- The author's wife suffered injuries to her left foot during a car accident, including fractures to the 2nd, 3rd, and 4th basal metatarsals and medial cuboid avulsion fractures.
- She was initially treated conservatively with a partial cast and follow up x-rays, which revealed the fractures but were otherwise interpreted as normal.
- However, the author became concerned after researching lisfranc injuries and noticing signs like a "fleck sign" on CT that made him worry the initial diagnosis missed a lisfranc injury.
- Follow up x-rays after a full cast revealed the fractures remained in alignment, but the author remained worried due signs like increased widening between the
This document summarizes a student's experiences in various clinical rotations during their health academy program. Over the course of 8 weeks, the student shadowed nurses and doctors in different units including cardiac, pediatric intensive care, operating rooms, emergency room, and medical intensive care. In each rotation, the student observed patient care, procedures, and gained a better understanding of the challenges and rewards of different medical careers. The rotations provided valuable hands-on learning experiences and insights into caring for patients.
This document summarizes a student's experiences in various clinical rotations during their health academy program. Over the course of 8 weeks, the student shadowed nurses and doctors in different units including cardiac, pediatric intensive care, operating rooms, emergency room, and medical intensive care. In each rotation, the student observed patient care, procedures, and gained a better understanding of the challenges and rewards of different medical careers. The rotations provided valuable hands-on learning experiences and insights into caring for patients.
This document summarizes a student's experience in a health academy portfolio. It describes their family background in healthcare, orientation activities at the beginning of the program, and reflections on 11 week-long rotations in different areas of the hospital including the ER, NICU, burn unit, and more. The student found some rotations more interesting and suitable for future careers than others. They also learned medical terminology and heard presentations from various healthcare professionals.
The document describes a mountain biking accident that resulted in injuries to the individual's wrist, forearm, and collarbone. They received initial treatment at Wrexham Maelor Hospital before being referred to Queen Elizabeth Hospital in Woolwich. There, they had multiple surgeries on their wrist but experienced poor communication from doctors and delays in treatment. They were ultimately referred for a second opinion to St. Thomas' Hospital due to dissatisfaction with their care at Queen Elizabeth Hospital.
Rachel white powerpoint electronic portfoliorachelxxmarie
Rachel White completed a 6-week rotation program at St. Gianna Health Academy. She spent a week in each of the following units: PICU, NICU, Burn Unit, CTICU/CICU, NCCU, and the Laboratory. In each unit, she observed various medical procedures, learned from nurses, and gained hands-on experience in patient care. The rotations gave her valuable insights into different areas of nursing and medicine.
Congenital pseudoarthrosis of the tibia (CPT) is a rare bone condition present at birth where the tibia fails to heal properly. It is challenging to treat effectively due to the poor healing potential and tendency to not heal spontaneously. The main goals of treatment are to achieve bone union, prevent refracture and limb shortening, and correct any deformities of the leg or ankle. Surgical options include vascularized fibular grafting, external fixation, intramedullary nailing, and amputation in resistant cases. Complications can include refracture, malalignment, limb length discrepancy, ankle valgus, and stiffness. Long-term follow up is needed to monitor for problems and make corrections.
The document discusses the OSTEO ALIGN KNEE BRACE. It provides information on knee joint anatomy including bones and ligaments. It describes the function of cartilage, signs of arthrosis, and stages of progressive arthrosis. It outlines what target groups expect from a modern orthosis, including being light weight, easy to wear/conceal/put on, and comfortable. The 4-point stabilization principle provides additional stability and confidence. The ideal patient for this brace is described.
The document proposes a plan to infuse digital literacy throughout the curriculum at Pontiac Township High School. The goals are to create an interdisciplinary curriculum, integrate digital literacy skills across disciplines, connect with other schools locally and globally, and increase digital literacy to make a positive impact. Key aspects of the plan include assessing students' digital skills, having students take lead roles in collaborative projects that address real-world issues, supporting teachers through resources and training, and documenting projects online to motivate continued involvement.
This document summarizes a student's experiences in various clinical rotations during their health academy program. Over the course of 8 weeks, the student shadowed nurses and doctors in different units including cardiac, pediatric intensive care, operating rooms, emergency room, and medical intensive care. In each rotation, the student observed patient care, procedures, and gained a better understanding of the challenges and rewards of different medical careers. The rotations provided valuable hands-on learning experiences and insights into caring for patients.
This document summarizes a student's experiences in various clinical rotations during their health academy program. Over the course of 8 weeks, the student shadowed nurses and doctors in different units including cardiac, pediatric intensive care, operating rooms, emergency room, and medical intensive care. In each rotation, the student observed patient care, procedures, and gained a better understanding of the challenges and rewards of different medical careers. The rotations provided valuable hands-on learning experiences and insights into caring for patients.
