tag:blogger.com,1999:blog-50731667473730088212024-02-18T21:32:55.092-08:00DOCTORS GATE.all you need to enjoy medicine. Daily medical Videos,Cases,Diagrams,
Animation,Articles,Free medical books and news.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comBlogger1122125tag:blogger.com,1999:blog-5073166747373008821.post-39675704082459442172011-05-10T14:14:00.001-07:002011-05-10T14:14:41.338-07:00<div id="__ss_4238715" style="width: 425px;"><b style="display: block; margin: 12px 0pt 4px;"><a href="http://www.slideshare.net/smcmedicinedept/ecg-digitalis-effect" title="ECG: Digitalis Effect">ECG: Digitalis Effect</a></b> <iframe frameborder="0" height="355" marginheight="0" marginwidth="0" scrolling="no" src="http://www.slideshare.net/slideshow/embed_code/4238715" width="425"></iframe> <br />
<div style="padding: 5px 0pt 12px;"><br />
</div></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-41529438901313447012011-04-03T12:19:00.001-07:002011-04-03T12:19:51.940-07:00 Gross and Microscopic picture of Renal Infarction<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSyXkfP48T5x5QGtNlZ2VfTPG0u_hdLAxc5tZ371AdSVHQLT5bqCL_0zz-CDvamquq8EyDOxajup-UZfJktKpU4EIXBabHnB6CK4p__sLMT9Qh5LSCEboezCvpsV5Nb4OVec1UQ3FDrjDL/s1600/scan7x.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="137" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSyXkfP48T5x5QGtNlZ2VfTPG0u_hdLAxc5tZ371AdSVHQLT5bqCL_0zz-CDvamquq8EyDOxajup-UZfJktKpU4EIXBabHnB6CK4p__sLMT9Qh5LSCEboezCvpsV5Nb4OVec1UQ3FDrjDL/s400/scan7x.jpg" width="400" /></a></div><span style="color: blue; font-size: large;">1-</span> Gross specimen of Renal infarction: <br />
<br />
The kidney is cut in half along its longitudinal axis, exposing :<br />
<b style="color: red;">(A.)</b> the cortex <br />
<b style="color: red;">(B.)</b> the medulla <br />
<b style="color: red;">(C.) </b>a minor calyx . <br />
The pyramidal shaped infarct is pale as compared to the adjacent normal cortex. Why? as the wedge shape of this zone of coagulative necrosis resulting from loss of blood supply with resultant tissue ischemia that produces the pale infarct. <br />
The arrow points to a line of hyperemia that represents the interface between normal and necrotic tissue.<br />
<br />
<span style="color: blue; font-size: large;">2-</span> Microscopic section of Renal infarction:<br />
<br />
<span style="color: red;">*</span> The thick arrow points to glomerulus in an area of coagulation (ischemic) necrosis.<br />
<span style="color: red;">*</span> The thin arrow points to a glomerulus which is in the interface between necrotic and normal kidney.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-9089481886803036192011-01-17T10:02:00.000-08:002011-01-17T10:02:00.452-08:00 Pearls of the Minimally Invasive Infrapubic Penile Implant<object width="450" height="340"><param name="movie" value="http://www.youtube.com/v/8F3y8jTND4w?fs=1&hl=en_US&rel=0&color1=0x2b405b&color2=0x6b8ab6"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/8F3y8jTND4w?fs=1&hl=en_US&rel=0&color1=0x2b405b&color2=0x6b8ab6" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="450" height="340"></embed></object>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-51217677280965001442011-01-17T07:10:00.000-08:002011-01-17T07:10:00.078-08:00 Arterial Blood Gases for OSCEs<object height="344" width="425"><param name="movie" value="http://www.youtube.com/v/6UZkSa4yM5U?fs=1&hl=en_US&rel=0&color1=0x2b405b&color2=0x6b8ab6"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/6UZkSa4yM5U?fs=1&hl=en_US&rel=0&color1=0x2b405b&color2=0x6b8ab6" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-47411501230894274942011-01-14T21:47:00.000-08:002011-02-08T09:17:29.858-08:00 Basosquamous Carcinoma in the Temple<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiw9st2NCbevKF2_TrGGhyphenhyphenzMv8Ztpc5GVQNrFRNBoQZq7DN_eH4V-TOiSzWccxIOX8SRAI3rXzrOig7-7Db4ZMws404CMqbEVwr8jgV08Ijnxy5UTLljQl-PrAjHC3vP_PuKuRw5uiATcY2/s1600/266746a.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiw9st2NCbevKF2_TrGGhyphenhyphenzMv8Ztpc5GVQNrFRNBoQZq7DN_eH4V-TOiSzWccxIOX8SRAI3rXzrOig7-7Db4ZMws404CMqbEVwr8jgV08Ijnxy5UTLljQl-PrAjHC3vP_PuKuRw5uiATcY2/s1600/266746a.jpg" /></a></div><br />
