<div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6JKOmTxt79lILwP076i3AVqcKJeRZuSJCRaA_fEtI28GSGDHq_d3YyxXhRAFJ5-LT65c_oA-lQq1V3zJMiD5vB0D1y01JTBKM4PaDNyyF-Q8ka5tnOcM1g-IeBxLWImQaJ_2n4uT9v3hg/s1600/images.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="149" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6JKOmTxt79lILwP076i3AVqcKJeRZuSJCRaA_fEtI28GSGDHq_d3YyxXhRAFJ5-LT65c_oA-lQq1V3zJMiD5vB0D1y01JTBKM4PaDNyyF-Q8ka5tnOcM1g-IeBxLWImQaJ_2n4uT9v3hg/s1600/images.jpeg" width="200" /></a></div> skin acne is normal effects for skins this article by acne care and looking good and handsome . Acne care daily use normal soap use without perfume and any acne soap only normal soap use daily 5 times use and drink pure water 1 glass after 1 glass use daily minimum 8 glass drink water and easy care for acne and no use any capsuls.<br /> <br /> <br /> <br /> <br /> <h3> <b><span style="font-family: Arial,Helvetica,sans-serif;">Acne Blackheads Remove For Skin Micro Needle Roller</span></b></h3> <span style="font-family: inherit;">This is best <span style="font-family: inherit;">method for acne<span style="font-family: inherit;">, scars<span style="font-family: inherit;">, blackhead<span style="font-family: inherit;">s remove </span></span></span></span></span>for 3 days clear skin looking handsome for use method you needed this thinks.<br /> <br /> <ol> <li><b><span style="font-family: Arial, Helvetica, sans-serif;">Skin Micro Needle Roller</span></b></li> <li><b><span style="font-family: Arial, Helvetica, sans-serif;">Perma Tag Gel</span></b></li> <li><b><span style="font-family: Arial, Helvetica, sans-serif;"> </span><span style="font-family: Arial,Helvetica,sans-serif;">cotton</span></b></li> </ol> <span style="font-family: inherit;">first for all skin use perma tag gel use after <span style="font-family: inherit;">15 <span style="font-family: inherit;">mint finger slowly slowly blowing f<span style="font-family: inherit;">or all skin <span style="font-family: inherit;">use t</span></span></span></span></span>his method 15 mint and after use skin micro needle roller for 10 times ups and download and 10 times down and ups use and 10 times left cross use and 10 times right cross use use this method 30 mint your skin blood and clear the cotton for skin and 3 hour no use skin water for wash after 3 hour use wash skin slowly hands and after 15 or 30 mint skin wash use this method for 1 days 2nd day use for whiting soap skin wash and use cosmlen cream or skin shop purchase for skin laser cream use for 2 times daily after 3 days you are looking handsome and good looking and remove skin acne and blackheads and scars any problems comments me thanks.

skin acne is normal effects for skins this article by acne care and looking good and handsome . Acne care daily use normal soap use withou... Read More »