This document summarizes a student's experience in a health academy portfolio. It describes their family background in healthcare, orientation activities at the beginning of the program, and reflections on 11 week-long rotations in different areas of the hospital including the ER, NICU, burn unit, and more. The student found some rotations more interesting and suitable for future careers than others. They also learned medical terminology and heard presentations from various healthcare professionals.
The document describes a mountain biking accident that resulted in injuries to the individual's wrist, forearm, and collarbone. They received initial treatment at Wrexham Maelor Hospital before being referred to Queen Elizabeth Hospital in Woolwich. There, they had multiple surgeries on their wrist but experienced poor communication from doctors and delays in treatment. They were ultimately referred for a second opinion to St. Thomas' Hospital due to dissatisfaction with their care at Queen Elizabeth Hospital.
Rachel white powerpoint electronic portfoliorachelxxmarie
Rachel White completed a 6-week rotation program at St. Gianna Health Academy. She spent a week in each of the following units: PICU, NICU, Burn Unit, CTICU/CICU, NCCU, and the Laboratory. In each unit, she observed various medical procedures, learned from nurses, and gained hands-on experience in patient care. The rotations gave her valuable insights into different areas of nursing and medicine.
Congenital pseudoarthrosis of the tibia (CPT) is a rare bone condition present at birth where the tibia fails to heal properly. It is challenging to treat effectively due to the poor healing potential and tendency to not heal spontaneously. The main goals of treatment are to achieve bone union, prevent refracture and limb shortening, and correct any deformities of the leg or ankle. Surgical options include vascularized fibular grafting, external fixation, intramedullary nailing, and amputation in resistant cases. Complications can include refracture, malalignment, limb length discrepancy, ankle valgus, and stiffness. Long-term follow up is needed to monitor for problems and make corrections.
The document discusses the OSTEO ALIGN KNEE BRACE. It provides information on knee joint anatomy including bones and ligaments. It describes the function of cartilage, signs of arthrosis, and stages of progressive arthrosis. It outlines what target groups expect from a modern orthosis, including being light weight, easy to wear/conceal/put on, and comfortable. The 4-point stabilization principle provides additional stability and confidence. The ideal patient for this brace is described.
The document proposes a plan to infuse digital literacy throughout the curriculum at Pontiac Township High School. The goals are to create an interdisciplinary curriculum, integrate digital literacy skills across disciplines, connect with other schools locally and globally, and increase digital literacy to make a positive impact. Key aspects of the plan include assessing students' digital skills, having students take lead roles in collaborative projects that address real-world issues, supporting teachers through resources and training, and documenting projects online to motivate continued involvement.
La función f(x) = x^2 - 4 / (x^2 + 1) tiene como dominio todos los números reales y como rango los números reales menores que -4 o mayores que 1, excluyendo -4. El gráfico de la función muestra una curva en forma de U.
Dokumen ini memberikan petunjuk langkah demi langkah untuk instalasi dan update aplikasi peta MapSource untuk sistem operasi Windows, mulai dari mengklik file setup, menerima perjanjian lisensi, memilih lokasi instalasi, hingga menginstal dan memperbarui aplikasi serta memulai MapSource.
Mpfl tech - MPFL Reconstruction for Patellar InstabilityDelhiArthroscopy
MPFL Rec onstruction for Patellar Instability - By Dr Shekhar Srivastav .
Surgical Technique
- Diagnostic Arthroscopy
- Look for any Osteochondral fragment
(Loose body)
- Look for any Chondral damage
- Patellar tracking though Supero-lateral portal
Post-op Protocol
Ambulation with stick and Knee Brace- 3 wks
ROM exer – Next day upto 300 and progress
Review every 2 wks,6 wks,3 mnths,6 mnths and
yearly thereafter
Post-op assessment (Crosby-Insall criteria)
Excellent- No pain,normal activity
Good- Occasional pain,discomfort
Fair/Poor- Pain,loss of flexion,recurrent
dislocation/subluxation
Worse- Pain increased,displacement more
frequent
Caution
Must avoid overtightening-
Medial instability
Medial patellar arthritis
Patellar fractures
Preexisting Chondromalacia
Details @ http://www.delhiarthroscopy.com/
Design of a biomechanic knee brace where color was explored through fabric dyeing, and a simple prototype was created and tested. Literature and common knowledge research was conducted as well as basic analysis to illustrate concepts.
Syed Mahmudur Rahman presented on the different types of computer mice. The presentation introduced mice as input devices that can be mechanical or non-mechanical. It described variants such as trackballs, trackpads, and integrated pointing devices built into keyboards that function similarly to mice through joysticks and buttons. The presentation provided an overview of mice and their alternatives as computer input tools.
