At first glance, the opening scene to Margaret Laurence's A Bird in the House provides descriptive insight into the home Vanessa will view as her safe haven. However, through analysis of Laurence’s use of imagery, symbolism, and foreshadowing, the Brick House is not as impenetrable of a shelter as it had been known to represent. The Brick House is, in itself, full of underlying meaning. The family members are the only ones to call it that, to the rest of the town it is known as “the old Connor place”
Although two uncontrolled, non-comparative studies of high-dose BTX-A (200 U of Botox® in each axilla) described efficacy for as long as 29 months,[140,191] most other studies suggest little significant improvement with dosing >50 U per axilla.[56,85,144-146] One large randomized, double-bling, placebo-controlled, multicenter trial comparing 50 U and 75 U Botox® with placebo found no significant difference in the efficacy
Botulinum Toxin Therapy Botulinum toxin is produced by anerobic bacillus Colstidium botulinum, is a potent neurotoxin. That is inhibits the presynaptic release of acetylcholine and binds to acetylcholine receptors at the postsynaptic membrane.(122 B) There are seven distinct serotypes of Botulinum toxin : A, B, C1, D, E, F, and G. Only Botulinum toxins type A and B are commercially available. Four types of botulinum toxin are approved by FDA for clinical use in the USA. 1. Onabotulinumtoxin A (A/Ona
patient’s muscles are relaxed and loose. 2. The nurse will use her right hand to palpate the axilla and will use their fingers to reach high into the axilla. The nurse will be palpating for any tender and enlarged lymph nodes along the axilla. 3. The nurse will then move their fingers firmly down in 4 directions: down the chest wall in a line from the middle of the axilla, along the anterior border of the axilla, along the posterior border, and along the inner aspect of the upper
nasal cavity. If ESS is planned, the position of the septum to the middle turbinates is noted. The middle turbinate attaches anteriorly to axilla of the middle turbinate and superiorly to the lateral nasal wall. It serves as an important landmark. the surgeon may have difficulty with access and visualization during ESS or in the postoperative period if the axilla is visualized. In cases of narrow nasal cavity, for improved endoscopic access and visualization, the septal mucosal flaps may be ‘‘retracted’’
lead to organs called lymph nodes which are small bean-shapedstructures that are found throughout the body which filter substances in a fluid called lymph and help to fight infection and disease. Groups of lymph nodes are found near the breast in the axilla (under the arm), and above. Types of breast cancer • Ductal carcinoma in situ (DCIS) is a non invasive , precancerous condition in which abnormal cells are found in the lining of a breast duct . The rate expanded in all ages but more in women older
Brachial plexus injuries: The brachial plexus is a somatic network of nerve fibers that provides motor and sensory innevation to the upper limb as well as the shoulder girdle. Brachial plexus injuries are an uncommon complication in gynecologic laparoscopy surgeries, but it is one of the most serious and unfortunate complications due to improper positioning of anesthetized patient (13, 25). Extensive arm abduction, external rotation and posterior shoulder displacement can result in brachial plexus
Hodgkin’s Disease Kathryn Janel Vasquez Coastal Bend College - Nursing HODGKIN’S DISEASE Hodgkin’s lymphoma, formerly known as Hodgkin's disease, is a cancer of the lymphatic system, which is part of the immune system and is quite rare. In Hodgkin's lymphoma, cells in the lymphatic system grow abnormally and may spread beyond the lymphatic system. As Hodgkin's lymphoma progresses, it compromises your body's ability to fight infection. It affects areas such as the neck, axillary and groin areas
a. Phyllodes tumor is a rare fibroepithelial neoplasm of the breast.”(2) They are similar to fibroadenomas, however given their ability to metastasize and their high level of local recurrence it is important to distinguish between the two.(1,2,6) Phyllodes tumours are” characterized by “leafy stromal fronds capped by benign bilayered epithelium.”(1) b. Phyllodes tumours are classified as benign, borderline or malignant.(1,6) The classification is based on multiple histological criteria.(1,6) These
The International Association for the Study of Pain 's widely used definition states: "Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage."1 Pain after orthopedic surgery is usually very intense. Managing pain after upper limb procedures poses a great challenge to both anesthesiologists and orthopedic surgeons. To counter this and improve analgesia and facilitate mobilization, regional anesthesia can be made
