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Dr. Jake 님
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Medical knowledge for USMLE
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#자유게
Agitated saline echocardiography
1주 전
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Agitated saline echocardiography, or a "bubble study," is a safe, diagnostic ultrasound procedure used to detect cardiac or pulmonary shunts by injecting agitated microbubbles into a vein. It is commonly used to identify a patent foramen ovale (PFO), atrial septal defect (ASD), or intrapulmonary shun
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GCS practice
26.01.30
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Localizes pain => M5Withdraw => M4Flexion => M3Extension => M2No response => M1
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The Three Peaks of Trauma Death
26.01.30
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Immediate Death (First Peak): Occurs at the scene within seconds to minutes of the injury. These are typically due to apnea from severe brain injury, high spinal cord injury, or rupture of major heart/blood vessels. They are generally considered unpreventable.Early Death (Second Peak): Occurs within
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Trauma in pregnancy
26.01.29
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30-degree left lateral tilt position
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Atlanto-occipital dislocation
26.01.29
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A disruption of the connection (ligaments) between the skull and the first cervical vertebra (C1).
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Anterior Cord Syndrome
26.01.29
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Motor: Weakness or paralysis (paresis/paraplegia) in the lower extremities, depending on injury level. Sensory Loss: Loss of pain and temperature sensation below the injury. Preserved Sensation: Fine touch, vibration, and proprioception (position sense) remain intact (dorsal column function).
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Central Cord Syndrome
26.01.29
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Upper Extremity Weakness: Significant loss of fine motor skills and strength in hands and arms ("man in a barrel" syndrome).Lower Extremity Weakness: Often less severe than arm weakness.
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Brown-Séquard Syndrome
26.01.29
3
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Ipsilateral (same side): Weakness/paralysis, loss of proprioception (body position sense) and vibration.Contralateral (opposite side): Loss of pain and temperature sensation.
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Spinal Shock
26.01.29
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Complete loss of sensation, muscle tone (flaccid paralysis), and reflex activity (areflexia) below the injury. Other symptoms include bladder/bowel dysfunction (incontinence or retention), altered sweating, and potentially hypotension.
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Hard signs in neck trauma
26.01.29
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Airway compromise.Expanding or pulsatile hematoma.Active, brisk bleeding.Hemorrhagic shock.Hematemesis.Neurologic deficit.Massive subcutaneous emphysema.Air bubbling through wound.
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