What is renal hypertension Ask ADC tutorial
When you have high blood pressure, the first thing you think about is your brain and heart. The other most important vital organ which can be affected by high blood pressure is the kidney. I can actually control your blood pressure by different mechanisms. How it affects the blood pressure is fascinating. There is something called the renal sympathetic system. It is the nerve to the kidneys. It can cause a vasoconstriction, meaning a narrowing of the vessels supplying it to the kidneys. Whenever there is a defect in that system, it can lead to narrowing of the vessels, leading to high blood pressure.
It also can cause a scarring of the kidney arteries which eventually can lead to high blood pressure. If you think about renal hypertension, many people do not know or have many symptoms. If the blood pressure is uncontrolled, we see many symptoms. They come in the form of headache, dizziness, chest pain, palpitations. But many times, for the vast range of blood pressure, you do not get any symptoms. It is usually the blood pressure monitor at home or at your physician's office which tells you the blood pressure is really high and you need to control it.
When you see a patient with hypertension, you do not know for sure whether they have renal hypertension or not. When you do the diagnosis or more testing, you learn they have hypertension because they have a kidney disease. Or they have hypertension because there is some blockage in the arteries supplying it to the kidney. We cannot change our environment many times. We cannot change our genes many times we have had them since birth. What we can do is lifestyle modifications. Salt intake is key. There are people who are extremely salt sensitive.
Their blood pressure really rises when they eat salt. Most of the people who see the nephrologist have extreme fear. They fear they have a kidney disease they are labeled with a problem. Do they really need to be on dialysis the next day Have they had this problem for a long time and it's been underdiagnosed Overdiagnosed These people are asymptomatic. They have no symptoms. Sometimes they don't understand why they have been referred to a kidney doctor to begin with. They are feeling fine. Their blood pressure is OK, their diabetes is under control.
Blood tests show the kidney is not working very well. What does that mean Many people come with this fear that they are going to be on dialysis the next day and that ius not true. There are many times patients have a kidney disease, but mild or moderate in range. It could be easily treated, prevented or at least halted at that time and avoid the progression of that kidney disease. I think seeing a nephrologist in a timely manner has been shown that the progression of kidney disease slows down.
SCRUB WARS SALUTES FUTURE ER PHYSiCIAN
Voice1 Scrub Wars presents Future doctors of America. Chorus Future doctors of Americaaa! Voice1 Today, we salute you future Emergency Room Physician. Chorus Future emergency room physician! Voice1 We know your attention span is short, unless you're properly stimulated. When there's a trauma patient, you rush to do as many procedures as you can, before the trauma surgeon takes over. Chorus I can do it all! Voice1 But when there's a screaming psych patient, all you write is Airway intact'. Chorus Where is that psych consult Voice1 So turn on Scrub Wars and pass those.
Best ABIM Exam Review Tips!
Hello, and welcome to our ABIM Certification exam page. The American Board of Internal Medicine, more often referred to as the ABIM, offers certification exams for all types of physicians and specialties, including Internal Medicine, Geriatric Medicine, and Transplant Hepatology. Each and every ABIM exam is computerbased and administered by computerbased testing facilities at specific times during the year all around the country. Most of the certification exams last about 10 hours, including scheduled breaks, except for the Cardiovascular Disease exam which lasts about 14 hours. The 10 hour test day is divided into several sessions.
With each session containing up to 70 multiple choice questions. There are 4 sessions in all, with each session lasting about 2 hours. If you are interested in learning more about becoming ABIM certified or are wanting to learn how you can be better prepared for your upcoming ABIM Certification Exam, head on over to mometrix. Their website provides the best study guides, flash cards and practice tests around, so go check it out. You can also find links to these resources in the description below, or do a simple Google search.
How to create Hand Drawn Tutorials Whiteboard tutorials FREE TRIAL
Hello. Have you ever wanted to create this type of hand drawn tutorial but just didn't know how Well, right now there's some amazing new software that not only allows you to draw text, but also images too. So keep watching to discover a solution that's both easy and quick to use. So, right now you can easily create powerful tutorials that engage your viewers and keep them watching for longer. You see, I was just like you. struggling to find a way to create quality animations Best of all though.
Surfboard Repairs Removing Dings from Surfboards
Alright. So, let's start off by prepping and filling this ding repair. Right here we've got a couple of fin gashes that usually, you know, happens when someone runs over you in the water. So, what we're going to do is we're going to first cut out all the loose fiberglass that's in there separated from the foam so we can get, you know, get a nice patch going in here. What we'll do is we'll start off by grabbing your mat knife and just slightly turning it through the fiberglass tearing it up and ripping it out most of the time.
It'll just come out with your finger. Just rip it in, just like that that should be sufficient. You just come over here, grab the other one. We just want to make sure that all the loose fiberglass is gone, because if you patch on top of that sometimes it will just separate underneath your repair. Not really bonding it any more. So, I'm going to go ahead and show you how a real man does a ding repair. I'm going to use my machine. So, I put my mask on and then we'll just let it rip. So, right there what we did is just.