stethoscope at all). The pitch of the murmur can only be heard with a stethoscope; however, it will most likely be low and faint. Heart murmurs sound like whistling, rumbling, blowing, harsh or sometimes musical. They let off radiation into a patient 's’ axilla, left shoulder, and
The carpal tunnel functions as an entrance to the palm for many tendons and median nerve (1). The median nerve is one of the five branches that make up the brachial plexus. This nerve provides motor innervation to the flexor muscles of the forearm and hand as well as muscles responsible for movements of the thumb. It also provides sensory innervation to the volar aspects of the first three digits and half of the fourth digit, the palm, and the medial region of the forearm (2). Carpal tunnel
Rotator Cuff Pain Health History: The patient is a middle age male with history of shoulder injuries. Specifically, he cites previous rotor cuff instability of the glenohumeral (G/H) joint. The patient is unfamiliar with the significance of the injury and the components of the rotator cuff requesting explanation of how the rotator cuff works. Presentation and Examination: Palpation and engaging the rotator cuff muscles helps isolate and identify which muscles are injured. The patient presents
Anaesthetic Management of a patient with Parkinsonism Posted for Wide Excision of Skin Adenexal Tumour in the Axilla: A Case Report Introduction Parkinsons disease has been known since biblical times but it was first formally described by James Parkinson in the 18th century and termed “the shaking palsy”. Although the aetiology of the disease is unknown, age has been identified as the most consistent risk factor. Parkinsons disease affects approximately 3% of the population over 66 years of age
Breast (Mammary Gland) The breast, or mammary organ, is the most vital structure introduce in the pectoral district. Its life systems is of incredible pragmatic imperativeness and must be considered in subtle element. The breast is found in both genders, yet is simple in the male. It is overall created in the female after adolescence. The breast is a changed sweat organ. It structures a paramount adornment organ of the female conceptive framework, and gives nourishment to the infant as milk.
rettgeri has been isolated in crocodiles with meningitis/septicemia, and in chickens with enteritis. Human isolates of P. rettgeri have been found in the blood, urine, stool, throat, perineum, axilla, and in wound specimens (O’hara). A study conducted in 2001 concluded that P. rettgeri and its counterparts were found in 18% of patients with complicated urinary tract infections (Charbek). It has also been reported that one specific strain of P
us with a heliotrope rash, gottron papules, and shawl signs associated with proximal muscle weakness. She had no history of any constitutional symptoms of malignancy, however incidentally she was found to having a small palpable lymph node in her axilla. Later on screening she was diagnosed as having breast cancer. This case is a reminder that a common disease (breast cancer) may present with uncommon features (DM as a paraneoplastic syndrome), and physicians must consider malignancy as the underlying
Do you know of a friend or family member who has or had breast cancer? I 'm sure if you sit there and think about it long enough you will think of at least one person you know with this deadly disease. I decided to talk about this topic mainly for the fact that it 's October which as most people know October is Breast Cancer awareness month. Majority of people have only heard of Breast Cancer but know very little about what it actually is or what even causes it to form. Breast Cancer has many risk
Lyme disease Lyme disease is an infection transmitted by deer ticks and black-legged ticks. Individuals usually come in contact with this disease is in wooded or grassy areas that is very prominent in the united states and 60 other countries. It is estimated that in the united states there are more than 300,000 cases per year, but Lyme disease is a very hard infection to diagnose some cases are not accounted for. The symptoms of Lyme disease mimic many other diseases and that is why it can be
INTRODUCTION Breast cancer is the most common cancer in women (WHO, 2013). A growing number of patients with breast cancer at medical institutions experience more problems related to treatment methods and side effects of the early and the late postoperative stages. To reduce physical and psychological discomfort during the treatment physiotherapists are required to be qualified and to have specific theoretical and practical knowledge about these patients treatment. According to “Lithuanian Cancer