graphs just give me the facts

... under the arms, called axillary hair, and between the legs. The pale ‘half-moon’ where the youngest part of the nail emerges from the flesh of the finger The growing part of the nail, hidden in the ... form on the hard enamel ofthe teeth • The bacteria multiply and form a film over the enamel This is • The acid makes tiny holes in theenamel These get bigger and arecalledcavities • The tooth ... pocket-like pit in the skin, called the follicle • Extra cells are added to theroot, which pushes the rest of the hair up out of the skin • The part of the hair above theroot is called the shaft Warmth...

Ngày tải lên: 05/11/2014, 19:14

... earthquake is a measurement of the earthquake’s strength and size The measuring system used here is the Richter Scale • The intensity of an earthquake is a measurement of the shaking caused by the earthquake. ... between the Earth’s upper mantle and the surface. • The magnitude of an earthquake is a measurement of the earthquake’s strength and size The measuring system used here is the Richter Scale • The ... The glossary provides additional information to supplement the facts on the main pages. 1 2 JUST THE FACTS Each topic box presents the facts you need in lists; short, quick-to-read bullet points;...

Ngày tải lên: 25/12/2013, 16:35

... not melt— otherwise the result would be anigneous rock There are two types ofmetamorphic rock: 1 Thermal metamorphic – formed principally by the action of heat 2 Regional metamorphic – formed ... along beneaththe next plate at the seam onthe other side The continentsare carried by in these plates • As the continents move about, they occasionally crash into oneanother This causes the edge ... older The oldest meteorites – 4.6 billion years ago They areassumed to have formed at thesame time as Earth OLDEST MINERALS, ROCKS, AND METEORITES • About 5 or 6 thousand years – Going by the...

Ngày tải lên: 25/12/2013, 16:35

... • Meteors • Craters • Meteor showers • Types of meteorites • The Ten Biggest Meteorites • Parent Comets • Best Meteor Showers COMETS 38 • Comet facts • The structure of a comet • Famous comets ... The southern pole of Uranus (pointingsideways) faces the Sun for a short time Then, as the orbit continues, the northernpole gradually comes around to face theSun, in the opposite part of the ... orbit • The far side is sometimes called receives sunlight in the samepattern as the near side Tides are the regular rising and falling of the surface of the oceans Althoughthe Sun has some influence,...

Ngày tải lên: 25/12/2013, 16:35

... implore, ‘‘Just the facts, ma’am, just the facts.’’ Our textbook, Just the Facts in Emergency Medicine, aims to provide just that for emergency physicians who are studying for either the written ... Trang 2Just the Facts inEMERGENCY MEDICINE Trang 3David M Cline, M.D. Clinical Associate Professor of Emergency Medicine Department of Emergency Medicine University of North Carolina School of Medicine ... pertinent to the clinical care of the patient in the emergency department Each chapter in Just the Facts in Emergency Medicine emphasizes the key points in the Epidemiology, Pathophysiology,...

Ngày tải lên: 09/08/2014, 15:20

... than 15, then by defi- nition a wide-AG metabolic acidosis is present. If the AG is unchanged, then the disturbance is a nonwidened (sometimes termed unchanged-AG or hyperchloremic) metabolic ... examine whether the ventilatory response is appropriate. If the decrease in the P CO 2 equals the decrease in the [HCO 3 Ϫ ], there is appropriate respiratory compensation. • If the decrease in the ... patients. Ann Emerg Med 18:622, 1989. 5. Callaham M: Panic disorders, hyperventilation, and the dreaded brown paper bag. Ann Emerg Med 30:838, 1997. For further reading in Emergency Medicine: A...

Ngày tải lên: 09/08/2014, 15:20

... flow, such as theapical and posterior segments of the upper lobeand the superior segment of the lower lobe of thelung, the renal cortex, the meninges, the epiphyses of long bones, and the vertebrae.3 ... im-practical to measure It is dependent on the tidal volume less the anatomic dead space and the respi-ratory rate Dead space is the volume of air that must be inhaled to initially reach the alveolus ... age and are two to four times more common in men than in women The vast majority of these patients have a history of prolonged smoking • Given that atherosclerosis is the usual pathology in ischemic...

