Jugular venous pulse (JVP) waveforms a – Atrial contraction (RA) c – Closure and Curving of tricuspid valve into RA x – atrial relaXation v – Venous filling of right atrium (RA) y – atrial emptYing Distinguishing JVP from Internal carotid pulsation Mnemonic: POLICE Palpation: Non-palpable Occlussion: Readily occludable Location:…
The classification system for closed fractures is based on the physiologic concept that the energy imparted to the bone (and the resultant fracture pattern) directly correlates with the energy transferred to the surrounding soft tissues. Grade Soft tissue injury Fracture Compartment C0 Absent or Negligible Simple (Spiral) Soft and/or Normal…
Mechanism of Steroid Induced Leukocytosis There are 3 major mechanisms responsible for corticosteroid induced granulocytosis: 1. Demargination of neutrophils from endothelial cells (60% of the rise): Recall the leukocyte adhesion cascade in the chapter of inflammation. L-selectins are present in leukocytes that mediates their rolling on the endothelial lining of…