understanding solar — just the facts ma am

... (inside Coma) Gas tail A comet has three parts the nucleus, the coma, and the tail • The coma is the gassy atmosphere that surrounds the nucleus when the comet nears the Sun • The tail is the long, ... activity • MAIN RING Dust from Adrastea and Metis moons Main Ring • FIRST GOSSAMER RING Dust from Thebe moon Gossamer Rings Gossamer Rigs Halo • SECOND GOSSAMER RING Dust from Amalthea moon Amalthea ... is then reflected up the tube to the smaller, secondary mirror The light is then reflected back down the tube, through a hole in the primary, to the focus (located beneath the primary) • The...

Ngày tải lên: 25/12/2013, 16:35

... ZONE MAGMA/LAVA Magma is the red-hot, melted rock A volcano is a self-made mountain Its hollow centre provides a pathway between the Earth’s upper mantle and the surface Magma rises from the mantle ... Poles, the most northern and southern points on the Earth, and the axis points the Earth spins on The Equator divides the Earth into the northern and southern hemispheres industry using the Earth’s ... 37, 42c Mammoth Caves 12a Manaslu 10b-c mantle 6b, 8a-d, 10a maps, making 13a-b Marshall Islands 52b, 53, 55b Martinique 17, 23a Matterhorn 36b-c Mauna Loa 9d Mauritania 15, 29, 34c Mauritius...

Ngày tải lên: 25/12/2013, 16:35

... From the end of the dinosaurs to the Ice Age MAMMAL NAMES Many mammal names end with -therium, an old Greek name for beast, just like many dinosaur names end with -saurus, an old Greek name for ... animal life as well The plant-eating mammal-like reptiles declined as the seed-ferns died out A new line of plant-eating mammal-like reptile evolved as the conventional ferns took over Mammals ... • The world in the early Tertiary period • Plant and animal life • Meaning of the name • Mammal names • Brontotherium • Hyracotherium • Diatryma • Oxyaena LATE TERTIARY PERIOD 44 • The...

Ngày tải lên: 25/12/2013, 16:35

... 2–18) • Erythema nodosum Erythema nodosum is characterized by painful red nodules on the anterior aspects of the legs Erythema nodosum usually lasts approximately weeks and may recur Erythema nodosum ... occurs in a dermatomal distribution, but a few lesion may arise outside the primary dermatomal area Pain in the distribution may precede the appearance of the vesicles Varicella primary outbreak ... PREFACE Just the facts, ma am. ” Stan Freburg’s parody of the police procedural drama Dragnet is instantly recognizable five decades later, even to those who have never seen or heard of the program...

Ngày tải lên: 22/03/2014, 22:20

... implore, ‘ Just the facts, ma am, just the facts. ’’ Our textbook, Just the Facts in Emergency Medicine, aims to provide just that for emergency physicians who are studying for either the written ... Stefanie R Seaman Head Injury Mark E Hoffmann Spinal Injuries Mark E Hoffmann Maxillofacial Trauma M Chris Decker Neck Trauma M Chris Decker Thoracic Trauma Kent N Hall Abdominal Trauma O John Ma Flank ... CERTIFICATION EXAM • The certification exam is given the first week of February each year • Like the ABEM exams, the subject matter of the exam comes from the Emergency Medicine Core American College...

Ngày tải lên: 09/08/2014, 15:20

... in the septum confirms the diagnosis of septal hematoma Treatment for the hematoma is evacuation of the blood clot • Drainage of a small septal hematoma can be accomplished by aspiration of the ... be used The string is passed under the ring, then wrapped firmly around the finger from proximal to distal The proximal end of the string is then gently pulled, and the ring advances down the finger ... disrupt the entire sympathetic chain Injuries between T1 to L3 may result in partial sympathetic disruption; the lower the injury, the less effects on the sympathetic nervous system • The symptoms...

