Periosteal hlab ntsha: Periosteal cov hlab ntsha yog cov hlab ntsha ntawm periosteum tshwj xeeb tshaj yog ntau hauv qab cov leeg nqaij thiab ligamentous txuas. Hauv qab lub periosteum lawv faib ua cov ceg ntoo thiab yog li nkag mus rau Volkmann cov kwj dej kom muab sab nraud ib feem peb (1/3) ntawm lub cortex
Yog tias chloride-teb alkalosis tshwm sim nrog kev ua kom ploj mus, kho cov alkalosis nrog kev tso ntshav tawm ntawm isotonic sodium chloride tov. Vim tias hom alkalosis no feem ntau cuam tshuam nrog hypokalemia, kuj tseem siv cov tshuaj potassium chloride los kho cov hypokalemia
Koj lub siab yog lub cev loj tshaj plaws hauv koj lub cev. Muaj ntau hom kab mob siab: Kab mob tshwm sim los ntawm kab mob, xws li kab mob siab A, kab mob siab B, thiab kab mob siab C. Kab mob tshwm sim los ntawm kev siv tshuaj, tshuaj lom, lossis cawv ntau dhau. Piv txwv xws li kab mob siab rog thiab cirrhosis
Ntau tus neeg hauv California tau hnov tias nws tsis raug cai xaiv Poppies hauv lub xeev. Raws li txoj cai no, nws tuaj yeem ua txhaum cai los xaiv cov poppies, yog tias lawv nyob hauv thaj av tsis yog tus neeg xaiv. Txawm li cas los xij, yog tias tus neeg nqa khoom yog tus tswv av, lossis tau tso cai khaws cov paj noob hlis los ntawm tus tswv av, tom qab ntawd lawv tuaj yeem khaws cov paj
Feem ntau ntawm cov kev tshawb fawb pom tau tias SGAs ua tau zoo sib npaug rau cov tsos mob ntawm psychosis [30-35,37]. Olanzapine zoo dua rau cov tsos mob ntawm kev puas siab puas ntsws piv rau quetiapine thiab ziprasidone raws li ntsuas los ntawm PANSS hauv ib txoj kev tshawb fawb [36]
Cov hlua tuav yuav tsum muab tso rau nruab nrab ntawm koj cov hniav pem hauv ntej thiab koj daim di ncauj thaum muab cov hniav tom ntawm koj cov molars. Kaw koj lub qhov ncauj, maj mam so koj cov hniav ntawm cov hlab ntsha tom, thiab so kom txaus. Pov tseg cov neeg zov tom qab siv ib hmos. Kom tau txais txiaj ntsig zoo tshaj plaws: Ntau qhov kev kho hniav yuav tsum tsis txhob hnav tib lub sijhawm
Hauv kev xaus, DPP-4 inhibitors tshwm sim los ua qhov kev nyab xeeb rau cov neeg mob uas muaj ntshav qab zib hom 2 xws li kev kho mob ib leeg lossis ntxiv rau kev kho mob ntxiv. Txawm li cas los xij, tsis muaj cov lus pom zoo tuaj yeem kos ntawm tus kheej DPP-4 inhibitors vim tsis muaj kev sim taub hau-rau-lub taub hau
Metformin nyob rau hauv kev sib cais tsis suav hais tias yog ib qho kev pheej hmoo rau kev sib txawv ntawm kev mob ntshav qab zib hom 2, tab sis tshwj xeeb yuav tsum tau them rau cov neeg mob noj metformin uas tau teem sijhawm mus kuaj qhov sib txawv (piv txwv li, txhim kho kev suav tomography [CT], angiography, venography)
CT angiogram tsis mob. Lub rooj uas koj pw yuav zoo li nyuaj, thiab chav yuav txias. Tej zaum nws yuav nyuaj rau pw tseem thaum lub sijhawm kuaj
Nyob rau hauv ib tug dissection, lub puab txheej ntawm cov hlab ntsha kua muag tawm, tsim ib tug nrov plig plawg qhov twg cov ntshav txhaws tuaj yeem ua rau hauv lub nkoj. Qhov xwm zoo yog tias feem ntau ntawm kev txiav carotid, cov hlab ntshav yuav kawg kho nws tus kheej thiab rov qhib dua thiab qhov kev pheej hmoo ntawm kev rov ua dua tshiab hauv tus neeg mob tsawg heev
