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Burns– an Overview and Principles of Management

Burns– an Overview and Principles of Management

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Burns– an Overview and Principles of Management       Late 19thCentury Recognition that fluid depletion [rather than burn toxemia ] was the cause of early postburn mortality Blalock 1931 Specified plasma loss from circulation and stated that this was correctable 1940s Recognition of the fluid shifts Evans 1947 Formulae for fluid resuscitation relating weight of […]

Parotidectomy

Parotidectomy

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Parotidectomy Of all the pathologies affecting the parotid gland, few can be treated without surgery parotidectomy forms a preliminary step in certain  major  procedures on the head and neck such as temporal bone  resections and is needed  as an approach to areas such as the Infratemporal fossa. The proximity of the great vessels of the head and neck  especially the internal […]

Primary Osteoporosis

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Osteoporosis Primary Osteoporosis Osteoporosis is becoming increasingly common in clinical practice. It is a skeletal disorder characterised by reduction in bone mass / unit volume with accompanying microarchitectural damage that increases bone fragility and the risk of fractures. Osteoporosis leads to reduction in absolute bone mass with a normal ratio of unmineralised to mineralised bone matrix. Histologically the cortices are thinned and […]

Prostate benign disease

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Benign Diseases Of Prostate  The prostate is susceptible to a side variety of clinical diseases. These range from imflammatory and infectious to benign and malignant growth.   Anatomy of The Prostate   The prostate is a small, pyramid-shaped gland that surrounds the urethra and is located between the bladder and urogenital diaphragm. The prostate itself is surrounded […]

Congenital Hypothyroidism

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Congenital Hypothyroidism Congenital hypothyroidism (CH) has existed since antiquity.  Sculptures of goitrous dwarfs were made as early as 400BC in South America.  Non goitrous sporadic congenital hypothyroidism was not reported until the beginning of Industrial Revolution.  In 1850 Thomas Curling recorded non-goitrous sporadic congenital hypothyroidism. Congenital hypothyroidism may be classified as permanent or transient.  The  most common […]