The act of arse chugging, or ingesting a deglutition done the rectum, gained nationally photo in 2012 astern a fraternity guy at the University of Tennessee was rush to the infirmary with a line intoxicant substance stratum of .40 percentage. (The sound BAC for drive in Tennessee is .08 percentage.) Eventide worsened was how the kid’s BAC got so heights: a Franzia clyster. Yes, Franzia is that boxed-in vino that costs $13.99 for pentad liters of “bats and favorable,” crowd-pleasing cab.That piteous Pi Kappa Alpha turkey taught us all that approximately things, such as intoxicant Read more [...]
Coccidioidomycosis, a knobbed, airborn mycosis plebeian in the Southwest Joined States, is reach epidemic levels. Alias Coccidiomycosis, or coccus, the affliction, for which thither is no heal or vaccinum, has hit approximately 20,000 multitude indeed this class.The contagion is inherited done microscopical spores in the territory kicked up by the twist. Erstwhile lodged in the affectionate, dampish build of the lungs, it can ranch to your clappers, tegument, eyes, or in extremum cases, the head. The septic lean to slim and enduringness at a speedy gait. Spell it isn’t instantly sprightliness Read more [...]
The strongest in 10 years epidemic spread to 47 of the 50 U.S. states. In New York declared an emergency - there recorded nearly 20,000 cases, four times more than last winter. Dozens of people were killed, many of them children. In hospitals and clinics to stand in line for vaccination, people spend hours waiting for the reception of doctors, however, physicians recognize that drugs against influenza are only in 60 percent of cases. Director of the National Institute of Allergy and Infectious Diseases Dr. Anthony Fauci said: "The children carry the disease harder than adults. Moreover, Read more [...]
In the presence of foci of infection in the periodontal tissues is always a danger of acute purulent process, which could spread to neighboring areas. Predict the same direction of progress of infection, it is usually impossible.
Infective upward path, albeit rare, but is of great clinical interest, since it threatens the involvement in purulent inflammation of the vital parts of the skull. The published studies indicate the possibility of orbital phlegmon (IG Lukomski, 1929 AA Limberg, P. Lions. 1938 SK Jozefowicz, 1940, IA Saharulidze, 1941 J. Kagan, 1948 IM Kurbanov, 1959, etc.), brain abscesses Read more [...]
Group A was 18.1% of patients (92 people). In 44 of them were found contraindications of otolaryngology (exacerbation of chronic inflammatory processes), 32 person not operated due to contraindications (exacerbation of chronic bronchitis, anemia, malnutrition, pneumonia, catarrh of the upper respiratory tract). In 16 patients operation not performed for other reasons (quarantine department, avoiding surgery, pronounced restless behavior, etc.). In group B consisted of 9.4% of patients (48 men), group B - 72.5% (368 people).
A comparison of figures on three groups of patients before and after Read more [...]
The aim of our study was to determine the degree of readiness of remedial patients with congenital defects of the sky to uranostafiloplastike, the links between the initial state of the body, and postoperative complications.
The clinic reviewed the records of patients with congenital defects of the sky during two periods: the first-years 1946-1963, the second - 1964-1968.
This conventional division of archival material for the following reasons. In the first period the treatment was only 194 patients with congenital defects of the sky, ie an average of 11 people a year, and in the second period Read more [...]
Topographic and anatomic relationship between the nose, paranasal sinuses, orbit, eye and cranial cavity create conditions for the development of intracranial complications. It is also possible infiltration of pus from the nose and paranasal sinuses the orbit of the eye and in the cranial cavity directly through the damaged and sometimes intact bony wall. With brain abscesses may have a different localization. However, for diseases of the nose and paranasal sinuses they are more likely to occur in the frontal and temporo-parietal region. If pus from the nose and sinuses gets into orbit, orbital Read more [...]
This disease is considered to be an inactive form of tuberculosis with pronounced fibrosis in the lungs. Often cirrhosis (See) is observed after the equity process (Denies, caseous pneumonia) after purulent and serous pleurisy (called pleurogenously cirrhosis), And after such surgery, as thoracoplasty, extrapleural pnevmoliz.
Fig. 9. Cirrhosis right lung.
In cirrhotic lung tissue often develop bronchiectasis and is normally attached pulmonary heart disease varying degrees, displacement of the heart, great vessels and trachea (Figure 9). Tubercle bacilli not found or allocated periodically, Read more [...]
Embolism (Fat, air, at least - thromboembolism, very rarely - liver tissue smashed, a bullet that entered into vessel etc.) as the cause of death are rare, and has a value of localization (eg, thromboembolism) or massive vessel closure (fat embolism).
The fat in the bloodstream falls not only because of broken bones, but the trauma and subcutaneous fat, even with injuries. Fat droplets received in the bloodstream, much higher than the diameter of the lumen of the smallest blood vessels, in connection with which clog the capillaries of the lungs. In cases of incomplete imperforate foramen ovale Read more [...]
Improper transport immobilization of forearm fractures in the upper and middle thirds of the elbow without the seizure may cause the displacement of bone fragments, soft tissue trauma and neurovascular bundle. Insufficiently attentive examination of the function of fingers and sensitivity of such fractures may be the cause of delayed diagnosis of nerve damage.
