Docstoc feed for: Education->Medical School

Tabaquismo2004

mundaria — Tue, 22 Dec 2009 14:40:00 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Evaluacin Clnica del FumadorDr. Javier J. Zulueta Director del Servicio de Neumologa Clnica UniversitariaEvaluacin del fumadorSalud general: repercusiones del tabaquismoValoracin del hbito tabquico • motivacin para la deshabituacin • grado de dependenciaPrevalencia de tabaquismo en Espaa1994-98 1999-2001 Hombres Mujer

SDRA06

mundaria — Tue, 22 Dec 2009 14:38:14 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Sndrome de Distrs Respiratorio Agudo (SDRA)Dr. Javier J. Zulueta Clnica Universitaria de Navarra Universidad de NavarraSDRATerminologa• Tradicional: • Consenso actual: SDR... Adulto SDR... AgudoDefinicionesLesin aguda de pulmnSndrome agudo de inflamacin persistente del pulmn caracterizado por un aumento de la permeabili

Diagnostics

mundaria — Tue, 22 Dec 2009 14:38:00 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Pruebas Diagnsticas en NeumologaDr. Luis M. Seijo Servicio de Neumologa Clnica Universitaria de NavarraPruebas Diagnsticas en Neumologa - IntroduccinAngioTAC / V/QPrueba CP de EsfuerzoOxido Nitrico ExhaladoTest de la MarchaEsputoPETAnalticaPolisomnografaBroncoscopiaPulsioximetra Pruebas funcionales

clasificacion 2004 JACC

mundaria — Tue, 22 Dec 2009 14:34:52 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Journal of the American College of Cardiology 2004 by the American College of Cardiology Foundation Published by Elsevier Inc.Vol. 43, No. 12 Suppl S ISSN 0735-1097/04/$30.00 doi:10.1016/j.jacc.2004.02.037Clinical Classiﬁcation of Pulmonary HypertensionGerald Simonneau, MD,* Nazzareno Galie, MD,† Lewis J. Rubin, MD,‡ David Langleben, MD

28. Ciruga -Trasplante pulmonar

mundaria — Tue, 22 Dec 2009 14:34:48 GMT

shared by: mundaria on: Tuesday, December 22, 2009

DETALLES QUIRURGICOS DEL TRASPLANTE PULMONARCUNHISTORIA1946 1951 1963 1969 1977 1982 1986 Demikhov: Primer trabajo experimental Juvenelle: Tecnica de implantacion pulmonar Hardy: Primer transplante pulmonar en el hombre Cooley: Primer transplante corazon-pulmon humano Borel: Descubrimiento de la ciclosporina Reitz: Primer transplante cor

23. SAOS

mundaria — Tue, 22 Dec 2009 14:21:26 GMT

shared by: mundaria on: Tuesday, December 22, 2009

SNDROME APNEAS-HIPOPNEAS OBSTRUCTIVAS DEL SUEOSNDROME DE HIPOVENTILACINOBESIDADDefinicinEl SNDROME DE APNEA-HIPOPNEAS OBSTRUCTIVAS DEL SUEO se caracteriza por un cuadro de somnolencia y trastornos neuropsiquitricos y cardiorrespiratorios secundarios a episodios repetidos de obstruccin de la va area superior que provoca constante

22. Enf. tromboemblica

mundaria — Tue, 22 Dec 2009 14:17:32 GMT

shared by: mundaria on: Tuesday, December 22, 2009

TROMBOEMBOLISMO PULMONARTROMBOEMBOLISMO PULMONAR• Obstruccin arterial pulmonar por causa de un trombo desarrollado in situ o de otro material procedente del sistema venoso del resto del organismo. • La trombosis in situ– Poco conocida – Relacionada con infeccin, neoplasia primaria o metastsica en cuyo seno se origina una trombosis. – O

21. HTN pulmonar

mundaria — Tue, 22 Dec 2009 14:13:16 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Hipertensin pulmonarDr. Javier J. Zulueta Servicio de NeumologaHTN Pulmonar - Definicin> 25 mmHg (reposo) Presin arterial pulmonar mediaDeterminacin invasiva> 30 mmHg ejercicioPresin sistlica pulmonarEcocardiograma> 40 mmHgClasificacin - 2004 (Venecia)• Gpo 1: Hipertensin arterial pulmonar• Espordica • Fa

20. Sarcoidosis

mundaria — Tue, 22 Dec 2009 14:13:02 GMT

shared by: mundaria on: Tuesday, December 22, 2009

SarcoidosisDr. Javier J. Zulueta Servicio de Neumologa Clnica Universitaria de NavarraHistoria• 1899 Caesar Boeck (dermatlogo noruego) : describi ndulos cutneos con focos bien delimitados de clulas epitelioides y algunas cluals gigantes, parecido al sarcoma.• Lo llam sarcoide mltiple benigno de la pielDefinicin• Enf. gr