This photo shows large, crusted tumor on the temple that has clinical features of both squamous cell carcinoma <i style="color: red;">(scaly crust)</i>, and basal cell carcinoma <i><span style="color: red;">(translucency in some areas)</span></i>........<br />
<br />
<span style="font-size: large;"><a href="http://doctorsgates.blogspot.com/2011/01/basosquamous-carcinoma-in-temple.html" style="color: red;">Read more..........>> </a></span>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-26852748937076743402011-01-11T09:24:00.000-08:002011-02-22T04:49:59.492-08:00 Wolfflin Spots<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6_zuWFaPdF1BsjmCpBsfwUpSBPya4m6qCr34gEK2POfNz29KwQVXKEujldCD-gKOx_3KxsX9welkyAQNOOdgRQABJmtyJpgCjJtuJAivROKQYcGcO6KwWgbTk8447h7loqyonLImfw0Ao/s1600/wolfflinspots.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6_zuWFaPdF1BsjmCpBsfwUpSBPya4m6qCr34gEK2POfNz29KwQVXKEujldCD-gKOx_3KxsX9welkyAQNOOdgRQABJmtyJpgCjJtuJAivROKQYcGcO6KwWgbTk8447h7loqyonLImfw0Ao/s1600/wolfflinspots.jpg" /></a></div>Wolfflin spots are the whitish clumps of connective fibers found in some irides (mostly blue) near the periphery. These are somewhat distinct from <a href="http://doctorsgate.blogspot.com/2010/09/brushfields-spots.html" style="color: blue;"><b>Brushfield spots</b></a>.............<br />
<br />
<a href="http://doctorsgates.blogspot.com/2011/01/wolfflin-spots.html"><span style="color: red;">Read more.............>></span></a>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-47451977806430565462011-01-07T09:35:00.000-08:002011-03-02T02:21:20.544-08:00How to appreciate Traumatic exophthalmos<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-s9Fghg3bBJ6QOu8jkLAX2bUzNdR-Igi52Eq3zv458Eaa7SbdLmT1x-J79sNkirzJ0OlLzucqmC3J2B5aauOF_tLB5t2hkt01G_kryvAyx9j13iULMa4z2dktNKjWWgG_nE7VtEVSxqQl/s1600/untitled1.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="278" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-s9Fghg3bBJ6QOu8jkLAX2bUzNdR-Igi52Eq3zv458Eaa7SbdLmT1x-J79sNkirzJ0OlLzucqmC3J2B5aauOF_tLB5t2hkt01G_kryvAyx9j13iULMa4z2dktNKjWWgG_nE7VtEVSxqQl/s400/untitled1.bmp" width="400" /></a></div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsFDI34LidtBr3EkYoKs9oJoR-qipLSVRy1e9g7XJCmrPIyhrbGLWAi_0CA_tNzEWYlvEn7Ri7JhOhKn-N3CuLWLfkpIfF6E9DIqUQvbj_2ABxtYM09Q79VszYPANZRnNnyolkhmk2Hw2s/s1600/untitled2.bmp" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsFDI34LidtBr3EkYoKs9oJoR-qipLSVRy1e9g7XJCmrPIyhrbGLWAi_0CA_tNzEWYlvEn7Ri7JhOhKn-N3CuLWLfkpIfF6E9DIqUQvbj_2ABxtYM09Q79VszYPANZRnNnyolkhmk2Hw2s/s400/untitled2.bmp" width="400" /></a>Traumatic exophthalmos develops as a retrobulbar hematoma that pushes the eyeball globe outward. Patient presents with periorbital edema, ecchymosis, a marked decrease in visual acuity, and an afferent pupillary defect in the involved eye.<br />
<u style="color: red;">Sometimes</u> the exophthalmos may be obscured by ..........<br />
<br />
<a href="http://doctorsgates.blogspot.com/2011/01/how-to-appreciate-traumatic.html"><span style="color: red;">Read more.........>></span></a>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-36370709284410556692011-01-07T01:59:00.000-08:002011-01-07T01:59:00.266-08:00 Bone Marrow Aspiration<object width="450" height="340"><param name="movie" value="http://www.youtube.com/v/rXkCxzV1jas?fs=1&hl=en_US&rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/rXkCxzV1jas?fs=1&hl=en_US&rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="450" height="340"></embed></object>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-8413383040037920332011-01-06T21:42:00.000-08:002011-01-06T21:42:38.957-08:00 How to get a jersey finger !! Which finger is most likely to be affected with disruption of the flexor digitorum profundus tendon (also known as a jersey finger)?<br />
<ul><li><b style="color: red;">A) </b>Thumb</li>
<li><b style="color: red;">B) </b>Index finger</li>
<li><b style="color: red;">C) </b>Third finger</li>
<li><b style="color: red;">D)</b> Ring finger</li>
<li><b style="color: red;">E) </b>Fifth finger (“pinky”)</li>
</ul><br />
<div style="color: magenta;"><span style="font-size: large;">Answer and Discussion</span></div><br />
<div style="color: blue;"><span style="font-size: large;"><u>The answer is D.</u></span></div><br />