Removal of the cast until the bone fusion - Rough bug, leading to nonunion fractures, education deformation (bending), pain, formation of false joints, which eliminates the possibility of sports and can cause permanent disability.
Lack of Read more [...]
Immobilization of the lower leg fractures to the level of the knee - a gross error.
Application of Ilizarov frame with infected abrasions, pustular lesions of the epidermis can lead to inflammation of the soft tissues and perforated osteomyelitis of the tibia.
Refusal of surgery or his conduct in the later stages in oblique and helical fractures, soft tissue interposition of complications increases the probability of a false joint.
Early axial load on the foot during lateral fractures (after 2 weeks) leads to a slowdown consolidation, long-term preservation of edema and later restore the supporting Read more [...]
With a closed head injury of the head bones and the skin is not damaged. By this form are concussion (mild damage), and a brain contusion. In the other (more severe cases) is bleeding in the skull which may have different origins.
Concussion - an injury that arose from the impact on the brain, but no changes in brain tissues and membranes. The consequences of such an injury - a temporary loss of memory and motor function.
Contusion of the brain - the crushing of tissues and patchy hemorrhage occurred from crushing. The symptoms and course of the effects depend largely on what area of Read more [...]
In operations on the internal organs to access them have open abdominal or chest cavity. Such operations are called the Cavity.
Some acutely emerging diseases of the internal organs and their various complications requiring emergency surgery. In chronic conditions it is possible to advance to prepare the patient for surgery, dividing it into the most profitable for him.
In emergency operations preoperative period very kratkovremen. In a matter of urgency, the necessary investigation, confirmed the diagnosis, and the patient quickly prepared for surgery. Therapeutic physical training in this Read more [...]
After extirpation of gastric peritonitis develops as a result of anastomotic suture failure, usually combined with mediastinitis as abdomen widely reported by the mediastinum. Mediastinitis phenomena prevail when anastomosis was imposed high and the subsequent reduction of the esophagus entirely moved from the abdominal cavity in the mediastinum. Then gapping may occur rapidly increasing pattern cardiopulmonary failure. The patients suddenly appear strong chest pain, severe shortness of breath and cyanosis, the pulse is frequent and small, the blood pressure falls. Rapidly deteriorating condition Read more [...]
In 1944, professor Yermolyeva appeared in the medical institutions of the army. She and her staff gather doctors, acquainted them with a yellowish powder in sealed glass tubes and on the spot demonstrate its use.
Professor Yermolyeva checked the effect of his medication. She needed the wounded, delivered as quickly as possible after the injury. She wanted to see, which makes the drug in these cases. Powder pushen be in motion not in a day, not in ten hours, and no later than five or six hours after the injury. And then what? There will be complications?
Its results were so convincing that Read more [...]
Preparation of the nervous system and psyche of a patient. The psyche of the patient undergoes surgical trauma, from clinics, where he was first recommended operation. Then she injured during hospitalization wards operate or awaiting surgery patients. Particularly difficult point is the appointment of the operation, preparation for it (clinical examination, including laboratory, x-ray). How careless words (on spikes, scars, primary tumor filling defects), it is sometimes in the presence of the patient. Every doctor should be able to learn the identity of the patient to understand his condition Read more [...]
Postoperative period - The time from the removal of the patient from the operating table to the healing of the wound and the disappearance of disorders caused by surgical trauma. Uncomplicated postoperative period usually lasts for 8-12 days and the duration of the postoperative period is increased if the patient sharply weakened and exhausted, especially if will develop postoperative complications. Tasks in nursing postoperative - The fight against disorders caused by the operation, warning of possible complications and their treatment, should they arise. All this is achieved by careful observation, Read more [...]
Immunotransfuziya - Transfusion of blood collected from donors who have had measles, scarlet fever, typhoid fever, polio, and have acquired immunity to these diseases. The blood of people who have suffered extensive burns, used to treat burnt.
Geterotransfuziya - Transfusion of blood of animals. As well as blood transfusion inogruppnoy, geterotransfuziya is blood transfusion in the fullest sense. Rather, they appear to be annoying methods of therapy. Blood of animals at low doses (5 to 10 ml) is sometimes used to stimulate chronic sepsis, weak healing wounds, poorly absorbable infiltrates. Read more [...]
Primary suture is placed upon a wound in the hours after its application. Primary seam is designed to healing wounds by primary intention. In cases where no such healing (With smashed, bruised, bacterially contaminated wounds), the imposition of primary suture in danger of infectious complications. So often it is applied at the end of aseptic surgical procedures, as well as accidental injuries cut people without evidence of contamination (see the wounds, wounds). Imposes primary suture physician, nurses closer to the edges of the wound should enjoy bloodless ways (see Surgical Sutures). Only Read more [...]
Children with recurrent attacks of rheumatic fever in the background of acquired heart diseases, except for application of antirheumatic agents in combination with antibiotics, it is necessary to make greater use drugs that affect the recovery of metabolic processes in the heart muscle. For this purpose, use cocarboxylase on 50-75mg per day intramuscularly, vitamins: C - by 300-500 mg per day, B - 15-20 mg, B2 - 15 mg, B15-150 mg, B6-30 -60 mg, potassium supplements (potassium chloride, potassium orotate, Panangin).
In the presence of children with acquired heart disease of chronic foci of infection: Read more [...]