19. Enfermedades intersticiales III

mundaria — Tue, 22 Dec 2009 14:09:27 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Enfermedad Pulmonar Intersticial IIIDr. Luis M. Seijo lmseijo@unav.es Servicio de Neumologa Clnica Universitaria de NavarraEnf. Pulmonar Intersticial Clasificacin (I)Causa conocidaGranulomatosaE. Colgeno Vasculitis Medicamentos Radioterapia Alveolitis alrgica Carcinomatosis NeumoconiosisSarcoidosis BeriliosisAlveo

18. Enfermedades intersticiales II

mundaria — Tue, 22 Dec 2009 14:07:31 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Enfermedad Pulmonar Intersticial (II)Dr. Luis M. Seijo Servicio de Neumologa Clnica Universitaria de NavarraEnf. Pulmonar Intersticial Clasificacin (I)IdiopticaNeumona intersticial usual N.I. Descamativa N.I. Aguda N.I. Inespecfica Bronquiolitis respiratoria B.O.N.O.Enf. Pulmonar Intersticial Clasificacin (I)Nagai, S.

17. Enfermedades intersticiales I

mundaria — Tue, 22 Dec 2009 14:05:56 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Enfermedad Pulmonar Intersticial (Introduccin)Dr. Luis M. Seijo Servicio de Neumologa Clnica Universitaria de NavarraEnf. Pulmonar Intersticial DefinicinGrupo de enfermedades no relacionadas, que producen engrosamiento del intersticio pulmonar causando:– – – – disnea y/o tos patrn restrictivo alteracin del intercambio de gases al

15 y 16. Cncer de pulmn

mundaria — Tue, 22 Dec 2009 14:03:46 GMT

shared by: mundaria on: Tuesday, December 22, 2009

CNCER DE PULMNFacultad de Medicina 2006-07 Universidad de NavarraDr. Jos M Lpez-Picazo Departamento de Oncologa Clnica Universitaria de NavarraOBJETIVOSAl finalizar la clase los alumnos debern saber:– – – – – La importancia epidemiolgica del cncer de pulmn Los factores de riesgo de cncer de pulmn Estrategias de prevenci

13 y 14 EPOC _V_ Transplante

mundaria — Tue, 22 Dec 2009 13:56:00 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Trasplante de PulmnIndicaciones– Edad < 65 aos – Enfermdad avanzada• FEV1 55 • HTP avanzada– Ausencia de comorbilidad grave – Potencial de rehabilitacinExacerbacionesAgudizacin de los sntomas crnicos con deterioro de la situacin clnica del paciente Aumento de la disneaAumento de la tos y expectoracinEsputo purulento

13 y 14 EPOC _IV_ Tratamiento

mundaria — Tue, 22 Dec 2009 13:43:49 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Opciones quirrgicas• Reduccin volumen pulmonar• Trasplante de pulmn– 35% de las indicaciones actuales – supervivencia al ao 78%, 3a = 65%, 5a = 48%.Reduccin de volumen pulmonar• enfisema heterogneo (apical, centrolobulillar)• sin hipertensin pulmonar severa• sin alteracin severa de la DLCO • sin hipercapnia marcada • Ca

13 y 14 EPOC _III_ Tratamiento

mundaria — Tue, 22 Dec 2009 13:37:57 GMT

shared by: mundaria on: Tuesday, December 22, 2009

EPOC - tratamiento1. Prevenir la progresin 2. Aliviar sntomas 3. Mejorar tolerancia al ejercicio 4. Mejorar salud en general 5. Prevenir complicaciones6. Tratar exacerbaciones7. Reducir la mortalidadEPOC - Estadios de Gravedad GOLDEstadio 0: alto riesgo Tabaquismo + Espirometra normal Tos ExpectoracinI: LeveFEV1  80%

13 y 14 EPOC _II_ Diagnstico

mundaria — Tue, 22 Dec 2009 13:37:54 GMT

shared by: mundaria on: Tuesday, December 22, 2009

EPOC - Diagnstico• • • • • • Anamnesis y exploracin PFR (reposo, esfuerzo) Radiologa (convencional, TC) Gasometra arterial ECG, ecocardiograma Analtica generalPFR• • • • Espirometra Volmenes pulmonares DLCO Pruebas de esfuerzo:– Cardiopulmonar (VO2max) – 6 minutos marchaAnormalidades VentilatoriasNormal FVC FEV1 FEV1/FVC TL

13 y 14 EPOC _I_

mundaria — Tue, 22 Dec 2009 13:31:32 GMT

shared by: mundaria on: Tuesday, December 22, 2009

DefinicinEnfermedad caracterizada por una obstruccin al flujo areo crnica, no completamente reversible y generalmente progresiva, causada principalmente por una reaccin inflamatoria frente a txicos inhalados. GOLD: Global Initiative for Chronic Obstructive Lung DiseaseDefinicinEPOC incluye: Bronquitis crnica EnfisemaDe

12. Pleura

mundaria — Tue, 22 Dec 2009 13:29:28 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Pleura• Derrames Pleurales– Anatoma – Fisiologa – Mecanismos patognicos – Tipos de derrames pleurales: TRASUDADO vs EXUDADO – Manifestaciones clnicas – Etiologa– Diagnstico– TratamientoPleura• Tumores pleurales– Primarios – Metstasis• Neumotrax– Clasificacin – Diagnstico – TratamientoAnatoma de la PleuraVa

