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MT Newsletter | ![]() |
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SMT Faculty
Jessie Jacob Manu Prakash Rema Valsala |
Thought for the month: |
We make a living by what we get, we make a life by what we give. ...Sir Winston Churchill |
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FAQs
Standards Questionnaire |
The word used to describe someone having a shrill sound is stridulous.
The best fish swim near the bottom -- The finest things are hard to get.. The patient went to the hospital for an asthma flare. He had erythema with multiple vesicles that were discolored yellow. The patient tracks easily and appropriately with her eyes. Scleroma: A scleroma is a hardened patch of tissue in the skin or mucous membranes (tissues lining the mouth or nose). |
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Q. What is the tilt-table test?
The tilt-table test is designed to detect one of the most common causes of fainting, postural hypotension (low blood pressure). Postural (orthostatic) hypotension is a sudden drop in blood pressure when an individual stands up from a sitting, squatting, or supine (lying) position. When a person stands up, gravity causes blood to settle in the veins in the legs, hence less blood reaches the heart for pumping, and, as a result, the blood pressure drops. The body normally responds automatically to the drop in blood pressure by increasing the rate at which the heart beats and by narrowing the veins to return more blood to the heart. In patients with postural hypotension, this compensatory reflex fails to occur, resulting in symptomatic low blood pressure, so a person feels lightheaded and may even faint. During a tilt-table test, the patient lies on an examining table with a foot-support. An intravenous infusion is started and the heart rate and blood pressure are monitored. The tilt-table may start off in a horizontal position and be tilted by degrees to a vertical position. The patient's blood pressure, pulse, and symptoms (such as feeling lightheaded, nauseated, sweating, or weakness) are recorded every few minutes. The purpose of the test is to try to reproduce postural hypotension. Tilt-table testing may be done when heart disease is not suspected of being responsible for an attack of fainting (syncope) or near-syncope. Depending on the presence or absence of signs and symptoms during the tilt-table test, persons with certain forms of temporary loss of consciousness may be admitted to the hospital for observation and further testing. The tilt-table test is also performed on stabilized patients who are in the hospital for evaluation of the cause of temporary loss of consciousness. The tilt-table test is a simple, inexpensive, and informative test. Q. What is meant by 'skin turgor'? Skin turgor is a sign that allows the estimation of the state of hydration (fluids) in an individual and, to a lesser extent, the state of nutrition. This sign is commonly used to assess the degree of fluid loss or dehydration. The skin on the back of the hand, lower arm, or abdomen is grasped between two fingers so that it is tented up. The skin is held for a few seconds then released. Skin with normal turgor snaps rapidly back to its normal position. Skin with decreased turgor remains elevated and returns slowly to its normal position. A decrease in skin turgor is an abnormality in the skin's ability to change shape and return to normal (elasticity). A decrease in skin turgor is a late sign of dehydration. It is associated with moderate to severe dehydration. Fluid loss of 5% of the body weight - mild dehydration Fluid loss of 10% of the body weight - moderate dehydration Fluid loss of 15% or more of the body weight - severe dehydration Fluid loss can occur from common conditions, such as diarrhea or vomiting. Infants and young children with vomiting, diarrhea, and decreased or no fluid intake can rapidly lose a significant amount of fluid. This process is accelerated by fever. Mild dehydration will cause the skin to be slightly slow in its return to normal. To rehydrate, drink more fluids, particularly water. In moderate or severe dehydration the skin will remain tented for a longer period. Intravenous fluids may be necessary for severe dehydration. Differential Diagnoses: Connective tissue disorders such as scleroderma and Ehlers-Danlos syndrome. These conditions can also affect the elasticity of the skin. This is not related to fluids, but due to a change in the elastic properties of the skin. |
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When to use HYPHENS:
A hyphen is a punctuation mark used both to join words and to separate syllables. Hyphenation is the use of hyphens. Hyphenated adjectives - use a hyphen to join two or more words serving as a single adjective before a noun: Examples: Ill-defined tumor A four-storey building A two-door car I have to write a one-thousand-word article this week. Two-pack-a-day smoker Happy-go-lucky personality Hyphenate a compound in which a number is the first element and the compound precedes the noun it modifies. Examples: A 24-hour turnaround A 3-inch incision A 4-vessel angiography The dietician recommended two 6-ounce cans of supplement daily. Hyphenate a compound adjectival phrase when it precedes the noun it modifies, but NOT when compound modifiers come after a noun. Examples: A 17-week infant (The infant was 17 weeks old) End-to-end anastomosis (The anastomosis was end to end) A figure-of-eight suture (The suture was in a figure of eight) A well-nourished female (She appears to be well nourished) He is a well-known author (The author was well known) Hyphenate two or more adjectives used coordinately or as conflicting terms whether they precede the noun or follow as a predicate adjective. Examples: False-positive results Double-blind study Award-winning report Case-sensitive password Hyphenate color terms when two elements are of equal weight. Examples: Pink-tan tissue Gray-brown area Salmon-pink mucosa When expressing numbers in words, hyphenate all compound numbers between 21 and 99, either ordinal or cardinal numbers. Also, use a hyphen when expressing fractions in words. Examples: One hundred and twenty-three It was left one-third empty. Thirty-five minutes later Our basketball coach was sixty-three years old. Use a hyphen when joining numbers or letters to form a word, phrase or abbreviation. Examples: T-wave abnormality B-complex vitamins A C-section was performed. Join a number to a word or abbreviation to form a coined compound phrase. Examples: Alpha-1 1-MAC (1-minimum alveolar concentration) OM-2 (second obtuse marginal artery) SUSPENDED HYPHENS: Suspended hyphens are used when an incomplete medical term (such as a prefix with no word root) is followed by a complete term (prefix and word root or two word roots). Examples: The patient had a lengthy hospital stay because of second- and third-degree burns. There were small- and large-sized cysts scattered throughout the parenchyma. He has a two- or three-month convalescence ahead of him. |
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Q. A person who refuses to answer or cooperate is a _____________.
a. warlock b. stonewaller c. narcissist Q. The idiom, “Life in the fast lane” means ___________. a. Work fast b. To drive and make a living c. To live recklessly Q. Fill in the blanks with the suitable word given in brackets: 1. He is ______ tender to palpation in the lumbosacral region bilaterally. (quiet, quite) 2. He will need a slow prednisone taper so that he does not have withdrawal _____. (affects, effects) 3. She has no evidence of ______ ischemic heart disease. (underline, underlying) 4. She does have nausea with vomiting due to _________ about 2 to 5 days a week. (reflex, reflux) 5. The patient will ___________ with Cardiology tomorrow. (followup, follow up) Q. Find the meaning of these homonyms: mitigate and militate flexor and flexure complaint and compliant See the answers in the next month's issue.... |
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