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Puddle Sign

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1. Puddle Sign

Puddle Sign Puddle Sign Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Puddle Sign Puddle Sign Aka: Puddle Sign II. Indication (...) (from Bing) These images are a random sampling from a Bing search on the term "Puddle Sign." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Puddle sign (C0426679) Concepts Finding ( T033 ) SnomedCT 249557007 English abdominal puddle sign , abdominal puddle sign (physical finding) , ascites puddle sign , Puddle sign , Puddle sign (finding) Spanish signo del charco (hallazgo) , signo del charco Derived from the NIH

2018 FP Notebook

2. Puddle Sign

Puddle Sign Puddle Sign Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Puddle Sign Puddle Sign Aka: Puddle Sign II. Indication (...) (from Bing) These images are a random sampling from a Bing search on the term "Puddle Sign." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Puddle sign (C0426679) Concepts Finding ( T033 ) SnomedCT 249557007 English abdominal puddle sign , abdominal puddle sign (physical finding) , ascites puddle sign , Puddle sign , Puddle sign (finding) Spanish signo del charco (hallazgo) , signo del charco Derived from the NIH

2015 FP Notebook

3. Go quiet into the night

tube. Any second of clarity or awareness is pure brutality. There’s no pretty ending to this torture except through death. Poor Grandma Lilly. Oh, the memories! When we were kids, we’d chant for Grandma Lilly. She’d snuggle us up in that rocking chair and read books to us. Let us splash our feet in the puddles after a misty rain, built sandcastles at the beach, and gave us candy when momma said no. She was our heart and soul, and we wanted her to live forever. But we don’t live forever. There’s (...) their stories. Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2019 KevinMD blog

4. Kilimanjaro Rises Like A Limp Wrist Above The Serengeti: Mondegreens, Africa, and Yacht Rock

of said gentleman’s clear-thinking & intelligence… “Lute-ing and singing doth make a man’s wit so soft and smooth that he be unable to brook strong and tough study…” I can’t believe this magnus opus only rates 446 MILLION views. and 1! Sure is a catchy little song…. To be sure, – To Be Sure ! From Sunday School as a child I remember “Gladly, the Cross-Eyed Bear” And as the little girl baptized her doll in a mud puddle she muttered, “and in the hole he goes” Thanks, this was a fun post! CCR Bad Moon (...) me a birthday card and signed it “with love and infection”. Thanks for this post and the smiles! Phil And I learned a new term from this post – “yacht rock”, something I’d never heard of despite living in NorCal since the late 1970s. From the band America and the song “Ventura Highway” the lyrics …”Oz never gave anything to the Tin Man” always heard as “I’ze never gave anything…” Or from Alanis Morrisette’s song “You ought to know” the lyrics “the cross I bear…” to “the cross eyed bear” says

2019 The Skeptical Cardiologist

5. Effectiveness of the Ozone Application in Two-Visit Indirect Pulp Therapy of Permanent Molars With Deep Carious Lesion

dentin were completely removed, and left some caries at the central part. Following the excavation, 2% chlorhexidine digluconate was applied to the cavity for 60 seconds using a brush. According to the manufacturer instructions, puddled solution was removed with a new brush without dry to leave site moist. The remaining caries dentin was covered with calcium hydroxide base material and cavity sealed with glass ionomer cement. Other: chlorhexidine digluconate In the two-visit indirect pulp therapy (...) for eligibility information Ages Eligible for Study: 6 Years to 13 Years (Child) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Without signs of irreversible pulpitis (spontaneous pain, prolonged pain response etc.) The absence of percussion or palpation sensitivity, pathological mobility, or infection symptoms like fistula or abscess or discoloration in the clinical examination; Presence of normal lamina dura and periodontal range, absence of lesion, internal

2018 Clinical Trials

6. Influence of Ozone Application in Stepwise Excavation Procedure of Primary Molars With Deep Carious Lesion

the excavation, 2% chlorhexidine digluconate was applied to the cavity for 60 seconds using a brush. According to the manufacturer instructions, puddled solution was removed with a new brush without dry to leave site moist. The remaining caries dentin was covered with calcium hydroxide base material and cavity sealed with glass ionomer cement. Other: chlorhexidine digluconate In the two-visit indirect pulp therapy, due to reduce the number of bacteria remaining in the cavity, the antimicrobial agents can (...) Positive pulp sensibility tested by an electric pulp tester and cold stimulation, Mild discomfort from chemical and thermal stimuli, Cooperative children and parents willing to follow the instructions and report for follow-up. Exclusion Criteria: Signs of irreversible pulpitis (spontaneous pain, prolonged pain response etc.) The presence of percussion or palpation sensitivity, pathological mobility, or infection symptoms like fistula or abscess or discoloration in the clinical examination, Absence

