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MOST RECENT

Healthcare is an extremely stressful and extremely rewarding field all at the same time! There are days when your fitness tracker reaches 18000 steps because you are flying up and down the unit answering call bells and bed alarms. But at the end of the day, I like to focus on the positive patient experiences I had and that’s what keeps me going ❤️
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#prepa #pa #physicianassistant #hospital #hospitallife #scrubs #scrublife #cna #cnalife #bedsidecare #nursing #rn #dreamcareer #sandiego #justkeepswimming #prephysicianassistant #womeninmedicine #sorefeet #happybirthday #drinkwater #hashtag #ilikehashtags #md #healthcare

나는야 제빵사,,,,,,,,, 크리스피 크림 제빵사,,,,,,,,
애들만 쓰고 있던데 나두 쓰고 싶었다구...^^
오늘 크리스피크림 새로 오픈했다고 공짜로 나눠줬다....
그리고 너무 사고 싶었던 스타벅스 텀블러도 사고..♡ #iconic 가서 와플이랑 음료,,,, 장소랑 음식 모양만 이쁘고 맛은 없던걸로,,,,
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#krispykreme #myrecentre #brisbane #starbucks #md #selfie #selca #me #daily #dailylife #instagram #일상 #셀피 #셀카 #셀피그램 #일상그램 #인스타 #스타벅스 #크리스피크림 #텀블러 #브리즈번 #22 #데일리

#Swan neck
دفرمیتی سوان نک Swan neck یا گردن قو به تغییر شکلی در انگشت گفته میشود که در آن مفصل اینترفالانژیال پرگزیمال دچار Hyperextension شود یعنی زیادی به عقب صاف شود و مفصل اینترفالانژیال دیستال خم یا فلکس شود. این تغییر شکل برعکس تغییر شکل بتونیر است.

تغییر شکل سوان نک بیشتر در بیماران مبتلا به روماتیسم مفصلی دست ایجاد میشود. در روماتیسم مفصلی ولار پلیت Volar plate (رباطی بسیار محکم که در سطح ولار یا کفی مفصل اینترفالانژیال پرگزیمال است) شل میشود و بدنبال آن کشش تاندون اکستانسور انگشت میتواند مفصل اینترفالانژیال پرگزیمال را بیش از حد معمول به سمت عقب باز کند و یا میتوان گفت این مفصل را به سمت عقب خم میکند. بدنبال آن بر اثر عدم بالانس و تعادلی که بر اثر این اتفاق در سیستم تاندون های اکستانسور انگشت ایجاد میشود کشش روی قسمتی از تاندون اکستانسور انگشت که به بند انتهایی متصل میشود کم شده و در نتیجه بند آخر انگشت خم میشود. گاهی هم ضعیف شدن ولار پلیت بدنبال آسیب های متعاقب ضربه به آن ایجاد میشود.
درمان تغییر شکل گردن قو در انگشت چگونه است
در درمان این تغییر شکل هم از روش های غیر جراحی و هم از روش های جراحی استفاده میشود. اگر مفصل اینترفالانژیال پرگزیمال با وجود تغییر شکل، قابلیت انعطاف خود را حفظ کرده باشد ممکن است بتوان با انجام کشش، ماساژ و حرکات انگشت تحت نظر فیزیوتراپ متبحر بیماری را درمان کرد. از اسپلینت های مخصوصی که انگشت را در حالت مناسب نگه میدارند هم در درمان این بیماری استفاده میشود. این اسپلینت ها طوری در اطراف مفصل اینترفالانژیال پرگزیمال قرار میگیرند که اجازه برگشت آن به عقب را نمیدهند ولی در عین حال مفصل اینترفالانژیال دیستال را آزاد نگه میدارد. بعضی از انواع این اسپلینت ها با استفاده از سیم و به شکل انگشتر ساخته شده است.
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doctordconline Swan neck deformity of rheumatoid arthritis.
Hyperextension of proximal interphalangeal Joint and flextion of distal interphalangeal joint.
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#rheumatoidarthritis #arthritis #rheumatology #usmle #medicine #medlife #medschool #medstudent #usmlestep1 #doctor #doctordconline #nhs nurse #nursing #mbbs #md @doctordconline

