Disease Review
-Deep neck infection-
General Consideration
Where is the origin?
Tonsillitis and pharyngitis - before antibiotic era
Poor dental hygiene and injection drug abuse - now
Others
Trauma, surgical trauma, esophageal perforation, laryngopyocele, infected branchial cleft, and thyroglossal duct cysts, thyroiditis
Cause severe illness and death
Surgery is often necessary
Antibiotics resist
superficialities mean a goddamn thing.
What mean something.
What really mean something, Warren.
Is the knowledge that you devoted your life to something meaningful.
To being productive.
And working for a fine company, hell... -
- one of the top rated insurance carriers in the nation.
To raising a fine family.
To building a fine home. To being respective by your community.
To having... wonderful l
Family Background
Born in July 18, 1921, in Providence, Rode Island
Third son of Russian Jewish immigrants
Two siblings died before he was born
Depressed mother
Life Changing ExperienceLife-threatening infection from a broken arm
Transformed from an active boyto a quiet one who liked reading
Developed a fear of hospitals
Taught himself how to work through his fears cognitively
superficial temporal artery또는 angular artery
에서는 다량의 출혈을 할 수 있으나 단순한 laceration에서의 출혈로 hypovolemic shock에 빠지지는 않는다
그러므로 shock이 발생한 경우 반드시 associated injury를 생각한다
3. shock treatment
4. evaluation of associated injury
- 안면 손상만으로는 치명적인 결과
동물의 건강상태의 관찰과 고기와 乳의 위생이 중요함은 이미 기원전 15세기경부터 기재가 있었다고 한다. 특히 사람의 주위에서 생활하는 가축으로부터 사람에 감염하여 발병하는 질병이 적지 않다는 것을 이미 3세기경부터 사람들은 인식하고 있었다.
사람에 감염되는 것으로 알려진 것 (병원성 미
1. 케토산증
-병태생리: 인슐린이 부족하거나 당질이 에너지로 이용될 수 없을 때 에너지를 제공하기 위하여 지방이 연소되므로써 불완전한 지방대사, 탈수, 유산산증(lactic acidosis), 산-염기 불균형 등의 병리적 상태가 발생된다.
*불완전한 지방대사
정상에서 지방대사의 중간산물인 3개의 케톤체 bet
Multiplicity Script
Hi, Douglas. Hows it going?
- What did you do? - Demoed the driveway.
- Nice job, too. - Whats the problem?
Its the wrong driveway. Thats a problem, isnt it?
2933 Vic. This is 2935!
Were in the wrong... These guys are morons.
- Im sorry. Its going to cost. - Its going to cost who?
Im in a bad way right now. Moneys very tight with me.
I cant afford to eat this, even if it was m