2018 Clinical Trials

7. Outrage at how the health care system “cares” for women

and retrieved the instruments we needed. “I gave birth two weeks ago,” she said, lamenting, “I had a bad experience.” I lifted up the sheets to find her sitting in a puddle of blood. I placed a speculum and couldn’t see her cervix; too much blood pooling too quickly. I did a manual exam, and her cervix was dilated. My colleague did a sonogram, and there it was, either a piece of placenta or a large clot holding open her bleeding uterus. We thought about phoning the facility where she delivered. Thought (...) by , KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2018 KevinMD blog

8. When doing “nothing” really matters

started from an electrical short in an extension cord) and the medical examiner who came to the scene. All of these people were incredibly kind to me. All of these fine first responders were stalwarts of strength. I wanted, needed to see the inside of the house. I needed to see where he had died, which had been burned to charcoal beams. There was no light, water from the fire hoses was dripping and puddling everywhere. There were holes in the floor of the second floor. The policemen at the scene took (...) . Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2018 KevinMD blog

9. In medical school, everything is a zebra

as a puddle.” That’s how I would describe my understanding of medicine. I know a little bit about everything, but I don’t know everything about anything. I stamp the end of every medical opinion by saying “… but I’m just a student. I’m not a real doctor yet.” That little footnote brings me great comfort. It lets people know to not take me too seriously. But I want them to take me seriously. I hope I rely on that disclaimer less and less over time, so that by the time I lose the ability to use it, I’ll (...) , medical students, and patients share their insight and tell their stories. Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2018 KevinMD blog

10. What should physicians look like? Should it matter?

puddles and slide past chainlink fences in jeans and a sweatshirt—but part of this was also because a doctorly outfit was often a liability in these settings. How would you react if, while eating lunch outside, someone wearing a white coat and a stethoscope around her neck came up to you and asked, “Hi. How are you doing? Are you okay?” Feedback I often received throughout my medical training (and continue to receive now) is that I do not speak up enough during rounds and related meetings. My seeming (...) | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2018 KevinMD blog

11. Awareness and Work-Related Factors Associated with Scrub Typhus: A Case-Control Study from South Korea (PubMed)

of the eschar lesion as a characteristic sign of scrub typhus. Work related risk factors such as having a wetland or puddles of water surrounding the house, dry field farming and working in the livestock industry were significantly associated with the scrub typhus. Health promotion strategies, such as creating general awareness, personal protection methods and improving personal hygiene and environmental sanitation in collaboration with relevant sectors, are recommended to reduce the burden of scrub typhus

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2018 International journal of environmental research and public health

12. When a physician gets yelled at

down my back. And into a forgotten puddle on the ground. Jordan Grumet is an internal medicine physician who blogs at . Watch his talk at , Caring 2.0: Social Media and the Rise Of The Empathic Physician. He is the author of and . Image credit: … … 5 Shares Tagged as: Subscribe to KevinMD and never miss a story! Get free updates delivered free to your inbox. Subscribe Hire KevinMD to keynote your next event "Kevin's keynote presentation was perfect. Extremely rich in content, and a delivery (...) , advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2018 KevinMD blog

13. Safe Sport – Protecting the Players and the Game

. However even as an Emergency Registrar there are myriad things to learn on the field when you don’t have the luxury of a fully stocked and staffed resuscitation bay. It is so different when you have an athlete face down in a puddle and a suspected neck injury, or a downed jockey knocked unconscious with horses still passing over the fence. It still requires training to extricate and treat appropriately. Last month I took part in the Word Rugby ‘ ’ Level 3 Course, a course designed to teach gold (...) and accept them. Like I know the risks of rugby and accept them and play on. This, I feel is the key to the argument. We all know what we sign up for when we play these sports but by forcing change upon them to order to try and make them safer, it may in fact drive people away and change the fabric of the games we love. As long as people know what they risk and they wish to play on, should we force the adjustments? I reckon there is a fine line for this and although some new rules are logical for safety

2016 Life in the Fast Lane Blog

14. 5 Things You Really Need to Know About Zika

water. That does not eliminate the puddles, wells (There are many.) and cenotes. I believe people should be warned. I experimented a bit and detergent kills the larva almost instantly. Bleach does nothing to the larva. Please help. Thank you for your comment; we understand your concern. First, please see your doctor or other healthcare provider if you have symptoms of Zika. The best way to protect yourself and others is to take steps to , and , whether or not you have symptoms. We encourage you (...) to call your department of health to discuss specific concerns about mosquito control in your area. While it is important to cover or empty containers of water, it’s true that some areas of standing water are too large to cover or dump. You can use larvicides to kill young mosquitoes in puddles and other large areas of water in and around your home that will not be used for drinking. When used according to product label instructions, larvicides do not harm people, pets, or the environment. For more