진짜 가을이다

🌡Coronary Aneurysm |P A R T 2|- What a FIX!! .
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🆒You guys may remember a case I presented recently in which an elderly lady came in with an inferior STEMI and underwent a cath that demonstrated a LARGE coronary aneurysm overlying previous bare metal stents in the mid RCA. .
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🗂Many options were discussed on how to approach and treat this unique finding. A few people recommended a coronary CT for further assessment and others recommended a surgical approach to this lesion. The feared complication of course being aneurysm rupture and pericardial tamponade. After a heart team approach, including multiple interventionalists, surgical, vascular, and radiology opinions we decided ultimately to place a covered stent within the bare metal stents to isolate off the aneurysm. .
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☑️The only indication for covered stents within the coronaries is through a humanitarian use protocol. To obtain use for the stent we had to apply for its use and get approval from our institution. .
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🛠The steps for intervention we took in approaching this aneurysm were as follows:
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1️⃣ Obtain CCTA for further assessment of dimensions and lesion characteristics .
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2️⃣ After approval for use, elect for a Abbott Graftmaster Covered Stent .
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3️⃣ Left Common femoral access via Ultrasound guidance and placement of a 45 teurmo final destination sheath .
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4️⃣ Cannulation of the RCA with a AR1 guide .
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5️⃣ Placement of a 300 mm .014 prowater into the RCA, with exchange to a 300mm .014 grandslam .
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6️⃣ IVUS of the mid RCA .
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7️⃣ POBA of the RCA distal to the aneurysm (outflow lesion) and placement of a Xience Sierra DES .
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8️⃣ Placement of a 3.5 x 26 mm Graftmaster Covered Stent to the mid RCA with goals of covering the aneurysm neck .
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9️⃣ Post Dilatation with NC trek to ensure adequate expansion and apposition and IVUS post deployment .
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🔟 Initiation of triple therapy (DAPT+ eliquis) .
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#Medicalschool #medschool #test #doctors #instadoc #meded #EKG #Ed #cardiology #internalmedicine #boards #hospital #radiology #stent #paschool #foamed #studytips #video #howto #aneurysm #scrubs #surgery #pastudent #nursingstudent #nursing #PA #DO #NP #MD #USMLE

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9/19일.. 머글언니랑 웃남 관극을 했었는데요!
이 날 언니랑 같이 엠디 사는 곳 가서 구경도하고 그동안 못샀었던 엠디들을 사러 갔었어요
몇일전에 MD얘기가 나왔는데 제가 품절된거 못 사서 아쉽다고 주절주절 얘기했드니 갑자기 머글언니가 “엠디에 그윈플렌 목도리 좀 넣어달라구 해!”
그러길래 “에? 나쁘지않은데?ㅋㅋㅋㅋㅋ”
만~약에 나오면 살꺼냐고 물어보니까 당연히 사겠다고ㅋㅋㅋㅋㅋㅋ 근데 목도리에 그윈플렌이라고 자수 넣어서 만들어주면 하고 다닐꺼냐고 물어보니까
당연히 할꺼래요ㅋㅋㅋㅋㅋㅋ미쳨ㅋㅋㅋㅋ
신박한거 같아요ㅋㅋㅋㅋㅋ그윈플렌 목도리라,,
혹시 이엠케는 그윈플렌 목도리 맹글어 줄 생각은 없으시겠쥬?!?!??ㅋㅋㅋ
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#박효신 #웃는남자 #그윈플렌 #목도리 #신박하도다
#갖고싶다_목도리 #MD내주셨으면합니다 #굽신

[오뎅이랑 사진을 찍고 라멘을 찢다]
오뎅이 눈알 튀어나올라 하네ㅋㅋ

남자둘이 라멘집 앞에서 ㅎㅎ

#정라멘#권오훈#오뎅#액터웅#찢다#일상
오뎅이는 #운동하는남자#발렌티노#MD#일상스타그램 #데일리#잠실#박재웅#액터컴퍼니

#nationaldaughterday my #girls. We gang-gang 4#life ———————————————————————————————————————————————————
#realestate #creditrepair #daughter #daughters #dad #daddy #heart #love #life #blessed #dc #md #dmv #washingtondc #maryland #dmv

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I have like 7 pacis but I only ever take pictures of 2-

A simple visit to the doctors sometimes can lead to greater addiction down the road. This happens more often than you think. Read more stories on my site, and consider sharing yours: http://www.samquinones.com/whats-your-story/
#WhatsYourStory #RecoveryMonth #September
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#medicine #doctor #healthcare #medical #health #surgery #hospital #surgeon #healthy #md #wellness #medicalschool #healing #pharmacist #healthychoices #nursing #care #healthyliving #dreamland #nonfiction #community #journalism #opiateepidemic #isolation #book #recovery #opiate

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