Disruption of the flexor digitorum profundus tendon, also known as<b> jersey finger</b>, commonly occurs when an athlete's finger catches on another player's clothing, usually while playing a tackling sport such as football or rugby.<br />
<i>The injury causes forced extension of the DIP joint during active flexion. The ring finger is the weakest finger and accounts for 75% of jersey finger cases.</i><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYUFih5wa9SkQg_6L4gl_s9d_ot661m2Pyb9A5-lUGE0tqy414zY0Z1Wpa-ajvYDP76BFRV_oLedRVdAPYznarFuPTInpdht3epjYRTW6dzX5uSAY_3p1XqulY2DwCdYlWd4eKPYtNkrsd/s1600/kumi.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYUFih5wa9SkQg_6L4gl_s9d_ot661m2Pyb9A5-lUGE0tqy414zY0Z1Wpa-ajvYDP76BFRV_oLedRVdAPYznarFuPTInpdht3epjYRTW6dzX5uSAY_3p1XqulY2DwCdYlWd4eKPYtNkrsd/s320/kumi.jpg" width="320" /></a></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-34958774423488863352011-01-06T12:23:00.000-08:002011-02-26T02:14:39.648-08:00 Bronchiectasis in High-Resolution CT <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjvYa7QTJUlAOfR0wd4LUAgCSha_oljBZrYc6-kNZ8_g32KjVueEwROobhajn1pn05VkKhGYkCGpLDHfvolCOhyphenhyphenY0SDKt-uzdGoCmivlxTisv2orvUQTrzXdvMkoo_6SWYwhoIxn9cRYpPd/s1600/F2.large.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="277" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjvYa7QTJUlAOfR0wd4LUAgCSha_oljBZrYc6-kNZ8_g32KjVueEwROobhajn1pn05VkKhGYkCGpLDHfvolCOhyphenhyphenY0SDKt-uzdGoCmivlxTisv2orvUQTrzXdvMkoo_6SWYwhoIxn9cRYpPd/s400/F2.large.jpg" width="400" /></a>Bronchiectasis is defined as localized, irreversible dilatation of part of the bronchial tree. Involved bronchi are dilated, inflamed, and easily collapsible, resulting in airflow ..............<br />
<br />
<div style="color: red;"><span style="font-size: large;"><a href="http://doctorsgates.blogspot.com/2011/01/bronchiectasis-in-high-resolution-ct.html">Read more............>></a></span></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-32487705189990727182011-01-06T08:36:00.000-08:002011-01-06T09:02:29.324-08:00 Types of Coarctation of the aorta <u style="color: blue;">Infantile type :-</u> aortic stenosis proximal to insertion of ductus arteriosus (preductal). <br />
<u style="color: blue;">Adult type :-</u> stenosis is distal to ductus arteriosus (postductal). Associated with notching of the ribs (due to collateral circulation), hypertension in upper extremities, weak pulses in lower extremities, <br />
Associated wilh Turner's syndrome. <br />
Can result in aortic regurgitation.<br />
<i style="color: red;">Check femoral pulses on physical exam.</i> <br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCaQWgGZl1oPrtwz3m32u5sgthX2vAQMMHhM2Ch4XvDYyq8jW8Hw1BLoYx-SNZ41S_pvJ05-vXywLlvw9u-ONGZz_lox3H9ji6B-G7aM6bkXtBeQu1NJa0U_hOKumS81Mbu8n2FLbuXQ56/s1600/thb_sde119.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCaQWgGZl1oPrtwz3m32u5sgthX2vAQMMHhM2Ch4XvDYyq8jW8Hw1BLoYx-SNZ41S_pvJ05-vXywLlvw9u-ONGZz_lox3H9ji6B-G7aM6bkXtBeQu1NJa0U_hOKumS81Mbu8n2FLbuXQ56/s400/thb_sde119.jpg" width="321" /></a></div><div style="color: red;"><b><span style="font-size: small;"><u style="color: blue;"><i> SO ;</i></u></span></b></div><b><span style="font-size: small;">IN</span></b>fantile: <b>IN</b> close to the heart. <br />
<b>AD</b>ult: <b>D</b>istal to <b>D</b>uctus. Most commonly associated with bicuspid aortic valve.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-60513242580194579422011-01-05T18:19:00.000-08:002011-01-05T18:19:00.171-08:00 Craniotomy for resection of 4th Ventricle TumorDr. Pakzaban demonstrates the technique of suboccipital craniotomy for access to the posterior cranial fossa using an Aesculap bone scalpel. This approach is used in many different operations including decompression of Chiari malformation. In this case, it is being used for resection of a 4th ventricle tumor known as subependymoma.<br />
<br />