9. Tuberculosis _extra_

mundaria — Tue, 22 Dec 2009 13:27:38 GMT

shared by: mundaria on: Tuesday, December 22, 2009

TuberculosisDr. Javier J. Zulueta Servicio de NeumologaEtiologa• 1882: Robert Koch descubre el bacilo• Mycobacteria– familia Mycobacteriacea – orden Actinomycetales• Tuberculosis:– M. Tuberculosis (ms comn) – M. Bovis – M. Africannum• Mycobacteria No TBCMycobacterium Tuberculosis• Bacilo aerbico• Gram: neutro

9. Tuberculosis

mundaria — Tue, 22 Dec 2009 13:27:02 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Tuberculosis pulmonarDr. Jos Ramn Yuste Ara rea de Enfermedades InfecciosasHistoriaTBC vertebralNeoltico, poca precolombina y momias egipciasSiglo XVIII – Revolucin industrial (Europa)Responsable del 25% del total de muertes en adultos10 de abril de 1882Descripcin del bacilo tuberculoso (Berlin Physiological Society)

8. Enfermedades ocupacionales

mundaria — Tue, 22 Dec 2009 13:25:38 GMT

shared by: mundaria on: Tuesday, December 22, 2009

NEUMOCONIOSIS OTRAS PATOLOGAS POR POLVO INORGNICOIMPORTANCIA EPIDEMIOLGICA1,2 9,35 FRMACOS/RADIACINCONECTIVOPATAS 5500SAOS8,55SARCOIDOSIS 8000ASMA20,8 16,5PATOLOGA OCUPACIONAL Y AMBIENTAL FIBROSIS PULMONAR IDIOPTICA EPOC 910001000200030004000500060007000800090001

7. Bronquiectasias

mundaria — Tue, 22 Dec 2009 13:23:51 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Clnica UniversitariaFacultad de Medicina Universidad de Navarra _______Telfonos: Central 948/ 25 54 00 Admisin 948/ 29 62 92 Fax 948/ 29 65 00 Apartado, 4209 31080 PAMPLONA (Espaa)BRONQUIECTASIASDefinicin: Las bronquiectasias son dilataciones irregulares de los bronquios por dao estructural de sus paredes, causadas por mltiples e

6. Infecciones _III_ - Abceso de Pulmon

mundaria — Tue, 22 Dec 2009 13:15:26 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Abceso de Pulmn Definicin: Necrosis del parnquima pulmonar de causa infecciosa. Clasificacin: Segn diferentes criterios A) por duracin de sntomas - Agudo - Crnico: sntomas presentes durante un mes o ms antes del diagnstico B) Por patologa de base - Primario: absceso por aspiracin - Secundario: enferemedad predisponente de base: SIDA, t

6. Infecciones _I_

mundaria — Tue, 22 Dec 2009 13:15:24 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Infecciones RespiratoriasDr. Javier J. Zulueta Servicio de NeumologaMecanismos de defensa frente a la infeccin• Mxima superficie del organismo en contacto con el ambiente • Barreras anatmicas, mecnicas, humorales y celulares • 3 niveles:• Vas altas (naso y orofaringe) • Vas bajas • Parnquima pulmonarMECANISMOS DE DEFENSA NAR

3. Tos crnica y otros sntomas

mundaria — Tue, 22 Dec 2009 13:14:30 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Patologa RespiratoriaSINTOMAS• • • •Disnea Tos Hemoptisis Dolor Pleurtico*HEMOPTISISHemoptisis• Expectoracin de sangre hilos de sangre  sangre sin esputo • Hemoptisis masiva: > 100 ml/24 hOrigen VascularArterias pulmonares  100% QArterias bronquiales  pequea cantidad baja presin alta presin

2. Asma

mundaria — Tue, 22 Dec 2009 13:14:20 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Asma bronquialDra. Marta Ferrer Puga Departamento de Alergologa e Inmunologa Clnica Clnica UniversitariaCifras     Personas con asma: 300 millones 2025: 400 millones Prevalencia: 10-12% adultos y 15% nios Mayora asmticos son alrgicos Das de baja: 15 millones al ao Espaa: 50 ingresos por cada 100.000 hab M

1. Valoracin funcional pulmonar

mundaria — Tue, 22 Dec 2009 13:10:11 GMT

shared by: mundaria on: Tuesday, December 22, 2009

Valoracin Funcional PulmonarDr. J. ZuluetaPruebas Funcin Respiratoria• Espirometra (+ - broncodilatadores)• Volmenes pulmonares:– Lavado de N2– Pletismografa• Capacidad de difusin (DLCO) • Prueba de esfuerzoVIR (IRV)CI (IC) CV (VC) CPT (TLC)VTVER (ERV) VR (RV)CRF (FRC)EspirometraFlujo (L/s)9