This document discusses different types of corporations and business combinations. It begins by defining a corporation as a legal entity established to perform business. It then outlines how to incorporate, including filing documents listing company details. The document notes advantages of corporations like limited liability but also disadvantages such as startup costs. Finally, it briefly explains business combinations like acquisitions, where one firm buys another, and mergers, where companies combine to form one enterprise.
Medical thoracoscopy, also known as pleuroscopy, is a minimally invasive procedure that allows physicians to access the pleural space to perform diagnostic and therapeutic procedures. It provides high diagnostic yields for pleural effusions and pleural biopsies. Complications are generally minor but precautions must be taken to prevent issues like infection or tumor seeding. Thoracoscopy is now the preferred method for evaluating undiagnosed pleural effusions and certain pneumothorax, empyema, and mesothelioma cases.
This document discusses biodegradable implants and their use in orthopedic surgery. It provides details on:
- Common biodegradable materials used like PGA, PLLA, PDLLA which degrade over time in the body from 1-6 months.
- Their applications include fixation of fractures, ligament surgery, and drug/growth factor delivery.
- Advantages are that removal surgery is not needed but disadvantages are they are typically more expensive and weaker than metals.
- The degradation process involves hydrolysis breaking down the implant into fragments which are then absorbed.
S.M. Alamin's presentation discusses keyboards, beginning with an overview of the standard QWERTY keyboard layout and its major groups of keys. It then examines ergonomic keyboards designed to prevent injuries from prolonged use, and explains how keyboards work by detecting keystrokes and sending scan codes to the computer.
This document discusses recurrent shoulder dislocations. It provides information on the anatomy and stabilizing structures of the shoulder joint. Recurrent dislocations are most common in younger patients and those with underlying bone defects or ligament laxity. Evaluation involves assessing the direction, degree, and chronicity of instability through patient history and physical exam maneuvers like the shift test and sulcus test. Classification systems aim to characterize the type and cause of instability to guide treatment.
Short wave diathermy is a therapeutic modality that uses electromagnetic radiation in the frequency range of 27-100 MHz to generate deep heat in body tissues. It works by inducing molecular vibration through radio wave penetration of tissues, causing both thermal and non-thermal effects. Common applications include reducing pain, inflammation and healing time for injuries or post-surgical conditions. Different electrode types and placements can be used to concentrate the electromagnetic field in specific areas. Factors like electrode size, spacing, and positioning affect the depth and distribution of heating in the target tissues. Risks include burns and electric shock if not properly administered.
Shortwave diathermy (SWD) is a therapeutic modality that uses electromagnetic energy to generate deep heat in tissues. It can be delivered continuously or pulsed. The frequency used, type of SWD unit, and water content of tissues affect the pattern of heat produced. SWD has various therapeutic effects like increasing blood flow and accelerating wound healing. It is used to treat conditions like recent injuries, arthritis, and muscle pain and spasm. Proper application of SWD involves preparing the patient, machine, and electrodes to deliver controlled doses of energy to target tissues while avoiding risks like burns or electric shock.
This document discusses the management of polytrauma patients. It defines polytrauma as injuries involving two or more major body systems. The goals of management are to save the patient's life, salvage limbs, and restore function if possible. A team approach is needed involving surgeons, physicians, and other specialists. The initial focus is a thorough primary survey and resuscitation to address life-threatening injuries like airway obstruction, hemorrhage, and spinal cord injury.
Monica Ann Coode underwent ACL reconstruction and meniscal repair surgery using a patella tendon graft. She is now 10 weeks post-op and undergoing physical therapy to address functional deficits. Her goals include returning to prior level of function without pain or limitations like jogging and snow tubing. Treatment has focused on strengthening, proprioception, and neuromuscular re-education. As she progresses past the initial healing phase, her therapy is focusing on single leg exercises, plyometrics, and sports-specific movements to fully recover.
The patient underwent ACL reconstruction and meniscal repair surgery using a patellar tendon graft. At 10 weeks post-op, she was experiencing pain when ascending/descending stairs or weight bearing for long periods. Physical therapy is focusing on strengthening, proprioception, and functional exercises to address deficits and meet goals of returning to prior activity levels without pain. Progress includes increased strength and range of motion but some pain with stairs remains.
The doctor examines a patient who is experiencing severe abdominal pain. After discussing the patient's symptoms and medical history, the doctor suspects appendicitis. The lab technician takes blood and stool samples to confirm the diagnosis while the doctor discusses potential surgery to remove the appendix if tests are positive. The nurse assures the patient she will provide post-surgery care instructions and medication management.
Stephan Keller suffered a stroke that paralyzed the right side of his body. His doctor told him he needed physical therapy, but Stephan wanted to heal faster so he could return to work to support his family. He opted to try virtual reality therapy instead. After just a few treatments, Stephan started regaining movement in his fingers and limbs. Within a few months of regular virtual reality sessions, he had fully recovered the use of his right side and was able to return to work. Virtual reality proved much more effective for Stephan than traditional physical therapy would have been.
