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’s sign is positive in cholecystitis( intensifying pain ) #4 F’s. female , fat , fertile , forty / commonly associated ...
30/04/2020

’s sign is positive in cholecystitis( intensifying pain )
#4 F’s. female , fat , fertile , forty / commonly associated cases
alternatively to surgery - Ursodeoxycholic acid for dissolving stones , protective function by reducing cholesterol .

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28/04/2020

tamponade, fluid (here it is blood ) in the pericardium (the sac around the heart) builds up, resulting in compression of the heart

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:
Shortness of breath, weakness, lightheadedness, cough
:
Pericardial effusion ,cancer, kidney failure, chest trauma, pericarditis ,connective tissues diseases, hypothyroidism, aortic rupture, and complications of cardiac surgery
can contain 200ml to 2 lts.
: pericardiocentesis, surgery to create a pericardial window, or a pericardiectomy.

Good morning 😇. Are chocolates good for ? . For starters, it naturally lowers blood pressure. This, in turn, decreases ...
28/04/2020

Good morning 😇. Are chocolates good for ? .
For starters, it naturally lowers blood pressure. This, in turn, decreases the risk of cardiovascular disease. There’s also some evidence theobromine may reduce “bad” cholesterol and improve “good” cholesterol. Additionally, the substance may improve blood flow throughout the body, further supporting the
theobromine may widen the body’s airways and relax smooth muscle tissue throughout the body, including the smooth muscle tissue found in the lungs. This, in turn, increases airflow to the lungs—which helps explain both why theobromine may be an effective cough suppressant
mood, smile putter
anti-inflammatory. This is largely because the substance has antioxidant capacities, which helps reduce oxidative stress down to the cellular level.

When u keep a bullet inside for a long time. A 46-year-old man presented to the emergency department with worsening chro...
27/04/2020

When u keep a bullet inside for a long time.

A 46-year-old man presented to the emergency department with worsening chronic left knee pain. Fourteen years before presentation, he had sustained a gunshot wound to the left knee. Radiographs obtained at the time of that injury showed a metallic bullet embedded in the posterior weight-bearing surface of the lateral femoral condyle and metallic debris within the joint (Panel A). No surgery was performed to remove the bullet at that time. At the current presentation, the physical examination was notable for a large effusion in the left knee. Repeat radiographs showed that, in addition to changes consistent with arthritis in the joint, the bullet had fragmented into metallic particles throughout the joint and synovium (Panel 😎. Laboratory studies revealed microcytic anemia, with a hemoglobin level of 9.1 g per deciliter (normal range, 12.9 to 16.😎, and an elevated blood lead level (182 μg per deciliter, [8.8 μmol per liter]).
⚠️Intraarticular bullets should be removed surgically at the time of the injury. In addition to causing joint damage, intraarticular bullets can fragment and dissolve in synovial fluid, leading to lead absorption and delayed symptomatic lead poisoning. (case credits: J. Marquez, M. Schindlbeck- Nejm)

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under a microscope! ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀Coloured scanning electron micrograph (SEM) of sectioned hum...
09/04/2020

under a microscope! ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
Coloured scanning electron micrograph (SEM) of sectioned human .
The top layer is the stratum corneum (flaky, pale brown), a cornified layer of the epidermis that is composed of flattened, dead skin cells that form the surface of the skin. The dead cells from this layer are continuously being shed and replaced by cells from the living epidermal layer below (red). ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
The lowest layer (not seen here) is the dermis, a thick layer of fibrous connective tissue that supports and nourishes the epidermis. The skin is the body's largest organ, accounting for around 15% of the body's weight. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
Magnification: x1100 when printed 10cm wide.

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