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avatar4ik — Mon, 21 Dec 2009 18:15:43 GMT

shared by: avatar4ik on: Monday, December 21, 2009

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Vertical Poster Template

jay3mega — Mon, 21 Dec 2009 12:38:40 GMT

shared by: jay3mega on: Monday, December 21, 2009

Template for scientific research poster 36 wide 48 tall portrait orientation

exam_resources RN CNA TORONTO

ramiraja — Sun, 20 Dec 2009 12:38:07 GMT

shared by: ramiraja on: Sunday, December 20, 2009

RN EXAM PREP RESOURCES (2009)Please be sure to download a copy of CRNBC's Professional Standards for Registered Nurses and Nurse Practitioners. The Canadian RN Exam Prep Guide, 4th edition, is available for sale from CNA http://www.cna-nurses.ca/cna/ or toll-free 1-800- 361-8404. The CRNE Prep Guide is also available from B.C. University and Coll

Ischiorectal fossa

vishnupstvm — Sat, 19 Dec 2009 05:10:22 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

1 ANAL TRIANGLE AND ISCHIORECTAL FOSSA The muscles in relation to the true-pelvis are: obturator internus and levator ani. Levator ani takes origin from the fascia covering obturator internus (obturator fascia), and runs downwards and medially towards the mid-line. The levator ani muscles of both sides unite in the mid-line to form the pelvic diaph

Temporal fossa

vishnupstvm — Sat, 19 Dec 2009 05:04:15 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

TEMPORAL FOSSAThe temporal fossa is a narrow fan-shaped space that covers the lateral surface of the skull. Boundariesits upper margin is defined by a pair of temporal lines that arch across the skull from the zygomatic process of the frontal bone to the supramastoid crest of the temporal bone; it is limited laterally by the

Scalp

vishnupstvm — Sat, 19 Dec 2009 05:04:14 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Nerve and Blood-supply of the ScalpNerve SupplyTen nerves supply the scalp on each side, five in front of the auricle and five behind the auricle. In each pre-and post-auricular group, four nerves are sensory and one is motor. Nerves in front of auricle(anterior to posterior) : 1. Supra-trochlear (sensory), a branch of frontal nerve from the op

Parotid Gland

vishnupstvm — Sat, 19 Dec 2009 05:04:12 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Parotid GlandThe parotid gland lies on the lateral side of the face in a depression below the external acoustic meatus, behind the mandible, and in front of the sternocleidomastoid muscle. The parotid gland on each side is entirely outside the boundaries of the oral cavity in a shallow triangular-shaped trench formed by:  the sternocleid

Facial Nerve

vishnupstvm — Sat, 19 Dec 2009 05:04:09 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Facial NerveThe facial nerve is the seventh cranial nerve. It is attached to the brainstem by two roots: a large motor root, and a smaller sensory root These roots are attached in the lateral part of the groove between the lower border of the ports and the upper border of the medulla. The motor root is medial to the sensory root. (Note: As in the

Extraoccular Muscles

vishnupstvm — Sat, 19 Dec 2009 05:04:01 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Extra-Occular MusclesThere are two groups of muscles within the orbit: extrinsic muscles of eyeball (extra-ocular muscles) involved in movements of the eyeball or raising upper eyelids; intrinsic muscles within the eyeball, which control the shape of the lens and size of the pupil.The extrinsic muscles include the levator palpebrae su

Brainstem

vishnupstvm — Sat, 19 Dec 2009 05:00:45 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

BrainstemThe brainstem is made up of the medulla oblongata, the pons and the midbrain and occupies the posterior cranial fossa of the skull. It connects the spinal cord with the forebrain. The midbrain is continuous above with the cerebral hemispheres. The medulla is continuous below with the spinal cord. Posteriorly the pons and medulla are sepa

Appendix

vishnupstvm — Sat, 19 Dec 2009 04:41:23 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Vermiform AppendixThe appendix is a narrow, muscular tube containing a large amount of lymphoid tissue. It varies in length from 3 to 5 inches.The base is attached to the posteromedial surface of the cecum about 1 inch below the ileocecal junction. The remainder of the appendix is free. It has a complete peritoneal covering, which is attached to

Urinary Bladder

vishnupstvm — Sat, 19 Dec 2009 04:41:22 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Urinary BladderThe bladder is the most anterior element of the pelvic viscera. In the adult the urinary bladder lies in the pelvis. However when distended with urine, part of it extends above the level of the pubic symphysis and comes in contact with the anterior abdomianl wall. Although the bladder is considered to be pelvic in the adult, it has

Ureter

vishnupstvm — Sat, 19 Dec 2009 04:41:17 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

UreterThe ureters are muscular tubes that transport urine from the kidneys to the bladder. It is about 25cm long. The upper half of this length lies on the posterior abdominal wall and the lower half in the true pelvis. They are continuous superiorly with the renal pelvis, which is a funnel-shaped structure in the renal sinus. The renal pelvis is

Testis

vishnupstvm — Sat, 19 Dec 2009 04:41:12 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