Made the area around that, you know, that patch just course and that way our, you know, our filler is going to bond real nicely and it's going to stick in there. The foam itself is coarse and that's why obviously resin sticks to it. So, we don't have to worry about that. Just kind of blow it out. That's pretty much, you know, it just gets all the loose impediments out. You know, at home if obviously you don't have a four hundred dollar machine around you could always use a little sanding block with some sand paper. After you cut it out,.
Colorectal cancer The key is prevention
The quality care services secondmost for common form of cancer in the united states we have lung cancer and um. fortunately about ninety percent of it is preventable and we have screening modality such as corn asked me to help us prevent the development corp of cancer so the question is what this ninety percent preventable then why is the second most common form of cancer and the reason why is that reportedly spent about fifty percent of the population qasar barriers to stream so some patients don't know that they should be screened so patients are.
Afraid of the exam they're afraid of the results there are of the other barriers regarding costs and time away from work typically we start screening people at the age of fifty but with a higher risk population particularly patients with a firstdegree relative we we'd like people to come in here ten years earlier than when they were diagnosed or at age forty all the same things that we recommend for for overall health and heart health uh. also we think help prevent colorectal cancer so a regular exercise highfiber.
Uh. lowfat diet in and and avoiding a sort of a sedentary lifestyle and thumb there is some new information suggesting that ideally aspirin for day may help prevent pulp formation and therefore nerve impulses precursors to clear up the cancer there about two hundred fifty thousand new cases diagnosed annually in the united states there prolly around forty to fifty thousand deaths and and again the key to the whole thing is prevention and there were fortunately have a screening exam a colonoscopy that can prevent the vast majority of cancers.
But you have to have the testing or for to be effective it's actually relatively straightforward to go through a lot of people's fears actually or overcome ways they've been through it and mostar patience the first question they ask mccloskey is done is what is going to start and they become his disciples who go out and tell everybody that it's really not that big a deal surgery com has evolved also with time we've actually moved to recall a single incision microscopic said surgery or singapore surgery where instead of having multiple true car spread throughout the afternoon we.
Actually start on the truth as to that one small incision and dumped and we think that there are potential benefits with this approach now from a ping perspective and particularly from a cosmetic perspective as well we know through multiple studies now that there's less pain after lap laparoscopy this last time in the hospital there are fewer hernia complications and patients really get back to their normal activities allot faseb then after that after a traditional open surgery one of the reasons why home find joy helping patients and take care faces with colour colorectal cancer is.
How to pass the PANRE Exam!
The PANRE, also known as the Physician Assistant National Recertifying Examination, tests individuals on their knowledge of working as a Physician Assistant. In this exam, you will be given four hours to answer 240 multiple choice questions. These questions will test you over your knowledge of the organ systems, as well as the following task areas Performing Physical Examinations Using Laboratory and Diagnostic Studies Formulating Most Likely Diagnosis Health Maintenance Clinical Intervention Pharmaceutical Therapeutics and, finally, Applying Basic Science Concepts. The current fee for registering is 350 dollars. If you would like more help, whether that be PANRE study guides, flash cards, or practice.
Tips and Advice for Specific Clinical Areas
Dianne Harris, MSN, RN Tips and advice for specific clinical areas Don't shy away from any clinical area. Take every clinical experience and jump in with both feet! Gene Leutzinger, MSN, RN Make learning fun!!! Kristi Burgess, DNP, MSN Remember to integrate concepts. 3,4,and 5 keeps you alive! Paula Mundell, MSN, RN It is important to know and understand the role a nurse must fulfill. The helping role of the nurse is the warm and fuzzy part of nursing. This is where we make the patient feel better, safe, and cared for. Heather.
Kuntz, MSN, RN Know the difference between Stages of Labor and phases of the first stage of Labor. Review stages of bonding Melesia Henry, PhD, MSN, RN Always remember Maslow's Hierarchy of Needs when answering Mental Health questions, basic needs and safety before addressing the psychosocial issues. Jo Retta Huner, MSN, RN Take classes or certifications to increase your knowledge. Sandi Annesi, DNP, RN, CNE Take what you know from MedicalSurgical and apply it to care of the pregnant woman and newborn. Elisabeth Turingan, MSNMHA, RN Jo Ellen GreischarBilliard, RN, MS Karin K. Roberts, PhD, RN, CNE Your success in nursing.
School will be impacted by how well you learn the content in Fundamentals and approach the learning process. Consider Fundamentals the most important course in your curriculum. It lays the foundation for content in all the other courses. This is also where you learn how to study and take tests. NCLEX likes diet questions. Try and know a few foods from each group i.e. foods high in calcium, foods high in iron etc. With maternity focus on the 'high risk' areas. Like medication administration, what to do with delcelerations etc. Mental.
