steps in physical exam 1) general observation: patient position (i.e. lying still vs. writhing) 2)vitals: postural changes, fe...

SPECIFIC "SIGNS" ON PHYSICAL EXAMINATION   Blumberg's sign (rebound tenderness): constant, held pressure with sudden ...

CHOLEDOCHOLITHIASIS stones in common bile duct   Signs and symptoms 50% asymptomatic tenderness in RUQ or epigastriu...

ACALCULOUS CHOLECYSTITIS   acute or chronic cholecystitis in the absence of stones usually diabetic, immunosuppressed or po...

Comparison of structural details of different regions of the spinal cord Index Central canal Superiorly (Open) : Opens i...

The division of the forebrain vesicle into the Telencephalon & the diencephalon Lateral diverticulum appears from each side of...

  BILIARY COLIC (or CHRONIC CHOLECYSTITIS)   many patients with acute cholecystitis have a history of episodic biliary colic ...

is an enzyme which catalyzes the hydrolysis of phosphate monoesters. It is membrane-bound widely found: liver - 55...

    Pathogenesis   imbalance of cholesterol and its solubilizing agents, bile salts and lecithin concentrations if hepa...

Adjuvant Therapy – Chemotherapy Indications sub-groups of stage I at high risk of recurrence lymphatic invasi...