210 Tintinalli PPTs View free & download

Acute Appendicitis Tintinalli Ch 84 PowerPoint PPT Presentation

Acute Appendicitis Tintinalli Ch 84 - Acute Appendicitis Tintinalli Ch 84 Pathophysiology Innervation Symptoms Physical Exam Diagnostics Diagnostics Diagnostics Special Populations Management Acute ...

Acute Appendicitis Tintinalli Ch 84 Pathophysiology Innervation Symptoms Physical Exam Diagnostics Diagnostics Diagnostics Special Populations Management Acute ...

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COPD Tintinalli Chapter 69 PowerPoint PPT Presentation

COPD Tintinalli Chapter 69 - Ratio of FEV1 to FVC used to diagnose mild COPD. FEV1 80% predicted FEV1/FVC 70 ... Reduces COPD mortality along with long-term oxygen therapy ...

Ratio of FEV1 to FVC used to diagnose mild COPD. FEV1 80% predicted FEV1/FVC 70 ... Reduces COPD mortality along with long-term oxygen therapy ...

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CHAPTER 84 TINTINALLI PowerPoint PPT Presentation

CHAPTER 84 TINTINALLI - jaundice clinical marker of a defect in metabolism & excretion of bilirubin not harmful; except in neonates yellowish discoloration of sclera, skin & mucous memb.

jaundice clinical marker of a defect in metabolism & excretion of bilirubin not harmful; except in neonates yellowish discoloration of sclera, skin & mucous memb.

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Pancreatitis chap. 87 tintinalli PowerPoint PPT Presentation

Pancreatitis chap. 87 tintinalli - PANCREATITIS CHAP. 87 TINTINALLI S EMERGENCY MEDICINE Robert Moosally, DO acute pancreatitis Most common causes: Alcohol* Biliary dz* Drugs* Infection Inflammation ...

PANCREATITIS CHAP. 87 TINTINALLI S EMERGENCY MEDICINE Robert Moosally, DO acute pancreatitis Most common causes: Alcohol* Biliary dz* Drugs* Infection Inflammation ...

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Pancreatitis chap. 87 tintinalli - Pancreatitis and Cholecystitis TINTINALLI S CHAP. 82 (7e) Clinical features Cullen sign bluish discoloration around umbilicus Grey Turner sign bluish ...

Pancreatitis and Cholecystitis TINTINALLI S CHAP. 82 (7e) Clinical features Cullen sign bluish discoloration around umbilicus Grey Turner sign bluish ...

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Vertigo and Dizziness Ch. 231 Tintinalli PowerPoint PPT Presentation

Vertigo and Dizziness Ch. 231 Tintinalli - Vertigo and Dizziness Ch. 231 Tintinalli Vertigo- the perception of movement Syncope- transient LOC, loss of postural tone, with spontaneous recovery.

Vertigo and Dizziness Ch. 231 Tintinalli Vertigo- the perception of movement Syncope- transient LOC, loss of postural tone, with spontaneous recovery.

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Penetrating and Blunt Neck Trauma Tintinalli Chapter 258 PowerPoint PPT Presentation

Penetrating and Blunt Neck Trauma Tintinalli Chapter 258 - ... (neck trauma can lead to mediastinitis) Initial Management ABC s Always be ready for a cricothyroidotomy Maintain C Spine alignment until cleared via Nexus ...

... (neck trauma can lead to mediastinitis) Initial Management ABC s Always be ready for a cricothyroidotomy Maintain C Spine alignment until cleared via Nexus ...

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Penetrating and Blunt Neck Trauma Tintinalli Chapter 258 - ... & esophagoscopy if significant injury found to other structures or high clinical suspicion Causes 3-10% of all cervical ... Deep Cervical Fascia: ...

... & esophagoscopy if significant injury found to other structures or high clinical suspicion Causes 3-10% of all cervical ... Deep Cervical Fascia: ...

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The Neurologic Examination in the Emergency Setting Tintinalli Chapter 226 PowerPoint PPT Presentation

The Neurologic Examination in the Emergency Setting Tintinalli Chapter 226 - Time of onset. Symptom progression. Associated symptoms. Exacerbating ... 3) A cortical stroke in the dominant hemisphere will affect language? T/F? Questions: ...