<object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/dsiubre0zZY?fs=1&hl=en_US&rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/dsiubre0zZY?fs=1&hl=en_US&rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-57824328358595956002011-01-05T08:05:00.000-08:002011-02-26T15:43:05.923-08:00 Indications for OPG requests<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeHmEuach-9lw85mKqYPoyQawh8McoXb5142bvCLtBBkT7J4bcrEFQskNOxfgOFHfPaGC6ygtl5T1h1fF7M5M0jacmBg0p2yPfWwugMvrOHJ8BIJdpV18NoF3gG15Z5XVhM0D4ZcwzKmw2/s1600/Panoramic_Xray.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeHmEuach-9lw85mKqYPoyQawh8McoXb5142bvCLtBBkT7J4bcrEFQskNOxfgOFHfPaGC6ygtl5T1h1fF7M5M0jacmBg0p2yPfWwugMvrOHJ8BIJdpV18NoF3gG15Z5XVhM0D4ZcwzKmw2/s200/Panoramic_Xray.jpg" width="200" /></a></div>An OPG or "ORTHOPANTOGRAM", gives a panoramic view of the mandible and teeth.<br />
It is performed using a technique called "tomography". The X-ray tube moves around the head, the x-ray film moves in the opposite direction behind your head. This generates an image slice where the mandible and teeth are in focus, and the other structures are blurred.<br />
<br />
<div style="color: red;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiG_1FJJVcoI3Qswsqt_Cpj0-Vos0tjbxx3lJiMexEwmS_Ya81xMYREGRlYXmwuax-cdx283q3930EFu689XChBB8RlVbthMxsj-ZIGBrvXXjEfFKZmjGZWNOB46kyoUN0r1SlMG2H9GhM4/s1600/GW500H257.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="205" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiG_1FJJVcoI3Qswsqt_Cpj0-Vos0tjbxx3lJiMexEwmS_Ya81xMYREGRlYXmwuax-cdx283q3930EFu689XChBB8RlVbthMxsj-ZIGBrvXXjEfFKZmjGZWNOB46kyoUN0r1SlMG2H9GhM4/s400/GW500H257.jpg" width="400" /></a></div><span style="font-size: large;">Why to get it ?</span></div><div style="color: blue;"><i><u>Dental Disease</u></i></div>* Caries - appear as different shaped areas of ...........<br />
<br />
<div style="color: red;"><span style="font-size: large;"><a href="http://doctorsgates.blogspot.com/2011/01/indications-for-opg-requests.html">Read more...........>></a></span></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-88819004737972455062011-01-05T03:46:00.000-08:002011-03-10T04:55:47.863-08:00 Different arterial pulse waveforms and example causes<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2gW9_EvoXBNpjFfwSp2MDCWWNU5ZenECJlNbQXPeUFVnflAlBA89etq-I_HbABMkxkZjtMZXMyQ7Nfsyoapn7B03wCXnKOUh1K0SUCYIUhizMWv6ez88wSKb4JrHSDoGC9Wt5xnqCZ8oG/s1600/untitled1.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="323" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2gW9_EvoXBNpjFfwSp2MDCWWNU5ZenECJlNbQXPeUFVnflAlBA89etq-I_HbABMkxkZjtMZXMyQ7Nfsyoapn7B03wCXnKOUh1K0SUCYIUhizMWv6ez88wSKb4JrHSDoGC9Wt5xnqCZ8oG/s400/untitled1.bmp" width="400" /></a></div>Different arterial pulse waveforms are best assessed at the carotid artery. You are feeling for the speed at which the artery expands and collapses and force with which it does so. It takes some practise to master and it may be useful to imagine a graph such as those shown in the figure below,also Some examples are present:<br />
<br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiapYjBtkVzPtFt7rsfrtXk4gLuWkXu0BN31TgtO9klGc0Oh5g0VLTr11yOmwuRJ5ig3tAAy9E_JRrLj9mlKaNO9ebgo9enA4nbRccTkTIBbyGRQTQdxeMU0vrEj-C2AQLTF-TmrIcWGjxF/s1600/untitled2.bmp" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="241" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiapYjBtkVzPtFt7rsfrtXk4gLuWkXu0BN31TgtO9klGc0Oh5g0VLTr11yOmwuRJ5ig3tAAy9E_JRrLj9mlKaNO9ebgo9enA4nbRccTkTIBbyGRQTQdxeMU0vrEj-C2AQLTF-TmrIcWGjxF/s400/untitled2.bmp" width="400" /></a>Aortic stenosis: a slow rising pulse, maybe with a palpable shudder. Sometimes called anacrotic or a plateau phase........<br />
<br />
<a href="http://doctorsgates.blogspot.com/2011/01/different-arterial-pulse-waveforms-and.html"><span style="color: red;">Read more.......>> </span></a><br />
<br />
<br />
<br />
<br />
<div style="text-align: center;"><i><br />
</i></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-77100746379652412692011-01-04T23:57:00.000-08:002011-01-04T23:57:00.278-08:00ABC of Resuscitation (ABC series)111 pages <br />
Publisher: BMJ Books; 5 edition (January 7, 2004) <br />
Language: English <br />
ISBN-10: 0727916696 <br />
ISBN-13: 978-0727916693 <br />
<br />
<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiplkM9gW-0828HDe7xSKjuPtvrhqsD9aXYA0D6ywH342hgMlcDXwhYObW6qTRQgHfRVHuoyJ9y54s1_T57HjELfVIxMYhiosR5IB80ZnlnrsT1xqfBI-kER2OcN972DEe85sxokC2qdhM/s1600/0727916696.JPG"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 228px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiplkM9gW-0828HDe7xSKjuPtvrhqsD9aXYA0D6ywH342hgMlcDXwhYObW6qTRQgHfRVHuoyJ9y54s1_T57HjELfVIxMYhiosR5IB80ZnlnrsT1xqfBI-kER2OcN972DEe85sxokC2qdhM/s400/0727916696.JPG" alt="" id="BLOGGER_PHOTO_ID_5480333660111295154" border="0" /></a> <br />