1TESTISThe testes are the male gonad, paired ovoid male reproductive glands that produce the male germ cells (sperms, or spermatozoa) and male hormones, primarily testosterone. The testes are suspended in the scrotum by the spermatic cord, with the left testis (testicle) usually suspended (hanging) more inferiorly than the right testis. They

Suprarenals

vishnupstvm — Sat, 19 Dec 2009 04:40:33 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Suprarenal GlandThe suprarenal glands are associated with the superior pole of each kidney. They consist of an outer cortex and an inner medulla. The right gland is shaped like a pyramid, while the left gland is semilunar in shape and the larger of the two. The suprarenal glands are surrounded by the perinephric fat and enclosed in the renal fasc

Stomach

vishnupstvm — Sat, 19 Dec 2009 04:40:31 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

STOMACHThe stomach is the most dilated part of the gastrointestinal tract and has a J-like shape. It is situated in the upper part of the abdomen, extending from beneath the left costal margin region into the epigastric and umbilical regions. Much of the stomach lies under cover of the lower ribs. It has two openings, the cardiac and pyloric orif

Spleen

vishnupstvm — Sat, 19 Dec 2009 04:40:22 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

SpleenThe spleen is a solid organ, irregularly oval in shape. It is reddish and is the largest single mass of lymphoid tissue in the body. It is about 12 cm long and 7 cm broad. It lies in the left hypochondriiim, behind the stomach. The spleen develops as part of the vascular system in the part of the dorsal mesentery that suspends the developin

Pouch of Douglas

vishnupstvm — Sat, 19 Dec 2009 04:40:20 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Pouch of DouglasThe rectouterine pouch (Pouch of Douglas) is the extension of the peritoneal cavity between the rectum and back wall of the uterus in the female human body. The peritoneum from the rectum is reflected anteriorly onto the posterior surface of the posterior fornix of the vagina and the uterus producing the rectouterine pouch. In wom

Portal vein

vishnupstvm — Sat, 19 Dec 2009 04:40:11 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Portal VeinVenous drainage of the spleen, pancreas, gallbladder, and the abdominal part of the gastrointestinal tract, except for the inferior part of the rectum, is through the portal system of veins, which deliver blood from these structures to the liver. Once blood passes through the hepatic sinusoids, it passes through progressively larger ve

Porta Hepatis

vishnupstvm — Sat, 19 Dec 2009 04:40:07 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Porta HepatisThe porta hepatis (gateway to the liver)(hilum of liver) serves as the point of entry into the liver for the hepatic arteries and the portal vein, and the exit point for the hepatic ducts. It is found on the posteroinferior surface and lies beween the caudate and quadrate lobes. The upper part of the free edge of the lesser omentum i

Pancreas

vishnupstvm — Sat, 19 Dec 2009 04:40:05 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

PancreasLocation and Description The pancreas is both an exocrine gland and an endocrine gland. The exocrine portion of the gland produces a secretion that contains enzymes capable of hydrolyzing proteins, fats and carbohydrates. The endocrine portion of the gland, the pancreatic islets (Islets of Langerhans) produce the hormones insulin and gluc

Omentum

vishnupstvm — Sat, 19 Dec 2009 04:40:01 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

OmentumThe omenta consist of two layers of peritoneum, which pass from the stomach and the first part of the duodenum to other viscera. There are two: The greater omentum derived from the dorsal mesentery; The lesser omentum derived from the ventral mesenteryGreater Omentum The greater omentum is a large, apron-like, peritoneal fold t

Mesentery

vishnupstvm — Sat, 19 Dec 2009 04:40:00 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

MESENTERYThe mesentery is a large, fan-shaped, double-layered fold of peritoneum that connects the jejunum and ileum to the posterior abdominal wall. The attachment of the mesentery to the posterior abdominal wall is referred to as the root of the mesentery (attached border). The root is about 15 cm long. When traced towards the gut the mesentery

Ligaments of liver

vishnupstvm — Sat, 19 Dec 2009 04:39:48 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Ligaments of Liver and Hepatic SegmentsThe liver is the largest visceral organ in the body and is primarily in the right hypochondrium and epigastric region, extending into the left hypochondrium (or in the right upper quadrant, extending into the left upper quadrant). The diaphragmatic surface of the liver, which is smooth and domed, lies agains

Kidneys

vishnupstvm — Sat, 19 Dec 2009 04:39:41 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

KidneysEach kidney has a characteristic bean-like shape. It has a convex lateral margin; and a concavity on the medial side which is called the hilum. It has upper and lower ends and anterior and posterior surfaces. Terminal branches of the renal artery enter the kidney at the hilum, and the veins emerge from it. The hilum also gives attachment t

Inguinal Canal

vishnupstvm — Sat, 19 Dec 2009 04:39:20 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

INGUINAL CANALThe Inguinal canal is an oblique passage through the lower part of the anterior abdominal wall. It begins at the deep inguinal ring, which is situated in the Transversalis fascia, midway between the ASIS and the pubic symphysis, above the inguinal ligament. The canal passes downwards and medially, to reach the superficial inguinal r

Epiploic foramen

vishnupstvm — Sat, 19 Dec 2009 04:39:01 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