La función f(x) = x^2 - 4 / (x^2 + 1) tiene como dominio todos los números reales y como rango los números reales menores que -4 o mayores que 1, excluyendo -4. El gráfico de la función muestra una curva en forma de U.
Dokumen ini memberikan petunjuk langkah demi langkah untuk instalasi dan update aplikasi peta MapSource untuk sistem operasi Windows, mulai dari mengklik file setup, menerima perjanjian lisensi, memilih lokasi instalasi, hingga menginstal dan memperbarui aplikasi serta memulai MapSource.
Mpfl tech - MPFL Reconstruction for Patellar InstabilityDelhiArthroscopy
MPFL Rec onstruction for Patellar Instability - By Dr Shekhar Srivastav .
Surgical Technique
- Diagnostic Arthroscopy
- Look for any Osteochondral fragment
(Loose body)
- Look for any Chondral damage
- Patellar tracking though Supero-lateral portal
Post-op Protocol
Ambulation with stick and Knee Brace- 3 wks
ROM exer – Next day upto 300 and progress
Review every 2 wks,6 wks,3 mnths,6 mnths and
yearly thereafter
Post-op assessment (Crosby-Insall criteria)
Excellent- No pain,normal activity
Good- Occasional pain,discomfort
Fair/Poor- Pain,loss of flexion,recurrent
dislocation/subluxation
Worse- Pain increased,displacement more
frequent
Caution
Must avoid overtightening-
Medial instability
Medial patellar arthritis
Patellar fractures
Preexisting Chondromalacia
Details @ http://www.delhiarthroscopy.com/
Design of a biomechanic knee brace where color was explored through fabric dyeing, and a simple prototype was created and tested. Literature and common knowledge research was conducted as well as basic analysis to illustrate concepts.
Syed Mahmudur Rahman presented on the different types of computer mice. The presentation introduced mice as input devices that can be mechanical or non-mechanical. It described variants such as trackballs, trackpads, and integrated pointing devices built into keyboards that function similarly to mice through joysticks and buttons. The presentation provided an overview of mice and their alternatives as computer input tools.
This document discusses different types of corporations and business combinations. It begins by defining a corporation as a legal entity established to perform business. It then outlines how to incorporate, including filing documents listing company details. The document notes advantages of corporations like limited liability but also disadvantages such as startup costs. Finally, it briefly explains business combinations like acquisitions, where one firm buys another, and mergers, where companies combine to form one enterprise.
Medical thoracoscopy, also known as pleuroscopy, is a minimally invasive procedure that allows physicians to access the pleural space to perform diagnostic and therapeutic procedures. It provides high diagnostic yields for pleural effusions and pleural biopsies. Complications are generally minor but precautions must be taken to prevent issues like infection or tumor seeding. Thoracoscopy is now the preferred method for evaluating undiagnosed pleural effusions and certain pneumothorax, empyema, and mesothelioma cases.
This document discusses biodegradable implants and their use in orthopedic surgery. It provides details on:
- Common biodegradable materials used like PGA, PLLA, PDLLA which degrade over time in the body from 1-6 months.
- Their applications include fixation of fractures, ligament surgery, and drug/growth factor delivery.
- Advantages are that removal surgery is not needed but disadvantages are they are typically more expensive and weaker than metals.
- The degradation process involves hydrolysis breaking down the implant into fragments which are then absorbed.
S.M. Alamin's presentation discusses keyboards, beginning with an overview of the standard QWERTY keyboard layout and its major groups of keys. It then examines ergonomic keyboards designed to prevent injuries from prolonged use, and explains how keyboards work by detecting keystrokes and sending scan codes to the computer.
This document discusses recurrent shoulder dislocations. It provides information on the anatomy and stabilizing structures of the shoulder joint. Recurrent dislocations are most common in younger patients and those with underlying bone defects or ligament laxity. Evaluation involves assessing the direction, degree, and chronicity of instability through patient history and physical exam maneuvers like the shift test and sulcus test. Classification systems aim to characterize the type and cause of instability to guide treatment.
Short wave diathermy is a therapeutic modality that uses electromagnetic radiation in the frequency range of 27-100 MHz to generate deep heat in body tissues. It works by inducing molecular vibration through radio wave penetration of tissues, causing both thermal and non-thermal effects. Common applications include reducing pain, inflammation and healing time for injuries or post-surgical conditions. Different electrode types and placements can be used to concentrate the electromagnetic field in specific areas. Factors like electrode size, spacing, and positioning affect the depth and distribution of heating in the target tissues. Risks include burns and electric shock if not properly administered.