<br />
<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 10"><meta name="Originator" content="Microsoft Word 10"><link rel="File-List" href="file:///D:%5CDOCUME%7E1%5CDR%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C01%5Cclip_filelist.xml"><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:compatibility> <w:breakwrappedtables/> <w:snaptogridincell/> <w:applybreakingrules/> <w:wraptextwithpunct/> <w:useasianbreakrules/> </w:Compatibility> <w:browserlevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><style> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; text-align:right; mso-pagination:widow-orphan; direction:rtl; unicode-bidi:embed; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman";} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults ext="edit" spidmax="1026"> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout ext="edit"> <o:idmap ext="edit" data="1"> </o:shapelayout></xml><![endif]--><u style="color: rgb(51, 102, 255);"><span style="font-size: 12pt; font-family: "Times New Roman";">Product Description</span></u> <br />
This authoritative guide has concise and practical information on all aspects of resuscitation. New guidelines are just one of the changes to the 5th edition of this book as many of the chapters have been completely rewritten,with new material on automated defibrillators, advanced life support including paediatric life support, new drugs plus many new illustrations. . The text has worldwide relevance with particular emphasis on Europe, Australasia, South Africa, South America, Malaysia and the Middle East. <br />
<br />
For Download : <br />
<div style="text-align: center;"><span style="font-size:130%;"><a style="color: rgb(51, 102, 255);" href="http://www.ziddu.com/download/10054603/ABC.of.Resuscitation._2004_.pdf.html">CLICK HERE</a></span></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-70660399398303128192011-01-04T16:20:00.000-08:002011-01-04T16:20:00.195-08:00 Le Fort Classification of facial fracturesIn 1901 ;René Le Fort (1869-1951),French surgeon, reported his work on cadaver skulls that were subjected to blunt forces of various magnitudes and directions. He concluded that predictable patterns of fractures follow certain types of injuries. Three predominant types were described.<br />
<br />
<span id="goog_747467175"></span><span id="goog_747467176"></span><br />
<u style="color: blue;">Le Fort <b>I</b> fractures</u> (horizontal) may result from a force of injury directed low on the maxillary alveolar rim in a downward direction. The fracture extends from the nasal septum to the lateral pyriform rims, travels horizontally above the teeth apices, crosses below the zygomaticomaxillary junction, and traverses the pterygomaxillary junction to interrupt the pterygoid plates.<br />
<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuPhF480kqUtDjs3cSByXtWdp0W1P0w9GPlPWQruk9k_vEKcUXov67pzUuIJ8buAg2MJEAiQDOgj6Wd7uf-OYHDohARaHtnE_gRPfOZVvCX4NFbJGvBsI6Yjb6oZZUUQ1Gm4NLgH83ic4A/s1600/600px-SchaedelSchraegLeFort123.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuPhF480kqUtDjs3cSByXtWdp0W1P0w9GPlPWQruk9k_vEKcUXov67pzUuIJ8buAg2MJEAiQDOgj6Wd7uf-OYHDohARaHtnE_gRPfOZVvCX4NFbJGvBsI6Yjb6oZZUUQ1Gm4NLgH83ic4A/s320/600px-SchaedelSchraegLeFort123.png" width="320" /></a></div><u style="color: blue;">Le Fort <b>II</b> fractures</u> (pyramidal) may result from a blow to the lower or mid maxilla. Such a fracture has a pyramidal shape and extends from the nasal bridge at or below the nasofrontal suture through the frontal processes of the maxilla, inferolaterally through the lacrimal bones and inferior orbital floor and rim through or near the inferior orbital foramen, and inferiorly through the anterior wall of the maxillary sinus; it then travels under the zygoma, across the pterygomaxillary fissure, and through the pterygoid plates.<br />
<br />
