Saturday, November 6, 2010

Nonalcoholic Fatty Liver Disease NAFLD

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My CHILD HAS PROBLEM

Down syndrome features: complete  Hi Yield [ID 865]
"My CHILD HAS PROBLEM!":

Congenital heart disease/ Cataracts
Hypotonia/ Hypothyroidism
Incure 5th finger/ Increased gap between 1st and 2nd toe
Leukemia risk x2/ Lung problem
Duodenal atresia/ Delayed development
Hirshsprung's disease/ Hearing loss
Alzheimer's disease/ Alantoaxial instability
Squint/ Short neck
Protruding tongue/ Palm crease
Round face/ Rolling eye (nystagmus)
Occiput flat/ Oblique eye fissure
Brushfield spot/ Brachycephaly
Low nasal bridge/ Language problem
Epicanthic fold/ Ear folded
Mental retardation/ Myoclonus

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Otologic Surgery


Otologic Surgery-the third edition of this invaluable surgical reference-has been thoroughly updated to reflect the latest advances in the field and covers all aspects of surgery of the ear and skull base. Derald E. Brackmann, MD, Clough Shelton, MD, and Moises A. Arriaga, MD bring you seven new chapters on the hot topics of Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology. These extensive updates, along with the inclusion of new contributors and the elimination of redundant chapters, ensure that this book provides you with the essential information you need to choose and perform state-of-the-art surgical techniques. The companion web site at expertconsult.com features the fully searchable text, as well as a video library and question and answer section.

* Discusses controversies and alternate approaches so you can make a well-informed decision from the full range of choices.
* Presents the expertise and insights from more than 50 leading specialists to provide you with authoritative advice on surgical problems.
* Provides detailed visual guidance on how to perform procedures through step-by-step illustrations.
* Features the fully searchable text online at expertconsult.com, with references linked to Medline, a question and answer section ideal for board review, and a video library of procedures for convenient access and reference.
* Includes seven new chapters-Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology-for coverage of hot topics and the latest advances in technique.
* Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field.
* Streamlines the content by eliminating four redundant chapters of dated techniques so you only have the information you need.

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Ascites And Shifting Dullness



Abdomen symetrically distended secondary to fluid build up in peritoneal cavity.
Note bulging flanks as fluid distributes to most dependent areas of abdomen. skin is also yellowed
due to hyperbilirubinemia.


Ascites with Shifting Dullness: Ascitic fluid will flow to the most dependent portions of the abdomen.
The air-filled intestines will float on top of this liquid. The technique of shifting dullness makes use of
this relationship in order to detect the presence of ascitic fluid.

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