EPIPLOIC FORAMENThe epiploic foramen (foramen of Winslow, aditus to the lesser sac), is a short, vertical slit,3 cm height in adults, in the upper part of the right border of the lesser sac. It leads into the greater sac. The hepatoduodenal ligament, which is formed by the thickened right edge of the lesser omentum extending from the flexure betw

Duodenum

vishnupstvm — Sat, 19 Dec 2009 04:38:58 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

DUODENUMThe first part of the small intestine is the duodenum. The adult duodenum is 20-25 cm long and is the shortest and widest. It is only partially covered by peritoneum although the extent of the peritoneal covering varies along its length: the proximal 2.5 cm is intraperitoneal; the remainder is retroperitoneal. . It is retroperitoneal exce

Biliary Apparatus

vishnupstvm — Sat, 19 Dec 2009 04:38:53 GMT

shared by: vishnupstvm on: Saturday, December 19, 2009

Biliary ApparatusBile is secreted by the Liver at a constant rate of about 40 ml per hour. When digestion is not taking place, the bile is stored and concentrated in the gall bladder, later it is delivered to the duodenum. The bile ducts of the liver consist of the right and left hepatic ducts, the common hepatic duct, the bile duct, the gall bla

clinical reseaerch

tripathianuj — Sat, 12 Dec 2009 21:09:57 GMT

shared by: tripathianuj on: Saturday, December 12, 2009

CLINI INDIAAcademy for Clinical Research & ManagementClini India Invites Application for Advanced Post Graduate Program in Clinical Research & Management (APGPCRM) Hyderabad & Kolkata CampusIn an era when exponential growth of clinical research industry is providing the platform for the life science students, it becomes increasingly importa

Medical Toxicology of Natural Substances Book Review

towney — Sat, 12 Dec 2009 13:39:46 GMT

shared by: towney on: Saturday, December 12, 2009

Medical Toxicology of Natural Substances: Foods, Fungi, Medicinal Herbs, Plants, and Venomous Animals give you the information and reference to subjects of natural substances, chemical and physical toxins and pharmaceutical overdoses.

ASKEP JIWA HALUSINASI

razor896 — Thu, 10 Dec 2009 19:48:54 GMT

shared by: razor896 on: Thursday, December 10, 2009

ASKEP JIWA

oxidation-reduction

rahu12362 — Thu, 10 Dec 2009 18:13:58 GMT

shared by: rahu12362 on: Thursday, December 10, 2009

OXIDATION & REDUCTION1.OXIDATION AND REDUCTIONOld Concept of Oxidation (a) Oxidation is a chemical reaction in which oxygen is added2HNO 2 + O 2 2HNO 3 ; CH3 CHO + O (b) Hydrogen is removed i.e. hydrogen becomes less Zn + 2HCl ZnCl2 +H2 ; (c) Electronegative element is added 2FeCl2 + Cl2 2FeCl3 ; (d) Electropositive element is remov

Atomic Structure - Theory-Examples-Exercises

rahu12362 — Thu, 10 Dec 2009 18:12:30 GMT

shared by: rahu12362 on: Thursday, December 10, 2009

ATOMIC STRUCTURE1.(a)ATOM & MOLECULESThe smallest particle of a matter that takes part in a chemical reaction is called an atom. The atom of all gases except those of noble gases, cannot exist in free state. These exist in molecular form. The molecules of hydrogen, nitrogen, oxygen and halogens are diatomic (H2, N2). Phosphorus molecule

ips

wibowokartiko — Wed, 09 Dec 2009 06:44:15 GMT

shared by: wibowokartiko on: Wednesday, December 09, 2009

HUKUM BISNIS.

ilmu organisasi

wibowokartiko — Wed, 09 Dec 2009 06:43:50 GMT

shared by: wibowokartiko on: Wednesday, December 09, 2009

HUKUM BISNIS.

Tugas Observasi Pasar

wibowokartiko — Wed, 09 Dec 2009 06:43:12 GMT

shared by: wibowokartiko on: Wednesday, December 09, 2009

HUKUM BISNIS.

TUGAS ILMU ORGANISASI

wibowokartiko — Wed, 09 Dec 2009 06:43:01 GMT

shared by: wibowokartiko on: Wednesday, December 09, 2009

HUKUM BISNIS.

PENDAHULUAN

wibowokartiko — Wed, 09 Dec 2009 06:42:35 GMT

shared by: wibowokartiko on: Wednesday, December 09, 2009

HUKUM BISNIS.

part 2

yofara — Tue, 08 Dec 2009 16:46:34 GMT

shared by: yofara on: Tuesday, December 08, 2009

6. Isi dari status medik: •Riwayat pasien (data diri pasien) •Hasil laboratorium •Diagnosis, dan •Jenis penyakit utama yang diderita pasien. 7. Sistem kerja poliklinik rawat jalan, adalah dengan cara mengunjungi klinik secara berkala sesuai dengan jadwal yang telah ditentukan. 8. Dalam keadaan darurat, seorang dokter harus siap secara fisik dan men

Reaksi Pengenalan Vitamin

yofara — Sun, 06 Dec 2009 04:38:04 GMT

shared by: yofara on: Sunday, December 06, 2009

Percobaan Reaksi Pengenalan Vitamin.

