Thursday, December 2, 2010

How to perform Combined Spinal-Epidural Obstetric Anesthesia

20 Examples Of Cardiac And Pulmonary Auscultation - Littman

01 – Normal Heart Sound-Apex

02 – Third Heart Sound,S3(physiological-Apex)

03 – Fourth Heart Sound,S4-Apex

04 – Aortic Stenosis-Right Base

05 – Mitral Regurgitation-Apex

06 – Midsystolic Click-Apex

07 – Ventricural Septal Defect-Left Base

08 – Atrial Septal Defect-Lowewr Left Sternal Border

09 – Mitral Stenosis-Apex

10 – Aortic Regurgitation-Mid Left Sternal Border(3rd Intercostal Space)

11 – Normal Tracheal Sound-Trachea Interscapular

12 – Normal Vesicular Sound-Right Lower Lobe,Left Lower Lobe

13 – Fine Crackles with Deciduous Bronchial Sound-Right Middle Lobe

14 – Coarse Crackles-Right Lower Lobe

15 – Bronchial Sound-Left Lower Lobe

16 – Inspiratory Stridor-Trachea

17 – Rhonchus-Right Lower Lobe

18 – Wheezing-Left Lower Lobe

19 – Fine Crackles-Lung Basis

20 – Pleural Friction-Right Middle Lobe


Renal Failure from Vitamin C after Transplantation

A 31-year-old woman with bilateral nephrectomy due to bleeding angiomyolipomas from tuberous sclerosis received a kidney transplant with good early graft function. Irreversible, oliguric renal allograft failure soon developed from widespread deposition of calcium oxalate crystals, involving 30% of tubules (Panels A and B, hematoxylin and eosin). The patient ..........

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Parts of Axillary Artery

The axillary artery is divided by the pectoralis minor into 3 parts ;proximal, posterior and distal:
1- The first part is between the lateral border of the first rib and the superior border of the pectoralis minor muscle.
2- The second part lies deep to the pectoralis minor muscle.
3- The third part extends from the inferior border of the pectoralis minor muscle to the inferior border of the teres major muscle.

First Part of the Axillary Artery
* This part is enclosed in the axillary sheath along with the ...........


Surgical drains & it`s types

At the beginning we use drains to:
1- Evacuate establish collections of pus, blood or other fluids (e.g. lymph)
2- Drain potential collections
They are often made from ..............

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