Time of onset. Symptom progression. Associated symptoms. Exacerbating ... 3) A cortical stroke in the dominant hemisphere will affect language? T/F? Questions: ...

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Community Aquired Pneumonia Aspiration Pneumonia Noninfectious Pulmonary Infiltrates PowerPoint PPT Presentation

Community Aquired Pneumonia Aspiration Pneumonia Noninfectious Pulmonary Infiltrates - Community Aquired Pneumonia Aspiration Pneumonia Noninfectious Pulmonary Infiltrates Tintinalli Chapter 68

Community Aquired Pneumonia Aspiration Pneumonia Noninfectious Pulmonary Infiltrates Tintinalli Chapter 68

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ADRENAL INSUFFICIENCY & ADRENAL CRISIS PowerPoint PPT Presentation

ADRENAL INSUFFICIENCY & ADRENAL CRISIS - ADRENAL INSUFFICIENCY & ADRENAL CRISIS Emergency Medicine Ch 217 By Judith Tintinalli, MD

ADRENAL INSUFFICIENCY & ADRENAL CRISIS Emergency Medicine Ch 217 By Judith Tintinalli, MD

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Zehirlenmelere Yaklasim PowerPoint PPT Presentation

Zehirlenmelere Yaklasim - Zehirlenmelere Yakla m Kaynaklar Goldfran s Toxikologic Emergencies . 8th edition Emergency Medicine. Judith Tintinalli et all. Fifth Edition.

Zehirlenmelere Yakla m Kaynaklar Goldfran s Toxikologic Emergencies . 8th edition Emergency Medicine. Judith Tintinalli et all. Fifth Edition.

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Acute abdominal pain in children PowerPoint PPT Presentation

Acute abdominal pain in children - Acute abdominal pain in children ... number one Colic Gastroenteritis Cholecystitis Pancreatitis Group A strep pharyngitis constipation References Tintinalli, ...

Acute abdominal pain in children ... number one Colic Gastroenteritis Cholecystitis Pancreatitis Group A strep pharyngitis constipation References Tintinalli, ...

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Yanikli Hastaya Yaklasim PowerPoint PPT Presentation

Yanikli Hastaya Yaklasim - Emergency Medicine. Rosen and Barkin, 1998. Heat Emergencies. Emergency Medicine. Judith Tintinalli, 2002. Emergency Medicine Atlas. Kevin J. Knoop, 1997.

Emergency Medicine. Rosen and Barkin, 1998. Heat Emergencies. Emergency Medicine. Judith Tintinalli, 2002. Emergency Medicine Atlas. Kevin J. Knoop, 1997.

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Thoracic Trauma PowerPoint PPT Presentation

Thoracic Trauma - Thoracic Trauma Tintinalli Chapter 259 Introduction to Thoracic Trauma 25% of civilian deaths Hospital mortality

Thoracic Trauma Tintinalli Chapter 259 Introduction to Thoracic Trauma 25% of civilian deaths Hospital mortality

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Acute Bronchitis PowerPoint PPT Presentation

Acute Bronchitis - Acute Bronchitis & URI Tintinalli Chapter 67 Epidemiology Acute bronchitis Inflammation of large airways URI with cough, occasionally with phlegm, not caused by ...

Acute Bronchitis & URI Tintinalli Chapter 67 Epidemiology Acute bronchitis Inflammation of large airways URI with cough, occasionally with phlegm, not caused by ...

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Emergencies in Renal Failure and Dialysis Patients PowerPoint PPT Presentation

Emergencies in Renal Failure and Dialysis Patients - Emergencies in Renal Failure and Dialysis Patients Tintinalli chapter 93 Peritoneal Dialysis Peritoneal membrane= blood-dialysate interface Can be done acutely ...

Emergencies in Renal Failure and Dialysis Patients Tintinalli chapter 93 Peritoneal Dialysis Peritoneal membrane= blood-dialysate interface Can be done acutely ...

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Hematuria - Hematuria Tintinalli s Chap. 97 Painful - infection Painless neoplastic, hyperplastic, vascular Gross urine appears RED ; lower tract prob. Microscopic ...

Hematuria Tintinalli s Chap. 97 Painful - infection Painless neoplastic, hyperplastic, vascular Gross urine appears RED ; lower tract prob. Microscopic ...