LUMBAR PUNCTURE Indications Diagnostic purposes analysis of cerebrospinal fluid CSF).  Measurement af CSF pressure or its changes with various maneuvers(Val-  Salva,  etc)  Inject on of various agants:  contrast media for mye ography,  antitumor drugs,  analgesics,  antibiotics Contraindications Increased intracranial pressure(papilledema mass tesion Infection near the site Planned myelography or pneumoencephalography coagulation disorders Materials o A sterile,  disposable lumbar puncture ILP)  kit(rucommended)  or Minor procedure tray 0 spinal nee es(21-gauge fcr acults.  22-gauge for chldren.<br /> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0VJRDSXt0cent0Ez4vr4LZQJGvVC8s8FbuQtAxxcANAPdWcM4l41FfHKfdko2VvzSBd955LwAuV4rtxPW0b4o-qi7rRSIC_R4Xv10oNOiWq8rjYx6xTi-pFtF3PNDXW45_LZhNqekJN06/s1600/Graphic1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0VJRDSXt0cent0Ez4vr4LZQJGvVC8s8FbuQtAxxcANAPdWcM4l41FfHKfdko2VvzSBd955LwAuV4rtxPW0b4o-qi7rRSIC_R4Xv10oNOiWq8rjYx6xTi-pFtF3PNDXW45_LZhNqekJN06/s1600/Graphic1.jpg" width="251" /></a></div>  Anatomical Considerations The cbective of a lumbar puncture ILP is tc cbtain a sample of cerchrospinal fluid(CSF)  from the subarachnold space.  Specifically,  during a lumber pureture 1he fluid i3 obtained from the lumbar citem the wolumr CSF dura msler at the coccygel ligament.  The cistern is 3urroundad by the subarach-  noid membrane and the cenying dura Located within the istnm am 1hr filim terminale anc the nerve roots of the cauda cquina When an LP dane,  the main body the spinal co 3 avaded and the nerve ruuts the cauda are simply pushed out the way by the needle.  The termina-  usually between L1 and L2,  and in on of the Bonal cord in an adul patient between L2 and L3.  Ine Batest site tor a lumta purcture is the ne--  space betwcon L4 and LS An imaginary line drawn between the diac cresls the supra cristal plane ntarserts the spine at either the L4 spinous arccess:r tre:  L4-  L5 interspace exactly.  A spinal needle introduced between the sp nous processes cf and L5 pen-  etrales the layers the following order.  skin,  supraspincus igament,  inters-  in ural space contains loose areolar ssue.  and biood vessels J.  dura.  Parania!  space Sukarechnald mem-  rat,

LUMBAR PUNCTURE Indications Diagnostic purposes analysis of cerebrospinal fluid CSF).  Measurement af CSF pressure or its changes with vario... Read More »

<div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTpBV2ioDCLTT0G-_aw1TS0F_UyFrMZo6miGH66feg9gvWTexIczGM-3_Rtxz7SQmoA3sbUDcNFhSreJ02nAb2OsXEyEpiBz2uI7MeqwIe74aLHVRod7lB-YTwkUw6xMnrCJh4uyeWYpK5/s1600/US_Navy_111005-N-ZN781-031_Aviation_Boatswain's_Mate_(Fuel)_3rd_Class_Rolando_Calilung_tests_for_a_specific_gravity_test_on_JP-5_fuel.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTpBV2ioDCLTT0G-_aw1TS0F_UyFrMZo6miGH66feg9gvWTexIczGM-3_Rtxz7SQmoA3sbUDcNFhSreJ02nAb2OsXEyEpiBz2uI7MeqwIe74aLHVRod7lB-YTwkUw6xMnrCJh4uyeWYpK5/s1600/US_Navy_111005-N-ZN781-031_Aviation_Boatswain's_Mate_(Fuel)_3rd_Class_Rolando_Calilung_tests_for_a_specific_gravity_test_on_JP-5_fuel.jpg" width="224" /></a></div>  Neonate:  1.012<br />  Infant:  1.002-1.006<br />  Child and adult:  1.001-1.035<br /> <br /> <br />  Specific gravity corresponds to osmolality.  Urinary osmolality not the spe-  cific gravity is the index of the concentrating power of the kidneys.<br />                   true value of > 1.023 indicates normal ranal concentrating ability.  <b><span style="font-family: Arial,Helvetica,sans-serif;"> </span></b><br /> <b><span style="font-family: Arial,Helvetica,sans-serif;">increased:</span></b><br />   Dehydraton,  heavy proteinuria(nephrosis).  glycosuria(glucose.  man-  nitol.  diabetes mellitus).  congestive heart failure,  adrenal insufficiency,  syndrome of inappropriate anticiuretic hormone(SIADH),  excretion of x-ray contrast media,  and high doses of antibiotics(e.g.  carbenicillin)  that have been administered parentally and that are excreted unchanged in the urine. <br /> <br /> <b><span style="font-family: Arial,Helvetica,sans-serif;">Decreased:</span></b>  Pyelonephritis.  glomerulonephritis,  diabetes insipidus.