Percobaan Empedu

yofara — Sun, 06 Dec 2009 04:24:23 GMT

shared by: yofara on: Sunday, December 06, 2009

Soal-soal latihan Percobaan Empedu

Get the Best Preparation For Medical School

toriola1 — Sat, 05 Dec 2009 06:41:45 GMT

shared by: toriola1 on: Saturday, December 05, 2009

Presented by Daniel ToriolaWith thousands of New textbooks, Used textbooks, eTextbooks and now Rental Textbooks, you help yourself out. There exists a complete selection of new and used, high school and college textbooks, reference books and bestsellers. Click here to know moreFacing 99.9% Downtime With Your Web Host? That's What Happens When

Five Ways to Pay off Your Debt from Medical School

toriola1 — Sat, 05 Dec 2009 06:41:37 GMT

shared by: toriola1 on: Saturday, December 05, 2009

Presented by Daniel ToriolaDebt consolidation offers people the opportunity to get out of problematic debt and to regain charge of their lives again. Many people owe a great deal of money and often struggle to think of ways to pay off these debts. Click here to know moreStill Hosting Only One Domain On Your Current Hosting Account? You Ought

LASIK: A Viable Choice for Patients Over 40

andrewcaster — Tue, 01 Dec 2009 21:43:13 GMT

shared by: andrewcaster on: Tuesday, December 01, 2009

Baby boomers who want to rid themselves of their contact lenses should consider laser in-situ kertomileusis (LASIK) surgery as a viable option.

Refractive Surgery Eliminates Glasses for Many Astigmatic Patients

andrewcaster — Tue, 01 Dec 2009 21:38:48 GMT

shared by: andrewcaster on: Tuesday, December 01, 2009

Thanks to continued advances in laser eye surgery, refractive surgery tools and techniques, glasses and contact lenses are fast becoming obsolete for many patients with astigmatism.

chuyện ph�ng the

kimhoang2428 — Sat, 28 Nov 2009 06:56:03 GMT

shared by: kimhoang2428 on: Saturday, November 28, 2009

tinh duc trong nha truong

ph�ng the

kimhoang2428 — Sat, 28 Nov 2009 06:51:22 GMT

shared by: kimhoang2428 on: Saturday, November 28, 2009

tinh duc trong nha truong

Yale’s Greenhouse Gas Reduction Strategy

YaleUnivMedResearch — Tue, 24 Nov 2009 20:21:19 GMT

shared by: YaleUnivMedResearch on: Tuesday, November 24, 2009

Yale University

Yale University Library

YaleUnivMedResearch — Tue, 24 Nov 2009 20:20:53 GMT

shared by: YaleUnivMedResearch on: Tuesday, November 24, 2009

Yale University

yale medicine

YaleUnivMedResearch — Tue, 24 Nov 2009 20:20:52 GMT

shared by: YaleUnivMedResearch on: Tuesday, November 24, 2009

Yale University

Yale School of nursing

YaleUnivMedResearch — Tue, 24 Nov 2009 20:20:52 GMT

shared by: YaleUnivMedResearch on: Tuesday, November 24, 2009

Yale University

Department of Microbiology, Yale University, New Haven

YaleUnivMedResearch — Tue, 24 Nov 2009 20:20:51 GMT

shared by: YaleUnivMedResearch on: Tuesday, November 24, 2009

Yale University

Drugs Brains and Behaviour

doctorknowledge — Tue, 24 Nov 2009 08:27:24 GMT

shared by: doctorknowledge on: Tuesday, November 24, 2009

chemical reactions in the brain,depression,pharmacology

Admission Form

doctor84 — Sat, 21 Nov 2009 15:18:55 GMT

shared by: doctor84 on: Saturday, November 21, 2009

HEBEI MEDICAL UNIVERSITYADMISSION FORMDate Student IDPassport Size PhotoFirst Name :......................................................................................................................................... Last Name :.........................................................................................................

Biologi dan Ekologi Vektor Malaria di Malaysia

kamilan — Fri, 20 Nov 2009 20:19:47 GMT

shared by: kamilan on: Friday, November 20, 2009

Nota pada dikemaskini pada 25 Jun 2009

OME Newsletter Spring 2007

ajdaniel59 — Fri, 20 Nov 2009 13:32:07 GMT

shared by: ajdaniel59 on: Friday, November 20, 2009

Office of Medical Education Newsletter for Spring 2007

OME Student Newsletter-Fall2009

ajdaniel59 — Fri, 20 Nov 2009 13:18:41 GMT

shared by: ajdaniel59 on: Friday, November 20, 2009

Office of Medical EducationStudent NewsletterFall 2009 Volume 4, Issue 1The OME Newsletter provides ongoing information and resources for medical students in the areas of: ! ! ! ! ! ! Test taking strategies Study skills Updates on Peer Tutoring Web-based course evaluation Development of professionalism Careers in MedicineTulane Univer

Bone

ferditje — Thu, 19 Nov 2009 22:19:56 GMT

shared by: ferditje on: Thursday, November 19, 2009

Bone is living tissue, which is a form of living tissue composed of cells and the extracellular matrix organic produce organic matrix known as osteoblasts (bone formation). The bones become more difficult due to precipitation of calcium phosphate crystals in the matrix. Cartilage (cartilage) is similar to bone, except that the calcified cartilage i

5 Myths About Woman

vianabayu — Thu, 19 Nov 2009 01:56:26 GMT

shared by: vianabayu on: Thursday, November 19, 2009

Find Out About Woman here...