<u style="color: blue;">Le Fort <b>III</b> fractures</u> (transverse), also termed craniofacial dysjunctions, may follow impact to the nasal bridge or upper maxilla. These fractures start at the nasofrontal and frontomaxillary sutures and extend posteriorly along the medial wall of the orbit through the nasolacrimal groove and ethmoid bones. The thicker sphenoid bone posteriorly usually prevents continuation of the fracture into the optic canal. Instead, the fracture continues along the floor of the orbit along the inferior orbital fissure and continues superolaterally through the lateral orbital wall, through the zygomaticofrontal junction and the zygomatic arch. Intranasally, a branch of the fracture extends through the base of the perpendicular plate of the ethmoid, through the vomer, and through the interface of the pterygoid plates to the base of the sphenoid.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-23930433945525474752011-01-04T08:16:00.000-08:002011-01-25T11:48:11.146-08:00 USMLE Pass Program Video Lectures (2010) - Pediatrics<div style="color: blue;"><u>About the PASS Program:</u></div><br />
The PASS Program was created in 1988 and officially opened for business in the year 2000. This program is different from any other program in this country. It teaches integrated thinking so that a medical student can answer any question asked at any level. It does not, and should not, matter whether a student is taking the USMLE 1, USMLE 2, or USMLE3. The information that is covered in this program is ...........<br />
<br />
<a href="http://doctorsgates.blogspot.com/2011/01/usmle-pass-program-video-lectures-2010.html"><span style="color: red; font-size: large;">Read more............>> </span></a>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-77382758376909801182011-01-04T03:04:00.000-08:002011-03-09T09:52:08.531-08:00 Synthesis & Transport of Thyroid HormonesThe thyroid secretes 2 iodine-containing hormones: thyroxine <b>(T4 )</b> and triiodothyronine <b>(T3)</b>. The iodine necessary for the synthesis of these molecules comes from food or iodide supplements. Iodide ion is actively taken up by and highly concentrated in the thyroid gland, where it is converted to elemental iodine by thyroidal peroxidase <i style="color: blue;">( See the Figure )</i>.<br />
The protein thyroglobulin serves as a scaffold for thyroid hormone synthesis. Tyrosine residues in thyroglobulin are iodinated to form monoiodotyrosine <b>(MIT)</b> or diiodotyrosine <b>(DIT)</b> in a process known as iodineorganification........<br />
<br />
<a href="http://doctorsgates.blogspot.com/2011/01/synthesis-transport-of-thyroid-hormones.html" style="color: red;">Read more..........>> </a><br />
<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDa-74UGBVAMLObr0Bjsg8NETxXFC_UW2prph-tavJaPEJ3YJoNS6GJR-VZDHWStHowH8pK7tH_waXJF8sTd3ySmN_Bdl3lXcsikKTXpKOJqrNUcu77onMo_xmnjhcmu3RES5E2c42KgVN/s1600/thy.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDa-74UGBVAMLObr0Bjsg8NETxXFC_UW2prph-tavJaPEJ3YJoNS6GJR-VZDHWStHowH8pK7tH_waXJF8sTd3ySmN_Bdl3lXcsikKTXpKOJqrNUcu77onMo_xmnjhcmu3RES5E2c42KgVN/s320/thy.bmp" width="320" /></a></div><div style="color: magenta; text-align: center;"><i><span style="color: #0b5394;">This figure also show Sites of action of some antithyroid drugs.</span> I–, iodide ion; I°, elemental iodine. Not shown: radioactive iodine (131I), which destroys the gland through radiation.</i><br />
<br />
<div style="text-align: left;"><i><a href="http://doctorsgates.blogspot.com/2011/01/synthesis-transport-of-thyroid-hormones.html"><span style="font-size: large;">Read more.........>></span> </a></i></div></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-45307280975086953692011-01-03T23:59:00.000-08:002011-01-03T23:59:00.063-08:00 Inspecting a skin lesion<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEix4kvNKoKIoeiEaGfUGBKQd4CwzGe1BoRDxnBfNgCeHFyIrMFz7YZRlL5rmwqVhSNvZvdFRtkfeEiE8yqGj_1F4180f3NHSEwVikdw3iiXrFwsEFyV61nmcL-B82sWUCkNw5ux-jnQBOxk/s1600/loss+of+skin.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="176" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEix4kvNKoKIoeiEaGfUGBKQd4CwzGe1BoRDxnBfNgCeHFyIrMFz7YZRlL5rmwqVhSNvZvdFRtkfeEiE8yqGj_1F4180f3NHSEwVikdw3iiXrFwsEFyV61nmcL-B82sWUCkNw5ux-jnQBOxk/s400/loss+of+skin.bmp" width="400" /></a></div> <span style="color: magenta; font-size: large;">#</span> Inspect each lesion carefully and note¦<br />