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Cardiomyopathy and Myocarditis PowerPoint PPT Presentation

Cardiomyopathy and Myocarditis - Cardiomyopathy and Myocarditis Tintinalli Chap. 59 Increase in diastolic pressure and Decrease in diastolic volumes KUSSMAUL s Sign? Increase JVP, during ...

Cardiomyopathy and Myocarditis Tintinalli Chap. 59 Increase in diastolic pressure and Decrease in diastolic volumes KUSSMAUL s Sign? Increase JVP, during ...

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Pneumothorax PowerPoint PPT Presentation

Pneumothorax - Tintinalli Chapter 71 20,000 spontaneous ptx every year Risk factors Male Smoker Trimodal peaks: neonates, 20-40 yrs, 40 Iatrogenic Trauma or diagnostic procedure ...

Tintinalli Chapter 71 20,000 spontaneous ptx every year Risk factors Male Smoker Trimodal peaks: neonates, 20-40 yrs, 40 Iatrogenic Trauma or diagnostic procedure ...

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Trauma to Pelvis, Hip, Femur PowerPoint PPT Presentation

Trauma to Pelvis, Hip, Femur - Trauma to Pelvis, Hip, Femur Tintinalli Chapter 273 Pelvic Trauma Secondary to MVA, pedestrian v. auto, falls in elderly, industrial accidents Extremely vascular ...

Trauma to Pelvis, Hip, Femur Tintinalli Chapter 273 Pelvic Trauma Secondary to MVA, pedestrian v. auto, falls in elderly, industrial accidents Extremely vascular ...

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Bowel Obstruction PowerPoint PPT Presentation

Bowel Obstruction - Bowel Obstruction Tintinalli s Ch 86 Definition The inability of the intestinal tract to allow for regular passage of food and bowel contents secondary to ...

Bowel Obstruction Tintinalli s Ch 86 Definition The inability of the intestinal tract to allow for regular passage of food and bowel contents secondary to ...

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Comorbid Diseases in Pregnancy PowerPoint PPT Presentation

Comorbid Diseases in Pregnancy - Comorbid Diseases in Pregnancy Tintinalli s Chapter 105 Diabetes Complicates 2-3% of all pregnancies 90% gestational & 10% established prior All establish diabetics ...

Comorbid Diseases in Pregnancy Tintinalli s Chapter 105 Diabetes Complicates 2-3% of all pregnancies 90% gestational & 10% established prior All establish diabetics ...

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Bacteremia, Sepsis, and Meningitis in Children PowerPoint PPT Presentation

Bacteremia, Sepsis, and Meningitis in Children - Bacteremia, Sepsis, and Meningitis in Children Tintinalli Chapter 116 Serious Bacterial Infections Pathophysiology Birth to 3 years at increased risk Immature ...

Bacteremia, Sepsis, and Meningitis in Children Tintinalli Chapter 116 Serious Bacterial Infections Pathophysiology Birth to 3 years at increased risk Immature ...

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Male Genital Problems PowerPoint PPT Presentation

Male Genital Problems - Male Genital Problems Tintinalli s Ch 95 Testes and Epididymis Testicular torsion on exam: Firm, tender, high riding in scrotm testis Epididymis may be displaced ...

Male Genital Problems Tintinalli s Ch 95 Testes and Epididymis Testicular torsion on exam: Firm, tender, high riding in scrotm testis Epididymis may be displaced ...

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Abuse in the Elderly and Impaired PowerPoint PPT Presentation

Abuse in the Elderly and Impaired - Abuse in the Elderly and Impaired Tintinalli s Chapter 300 Introduction 3 percent of the elderly population experiences abuse or neglect the year 2020, about 20 ...

Abuse in the Elderly and Impaired Tintinalli s Chapter 300 Introduction 3 percent of the elderly population experiences abuse or neglect the year 2020, about 20 ...

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Aortic Dissection PowerPoint PPT Presentation

Aortic Dissection - Aortic Dissection Tintinalli Chap. 63 Epidemiology Male to Female (3:1) Mean age is 63 Incidence 3.5 per 100,000 Risk Factors Systemic HTN (present in 70-90% ...

Aortic Dissection Tintinalli Chap. 63 Epidemiology Male to Female (3:1) Mean age is 63 Incidence 3.5 per 100,000 Risk Factors Systemic HTN (present in 70-90% ...

