitiligo

Vitiligo is one of the most common cutaneous disorders. Great numbers of affected patients suffer from the high stigmatizing impact of this disease. Up to now, clinical guidelines for the treatment of vitiligo were non-existent. In order to fill this void, this textbook defines and gives a complete overview of the disease, both regarding the classification of differential diagnosis as well as the treatment. Written by the most authoritative experts in the field, all therapy recommendations are based on new evidence-based guidelines. It includes case studies with illustrations before and after the treatment in order to demonstrate the treatment success. This textbook will be a valuable resource for all physicians who are seeing patients with this disease.

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SYMPTOMS OF MALARIA

Sometimes symptoms of malaria infection are not always dramatic, and can easily be dismissed as unimportant.


Plasmodium falciparum normally take 7 to 14 days to show symptoms while Plasmodium vivax and ovale normally take 8 to 14 days (but in some cases can survive for some months in the human horst) and Plasmodium malariae 7 to 30 days.

Symptoms may appear and disappear in phases and may come and go at various time frames. These cyclic symptoms of malaria are caused by the life cycle of the parasites - as they develop, mature, reproduce and are once again released into the blood stream to infect even more blood and liver cells.

Face Scar Revision Surgery

Skin Tension Lines and how to get it

Skin Tension Lines are series of lines based on the direction of tension as this relaxed skin tension lines run perpendicular to the underlying muscles contraction.
For best results and aesthetic outcome, place skin incisions along skin tension lines. Skin tension lines run parallel to the dermal collagen bundles but at right-angles to the direction of contraction of the muscles underneath it offers:

1.  Best cosmetic result
2.  Most narrow and strongest scar line

 You can find Skin Tension Lines (STLs) by asking the patient to .........

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