Muaj feem xyuam nrog kev kaw ntawm mitral thiab tricuspid li qub. Loudest ntawm lub apex. 1. Auscultate lub plawv ntawm ntau qhov chaw. S1 S2 Tsuas yog ua ntej carotid pulse Ua raws carotid pulse Louder ntawm apex Louder ntawm lub hauv paus qis dua thiab ntev dua S2 Cov suab siab dua thiab luv dua S2 Vim tias systole luv dua diastole:
ESI Theem 3: Cov neeg mob uas muaj cov cim tseem ceeb ib txwm yuav tsum rov ntsuas dua ntawm kev txiav txim siab ntawm tus kws saib xyuas neeg mob, tab sis tsis pub tsawg dua txhua 4 teev. Cov neeg mob uas muaj cov cim tseem ceeb txawv txav yuav tsum tau rov ntsuas dua tsis ntau dua li txhua 2 teev rau thawj 4 teev, tom qab ntawd txhua 4 teev yog tias muaj chaw kho mob zoo
Ambrisentan: (Major) Sympathomimetics, xws li phentermine, tuaj yeem tiv thaiv cov teebmeem ntawm vasodilators xws li ambrisentan thaum noj concomitantly. Tsis tu ncua ntsuas ntshav siab, lub plawv dhia, qhov ua tau zoo ntawm kev kho qhov hnyav, thiab qhov tshwm sim ntawm sympathomimetic / adrenergic adverse events
Sim ua cov txuj ci no kom nco qab thiab txuas ntxiv ua koj cov neeg siv khoom muaj txiaj ntsig zoo rau txhua qhov lawv xav tau tshuaj. Nco tsis pub dhau ib hnub. Rov ua qhov koj nco. Nco cov tshuaj tshiab raws li qib kawm. Cim cov tshuaj tshiab nrog cov ntawv luv. Nco cov tshuaj tshiab nrog lub koom haum duab
Distinguishing nta ntawm lub thoracic vertebrae muaj xws li lub xub ntiag ntawm facets ntawm ob sab ntawm lub cev rau articulation nrog lub taub hau ntawm tav, thiab facets nyob rau hauv lub transverse txheej txheem ntawm tag nrho cov, tshwj tsis yog lub 11th thiab 12th vertebrae, rau articulation nrog tubercles ntawm tav
Yog tias koj paub EC50 thiab Hill txoj kab nqes (H), koj tuaj yeem suav tau yooj yim EC80 lossis EC10 lossis lwm yam nqi uas koj xav tau. Piv txwv li, yog tias Hill txoj kab nqes sib npaug 1, EC90 sib npaug EC50 npaug cuaj. Yog tias H sib npaug 0.5, qhov nkhaus yog qhov ntiav thiab EC90 sib npaug EC50 zaug 81
Cov leeg leeg: Phau ntawv qhia paub LUMBAR MUSCLES FUNCTION Quadratus Lumborum Lateral flexion ntawm vertebral column Interspinales Ncua ncua vertebral column Intertransversarii Mediales Lateral flexion ntawm vertebral column Multifidus Extends & rotteb vertebral column
Peb qhov tseem ceeb tshaj plaws uas cuam tshuam nrog cov kab mob epithelial yog - squamous, cuboidal thiab columnar. Squamous epithelium yog tsim los ntawm cov hlwb uas dav dua lawv qhov siab (paj thiab dav). Cuboidal epithelium yog tsim los ntawm cov hlwb uas nws qhov siab thiab qhov dav yog kwv yees li tib yam (lub voos xwmfab)
Koj tuaj yeem tau txais pilonidal cyst thaum cov plaub hau nkag rau hauv koj daim tawv nqaij. Kev txhuam ntawm cov plaub hau ingrown los ntawm zaum los yog txhuam tuaj yeem ua rau koj cov tawv nqaij thiab ua rau lub cyst tsim. Qee zaum, cov hlwv no kis tau thiab lub hnab ntim ntawm cov kua paug hu ua abscess forms