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DERI VE YUMUSAK DOKU ENFEKSIYONLARI PowerPoint PPT Presentation

DERI VE YUMUSAK DOKU ENFEKSIYONLARI - ... Tintinalli Acil t p psouda,osborn,levy T m y nleriyle acil t p do .dr.zeynep keke Do .dr. mer r dvan tarhan cerrahi enfeksiyonlar-sunu Prof.dr ...

... Tintinalli Acil t p psouda,osborn,levy T m y nleriyle acil t p do .dr.zeynep keke Do .dr. mer r dvan tarhan cerrahi enfeksiyonlar-sunu Prof.dr ...

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Hyperthyroidism and Thyroid Storm PowerPoint PPT Presentation

Hyperthyroidism and Thyroid Storm - Hyperthyroidism and Thyroid Storm Tintinalli Chapter 215 12/15/05 Prepared by Trent W. Smith Lecture by Dr. Klien MD Normal Thyroid State Synthesis and release of ...

Hyperthyroidism and Thyroid Storm Tintinalli Chapter 215 12/15/05 Prepared by Trent W. Smith Lecture by Dr. Klien MD Normal Thyroid State Synthesis and release of ...

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COPD - COPD Tintinalli Chapter 73 COPD definition Airflow limitation that is progressive and not fully reversible Abnormal inflammatory response to noxious particles or gases.

COPD Tintinalli Chapter 73 COPD definition Airflow limitation that is progressive and not fully reversible Abnormal inflammatory response to noxious particles or gases.

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The Elderly Patient PowerPoint PPT Presentation

The Elderly Patient - The Elderly Patient Tintinalli s Chapter 307 Introduction more time-consuming, more difficult to evaluate, and use more resources than do younger adult patients ...

The Elderly Patient Tintinalli s Chapter 307 Introduction more time-consuming, more difficult to evaluate, and use more resources than do younger adult patients ...

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PELVIS AND LOWER LIMB Grant Kennedy PowerPoint PPT Presentation

PELVIS AND LOWER LIMB Grant Kennedy - PELVIS AND LOWER LIMB Grant Kennedy Objectives To cover this huge topic adequately in just over an hour. Special thanks to Tintinalli, UTDOL, Dr. Buckley, Rob and ...

PELVIS AND LOWER LIMB Grant Kennedy Objectives To cover this huge topic adequately in just over an hour. Special thanks to Tintinalli, UTDOL, Dr. Buckley, Rob and ...

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Thromboembolism PowerPoint PPT Presentation

Thromboembolism - Thromboembolism Tintinalli Chap. 60 Epidemiology 3rd most common cause of death 600,000 cases per year; 1/3 die 30% of untreated PE cause death; 2-8% mortality if ...

Thromboembolism Tintinalli Chap. 60 Epidemiology 3rd most common cause of death 600,000 cases per year; 1/3 die 30% of untreated PE cause death; 2-8% mortality if ...

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The renal transplant patient PowerPoint PPT Presentation

The renal transplant patient - The renal transplant patient Tintinalli s Chapter 99 Majority of solid organ transplants 60% are cadaveric donors (the ones we donate to LifeBanc) Graft prognosis ...

The renal transplant patient Tintinalli s Chapter 99 Majority of solid organ transplants 60% are cadaveric donors (the ones we donate to LifeBanc) Graft prognosis ...

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Altered Mental Status in Children PowerPoint PPT Presentation

Altered Mental Status in Children - Altered Mental Status in Children Tintinalli s Ch 131 Failure to respond to verbal or physical stimulation in a manner appropriate to the child s developmental ...

Altered Mental Status in Children Tintinalli s Ch 131 Failure to respond to verbal or physical stimulation in a manner appropriate to the child s developmental ...

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ACIL SERVISTE ANTIBIOTIK KULLANIMI PowerPoint PPT Presentation

ACIL SERVISTE ANTIBIOTIK KULLANIMI - AC L SERV STE ANT B OT K KULLANIMI Uz. Dr. LK MEN RODOPLU KAYNAKLAR ACEP, Annals of Emergency Medicine Emergency Medicine, Tintinalli www.acep.org www.atd.org ...

AC L SERV STE ANT B OT K KULLANIMI Uz. Dr. LK MEN RODOPLU KAYNAKLAR ACEP, Annals of Emergency Medicine Emergency Medicine, Tintinalli www.acep.org www.atd.org ...