Shortwave diathermy (SWD) is a therapeutic modality that uses electromagnetic energy to generate deep heat in tissues. It can be delivered continuously or pulsed. The frequency used, type of SWD unit, and water content of tissues affect the pattern of heat produced. SWD has various therapeutic effects like increasing blood flow and accelerating wound healing. It is used to treat conditions like recent injuries, arthritis, and muscle pain and spasm. Proper application of SWD involves preparing the patient, machine, and electrodes to deliver controlled doses of energy to target tissues while avoiding risks like burns or electric shock.
This document discusses the management of polytrauma patients. It defines polytrauma as injuries involving two or more major body systems. The goals of management are to save the patient's life, salvage limbs, and restore function if possible. A team approach is needed involving surgeons, physicians, and other specialists. The initial focus is a thorough primary survey and resuscitation to address life-threatening injuries like airway obstruction, hemorrhage, and spinal cord injury.
Monica Ann Coode underwent ACL reconstruction and meniscal repair surgery using a patella tendon graft. She is now 10 weeks post-op and undergoing physical therapy to address functional deficits. Her goals include returning to prior level of function without pain or limitations like jogging and snow tubing. Treatment has focused on strengthening, proprioception, and neuromuscular re-education. As she progresses past the initial healing phase, her therapy is focusing on single leg exercises, plyometrics, and sports-specific movements to fully recover.
The patient underwent ACL reconstruction and meniscal repair surgery using a patellar tendon graft. At 10 weeks post-op, she was experiencing pain when ascending/descending stairs or weight bearing for long periods. Physical therapy is focusing on strengthening, proprioception, and functional exercises to address deficits and meet goals of returning to prior activity levels without pain. Progress includes increased strength and range of motion but some pain with stairs remains.
The doctor examines a patient who is experiencing severe abdominal pain. After discussing the patient's symptoms and medical history, the doctor suspects appendicitis. The lab technician takes blood and stool samples to confirm the diagnosis while the doctor discusses potential surgery to remove the appendix if tests are positive. The nurse assures the patient she will provide post-surgery care instructions and medication management.
Stephan Keller suffered a stroke that paralyzed the right side of his body. His doctor told him he needed physical therapy, but Stephan wanted to heal faster so he could return to work to support his family. He opted to try virtual reality therapy instead. After just a few treatments, Stephan started regaining movement in his fingers and limbs. Within a few months of regular virtual reality sessions, he had fully recovered the use of his right side and was able to return to work. Virtual reality proved much more effective for Stephan than traditional physical therapy would have been.
Dave is a 38-year old factory worker who presents with worsening back pain that has failed to improve with rest, over-the-counter medications, and a prescription for Endone. He wants advice on his diagnosis, pain management options, submitting a workers' compensation claim, and the possibility of surgery. A comprehensive assessment and multidisciplinary approach is needed to properly manage Dave's chronic back pain.
A young boy hurt his knee while playing and running. He went to the hospital where the doctor examined him and said he had an injury. He recovered at home after seeing an orthopedist, who told him about the final knee trauma. The doctor said recovery time depends on rest. He had to go to therapy and do knee exercises, which calmed him. After therapy, the doctor said he was fine. After the injury healed, he could play sports and work again. He took more care with his injury after that and was happy about his recovery, so he would be careful with his body to avoid future injuries.
Shaunak first visited the doctor at age 5 for bowed legs caused by achondroplasia dwarfism. Over several surgeries from ages 5 to 14, external fixators were used to gradually lengthen and correct the alignment of his legs. This involved osteotomies, fixator applications and removals. By age 14, his legs were of equal length but further correction was needed for a left leg deformity. At age 20, he was undergoing additional surgery to achieve more lengthening and correct the left leg deformity.
This internship summary provides details of the student's 180-hour internship with the forensic pathology department at Greenville Memorial Hospital under the supervision of Dr. James Fulcher. The internship involved assisting with autopsies, weighing and photographing bodies, conducting research projects, giving tours, and cleaning autopsy rooms. The student gained hands-on experience performing brain removals and other autopsy procedures while enhancing their knowledge of human anatomy and disease processes. They completed three research projects on various forensic pathology cases and topics. Overall, the internship provided valuable learning experiences and skills development in forensic pathology.
This document provides information about total hip replacement surgery and recovery. It discusses what happens during surgery, expectations for the first few days in the hospital and at home during recovery. The main points are: hip replacement surgery replaces damaged bone and cartilage with prosthetic components; recovery takes 2-6 weeks with gradual increased activity and mobility; precautions like limiting hip extension and rotation are necessary initially to prevent dislocation.
1) The chiropractor met with his medical biller client who had been suffering from lower back pain for 2-3 years. On examination, she had an anterior pelvic tilt which was putting stress on her lower back.