Ngày tải lên: 09/08/2014, 15:20

... depends on the patency of the ostia, the function of the ciliary mechanism, and the quality of the secretions • Obstruction of the ostia results either from muco-sal swelling or, less commonly, mechanical ... Table 72-2) MENINGITIS EPIDEMIOLOGY • Since the advent of the H influenzae type b (Hib) vaccine, the epidemiology of meningitis in theUnited States has changed dramatically In 1986,the median age ... should be considered when the cause of DKA is not apparent EMERGENCY DEPARTMENT CARE AND DISPOSITION • The treatment of DKA consists of volume replace-ment, insulin therapy, correction of electrolyte...

Ngày tải lên: 09/08/2014, 15:20

... and the Landry-Guillain-Barre ´ syndrome. 290 SECTION 12 • INFECTIOUS DISEASES AND IMMUNOLOGY EMERGENCY DEPARTMENT CARE AND DISPOSITION • The treatment of rabies exposure consists of as- sessment ... admin- istered only once at the outset of therapy. The dose is 20 IU/kg, with half the dose (based upon tissue volume constraints) infiltrated locally at the exposure site and the remainder administered ... bloodstream during the feeding of the female anopheline mosquito; they travel directly to the liver, where they invade hepatic parenchymal cells (exoerythrocytic stage). In the liver, the parasites...

Ngày tải lên: 09/08/2014, 15:20

... DYSHEMOGLOBINEMIAS Alex G. Garza METHEMOGLOBINEMIA PATHOPHYSIOLOGY • Methemoglobinemia is acquired when the normal mechanisms responsible for the elimination of methemoglobin are overwhelmed by an exoge- nous ... arse- nic is present in the alimentary tract on abdomi- nal radiographs. MERCURY • Short-chained alkyl mercury compounds and ele- mental mercury predominantly affect the CNS, 356 SECTION 13 • ... of mercury after occupational exposure to mercury vapour and influence of the chelating agent meso-2,3- dimercaptosuccinic acid (DMSA). Br J Ind Med 48: 247, 1991. For further reading in Emergency...

Ngày tải lên: 09/08/2014, 15:20

... specific therapy MERALGIA PARESTHETICA • Meralgia paresthetica is entrapment of the lateral cutaneous nerve of the thigh • Patients describe numbness and dysesthesia of the lateral aspect of the upper ... acute coronary syndrome N Engl J Med 339:436, 1998. White H: Unmet therapeutic needs in the management of acute ischemia Am J Cardiol 80:2B, 1997. For further reading in Emergency Medicine: A Com-prehensive ... oftissue through the tentorium • The uncal herniation syndrome is due to the ation of medial temporal lobe tissue through thetentorial notch In the usual scenario, stretching herni-of the ipsilateral...

Ngày tải lên: 09/08/2014, 15:20

... dinal ligament and the anterior half of the verte- bral body), the middle column (posterior longitu- dinal ligament and the posterior half of the vertebral body), and the posterior column (the pedicles, ... associated with adverse fetal outcome. 6,7 EMERGENCY DEPARTMENT CARE AND DISPOSITION • The best care for the fetus is proper resuscitation of the mother. Establishment of a patent airway, adequate ... EXAMINATION • There are 27 bones in the hand: 14 phalanxes, 5 metacarpals, and 8 carpals • The intrinsic muscles of the hand are those that originate and insert within the hand These are the....

Ngày tải lên: 09/08/2014, 15:20

... Understanding the causes and the potential risks Am J Emerg Med 15:579, 1997. 17 American College of Emergency Physicians: Policy Statement: Management of elder abuse and neglect Ann Emerg Med 31:149, ... consent Emerg Med Clin North Am 11:833, 1993. 5 Derse AR: Legal and ethical issues in the emer-gency department Emerg Med Clin North Am 3:213, 1995 6 Sullivan DJ: Minors and emergency medicine Emerg ... hospital • The diagnosis of sexual abuse can be confirmed by a careful genital and perianal exam However, since the hymen varies based on age, measure-ments of the hymen are not reliable.11–13Hymeneal...