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Malaria - Malaria Tintinalli s Chap. 148 In General It is a protozoan disease caused by the bite of the Anopheles mosquito. Four species of the Plasmodium genus infect ...

Malaria Tintinalli s Chap. 148 In General It is a protozoan disease caused by the bite of the Anopheles mosquito. Four species of the Plasmodium genus infect ...

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Peptic Ulcer Disease PowerPoint PPT Presentation

Peptic Ulcer Disease - Peptic Ulcer Disease intro Acid Pepsin H. Pylori 30-40% of population affected 90% of duodenal ulcers 70% of gastric ulcers Clinical features Burning epigastric ...

Peptic Ulcer Disease intro Acid Pepsin H. Pylori 30-40% of population affected 90% of duodenal ulcers 70% of gastric ulcers Clinical features Burning epigastric ...

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Upper GI bleed PowerPoint PPT Presentation

Upper GI bleed - Upper GI bleed intro bleeding ... blood indicated if no improvement after 2 L of crystalloids Endoscopy Protonix, 80 mg bolus, then 8 mg/hr Octretide, 25-50 mcb bolus

Upper GI bleed intro bleeding ... blood indicated if no improvement after 2 L of crystalloids Endoscopy Protonix, 80 mg bolus, then 8 mg/hr Octretide, 25-50 mcb bolus

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AccessEmergencyMedicine PowerPoint PPT Presentation

AccessEmergencyMedicine - The standards of care for pediatric, orthopedic, and OB ... Simon, Emergency Orthopedics. Ma, Emergency Ultrasound ... and more. 4. Confidential & Proprietary ...

The standards of care for pediatric, orthopedic, and OB ... Simon, Emergency Orthopedics. Ma, Emergency Ultrasound ... and more. 4. Confidential & Proprietary ...

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Genes a part of PPI - Clopidogrel Interaction PowerPoint PPT Presentation

Genes a part of PPI - Clopidogrel Interaction - PPIs like omeprazole, pantoprazole and Esomeprazole interact with Clopidogrel and reduce its effectiveness which increase the cardiac rehospitalisation.

PPIs like omeprazole, pantoprazole and Esomeprazole interact with Clopidogrel and reduce its effectiveness which increase the cardiac rehospitalisation.

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Acute abdominal pain PowerPoint PPT Presentation

Acute abdominal pain - Acute abdominal pain ... age History Physical exam Auscultation Palpation Labs imaging treatment Analgesics Anti-emetics antibiotics Specials populations Women ...

Acute abdominal pain ... age History Physical exam Auscultation Palpation Labs imaging treatment Analgesics Anti-emetics antibiotics Specials populations Women ...

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AccessEmergencyMedicine - The standards of care for pediatric, orthopedic, and OB/GYN conditions and ... Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology ...

The standards of care for pediatric, orthopedic, and OB/GYN conditions and ... Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology ...

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anticholinergics PowerPoint PPT Presentation

anticholinergics - anticholinergics intro Any substance that antagonizes acetylcholine Atropine Scopolamine antihistamines Clinical features Dry as a bone Red as a beet Hot as a hare ...

anticholinergics intro Any substance that antagonizes acetylcholine Atropine Scopolamine antihistamines Clinical features Dry as a bone Red as a beet Hot as a hare ...

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Anorexia Nervosa and Bulimia Nervosa PowerPoint PPT Presentation

Anorexia Nervosa and Bulimia Nervosa - ... esophageal bleeding/rupture, large weight fluctuations, secondary amenorrhea, severe dental caries, juvenile diabetes Diagnostic Criteria Anorexia: ...

... esophageal bleeding/rupture, large weight fluctuations, secondary amenorrhea, severe dental caries, juvenile diabetes Diagnostic Criteria Anorexia: ...

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Pediatric Trauma PowerPoint PPT Presentation

Pediatric Trauma - ... % Radiology CT or MRI Spinal Trauma Uncommon in young children Increased flexibility in young SCIWORA possible Clinical Radiography ... urinary tract injuries ...

... % Radiology CT or MRI Spinal Trauma Uncommon in young children Increased flexibility in young SCIWORA possible Clinical Radiography ... urinary tract injuries ...