2016 CDC Public Health Matters

15. Ascites due to cirrhosis, management

.’’ The presence of shifting dullness has 83% sensitivity and 56% speci?city in detecting asci- tes. 13 Approximately 1,500 mL of ?uid must be present before ?ank dullness is detected. 13 If no ?ank dullness is present, the patient has less than a 10% chance of having ascites. 13 The ?uid wave and puddle sign are cumbersome and perform less well when com- pared to shifting dullness. 13 Ascites due to cardiomy- opathy can mimic that due to alcoholic cirrhosis. Pul- monary hypertension can also lead to heart (...) and children. Patients with ascites detected only by imaging modalities but not yet clinically evident are not dealt with in detail because of the lack of published infor- mation regarding the natural history of this entity. These patients should probably be reimaged after an interval of perhaps 3 months or when the ?uid becomes clinically apparent. Once the ?uid is clini- cally detectable or other signs or symptoms, e. g. pain or fever, develop, paracentesis should be performed and the approach outlined

2013 American Association for the Study of Liver Diseases

16. He felt that doctors were no longer helping people. Here’s why.

electronic medical record system and voluminous rounds of paperwork. Doc was deeply depressed and on the verge of suicide when he made the life-altering decision. He had no children, no wife, and no debt. He would leave the job he once loved in order to save his own life. And save his life, it did. As the months past, Doc felt the stress wash over his body and fall like a puddle to the ground. He started to laugh again. He smiled at strangers as they shimmied up to the bar. He became a spectacle on his (...) From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2016 KevinMD blog

17. Do hospitals need a formal appearance policy?

Do hospitals need a formal appearance policy? Do hospitals need a formal appearance policy? Do hospitals need a formal appearance policy? | | June 28, 2016 30 Shares One day into our medical center’s newly announced colleague appearance policy, nobody has yet approached my office with a steel wool soap pad to make any of the docs or medical assistants shine. My active white coat went into the laundry bin the day before, having inserted my left sleeve into a puddle of spilled coffee. The other (...) Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2016 KevinMD blog

18. Management of the Massive GI Bleed

Management of the Massive GI Bleed Management of the Massive GI Bleed - First10EM Search Management of the Massive GI Bleed by | Published - Updated | Case You are called urgently to resuscitation. Walking into the room, you recognize a familiar face. In fact, didn’t you discharge him home yesterday with epigastric pain that you attributed to his chronic alcohol use? Today’s diagnosis is not a mystery. There is already a puddle of blood on the floor, and he is quickly filling another emesis (...) in these sick patients. The lab results are too far behind. I am targeting vital signs and clinical tissue perfusion. That being said, I am not trying to achieve a normal blood pressure. Much like trauma, I don’t want to put pressure on any newly formed clots. Permissive hypotension is the plan, until definitive control of bleeding is achieved with endoscopy, interventional radiology, or surgery. Reverse any known or potential coagulopathy. Although I am not certain that a balanced transfusion is necessary

2016 First10EM

19. This was my night in the ER. How was yours?

of compassion. “I’m so sorry this is happening.” There wasn’t time to say much else as she started to drop her sats. Neurosurgery rushed her to the OR as we heard a code called in radiology around the corner. We hoped it was a false alarm but found another 50-something inpatient on the CT table with no pulse and no airway. I grabbed a MAC blade, tube, and suction as CPR commenced. Her oropharynx was a murky puddle of green chunky emesis. Partially digested broccoli or green beans or who knows what clogged (...) , medical students, and patients share their insight and tell their stories. Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2016 KevinMD blog

20. A patient who was more than just the town drunk

. It was not a pleasant duty. The air always contained a foul stench of vomit, body odor, and urine, accentuated by the not so subtle hints of dirty feet. Walking the back hallway was a lot like navigating an obstacle course. Puddles of urine, unexpected projectile vomit, and dirty needles loomed around every gurney. It was always a successful trip if you could check on the occupants without waking them. Typically this crew was belligerent and more than one doctor had been spit on, kicked, or given an unwanted view (...) their insight and tell their stories. Social CME Spotlights From MedPage Today Medical News Medical Meeting Coverage MedPage Today Professional | | | All Content © KevinMD, LLC 2018 site by Join 150,000+ subscribers Get the best of KevinMD in your inbox Email Sign me up! It's free. ✓ Join 150,000+ subscribers ✓ Get KevinMD's 5 most popular stories Email Subscribe. It's free.

2015 KevinMD blog

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