Ngày tải lên: 09/08/2014, 15:20

... enter the media and dissect between the intimal and adventitial layers Common sites for tear include the ascending aorta and the region of the ligamentum arteriosum • Dissections may extend proximally, ... flow, such as the apical and posterior segments of the upper lobe and the superior segment of the lower lobe of the lung, the renal cortex, the meninges, the epiphyses of long bones, and the vertebrae.3 ... in the acute setting to reduce airway inflammation, but they are of no help in the acute setting Other agents, but of unproven significance in the acute setting, include methylxanthine agents, magnesium,...

Ngày tải lên: 09/08/2014, 15:20

... rebound may or may not be found on examination, the temperature may be normal, the white blood cell count may be normal, the child may be asking for food and may not be anorexic, and associated ... location for the rash is the neck Mucous membranes are not involved The rash lasts to days and rapidly fades UNCLEAR ETIOLOGY ERYTHEMA NODOSUM • Erythema nodosum is an inflammatory exanthem that ... that causes marked edema and inflammation • The age range is months to years, and croup occurs mainly in the late fall and early winter.4 The etiology is usually parainfluenza virus • The typical...

Ngày tải lên: 09/08/2014, 15:20

... prematurity AMPHETAMINES • Amphetamines include methamphetamine (speed), MDMA (ecstasy), methcathinone (ice), and the over -the- counter medications phenylpropanolamine and pseudoephedrine • Amphetamine ... overdose, the Rumack-Matthew nomogram (Fig 104-1) accurately predicts acetaminophen toxicity based on the serum acetaminophen level measured to 24 h after the estimated time of ingestion.8 The nomogram ... bloodstream during the feeding of the female anopheline mosquito; they travel directly to the liver, where they invade hepatic parenchymal cells (exoerythrocytic stage) In the liver, the parasites...

Ngày tải lên: 09/08/2014, 15:20

... failure, and other neurologic effects • The effects of the envenomation depend on the size and species of the snake, the age and size of the victim, the time elapsed since the bite, and the characteristics ... of current on cells and by thermal damage from the heat generated by the resistance of tissues • As current flows through the body, the greatest damage is sustained by the skin, nerves, blood vessels, ... incised on the midlateral side of the limb, allowing the fat to bulge through This may be extended to the hand and fingers • If there are circumferential burns of the chest and neck, the eschar may cause...

Ngày tải lên: 09/08/2014, 15:20

... On physical examination, apart from the seventhnerve involvement, there may be weakness in the limbs If there is localized radicular inflammation, there may well be a patchy myotomal pattern • ... in the white matter • Magnetic resonance imaging (MRI) of the head may demonstrate lesions in the supratentorial white matter or periventricular areas • Cerebrospinal fluid protein and gamma-globulin ... found in the vast majority Subdural hematoma may present with headache, altered mental status, or focal neurologic abnormalities There may be a history of recent or relatively remote trauma (weeks)...

Ngày tải lên: 09/08/2014, 15:20

... instrumentation trauma, or kicks to the groin classically involve the anterior urethra (beyond the prostate) of males or the female urethra Such injuries may injure the penis or the scrotum and its ... contraction of the quadriceps muscle The main symptom is pain inferior to the patella • On physical examination, there is a defect inferior to the patella, with the inability to extend the knee The patella ... ligament and the anterior half of the vertebral body), the middle column (posterior longitudinal ligament and the posterior half of the vertebral body), and the posterior column (the pedicles, lamina,...

Ngày tải lên: 09/08/2014, 15:20

... cerebral aneurysm clips may be affected, causing damage to the brain • Small steel slivers in the eyes of metal workers may enter the retina and cause damage • Life-support equipment may be affected ... Orientation of the ultrasound image is as follows: (1) the skin-transducer interface is at the top of the image and (2) the marker on the transducer always points to the left side of the screen as ... palm in the distribution of the median nerve Tinel’s sign (dysesthesia produced by tapping over the volar aspect of the wrist) and Phalen’s sign (paresthesia produced with maximal flexion at the wrist...

