|
Murphy's Punch Sign
Costovertebral angle (CVA) tenderness is pain that results from touching the region inside of the costovertebral angle.Bickley, Lynn S., Peter G. Szilagyi, and Richard M. Hoffman. Bates' guide to physical examination and history taking. Philadelphia: Wolters Kluwer, 2017. Print. The CVA is formed by the 12th rib and the spine. Assessing for CVA tenderness is part of the abdominal exam, and CVA tenderness often indicates kidney pathology. Anatomy The CVA is an anatomic concept of the relationship of the 12th rib to the transverse processes of the lumbar vertebrae. There is one CVA on each side of the spine.Moore, Keith L., A. M. R. Agur, and Arthur F. Dalley. Clinically oriented anatomy. Philadelphia: Wolters Kluwer, 2018. Print. The lateral part of the CVA is formed by the lower border of the 12th rib, and the medial part of the CVA is formed by the transverse processes of the lumbar vertebrae. The CVA is distinct from the costovertebral joints. The lower poles of the kid ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Costovertebral Angle
The costovertebral angle ( la, arcus costovertebralis) is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column. The kidney lies directly below this area, so is the place where, with percussion A percussion instrument is a musical instrument that is sounded by being struck or scraped by a beater including attached or enclosed beaters or rattles struck, scraped or rubbed by hand or struck against another similar instrument. Ex ... ( la, sucussio renalis), pain is elicited when the person has kidney inflammation. The presence of pain is marked as a positive Murphy's punch sign or as costovertebral angle tenderness. References Back anatomy {{musculoskeletal-stub ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Urinary Tract Infection
A urinary tract infection (UTI) is an infection that affects part of the urinary tract. When it affects the lower urinary tract it is known as a bladder infection (cystitis) and when it affects the upper urinary tract it is known as a kidney infection (pyelonephritis). Symptoms from a lower urinary tract infection include pain with urination, frequent urination, and feeling the need to urinate despite having an empty bladder. Symptoms of a kidney infection include fever and flank pain usually in addition to the symptoms of a lower UTI. Rarely the urine may appear bloody. In the very old and the very young, symptoms may be vague or non-specific. The most common cause of infection is ''Escherichia coli'', though other bacteria or fungi may sometimes be the cause. Risk factors include female anatomy, sexual intercourse, diabetes, obesity, and family history. Although sexual intercourse is a risk factor, UTIs are not classified as sexually transmitted infections (STIs). Ki ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Samuel Goldflam
Samuel Wulfowicz Goldflam (15 February 1852 – 26 August 1932) was a Polish-JewishIsaac Lewin & Nathan Michael Gelber, ''A History of Polish Jewry during the revival of Poland'', Shengold Publishers (1990), p. 86 neurologist best known for his brilliant 1893 analysis of myasthenia gravis ( Erb-Goldflam syndrome). Biography Goldflam received his education in his native city of Warsaw. He graduated from secondary school in 1869, then studied medicine at Warsaw University. He qualified as a physician in 1875, then worked in internal medicine at Holy Ghost Hospital under Professor Wilhelm Dusan Lambl (1824-95), known for the '' giardia'' parasite, '' Lamblia intestinalis''. Lambl was not much of a mentor, so Goldflam worked largely by himself. His position at the internal-medicine clinic supplied him with ample research material. At that time, both internal-medicine and neurology patients were seen at Lambl’s clinic. In 1882 Goldflam studied with the famous neurologists Karl ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Minsk
Minsk ( be, Мінск ; russian: Минск) is the capital and the largest city of Belarus, located on the Svislach and the now subterranean Niamiha rivers. As the capital, Minsk has a special administrative status in Belarus and is the administrative centre of Minsk Region ( voblast) and Minsk District (raion). As of January 2021, its population was 2 million, making Minsk the 11th most populous city in Europe. Minsk is one of the administrative capitals of the Commonwealth of Independent States (CIS) and the Eurasian Economic Union (EAEU). First documented in 1067, Minsk became the capital of the Principality of Minsk before being annexed by the Grand Duchy of Lithuania in 1242. It received town privileges in 1499. From 1569, it was the capital of the Minsk Voivodeship, an administrative division of the Polish–Lithuanian Commonwealth. It was part of a region annexed by the Russian Empire in 1793, as a consequence of the Second Partition of Poland. From 1919 to 1991, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Belarusians
, native_name_lang = be , pop = 9.5–10 million , image = , caption = , popplace = 7.99 million , region1 = , pop1 = 600,000–768,000 , region2 = , pop2 = 521,443 , region3 = , pop3 = 275,763 , region4 = , pop4 = 105,404 , region5 = , pop5 = 68,174 , region6 = , pop6 = 66,476 , region7 = , pop7 = 61,000 , region8 = , pop8 = 41,100 , region9 = , pop9 = 31,000 , region10 = , pop10 = 20,000 , region11 = , pop11 = 15,565 , region12 = , pop12 = 12,100 , region13 = , pop13 = 11,828 , region14 = , pop14 = 10,054 , region15 = , pop15 = 8,529 , region16 = , pop16 = 7,500 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Eastern Europe
Eastern Europe is a subregion of the European continent. As a largely ambiguous term, it has a wide range of geopolitical, geographical, ethnic, cultural, and socio-economic connotations. The vast majority of the region is covered by Russia, which spans roughly 40% of the continent's landmass while accounting for approximately 15% of its total population."The Balkans" , ''Global Perspectives: A Remote Sensing and World Issues Site''. Wheeling Jesuit University/Center for Educational Technologies, 1999–2002. It represents a significant part of ; the main socio-cultural characteristics of Eastern Europe have historically been defined by the tradi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Post-Soviet States