2) Research shows applying kinesiology tape to encourage a posterior pelvic tilt can temporarily reduce an anterior pelvic tilt. The chiropractor believes taping combined with exercises can help correct her posture over time to reduce back pain.
3) The chiropractor plans to refer her to a colleague to continue care with taping and exercises to build the muscles needed to maintain a neutral pelvic position without pain over the long term.
This document provides an overview of what to expect before, during, and after total joint replacement surgery. It outlines the steps to prepare for surgery including medical clearances, instructions for medications and hygiene before surgery. It describes what will occur on the day of surgery and during the hospital stay, including anesthesia options, postoperative care and pain management, and physical and occupational therapy. It discusses discharge planning and options for rehabilitation after leaving the hospital, including equipment, exercises, and transportation. The goal is for patients to safely discharge home with outpatient therapy and support to aid their recovery.
Description of 13 years of orthopaedic practice in a prison, without facilities under desperate situations. During this time not only were 14000 patients treated, many startling orthopaedic discoveries were made. This is an award winning talk by Dr L.Prakash
This is a surgeons experience in prison, living under difficult situations, treating desperate patients, who had no where else to go. The studies conducted, discoveries made and new modalities invented.
The document summarizes the student's experiences in their Health Academy program over 15 weeks of rotations in different areas of two hospitals. They gained exposure to specialties like burn unit, heart cath lab, pediatric intensive care, surgery, emergency room, rehabilitation services and more. They completed assignments like thank you letters, resumes, career research and presentations on hand washing for elementary students. Weekly guest speakers in their career discovery class covered fields like veterinary medicine, radiology, dentistry and family practice. The student feels the program has greatly helped in their career decision making process.
The document summarizes the student's experiences in their Health Academy program over 15 weeks of rotations in different areas of two hospitals. They gained exposure to specialties like burn unit, heart cath lab, pediatric intensive care, surgery, emergency room, rehabilitation services and more. They completed assignments like thank you letters, resumes, career research and presentations on hand washing for elementary students. Weekly guest speakers in their career discovery class covered fields like veterinary medicine, radiology, dentistry and family practice. The student feels the program has greatly helped in their career decision making process.
This document provides information and activities for a workshop about preparing for and communicating effectively during doctor's appointments. The workshop covers 10 things participants can do to prepare, such as bringing their medical card, prescription medications, and a list of questions. It also discusses how to clearly describe symptoms to doctors, including specifying details like onset, duration, severity and impact. Participants practice asking and answering common medical history questions through partner activities. The goal is to help people make the most of their appointments by coming prepared and communicating symptoms effectively.
This document summarizes Daniela Guzman's experiences in her Health Academy program. It describes rotations she completed in various hospital departments including the NICU, radiology, rehabilitation, and the operating room. It discusses careers she learned about such as neonatal nursing, surgical technician, physical therapist, and occupational therapist. The document expresses gratitude for the opportunities and experiences provided by the Health Academy program.
During her orientation week at the St. Gianna Health Academy, Laurel Lujano toured the hospital, received information on safety protocols, and got required vaccinations like the TB shot. Over the course of 11 weeks, she completed rotations in various hospital units including the burn unit, surgical intensive care unit, cardiac unit, neurology unit, pathology lab, operating room, neonatal intensive care unit, cath lab, radiology, emergency room, and coronary intensive care unit. She provided detailed reflections on her experiences in each unit in weekly blog posts.
This case study follows a 19-year old female soccer player through five months of rehabilitation following an ACL tear. She underwent surgery in May and participated in a post-surgical rehabilitation program over the summer, making progress in regaining range of motion and strength. By late fall, she had returned to strength training and begun plyometrics. At six months post-op, isokinetic testing showed improvement in her quadriceps strength between her injured and uninjured legs. Her long term goal is a full return to sport activities.
Similar to Please help with my wife's foot injury (20)
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central19various
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
2. The accident
• My wife is 32 years old healthy cardiologist and we have a 3
years old boy
• I am a 34 years old urologist
• Both started practice 1 year ago only
• She is very active in work and as mother
• I had a car accident on 24/5/2014 in Saudi Arabia where we
both work at a major hospital, (that is 1 month and a half
from today).