Qhov twg ntawm cov hauv qab no txawv qhov sib txawv ntawm cov hlab ntsha ntawm cov leeg? -Lymphatics muaj li qub, thaum cov leeg tsis muaj. -Lymphatics tsis muaj peb lub tunics tam sim no hauv cov leeg. -Lymphatics thauj kua mus rau lub plawv
Lwm yam tseem ceeb uas yuav ua rau muaj kev pheej hmoo ntawm kev tsim palmar fibromatosis muaj xws li: Ntshav Qab Zib. Kev haus luam yeeb. Kev haus dej cawv - tshwj xeeb tshaj yog nyob rau hauv cov kab mob siab
Piv txwv li: Tsev neeg hypercholesterolemia. Kab mob Gaucher. Hunter syndrome. Kab mob kab mob. Maple syrup tso zis kab mob. Metachromatic leukodystrophy. Mitochondrial encephalopathy, lactic acidosis, mob stroke zoo li lub sijhawm (MELAS) Niemann-Pick
Neuroscience yog kev tshawb fawb tshawb fawb uas ua haujlwm zoo nrog rau lwm yam kev qhuab qhia, xws li lej, linguistics, engineering, computer science, chemistry, philosophy, psychology, thiab tshuaj
Pelvic fractures feem ntau pib kho li plaub lub lis piam tom qab pob txha tawg. Qee cov neeg mob yuav hnov mob tsawg dua li ob peb hnub tom qab pob txha, nyob ntawm qhov mob ntawm pob txha, tab sis feem ntau cov neeg mob noj tshuaj rau plaub mus rau rau lub lis piam tom qab raug mob
Cov pob txha yog av thiab siv ua chiv (hu ua pob txha noj) thiab qhov no kuj tau muab tso rau hauv cov nqaij qaib (uas yog txaus ntshai heev vim nws yog lub luag haujlwm rau kev kis tus kab mob bovinespongiform encephalopathy lossis mob vwm nyuj) thiab zaub mov dev. los ntawm roastingbones tawm ntawm kev sib cuag nrog huab cua
Clonazepam yog siv los tiv thaiv thiab tswj kev qaug dab peg. Cov tshuaj no hu ua anticonvulsant orantiepileptic tshuaj. Nws kuj tseem siv los kho kev ceeb ntshai. Clonazepam ua haujlwm los ntawm kev ua kom koj lub hlwb thiab qab haus huv nyob ntsiag to
Nws yog ib qho tseem ceeb uas yuav tsum hnav hnab looj tes thaum ua haujlwm nrog cov tshuaj phem thiab lwm yam khoom siv vim lawv tiv thaiv peb txhais tes los ntawm kev kis kab mob thiab kis kab mob. Cov hnab looj tes tiv thaiv yuav tsum raug xaiv raws qhov kev phom sij cuam tshuam. Nitrile hnab looj tes tiv thaiv feem ntau cov tshuaj thiab cov kab mob sib kis
Nyob rau tib lub sijhawm, cov pa roj carbon dioxide, cov khoom pov tseg ntawm cov metabolism, kis los ntawm cov ntshav mus rau hauv cov hnab cua. Cov pa roj carbon dioxide tawm ntawm lub cev thaum koj nqus pa. Thaum cov ntshav tau lim thiab oxygenated, nws rov qab mus rau sab laug atrium los ntawm cov hlab ntsws
Muscle strain: Feem ntau ua rau mob ntawm lub xub pwg hniav yog cov leeg nqaij. Qhov no tuaj yeem tshwm sim los ntawm lub cev tsis zoo (tshwj xeeb yog khoov rau pem hauv ntej nrog zaum ntev lossis sawv), nqa ntau dhau, cov haujlwm uas cuam tshuam nrog kev sib tw xws li ntaus golf lossis ntaus pob tesniv lossis txawm tias pw ntawm lub txaj tsis zoo
Cov tsom iav kev nyab xeeb yog qhov tseem ceeb rau ntau qhov laj thawj. Txhawm rau pib nrog, lawv tso cai rau tus neeg hnav hnav cov tshuaj muaj peev xwm ua rau muaj kev phom sij yam tsis ntshai ua rau lawv lub qhov muag puas tsuaj. Qhov no tseem tuaj yeem muaj tseeb rau cov teeb meem lom. Cov tsom iav kev nyab xeeb kuj tseem tuaj yeem pab tiv thaiv ib tus neeg los ntawm kev raug mob rau lub qhov muag los ntawm kev raug mob ntawm lub cev