Motherhood and genetic screening: a personal perspective

fplace — Thu, 19 Nov 2009 00:44:49 GMT

shared by: fplace on: Thursday, November 19, 2009

According to the medical profession the direction and scope of reproductive services such as IVF and pre-natalscreening are based on solid evidence; the evidence indicates these are effective and safe services. Moreover,women want them. As a consequence these services are usually presented to the wider community in a positivelight with images of ‘successful’ birth outcomes showcasing the importance of their work. Unsurprisingly this haslead to women being expected to take control - from timing a pregnancy to choosing one particular pregnancyover another – they are to improve their lives and the health of their offspring. But are these developments all‘good’ news? Is it safe to assume the push to achieve better birth outcomes and the concomitant use of prenataltesting automatically improves lives? Could it be the issues raised are causing some lives to become harder? Howmeaningful, for example, are tests such as amniocentesis and CVS? As the mother of a child with Down syndrome Ibelieve it is important for myself and other women in similar situations to share their lived experience. Perhaps wecan illuminate some of the more complex and troubling issues these technological advances have the capacity tocreate – not only for ourselves – but for all women.

SILABUS MATA AJAR PATOLOGI

ariefyanto — Wed, 18 Nov 2009 17:43:36 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

SILABUS KEWARGANEGARAAN

ariefyanto — Wed, 18 Nov 2009 17:43:29 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

Silabus KDM II

ariefyanto — Wed, 18 Nov 2009 17:43:22 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

silabus KDM I

ariefyanto — Wed, 18 Nov 2009 17:43:15 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

Silabus KDK

ariefyanto — Wed, 18 Nov 2009 17:43:09 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

silabus fisika

ariefyanto — Wed, 18 Nov 2009 17:43:03 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

SILABUS BIOLOGI

ariefyanto — Wed, 18 Nov 2009 17:42:58 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

SILABUS agama

ariefyanto — Wed, 18 Nov 2009 17:42:52 GMT

shared by: ariefyanto on: Wednesday, November 18, 2009

No description

Surgery Answers and Explanations

vankarnayan — Sun, 15 Nov 2009 12:47:00 GMT

shared by: vankarnayan on: Sunday, November 15, 2009

A 67-year-old man with a 50 pack-year history ofsmoking has been having persistent cough for about 6months and shortness of breath for the past threeweeks. A chest x-ray shows a right pleural effusion,which obscures the x-ray image of the lung itself. Apleural tap is performed, retrieving 1000 cc of bloodyfluid. Repeat chest x-ray shows a 6-cm round opacity inthe midfield of the right lung. Cytology shows thebloody pleural fluid to be a malignant effusion, consistentwith a diagnosis of squamous cell carcinoma of thelung. The patient is most anxious that “something bedone” and is willing to undertake any available treatment.Which of the following2. A 58-year-old man complains of fatigue and weightloss. He has been “healthy all his life” and does not havea history of alcohol abuse.When first examined, a fainttrace of jaundice is detected in his sclera. Laboratorydeterminations show a total bilirubin of 4, alkalinephosphatase of 700 U/L, and transaminases (AST) of 60U/L. Sonogram of the right upper abdomen showsdilated intrahepatic and extrahepatic biliary ducts, anda large, distended, thin-walled gallbladder, withoutstones. Except for the dilated biliary structures, CT scanis unremarkable. An ERCP shows extrinsic compressionof both the intrapancreatic portion of the common

7 Levels of Organization

Rafique1956 — Sun, 15 Nov 2009 07:13:50 GMT

shared by: Rafique1956 on: Sunday, November 15, 2009

7 Levels of OrganizationDr. Muhammad RafiqueDefinitionEvery animal has five major levels of organization: cell, tissue, organ, organ system and organism. Each level in is of increasing complexity, and all organ systems work together to maintain life.OrganizationLevels of Organization in the Human BodyThe simplest level of organ

aipg 09

veeru5656 — Fri, 13 Nov 2009 06:31:53 GMT

shared by: veeru5656 on: Friday, November 13, 2009

AIPG 09 1. Dental floss is used for cleaning which type of embrasures a) Type 1 b) 2 c) 3 d) all 2. Gingival fibers which run between two teeth are a) Trans septal fibers b)trans gingival c)oblique d)apical 3. Plasmocytoma of B cell origin is a) hodgkins lymphoma b) Plasmocytoma c) Multiple Myeloma4. Which condition can be diagnosed only with r