• I was the driver and my wife was setting next to me
• The front of my car went to the side of big car so it was a
direct collision
• My wife held her self in place by pushing on her left foot to
protect herself from the dashboard
3. • She developed severe left foot pain and was
unable to weight bear
• Took her immediately to the hospital where
we work
• She had swelling and tenderness on the
dorsum
• Plantar echimosis
• X-rays were done and seemed almost normal
4. • An on-call junior orthopedist checked and said to
her you might have a cuboid fracture
• He put for her a partial cast and told her to come
back to clinic after 4 days so edema is less in
order to repeat x-rays to rule out other major
injuries (and I think he was meaning lisfranc)
• Hsaid it is important to follow up because certain
injuries could be missed and will cause you long
life pain
• Strict non weight bearing with leg elevation and
NSAIDs for 4 days
9. • During the first few days my wife was strict
non weight bearing
• Kept her leg elevated
• Applied ice packs
• Her pain almost subsided and edema
decreased significantly
• She even told me I feel normal I think there is
no fracture
10. • 4 days after we went to the assigned ortho
doctor who is a consultant working at the same
hospital since 10 years he has 2 fellowships in
ortho oncology from north America
• He removed the cast, examined her, he was trying
to assess the joint stability by moving the forefoot
I think
• Then he ordered CT of the foot which showed the
following
201. • The CT as shown revealed 2nd 3rd 4th basal
metatarsal fractures and medial cuboid
avulsion fractures
• It was a big shock
• The doctor then said all the fractures are non
displaced and joints are in place
• He ordered additional weight bearing xrays
202. Weight bearing xrays 4 days after
the injury just after the CT by 1 hour
on
28/5/2014
203. • Each foot was x-rayed separetley because of
the machine design
• She applied good stress on each foot during
the process and tolerated the pain
• I was present during all the processes
204.
205.
206.
207.
208. • The doctor said that the weight bearing xrays are good
• There is good joint aligment and no significant widening
between the first and second metatarsals
• He said thanks god there is no lisfranc dislocation and
fractures are in place other wise she needed surgery
• He said managemnt is conservative but long
• HE did put a full cast to continue 6 weeks and told her to be
strict non weight bearing, with leg elevation at all times
• He gave her 6 weeks sick leave
• And after cast removal will repeat x-rays and put foam walker
for additional 6 weeks
• Oh my god we said
• He answered you should thank god it is only this
• So we said
209. • She followed up after 1 week from full cast
application, for check up, the edema was
decreased significantly and she was off pain at
that time
• He confirmed that the cast is fitting her and not
too tight or to wide so no need to change
• So he kept it and told her to come back for cast
removal and x-rays after finishing the 6 weeks
• No x-rays was done at that time
210. • During that period she was doing fine
• And just 10 days before removal of the cast I
started my research on lisfranc and was
astonished by these injuries and their
implications
• And I became afraid asking myself all the day
what if he missed it initilly, why he did not follow
up by x-rays, may be the edema was preventing
the true injury from showing up
• But by that time it was only few days until cast
removal so we waited with fear.
211. • What increased my fears
during that period is
things that I found after
my research and review
of the previous xrays:
– the presence of a
fleck sign on CT
– Basal metatrsal fx
s???
– Medial cuboid
avulsion fxs ???
– Plantar echimosis
initially
212. • But by that time it was only few days until cast
removal so we waited with fear
• And my concerns came out because of my late
research about the subject
• Noting that I am a urologist, but I read more
than 30 articles about the diagnosis and
management of lisfrancs to understand this
entity because of my fear from its
complications
213. On 2/7/2014
• That is 1 week ago
• The cast was removed
• Regular non weight bearing xrays were taken
• And thanks god every thing was in place
218. • The doctor assured us
• Asked my wife to try to walk but she was
afraid
• She could not walk well in the clinic, only with
crutches
• She tried with crutches for a short distance
• And did well some how
• Then he prescribed her a foam walker
219. • He told her full weight bearing as tolerated
• In house you can walk bare footed if you can
• Outside use the foam walker
• And as you can proceed, proceed
• I asked him do we need additional weight
bearing x-rays
• He said, no need as we did initially and it was
fine
220. • We went home her edema subsided by the next
day and she was walking with limbing on crutches
• With some minimal pain (according to my wife
which is a tough and usually tolerant individual)
• We get the foam walker and a cane
• She tried the air cast initially but it was two heavy
so we brought a small foam walker of a different
design which was shorter and lighter
221. On 5/7/2014
• 3 days after removal of the cast she was
walking better with limping and the aid of a
cane only
• I was not convinced by the fact that there is
no need to repeat the weight bearing x-rays
• I went to the doctor and asked him kindly to
order weight bearing x-rays just to relieve me
• He said this will add nothing but since you are
worried we will do it
222. • My insistence was because she was planning
to go back to work, and as a cardiologist this
will entail significant ambulation
• So my fear was ligaments needs 3 months to
heal
• What if she puts stress then we will lose 6
weeks of non healing and fall into trouble
223. Weight bearing xrays on 5/7/2014
3 days after cast removal and some
ambulation
Note that the oblique images are non
weight bearing because the
technician said it is not feasible
224. This is the
best the
technician
could get
because of
machine
issues so
she decided
to do each
leg
separately
She was
standing on
the table
I have some
questions
about this
image later on
225. In this xray she was
not weight bearing
and it was taken by
mistake so I asked
the technician to
repeat it
226. Here she was putting
significant pressure
and standing on the
table
Here as I was preparing
this presentation I noticed
that the whole foot get
flatter with pressure and
my worries increased
again is this normal
227.