Ngày tải lên: 09/08/2014, 15:20

... developmental issues, assess the infant and its environment, and further develop an understanding of the parents while cementing the cooperative relationship toward optimizing the patient’s ... The pediatric history and physical examination is unique since the majority of information is not obtained directly from the. .. and history from the caregiver about progression of the ... stairs rather than escalators or elevators, or riding the elevator part of the way and finishing on the stairs 4 Getting off the bus two or three stops early and walking the remainder...

Ngày tải lên: 11/08/2014, 06:21

... be pre-dicted by the clinical appearance of the child at the time of arrival to the emergency department The child who is spontaneously breathing will likely survive, whereas the child who requires ... proposed that the injuries were the result of violent shaking, and described the findings as the whiplash-shaken infant syndrome, later referred to as the shaken baby syn-drome (SBS) • The mechanism ... one dosing regimen, a quent dosage rate change will result in a movementtoward the new steady state by the same rule—one-half of the way there in one half-life, and so on subse-THE INFLUENCE OF...

Ngày tải lên: 11/08/2014, 06:21

... be isolated from otherpatients If the infant does not have lesions, isolationfrom the mother is recommended until the child eitherbecomes symptomatic or the mother is beyond thecontagious period ... closely.Currently, there are no recommendations for pro-phylactic antibiotic therapy, as the efficacy of suchtreatment has not been shown Prophylaxis witherythromycin ophthalmic ointment is suggested inthe ... documented e If any of the above is not present, treatment is considered inadequate Treatment with erythro-mycin or any other nonpenicillin regimen during pregnancy is not adequate. 4 If the mother...

Ngày tải lên: 11/08/2014, 06:21

... and the quantity ingested. Also identify the symptoms of the reaction and when they last occurred. Focus on the timing of the ingestion to the onset of symptoms (within 2 hours for an IgE-mediated ... shelf indents the upper thoracic aorta just opposite the mouth of the ductus arteriosus • In the neonatal period, when the ductus is still open, the aortic mouth of the ductus can ... identified in some of these patients These mutations are not germ 191 line but appear to occur in the myeloid series after the detection of SCN Therefore, these mutations are unlikely to be the cause...

Ngày tải lên: 11/08/2014, 06:21

... developmental intervention, treatment for overgrowth of the jaw. • Cosmetic improvement of the port-wine stain can be obtained with laser treatment but some darkening of the stain with time and ... know the LDL cholesterol level, all the elements in the lipid panel need to be measured. • The two most common patterns of lipid abnormality identified in children are type 2A (FH) where there ... evaluation and management of high blood pressure in childhood. The most recent update in 1996 confirmed the use of the Second Task Force report of 1987 as the basis for the evaluation of high...

Ngày tải lên: 11/08/2014, 06:21

... REATMENT • The aims of medical therapy are to remove the ing process when possible, halt the progression of thedisease, relieve pain, restore homeostasis, and treatcomplications The treatment ... Down syndrome have a translocation involvingthe number 21 chromosome In such cases, the infanthas only 46 chromosomes but has the equivalent of 47 chromosomes since one of these chromosomes is a ... should not be used rou-tinely to diagnose IBD TREATMENT • The treatment of IBD is complex and not ized The current medical therapies for IBD, theirmechanism of action, indications, and side effects...

Ngày tải lên: 11/08/2014, 06:21

... be present in the folds of the joints (Pastia’s lines) or other parts of the extremities • Early in the illness, the dorsum of the tongue may have... and the development of pain, ... and the outcome Therefore, therapy can be delayed for a short period of time (to rule out ICP, await results of the LP to document bacterial etiology or to better tailor the antibiotic therapy) ... and redness of the joint Swelling of the joint space results in increased pressure which can compromise the blood supply of the head of the femur or the humerus if the hip or shoulder...

Ngày tải lên: 11/08/2014, 06:21