-Grouped or solitary? Pattern if grouped .<br />
-Distribution/location:<br />
<ul><li>Symmetrical/asymmetrical?</li>
<li>Peripheral?</li>
<li>In only light exposed areas?</li>
<li>Dermatomal?</li>
</ul>-Colour.<br />
-Shape.<br />
-Size.<br />
-Surface.<br />
-Edge.<br />
-Nature of the surrounding skin.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-50101660501395897282011-01-03T20:58:00.000-08:002011-01-03T20:58:00.380-08:00 Histopathology of Osteosarcoma <object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/brwXOm5qP0c?fs=1&hl=en_US&rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/brwXOm5qP0c?fs=1&hl=en_US&rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-17429248386198398822011-01-03T05:33:00.000-08:002011-02-24T03:08:30.846-08:00 The staging evaluation of Esophageal CancerAfter establishing a diagnosis of esophageal cancer, adequate staging is required, because staging is the most important step in choosing appropriate therapy. More than 50% of patients have unresectable or metastatic disease at the time of presentation. For the others, survival is closely related to the stage of the disease.<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6tsapndT2kGOXlV1QkjGLxoovKFWqQDFUIpiM019Yx7dUPmXEecI_hqR3_8IngVMCJTYsucf_h2q8bFzC8JbPUV7UcL2-sWKv_iKz9sQaIadcwhlPlVW-SgURpmlYZ3mCn8xxEZixpGMZ/s1600/eos.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="296" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6tsapndT2kGOXlV1QkjGLxoovKFWqQDFUIpiM019Yx7dUPmXEecI_hqR3_8IngVMCJTYsucf_h2q8bFzC8JbPUV7UcL2-sWKv_iKz9sQaIadcwhlPlVW-SgURpmlYZ3mCn8xxEZixpGMZ/s400/eos.bmp" width="400" /></a></div>The staging evaluation allows patients to be ...................<br />
<br />
<div style="color: #0b5394;"><span style="font-size: large;"><a href="http://doctorsgates.blogspot.com/2011/01/staging-evaluation-of-esophageal-cancer.html">Read more.............>></a></span></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-73216792357086942862011-01-03T02:57:00.000-08:002011-01-03T02:57:00.343-08:00 Port wine stains and Associations<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiGu3oHPQNfsyYwWxH96JN5C9YsA6tHZC2-2Vck8junVK2mabx1iiKwrYwJ5ipwcdzHpi1drz56CT0DzrdAFPdfXOel10lLzsr4CcTTKLftUTLs3eU42RVNswUemopWqDD7JdbWv6GMWAdT/s1600/mh_photo_of_port-wine_stain_on_infant.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="217" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiGu3oHPQNfsyYwWxH96JN5C9YsA6tHZC2-2Vck8junVK2mabx1iiKwrYwJ5ipwcdzHpi1drz56CT0DzrdAFPdfXOel10lLzsr4CcTTKLftUTLs3eU42RVNswUemopWqDD7JdbWv6GMWAdT/s320/mh_photo_of_port-wine_stain_on_infant.jpg" width="320" /></a></div>Port wine stains (PWS) are almost always evident at birth and are <b>a capillary malformation</b>. They are usually sporadic, although some occur in families in an apparently autosomal dominant inheritance. They are initially pink or red, and grow in proportion to infant growth. Although they may appear to lighten in the first few months, they generally darken after this.<br />
<br />
<u style="color: blue;">They can be associated with</u> other skin anomalies such as extensive mongolian spots. An important association is <i style="color: red;">Sturge-Weber syndrome</i> ( PWS+mental retardation ): PWS involving the forehead (V1 area of the trigeminal nerve), eye abnormalities (choroidal vascular abnormalities, glaucoma), and leptomeningeal and brain abnormalities (vascular malformations, calcification, or cerebral atrophy). Another association is <i style="color: red;">Klippel-Trenaunay syndrome</i>, with a capillary malformation and overgrowth of the soft tissue and bone of the affected limb.<br />
<br />