228.
229. This is simulated weight bearing (sitting and pushing on the film) for technical reasons
again because the machine does not allow true lateral weight bearing images and again
the arch height when compared to right put some worries in my mind.
230.
231. • Then the orthopedist checked the weight
bearing xrays and again he said things are fine
• All joints are aligned as it was the initial
weight bearing xrays 6 weeks ago
• He asked me not to worry and asked my wife
to resume with weight bearing as tolerated
• He told me forget about lisfranc as this is his
responsibility (the orthopedist) so I stopped
asking because of embarrassment
232. • I went home, reviewed the x-rays by myself
several times and was still worried for the
following reasons.
– Yes the joint lines of the 1st 3 metacarpals with
their cuboids are fine
– But I noticed there is 1.2 mm widining in excess
between the first 2 metatarsal basis on the left
when compared to right ???
– I noticed decrease in the arch height ???
– I noticed this widening in the whole foot ???
233. Is this red line true widining, when measured is 3.7 mm, and the other side is 2.4mm, The next
day (yesterday) I asked another orthopedist (with spine surgery focus) and said this is not
significant or true as he measured the blue line up and find difference and said this is rotational
234. I asked the same second orthopedist about arch height when compared to right he asked, is this
true weight bearing, I said no, as she was sitting and pushing on the film, so he assured me
again and told me if this injury reached the level of arch height loss you would see significant
loss of line alignment on the ap and oblique views initially
235. Here I wanted to ask about the widening that happened in the whole foot (the last xray
up) when she put weight and pressure, which I noticed initially, but when I made both L
letters fit by overlapping the images (the mark fit on both images) things get different
(as you see between the first two images),
so may be this was not widening, it was the xray technicain who manipulated the images
before sending it and I saw it as widining, may be.
I am convincing my self.
236. • As I said yesterday I tried to question another two
orthopedist other than the one who is managing her
because I feel embarrassed, one with spine focus and
another one with general experience.
• I told them to review all images, and asked about the
fleck sign on CT the last findings on the WB images
• They told me do not worry you are on the right track
• They said yes the lisfranc ligament might have been
affected but your wife is lucky that no dislocation
occurred and 6 weeks non wb cast was the right
management
237. This is the red line that all relied on this recent weight bearing AP view, the second
image yellow line which they also showed to me on the oblique image is not to trust
because this in non weight bearing oblique (the technician said it is not feasible).
I asked about the alignment of the 4th MT-T joint violet arrow and they said it is not
important and this is a fracture with good aligment any ways
Weight
bearing
Non-
Weight
bearing
238. • They said fleck sign means that bone was avulsed, and this
will better heal than a truly ruptured ligament as bone
heals faster and better
• They said the widening you assume is mostly related to the
way the x-ray was taken and the rotation
• They said the arch height is also not to be considered as the
joints are aligned and this might be rotational
• They said this was a high energy injury, if it was dislocated
from the start you would have founded it on the CT initially,
that is why your orthopedist was sure from the start and
confident
• It is the low energy injuries that usually hide and are missed
so stop worrying
239. • They told your wife finished her management (6 weeks
non weight bearing), let her rehabilitate and forget
about lisfranc
• I asked them do we need an MRI, does she need
examination under anesthesia I am afraid
• They said no
• I added the literature say MRI is diagnostic
• One of them answered we know the ligament is
affected some how and things are stable so what will it
add, no need.
• What about exam under anesthesia, they answered
she did weight bearing so no need
240. • They all said pain and limping in the coming 2
months is expected
• Nothing to worry about
• She will heal fully but be patient
241. • Please, help me, today is 1 week after cast removal,
she is walking with limping without the cast
• I know that fractures will cause pain and the course of
healing is long
• But again did we miss anything as initially the doctor
said no lisfranc, the other doctors I asked yesterday
they answered with an aaaa it could partial, a stretch,
or non displaced stable lisfranc fx pattern ect…and the
management is right
• Are we on the right track
• Is there anything additional we should do
242. • Now I am stuck between my worries and the
ortho opinions here
• The problem is I do not feel confident
• Yes they are good ortho doctors
• But no podiatric doctor
• Please I need your answer as a true expert
• The missed lisfrancs whom I read about on the
net are suffering
• I am very worried, I am willing to do anything
to help my wife and avoid problems
243. • Please I need your opinion, I wish I can take an
appointment and travel to you directly today
before tomorrow but I am stuck
• The fact that I might be over exaggerating things
is what stopping me
• I am willing for any requests you suggest and if
major intervention is required I will travel and
arrange everything ASAP
• Please help me with your kind opinion, as it is life
determinant for me, my wife, and my son.