Mnemonic: CENTOr
1. Cough absent or Can’t cough = +1
2. Exudates or Enlarged tonsils = +1
3. Nodes (Swollen tender anterior cervical lymph nodes) = +1
4. Temeperature >100.4 F = +1
5. Or:
Renal Tubular Acidosis (RTA) cause non-anion gap metabolic acidosis. Type 1: H+ excretion defect (A proton or 1st element of periodic table) This occurs in distal tubule (hence, distal defect) K+ is excreted instead of H+ causing Hypokalemia. Distal tubule H+ is non-functioning – urine pH >5.5. Chronic acidosis leads…
Normal puerperium has been already discussed earlier here. A) Immediately after labor within 1 hour Blood pressure and heart rate atleast every 15 minutes Monitor amount of vaginal bleeding Palpate fundus to ensure amount adequate contractions (if relaxed – massage uterus to enhance oxytocin release) B) 1st several hours 1….
Origin of Subclavian artery: Left: Arch of aorta Right: Brachiocephalic artery Extent of Subclavian artery: Arises posterior to sternoclavicular joint and ends at outer border of 1st rib by becoming acillary artery. Divisions of Subclavian artery: 3 parts in relation to Scalenus anterior muscle 1st part (medial to muscle) 2nd…