 Neonate:  1.012  Infant:  1.002-1.006  Child and adult:  1.001-1.035  Specific gravity corresponds to osmolality.  Urinary osmolalit... Read More »

<br /> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiTTxGu4z1pMfBaXKp4gVTZzMpDjL2bASVjZhk2Ed0hmjwnWb2zibijCTiIcCeNdP45Uo2tgVItfwvu22A-QsyCsxKHIiCKlZXPiw-SNS-hGOX_zS3f4OtU4Hn6Y7PMUf6J074Z-kmB8F5/s1600/c2_08.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="154" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiTTxGu4z1pMfBaXKp4gVTZzMpDjL2bASVjZhk2Ed0hmjwnWb2zibijCTiIcCeNdP45Uo2tgVItfwvu22A-QsyCsxKHIiCKlZXPiw-SNS-hGOX_zS3f4OtU4Hn6Y7PMUf6J074Z-kmB8F5/s1600/c2_08.gif" width="200" /></a></div> <b><span style="font-family: Arial,Helvetica,sans-serif;">BLOOD IN URINE</span></b><br />  Painless hematuna should point towards a malignancy<br />  <span style="font-family: Arial,Helvetica,sans-serif;">Positive:</span>  Glamerulonephritis,  calculi(renal,  ureteric,  vesicular),  infections(pyelonephritis,  renal tuberculosis,  cystitis),  tumors(benign and malignant.  anywhere in the urinary tracl).  urelhral strictures,  bleeding disorders.  menstruation(contamination,  polycystic kidneys,  interstitial nephritis,  transfusion reaction.  instrumentat on Foley's catheter,  hemolytic anemia,  systemic diseases(3ystemic lupus erythematosus.  palvarteritis nodosa,  infective endccardits),  trauma.<br /> <br /> <br /> <br /> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjEOdORpEz_UImdcTKmWVLGVIt8GNgytNf51dJEfPKueu_LPhQvdUieLkrTZrQVev5RkUXUFofSPL-c05e7cu5ly9FnE-iqn7uczlDCQoo6xWYcZYp2oZqRUhllfA9Iy1RFk_afpApmxha/s1600/diabetes-consequences1.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="165" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjEOdORpEz_UImdcTKmWVLGVIt8GNgytNf51dJEfPKueu_LPhQvdUieLkrTZrQVev5RkUXUFofSPL-c05e7cu5ly9FnE-iqn7uczlDCQoo6xWYcZYp2oZqRUhllfA9Iy1RFk_afpApmxha/s1600/diabetes-consequences1.gif" width="200" /></a></div>   <b><span style="font-family: Arial,Helvetica,sans-serif;">GLUCOSE IN URINE</span></b><br />  Detects primari y acetone and acetoacetic acid and nat beta-hydozybutyric acid<br /> <span style="font-family: Arial,Helvetica,sans-serif;"> Positive:</span>  Starvation,  high-tat dict.  diabetic ketoacidosis,  vomiting,  diarrhea,  hyperthyroidism,  pregnancy,  febrile states.<br /> <br /> <br /> <br /> <br /> <br /> <br /> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1aQ7Nogn_WTIP449dKqF2eaCw4o6DMKnHdvtOkNPSvQsb9FwulYKTIxuc9LaxKDL4_maiRTvD9NAfPKnL_SlESi_qRiWcoEs1E9aMhds0FiQ-2uAZaA8gnl6n2NqSiJHshP_34h98BgdN/s1600/urinalysis.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="160" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1aQ7Nogn_WTIP449dKqF2eaCw4o6DMKnHdvtOkNPSvQsb9FwulYKTIxuc9LaxKDL4_maiRTvD9NAfPKnL_SlESi_qRiWcoEs1E9aMhds0FiQ-2uAZaA8gnl6n2NqSiJHshP_34h98BgdN/s1600/urinalysis.jpg" width="200" /></a></div>  <span style="font-family: Arial,Helvetica,sans-serif;"><b>LEUKOCYTE ESTERASE</b></span><br />  This test detects 5 or more white blood cells per high-power lield HPF)  or lysed WBCs<br /> <span style="font-family: Arial,Helvetica,sans-serif;"> Positive:</span>  Infections(false positive with vag nal contamination