Raws li myotonic dystrophy tau dhau los ntawm ib tiam mus rau lwm tiam, kev tsis sib xws feem ntau pib ua ntej hauv lub neej thiab cov cim thiab tsos mob hnyav dua. Qhov tshwm sim no, hu ua kev cia siab, tau tshaj tawm nrog ob hom mob myotonic dystrophy
Kev Kho Mob Txhais ntawm Gastroenterology Gastroenterology: Kev kho mob tshwj xeeb mob siab rau txoj kev tshawb fawb, kev kuaj mob thiab kev kho mob ntawm cov kab mob hauv plab. Cov teeb meem no tuaj yeem cuam tshuam rau txoj hlab pas (nqos tau lub raj), lub plab, txoj hnyuv me, txoj hnyuv loj (txoj hnyuv), qhov quav, daim siab, lub zais zis, lossis cov txiav txiav
Ib txwm saline yog crystalloid kua. [2] Ib txwm saline muaj electrolytes (sodium thiab chloride ions) uas dissociates hauv cov tshuaj. Sodium ions yog lub ntsiab electrolytes ntawm extracellular kua, uas yog ib qho tseem ceeb hauv kev faib cov kua thiab lwm yam electrolytes
Kev kho mob ntawm cov pob txha metacarpal feem ntau tuaj yeem ua tiav nrog kev siv cov cam khwb cia. Ib tug cam khwb cia feem ntau yog hnav rau 3 mus rau 6 lub lis piam, ua raws li cov kev ua si maj mam. 2? Qee lub sij hawm, yog tias khov kho ua teeb meem tom qab kho tas, tus kws kho mob tes yuav pom zoo ua haujlwm nrog koj
Lub ntsws muaj peev xwm Nws yog qhov siab tshaj plaws ntawm cov pa uas lub ntsws tuaj yeem ua kom haum lossis tag nrho cov ntim ntim lossis ntim ntawm cov pa hauv ntsws tom qab kev tshoov siab siab tshaj plaws. Tus nqi ib txwm yog li 6,000mL (4-6 L)
Cov txheej txheem ua rau mob me ntsis. Tab sis koj cov ntiv tes yuav loog rau ob peb teev tom qab qhov txheej txheem. Koj tuaj yeem pom tingling ntawm tus ntiv tes rau ob peb hnub tom ntej no. Tom qab tus txheej txheem, koj tus kws kho mob yuav txhaj tshuaj corticosteroid rau hauv koj txhais tes
Ntim ntawm filtrate tsim ib feeb los ntawm ob lub raum (ib txwm = 120-125 ml / min)
Aspirin yog ib qho NSAID tom khw muag khoom. Koj tus kws kho mob yuav OK muab nws rau koj tus dev rau lub sijhawm tsawg, tab sis feem ntau tsuas yog tias nws muaj kev raug mob lossis lwm yam mob luv. Nws tsis pom zoo rau kev siv mus sij hawm ntev hauv cov dev vim tias nws muaj peev xwm ua rau muaj kev phiv ntau dua, nrog rau kev pheej hmoo los ntshav
Tus Qauv Threshold Shift, lossis STS, tau teev tseg hauv cov qauv ua suab nrov nrov ua haujlwm ntawm 29 CFR 1910.95 (g) (10) (i) raws li kev hloov pauv hauv lub rooj sib hais, txheeb ze rau lub hauv paus kaw suab rau tus neeg ua haujlwm ntawd, ntawm qhov nruab nrab ntawm 10 decibels (dB) lossis ntau dua ntawm 2000, 3000, thiab 4000 hertz (Hz) hauv ib lossis ob lub pob ntseg
Kev haus dej ib leeg tsis yog qhov tsis zoo, tab sis nws yog kev coj ua uas tuaj yeem ua rau muaj kev quav dej quav cawv. Thaum muaj coob tus neeg tau haus dej hauv tsev tom qab ua haujlwm kom so thiab ua tus kheej tau txais txiaj ntsig, kev haus ntau zaus tuaj yeem ua rau haus cawv thiab quav cawv