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What Do You Do About Barotrauma to the Ear?

Discussion Most ear barotrauma discussions are directed toward diving barotrauma where patients may have sudden nausea, headache, ear pain, tinnitus, deafness and vertigo. The tympanic membrane itself is evaluated on the Teed scale: 0 – Normal ear 1 – Congestion around the umbo, (happens with pressure differential of 2 pounds per square inch) 2 – Congestion of entire tympanic membrane (happens with a pressure differential of 2-3 pounds per square inch) 3 – Middle ear hemorrhage 4 – Extensive middle ear hemorrhage with visible blood bubbles behind the tympanic membrane, and tympanic membrane may rupture. 5 – Entire middle ear filled with deoxygenated (dark) blood The patient above would be a Teed 1 who had congestion around the umbo and not the entire ear or middle ear hemorrhage. Another type of barotrauma is blast injury which the above patient’s injury was more consistent with. Primary blast injury is due to the high-pressure blast wave acting on the body. This has the most effect on air containing organs such as the ear, lung and bowel. Secondary blast injury is due to flying debris from the blast itself. Tertiary blast injury is due to impact with another object such as being thrown by the blast wind. Obviously all 3 types of injuries can occur in a patient and severity depends on many factors especially distance from the blast. With blast injuries the most common symptoms are hearing loss, tinnitus (most improve but may be perm...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Authors: Alemu A, Tamiru W, Nedi T, Shibeshi W Abstract Background: Pain and inflammation are the major health problems commonly treated with traditional remedies mainly using medicinal plants. Leonotis ocymifolia is one of such medicinal plants used in folkloric medicine of Ethiopia. However, the plant has not been scientifically evaluated. The aim of this study was to evaluate analgesic and anti-inflammatory effects of the 80% methanol leaves extract of Leonotis ocymifolia using rodent models. Method: The central and peripheral analgesic effect of the extract at 100, 200, and 400 mg/kg dose levels was ...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Authors: Sun K, Song X, Jia R, Yin Z, Zou Y, Li L, Yin L, He C, Liang X, Yue G, Cui Q, Yang Y Abstract Aim: Pain and inflammation are associated with many diseases in humans and animals. Galla Chinensis, a traditional Chinese medicine, has a variety of pharmacological properties. The purpose of this study was to evaluate analgesic and anti-inflammatory activities of Galla Chinensis through different animal models. Method: The analgesic activities were evaluated by hot-plate and writhing tests. The anti-inflammatory effects were assessed by ear edema, capillary permeability, and paw edema tests. The contents of ...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
69 y.o. female with severe kyphosis, scoliosis H/O recent compression Fx presents with right flank/abdominal pain. Big w/u by PCP and GI negative. On physical exam I note that PSIS is only a few finger breaths below her rib. Thinking that pain is mechanical in origin due to friction I bring her in and block two intercostal nerves with 100% pain relief for duration of bupivacaine. What would you next move be? Repeat block with steroid, consider surgical resection of rib? She has been on COT... Strange flank pain case
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums
“Sometimes I think I need a spare heart to feel all the things I feel.” — Sanober Khan I felt her agony and loneliness as if it were my own. Even as I write that sentence, my eyes well up and heaviness fills my heart. Then, I’m reminded to apply the advice I give others. My mom was a special person, a sensitive soul just like me. Actually, I’m so much like she was, yet so different. One of the differences between us is that I had an opportunity to observe her life’s challenges. I saw her challenges reflected within myself and made a conscious choice to find healthy ways to cope. You see,...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Parenting Personal Publishers Self-Help Tiny Buddha Boundaries compassionate Emotions Empathy Feelings Highly Sensitive Person sensitive people Sensitivity Sympathy Source Type: blogs
Conclusions: Cortical bone trajectory screws would provide similar outcomes compared to pedicle screws in posterior lumbar interbody fusion at one year after surgery, and this technique represents a reasonable alternative to pedicle screws. PMID: 29670905 [PubMed - in process]
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
Abstract BACKGROUND: The comparison of clinical outcomes of arthroscopic footprint-preserving knotless single-row repair with the tear completion repair technique for articular-sided partial-thickness rotator cuff tears (PTRCTs) remains unclear. METHODS: A total of 68 patients diagnosed with articular-sided PTRCTs who underwent rotator cuff repair between December 2014 and June 2015 were included. Of the 68 patients, 30 received footprint-preserving knotless single-row repair (group 1) and 38 received the tear completion repair technique (group 2). Preoperative and postoperative assessments were compared. ...
Source: Journal of Orthopaedic Surgery - Category: Orthopaedics Authors: Tags: J Orthop Surg (Hong Kong) Source Type: research
Instead of becoming trapped under the skin, an ingrown eyelash may grow in the wrong direction, toward the eye. This is called trichiasis, and it can cause irritation, pain, and damage to the cornea. Injury, inflammation, or certain conditions may be responsible. Medical treatment is often necessary. Learn more here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Eye Health / Blindness Source Type: news
The days of painful, or very painful!, BMBs, without sedation, blablablablaetcetcetc, are almost over…or so it seems. We may soon be able just to have a simple blood test, thanks to the work of a University of Kansas team that has developed a small plastic chip, the size of a credit card, which can yield the same information as a BMB. No pain, no discomfort. Nada. Just a blood test… You can read all about it in this Science Daily article: goo.gl/vDymjQ As someone who has always had painful BMBs, without sedation, I find this bit of news to be nothing short of FFFFFFFFFFFFFFFFFFFFFFFffffffffffffffffffffffffffffffantastic!!!
Source: Margaret's Corner - Category: Cancer & Oncology Authors: Tags: Blogroll BMB bone marrow biopsy Source Type: blogs
This article also notes that research by Sarah Pressman at the University of California, Irvine demonstrates that loneliness reduces longevity by a whopping 70%). Given these startling statistics, it’s important to recognize if one’s feelings of ongoing loneliness are due to work burnout. And if that’s the case, then it may be time to challenge priorities and find a healthier life balance.
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Family Friends Habits Happiness Health-related Mental Health and Wellness Relationships Alienation Friendship Isolation Loneliness social media social support socializing Technology Source Type: blogs
Are you too proud for ToDo lists? Don't like to admit you have ADHD memory issues? You aren't alone.I have afamily member who has ADHD. They never write anything down. They don’t make reminders. They insist that they have to remember everything on their own, and of course, they seldom do. I’m so glad I don’t have that hangup anymore.It reminds me of the hard time we had with my daughter in middle school. Her teacher —supposedly trained to teach learning disabled children—insisted my daughter had to remember to complete all her homework assignments on her own. She wouldn’t tell me what th...
Source: The Splintered Mind by Douglas Cootey - Category: Psychiatry Tags: ADHD Family Goodreads Journaling Writing Source Type: blogs
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