Ngày tải lên: 09/08/2014, 15:20

... Brickman 68 Abnormalities of Puberty Donald Zimmerman, Reema L Habiby, and Wendy J Brickman 69 Hypothalamic and Pituitary Disorders Donald Zimmerman, Reema L Habiby, and Wendy J Brickman 70 Abnormalities ... in the encounter, it is usually prudent to elicit the current complaint, then to start with the cardiac and lung examination, finishing the complete history during the remainder of the examination ... age-appropriate books (they enjoy the same ones over and over) and allow child to repeat the words Have toddler point out familiar objects/animals in the story Encourage them to make up their own stories...

Ngày tải lên: 11/08/2014, 06:21

... 17-1 Rumack-Matthew nomogram APAP: N-acetyl-para-aminophenol (acetaminophen) (Rumack and Matthew, 1975) • The differential diagnosis of acetaminophen toxicity includes viral hepatitis, other toxic ... children The synthetic amphetamines, ecstasy (methylenedioxymethamphetamine [MDMA]) and speed (methamphetamine) are illicit stimulants 70 SECTION • EMERGENCY PEDIATRICS PATHOPHYSIOLOGY • Amphetamines ... blood or urine toxicology screen is used to confirm amphetamine use The screen may fail to detect the synthetic amphetamine analogs • Amphetamine abuse should be considered in patients with CNS...

Ngày tải lên: 11/08/2014, 06:21

... Proinflammatory mediators amplify inflammation → further tissue damage, altered gas exchange, altered alveolar cell phenotype, capillary microthrombi → stage set for repair or further damage leading ... in 300 males It is a developmental anomaly in which the external meatus is present proximal to, and on the ventral side of the penis, rather than in its normal position on the end of the penile ... infections on the NICU ranges from to 20%, with the majority of infections occurring among the very low birth weight infants Onset ≥5 days of age The source of the infection may still be the maternal...

Ngày tải lên: 11/08/2014, 06:21

... as the diagnosis is made • Asymptomatic infants and children should be referred for repair as soon as the diagnosis is made since the older the patient at the time of repair, the more likely they ... • The history is paramount to establishing the diagnosis Identify the food suspected and the quantity ingested Also identify the symptoms of the reaction and when they last occurred Focus on the ... symptoms are limited to the skin (urticaria or angioedema, not affecting the airway), diphenhydramine (5 mg/kg/day divided q hours) or other antihistamine therapy may be the only medication required...

Ngày tải lên: 11/08/2014, 06:21

... tumors including rhabdomyomas, infantile myofibromas, sarcomas, or hemangioendotheliomas • Early lesions may be mistaken for port-wine stains • Hemangiomas appear in the first month of life and ... Large facial hemangiomas or hemangiomas overlying the cervical or lumbosacral spine should be imaged by magnetic resonance imaging (MRI) for evidence of posterior fossa malformations or spinal ... Zimmerman, Reema L Habiby, and Wendy J Brickman EMBRYOLOGY OF THE THYROID GLAND • The thyroid may be first identified in the 17-day embryo The main portion of this gland arises as a thickening in the...

Ngày tải lên: 11/08/2014, 06:21

... fragile and there is easy bruising The skin may tear easily with trauma, and abnormal thin cigarette-paper scars may be present In areas of repeated trauma, such as the shins, there may be marked ... Decreased Increased Decreased Increased Decreased Normal Increased Normal Normal Normal Normal Normal/decreased Normal/increased Decreased Normal Normal Normal Increased ABBREVIATIONS: MCV, mean corpuscular ... meaning that some cells have a normal chromosomal makeup while others have the extra chromosome The clinical findings in these rare cases may vary from near normal to indistinguishable from those...

Ngày tải lên: 11/08/2014, 06:21

... hemangioendothelioma, hemangioma, hamartoma, focal nodular hyperplasia, and adenoma CLINICAL PRESENTATION • Hepatoblastoma: Usually less than years of age: Median year • Hepatocellular carcinoma ... appear on the lips, on the gingival, on the anterior tongue, and on the hard palate; they may also spread around the lips and on the chin The gingival are usually swollen, ulcerated, and erythematous ... lesions may be present in the folds of the joints (Pastia’s lines) or other parts of the extremities • Early in the illness, the dorsum of the tongue may have a white coating, through which the papillae...

Ngày tải lên: 11/08/2014, 06:21