BLOOD IN URINE  Painless hematuna should point towards a malignancy   Positive:   Glamerulonephritis,  calculi(renal,  ureteric,  vesic... Read More »

<div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhS0WMo7mmW2-3UGRYS0D938oMaCy1JZMzB12OGtN3wSx2g0ngXb6-cneNx7YkgYLDR2V0GNebkTEVWjCT0qkEgvnaZCEfkOfsYOjsTHEu3jeVqHRxP8itovaOL1sdsnONlmjalgXN0QV92/s1600/Urinalysis2.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="170" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhS0WMo7mmW2-3UGRYS0D938oMaCy1JZMzB12OGtN3wSx2g0ngXb6-cneNx7YkgYLDR2V0GNebkTEVWjCT0qkEgvnaZCEfkOfsYOjsTHEu3jeVqHRxP8itovaOL1sdsnONlmjalgXN0QV92/s1600/Urinalysis2.gif" width="200" /></a></div> <br /> Fresh urine. whichh ch Should not be less than one hour old. is acceptable for routine sis. If the sample is to be stored, it Should be refrigerated Because urinal urine and stored at room temperature will undergo lysis of red cells and casts and w Become alkalinized. See chapter 11 for different ways to collect urinary samples This chapter Studied different entities in the urinalysis, Their average values. shows variations and underlying pathologies.<br /> <br />

Fresh urine. whichh ch Should not be less than one hour old. is acceptable for routine sis. If the sample is to be stored, it Should be r... Read More »

<u><i><b>Appearance:</b></i></u>  facial expressions(tearfulness in depression,  elation in mania tenseness in anxiety,  perplexity or blunting in schizophrenia),  gestures mannerisms,  negativism when patient opposes the examiners attention),  etc Speech:  content of speech,  coherence,  flight of ideas Mood and affect:  depression.  elation,  anger.  anxiety etc Thought process:  blocking.  evasion,  etc Thought content:  worries,  hypochondriasis,  lack of self-confidence,  delusions hallucinations,  etc Motor activity:  slow.  rapid,  purposeful,  etc<br /> <br /> <br /> <u><i><b> Cognitive functions:</b></i></u>  Orientation Attention and concentration Memory Calculations Abstractions Judgements

Appearance:   facial expressions(tearfulness in depression,  elation in mania tenseness in anxiety,  perplexity or blunting in schizophrenia... Read More »

<u><i><b>Normal or Increased Appetite:</b></i></u> Diabetes, hyperthyroidism, anxiety, drugs (thyroid), carcinoid, sprue, pancreatic deficiency, parasites.<br /><br /><u><i><b>Decreased Appetite:</b></i></u> Depression, anorexia nervosa, gastrointestinal obstruction, neoplasm, liver disease, severe infection, severe cardiopulmonary disease, uremia, adrenal insufficiency, hypercalcemia, hypokalemia, intoxication (alcohol, lead), old age, drugs (amphetamines, digitalis), acquired immunodeficiency syndrome (AIDS).<br /><br /><br /><b><i><u>Wheezing</u></i></b><br /><br /><br />Large airway diffculty (laryngeal stridor, tracheal stenosis, foreign bogy), endobronchial tumor, bronchitis, emphysema, congestive heart failure, pulmonary embolus, anaphylactic, myocardial ischemia.

Normal or Increased Appetite: Diabetes, hyperthyroidism, anxiety, drugs (thyroid), carcinoid, sprue, pancreatic deficiency, parasites. Decr... Read More »