Treatment of PWS is possible using a laser, although improvement rather than complete resolution is most common.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-56395710456647091492011-01-02T23:34:00.000-08:002011-01-02T23:34:00.190-08:00 Chronic Gouty Tophi<b>After years</b> of gouty attacks, patients will develop a <u style="color: blue;">chronic arthritis</u> resulting in bone and cartilage destruction and deformity. Uric acid crystals deposit within and surrounding the joint causing a chronic destructive inflammatory process. X-rays characteristically show well demarcated "punched out" erosions.<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEie0ypGFn_lhzIIwxghGpItRR-4k1BtzFQupN7lblqyoBHdhOILj2z6ob-bOxazYXPw4tsaufO7yuIagFRs8MdXOaNrQqnm92hj9K9YGvvT_ZXVfzyVHjrlIbC3wRqvgbIjv3vmUcHpx3lQ/s1600/gout_tophi.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="250" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEie0ypGFn_lhzIIwxghGpItRR-4k1BtzFQupN7lblqyoBHdhOILj2z6ob-bOxazYXPw4tsaufO7yuIagFRs8MdXOaNrQqnm92hj9K9YGvvT_ZXVfzyVHjrlIbC3wRqvgbIjv3vmUcHpx3lQ/s400/gout_tophi.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZpD2PNzNRVfgK6MIX1y4yDJ4qf9tX4iBccJMMW7iG_jipnRuOHUBA-n6bYRIUw3na-X2y6Aezt70-rygB-4Ufq6gxy1nBqUe6nOoyybVL_zKd4T-xZykhAq4mPYvwNUZwOTV5tEvpoSiI/s1600/gout_fig6.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZpD2PNzNRVfgK6MIX1y4yDJ4qf9tX4iBccJMMW7iG_jipnRuOHUBA-n6bYRIUw3na-X2y6Aezt70-rygB-4Ufq6gxy1nBqUe6nOoyybVL_zKd4T-xZykhAq4mPYvwNUZwOTV5tEvpoSiI/s1600/gout_fig6.gif" /></a></div><div style="color: red; text-align: center;"><i>Tophi at helix of ear.</i></div><b style="color: #0b5394;"> Tophi </b>or deposits of uric acid crystals are often found around joints, in the olecranon bursa or at the pinna of the ear.<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBRbfL5oJWVjqYS0v9o4P1nsjMmz8f8gIW9GqSAqFFQLtpjvS32vWzhySNAEh67wprWkYhL8YF6p58rX0n5Q73MyF-85CVCXf-DSn3avVRusS2pUDb4qwTqGuvj_XISg6Wqkc8TaDqM1dK/s1600/gout_fig5.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBRbfL5oJWVjqYS0v9o4P1nsjMmz8f8gIW9GqSAqFFQLtpjvS32vWzhySNAEh67wprWkYhL8YF6p58rX0n5Q73MyF-85CVCXf-DSn3avVRusS2pUDb4qwTqGuvj_XISg6Wqkc8TaDqM1dK/s1600/gout_fig5.gif" /></a></div> <br />
<br />
<br />
<br />
<br />
X-ray showing soft tissue swelling and erosion of 2nd PIP.dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-4900245499522318532011-01-02T20:03:00.001-08:002011-02-25T16:39:52.900-08:00 Pneumocephalus<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6nwabuq1OjnTczEwOVv6IOF1X2vi4Xn5mdOYomOKYJnRrgZcPeeq1azB09TaPE6iDKG2U9gge5x_a4Hivf5SU4QVGCBMzNhHchVw58gLbwtyEyv81LQEB4Z9AC6Hltz7Ir3PNxioMoIDy/s1600/12245_2009_108_Fig1_HTML.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6nwabuq1OjnTczEwOVv6IOF1X2vi4Xn5mdOYomOKYJnRrgZcPeeq1azB09TaPE6iDKG2U9gge5x_a4Hivf5SU4QVGCBMzNhHchVw58gLbwtyEyv81LQEB4Z9AC6Hltz7Ir3PNxioMoIDy/s320/12245_2009_108_Fig1_HTML.jpg" width="235" /></a></div><div style="text-align: center;"><i style="color: red;">X-ray showing nasal and orbital fractures and pneumocephalus</i> </div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUjbhnDzQV1Si77e-qX8k7GCj7rEfyyeOGooXsfUs_WfU-oaFM6yV-iUHLgRZrCpZJjFnslL9H0uht6XIM99tSm7k28aQWmpiKJRaHEgYIaomdi4LJ2dnexBMi9EbAgIerUpRJIws6zZrj/s1600/12245_2009_108_Fig2_HTML.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUjbhnDzQV1Si77e-qX8k7GCj7rEfyyeOGooXsfUs_WfU-oaFM6yV-iUHLgRZrCpZJjFnslL9H0uht6XIM99tSm7k28aQWmpiKJRaHEgYIaomdi4LJ2dnexBMi9EbAgIerUpRJIws6zZrj/s320/12245_2009_108_Fig2_HTML.jpg" width="309" /></a><b style="color: #3d85c6;">Pneumocephalus</b> is the presence of air in the cranial vault. It is usually associated with neurosurgery, barotrauma, basilar skull fractures, sinus fractures, nasopharyngeal tumor invasion and meningitis..........<br />
<br />
<div style="color: red;"><span style="font-size: large;"><a href="http://doctorsgates.blogspot.com/2011/01/pneumocephalus.html">Read more.........>></a></span></div>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.comtag:blogger.com,1999:blog-5073166747373008821.post-34402429406553050062011-01-02T09:31:00.001-08:002011-01-02T09:31:22.562-08:00 Supraspinatus Pathology by UltrasoundThis video details the complex structures of the human shoulder and how proper and careful ultrasound scanning techniques can identify tendon and rotator cuff tears, as well as avoid false positive and false negative tear diagnoses.<br />
<br />
<object width="460" height="340"><param name="movie" value="http://www.youtube.com/v/o8Sz7LnqMbM?fs=1&hl=en_US&rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/o8Sz7LnqMbM?fs=1&hl=en_US&rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="460" height="340"></embed></object>dr_toxichttp://www.blogger.com/profile/09498540693366676689noreply@blogger.com