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Disorders of the Groin and Skin Folds PowerPoint PPT Presentation

Disorders of the Groin and Skin Folds - ... Antifungal powders daily to prevent reoccurance Candida Intertrigo Candidial infection involving skin fold Moist skin folds Diaper areas Clinical Erythema and ...

... Antifungal powders daily to prevent reoccurance Candida Intertrigo Candidial infection involving skin fold Moist skin folds Diaper areas Clinical Erythema and ...

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Evaluating ED Patients with Transient Ischemic Attack: Inpatient vs' Outpatient Strategies PowerPoint PPT Presentation

Evaluating ED Patients with Transient Ischemic Attack: Inpatient vs' Outpatient Strategies - ... A. Ross, MD. Case ... Michael A. Ross, MD. TIA Patients are at Risk of Short-term ... Michael A. Ross, MD. A STROKE of Bad Luck. Stoke is preceded by ...

... A. Ross, MD. Case ... Michael A. Ross, MD. TIA Patients are at Risk of Short-term ... Michael A. Ross, MD. A STROKE of Bad Luck. Stoke is preceded by ...

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Iron - Iron pharmacology total-body iron store averages about 4 grams in adults Transferrin carries iron into the cell Iron is stored in ferritin recommended daily intake of ...

Iron pharmacology total-body iron store averages about 4 grams in adults Transferrin carries iron into the cell Iron is stored in ferritin recommended daily intake of ...

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Drug Interactions - Part 1 (General Introduction) PowerPoint PPT Presentation

Drug Interactions - Part 1 (General Introduction) - This presentation is dealt with the general introduction of Drug interactions such as factors affecting DIs, Cosequences, Types and Mechanisms of DIs.

This presentation is dealt with the general introduction of Drug interactions such as factors affecting DIs, Cosequences, Types and Mechanisms of DIs.

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Nausea and vomiting PowerPoint PPT Presentation

Nausea and vomiting - ... (diazepam) Lorazepam (Ativan) IM Diazepam (Valium) IV Alprazolam (Xanax) ... IV Diphenhydramine (Benadryl) Also show efficacy in prevention of motion sickness.

... (diazepam) Lorazepam (Ativan) IM Diazepam (Valium) IV Alprazolam (Xanax) ... IV Diphenhydramine (Benadryl) Also show efficacy in prevention of motion sickness.

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Pesticides - Pesticides insecticides Organophosphates irreversibly bind to acetylcholinestrase (aging) Aging occurs over minutes to hours, and when it does the enzymatic ...

Pesticides insecticides Organophosphates irreversibly bind to acetylcholinestrase (aging) Aging occurs over minutes to hours, and when it does the enzymatic ...

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Problem - cannot be documented by photography, but only b PowerPoint PPT Presentation

Problem - cannot be documented by photography, but only b - Problem - cannot be documented by photography, but only by examiner ... 58-71% in adult female victims. 63% in adolescent female victims ...

Problem - cannot be documented by photography, but only by examiner ... 58-71% in adult female victims. 63% in adolescent female victims ...

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Drug Interactions Part 3 (Pharmacodynamic Interactions) PowerPoint PPT Presentation

Drug Interactions Part 3 (Pharmacodynamic Interactions) - Pharmacodynamic drug interactions such as receptor mediated and non receptor mediated interactions are dealt in this presentation.

Pharmacodynamic drug interactions such as receptor mediated and non receptor mediated interactions are dealt in this presentation.

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Lab Rounds - Lab Rounds Juliette Sacks CCFP-EM August 10, 2006 Case L.W. 49 y.o. Female 3-4 day hx of: disorientation dysarthria progressing ataxia dysphagia no vomiting acute on ...

Lab Rounds Juliette Sacks CCFP-EM August 10, 2006 Case L.W. 49 y.o. Female 3-4 day hx of: disorientation dysarthria progressing ataxia dysphagia no vomiting acute on ...

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GI Bleeding - ... syndrome Other Stress ulcer AV malformation Malignancy Lower GI Bleed Diverticulosis Angiodysplasia Other Carcinoma Hemorrhoids Inflammatory bowel disease ...

... syndrome Other Stress ulcer AV malformation Malignancy Lower GI Bleed Diverticulosis Angiodysplasia Other Carcinoma Hemorrhoids Inflammatory bowel disease ...

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Tintinalli PowerPoint PPT Presentations