Health focus on 'safety'. Watch for suicidal behavior. When you look at a prioritization question after you have figured out what the stem is asking rephrase question in your own words first, then if all of the choices look good, step back and say If I am the RN, and I do nothing, which client will have the most harm come to them if no nursing interventions are done ABCs, physiological and safety. Maternal Newborn Fundamentals Review conversions for IO How many cups in a pint How many mL in one cup and 12.
Cup Maternal Newborn Work a variety of shifts to gain a strong baseline of knowledge. Focus on working as a safe practitioner and using organizational skills to work efficiently. MedicalSurgical The assessment and findings have not changed, you are just looking at a targeted assessment for the most part. Look at trends throughout the pregnancy. Know why you are giving the medication and compare this to MedicalSurgical. Establish a therapeutic relationship with patients and get to know and what matters to them. a. Culture b. Religion c. Preferences d. Values High cord injuries affect the plexus of nerves feeding the diaphragm.
Therefore, if these nerves are affected by a spinal cord injury, there is a possibility the patient will not be able to have spontaneous respiration's and you must support their breathing. MedicalSurgical Fundamentals and Mental Health concepts are frequently integrated into other content areas. Know and understand information concerning Erikson and Maslow. Don't try to memorize both endocrine disorders for a specific gland. Since they are mirror opposites, memorize one and you automatically know the opposite example Addison's and Cushings. If you are working on a content area that may be difficult to learn, put on your creative.
Thinking cap! An example would be that your instructors will expect for you to learn the content related to mobilityimmobility when you are in fundamentals. All the specifics regarding this content may become confusing. One of the best ways to help you with this material is not only to see it in writing or hear it, but actually get up out of your chair and demonstrate it. For example, pretend or make believe you have a pair of crutches. As you read about the different type of gaits 2point, 3point, 4point related to crutch.
Walking, act it out using your pretend crutches. You can do this with much of the content surrounding mobilityimmobility. While many individuals are auditory or visual learners, this adds a kinesthetic approach to ensuring you know the content. I was sure I wanted to do emergency nursing and did not think I would ever do long term care. As it turned out, I had to work in long term care for a season. It was so rewarding learning stories from the older generation. I have some of my best memories there. From ATI Nurse Educators.
Left atrial enlargement on chest xray radiology tutorial tutorial
In this radiology tutorial we going to learn how to recognize left atrial enlargement in chest radiographs. while assessment of cardia chamber size and function is most practically assessed with echocardiography, the sheer number of chest xrays performed means that it remains important to be able to confidently identify left atrial enlargement on radiography. as you can see, this patient has received a mitral valve replacement but the effects of their prior mitral disease on the left atrium remain evident. we're going to compare with this normal chest xray. You will hopefully.
Recall that the right heart border is formed by the right atrium, inferior border by the right ventricle, and the left border primarily by the left ventricle. The left atrium is located posteriorly and only the atrial appendage component is visible on a normal frontal projection. however when the atrium becomes enlarged it's right aspect may become directly visible as an extra shadow paralleling the right heart border. this is known as the double density sign or the double right heart border sign of left atrial enlargement. if we look at this normal CT for correlation.
You can see the posterior location of the left atrium, here is the left ventricle, the right ventricle, and the right atrium where there is mixing of contrast arriving from the SVC with nonopacified blood from the IVC. the edge interface between the right atrium and the air within the right middle lobe is responsible for the normal heart border seen on frontal radiographs. as you can see left atrium does not project out into the lung and therefore will not be visible on frontal radiography. if we switch to this patient.
Who has mild left atrial enlargement due to the presence of an atrial myxoma, we can see how the atrium begins to project laterally into the lung as it enlarges. This creates a discreet edge interface visible one frontal radiographs and explains the origin of the double density sign. if the double density sign is present, then the obligue left atrial measurement can be taken between the outer edge of the atrium to the midpoint of the left main bronchus. a distance of greater than seven centimeters confirms left atrial enlargement.
The main bronchi themselves can also be used to assess left atrial enlargement. as the left atrium dilates it causes splaying or widening of the carina. an angle of greater than ninety degrees is considered a sign of left atrial enlargement. as you can see in our normal patient, the carinal angle is nowhere near ninety degrees. the final sign of left atrial enlargement we will be discussing on the frontal radiograph is bulging of the left atrial appendage. normally the left atrial appendage contributes to a flat or slightly concave upper aspect of the left heart border.
When enlarged however, the left atrial appendage creates a discreet convex bump. for completeness here is what's left atrial enlargement looks like on a lateral radiograph. the left atrium forms the posterior heart border. here is our normal case and here's a case of gross left atrial enlargement which bulges posteriorly. for further illustration here again is our patient with left atrial enlargement due to a myxoma. so hopefully now you'll be able to confidently identify left atrial enlargement on chest radiographs by looking for the double density sign, an oblique.
Board Review Hypertension
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Effects Of High Blood Pressure
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