The post-Soviet states, also known as the former Soviet Union (FSU), the former Soviet Republics and in Russia as the near abroad (russian: links=no, ближнее зарубежье, blizhneye zarubezhye), are the 15 sovereign states that were union republics of the Soviet Union, which emerged and re-emerged from the Soviet Union following its dissolution in 1991. Russia is the primary ''de facto'' internationally recognized successor state to the Soviet Union after the Cold War; while Ukraine has, by law, proclaimed that it is a state-successor of both the Ukrainian SSR and the Soviet Union which remained under dispute over formerly Soviet-owned properties. The three Baltic states – Estonia, Latvia, and Lithuania – were the first to declare their independence from the USSR, between March and May 1990, claiming continuity from the original states that existed prior to their annexation by the Soviet Union in 1940. The remaining 12 republics all subsequently seceded, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
John Benjamin Murphy
John Benjamin Murphy, born John Murphy (December 21, 1857 – August 11, 1916) was an American physician and abdominal surgeon noted for advocating early surgical intervention in appendicitis appendectomy, and several eponyms: Murphy’s button,Griffith, B.; Yao, J.(2000) Journal of the American College of Surgeons A Centennial History of the Chicago Surgical Society.' Volume 191, Issue 4, Pages 419 - 434. Murphy drip, Murphy’s punch, Murphy’s test, and Murphy-Lane bone skid. He is best remembered for the eponymous clinical sign that is used in evaluating patients with acute cholecystitis. His career spanned general surgery, orthopedics, neurosurgery, and cardiothoracic surgery, which helped him to gain international prominence in the surgical profession. Mayo Clinic co-founder William James Mayo called him "the surgical genius of our generation". Over the course of his career he was renowned as a surgeon, a clinician, a teacher, an innovator, and an author. In additio ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sickle Cell Disease
Sickle cell disease (SCD) is a group of blood disorders typically inherited from a person's parents. The most common type is known as sickle cell anaemia. It results in an abnormality in the oxygen-carrying protein haemoglobin found in red blood cells. This leads to a rigid, sickle-like shape under certain circumstances. Problems in sickle cell disease typically begin around 5 to 6 months of age. A number of health problems may develop, such as attacks of pain (known as a sickle cell crisis), anemia, swelling in the hands and feet, bacterial infections and stroke. Long-term pain may develop as people get older. The average life expectancy in the developed world is 40 to 60 years. Sickle cell disease occurs when a person inherits two abnormal copies of the β-globin gene (''HBB'') that makes haemoglobin, one from each parent. This gene occurs in chromosome 11. Several subtypes exist, depending on the exact mutation in each haemoglobin gene. An attack can be set off by ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Retroperitoneal Space
The retroperitoneal space (retroperitoneum) is the anatomical space (sometimes a potential space) behind (''retro'') the peritoneum. It has no specific delineating anatomical structures. Organs are retroperitoneal if they have peritoneum on their anterior side only. Structures that are not suspended by mesentery in the abdominal cavity and that lie between the parietal peritoneum and abdominal wall are classified as retroperitoneal. This is different from organs that are not retroperitoneal, which have peritoneum on their posterior side and are suspended by mesentery in the abdominal cavity. The retroperitoneum can be further subdivided into the following: *Perirenal (or perinephric) space *Anterior pararenal (or paranephric) space *Posterior pararenal (or paranephric) space Retroperitoneal structures Structures that lie behind the peritoneum are termed "retroperitoneal". Organs that were once suspended within the abdominal cavity by mesentery but migrated posterior to th ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Appendicitis
Appendicitis is inflammation of the appendix. Symptoms commonly include right lower abdominal pain, nausea, vomiting, and decreased appetite. However, approximately 40% of people do not have these typical symptoms. Severe complications of a ruptured appendix include widespread, painful inflammation of the inner lining of the abdominal wall and sepsis. Appendicitis is caused by a blockage of the hollow portion of the appendix. This is most commonly due to a calcified "stone" made of feces. Inflamed lymphoid tissue from a viral infection, parasites, gallstone, or tumors may also cause the blockage. This blockage leads to increased pressures in the appendix, decreased blood flow to the tissues of the appendix, and bacterial growth inside the appendix causing inflammation. The combination of inflammation, reduced blood flow to the appendix and distention of the appendix causes tissue injury and tissue death. If this process is left untreated, the appendix may burst, releasing b ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cecum
The cecum or caecum is a pouch within the peritoneum that is considered to be the beginning of the large intestine. It is typically located on the right side of the body (the same side of the body as the appendix, to which it is joined). The word cecum (, plural ceca ) stems from the Latin '' caecus'' meaning blind. It receives chyme from the ileum, and connects to the ascending colon of the large intestine. It is separated from the ileum by the ileocecal valve (ICV) or Bauhin's valve. It is also separated from the colon by the cecocolic junction. While the cecum is usually intraperitoneal, the ascending colon is retroperitoneal. In herbivores, the cecum stores food material where bacteria are able to break down the cellulose. In humans, the cecum is involved in absorption of salts and electrolytes and lubricates the solid waste that passes into the large intestine. Structure Development The cecum and appendix are formed by the enlargement of the postarterial segment of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
