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y
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ic in :
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1 Reap SE 2 aaflemmectory, “3!
Vessel stat fordibate
, te (Znflarnmabiore)
— Pawn i 4
Sop ‘trashout
' Heat _ Pee pie
Revdnens brie
Masses come Recbach oe
Be GRousi Ffictor
Cha hic o0ume_ — Months LSet
— Bed sore “Fibrobta ge
. Boies. Curls |yraltor> — Feom weeks /us
Fibreblaat be
ol Drop Grenenati Haranehederet i
SE Rea baer
“Wowmel fully Uiech Difeattore
eres eet
DEallagen —hetpie close G pul
— Ane — Old er Fore:
Skm filth a Ropir albry /tarohac tob/em.
POD prac
it akhior>
— >
Tale Track lostaadk ”
— Memevies
-Debis ence —wounol stat to
oer
Tissue. Re z
fs
Laible * ‘4
| -Skin ~ Liver mu
ee Taais
“Fisiwe o
| Small targe
Tntoting
| eal uy
, ow
cone Gomi
|LLL eT cyploler backau
"p21 7 al
Heras b0s| y
Mp abe
Fired red 9
Atprostonin » |
LtomolesglGe> (Pours) tastonol
— Wyse: ) Shobig
— &6 n
See shat fd © ~Ballrrebdalabier
—_ ict foreEE ———————Owrete
Lo. Henalomo
olecoobor raptor .
Brava of Galt Waddle op
Kocher rition ° Tt
—Dreléator for (oteshis rele
+ Lone in Gall blooldw
Poishysthote
"Fr Ohm > Raph sebaastad
* Renal Coli Cbs)
2 Testes, aus’
Th totmnal Shoma:
Singiial open) rastd do
wel & shins lane
Gillon. Coe C Gall boell pau a ee
* Olisastys (Tr formsstns _
~ Litattnet fe fesatior>
—— end
Lndueatieo of Havant
= . pi i — Aral tonal. oa 5)
th pp livery parmortar, gud Ateiremg__
~ Tyne tral blank , a Reeloveg imal jpatiele
~ Abseax prnetem
Feed Zn continenes,
— Biltong blind,
~ bot letneystten Yrs,i Rae
litte Misectory- i
Stroma, vitiactiorn Abben olixe Hom
adap Append
-_—_m amen
— Medestr New Te Tattoo
— erastiomal hevma, :
= Shey exporictir> Zhution
= Stmos is ae a macbur muy 3 pemt-
— oe oe — Asis & Umbhitws /
eye \
* a — LANZ. Trervion
| | MabuRMNy Teri
| Bomah Prolapse -.. Roath porch Mors Fru
| ET SNe oF -
| A idlica tans
penobictig — Aut
| Enrol TDhrostomy. i ° "Wlawest -
, Ph emalirere,
Dr elicatar> Mecosa/
- —— Total toleetomn-- : Neer 5a
— zed Gromgranan
= Mubtiple dnréose in Lange bowser. Caetrorol tumor ‘
» beep ~ Appenoheuilan Ustonh , abaice
— Bowel obstuctird iP ie
Bowelpeprakiom Lo mp beation —
Pelrctad chatan Potui obsesse oR
Heraloma > !ceolang
(imp tcclgw Stump necuedes
—— Pastor) hnanas Foun
— petuesee! Sheff a pchi .
Darbra Say wy fe Sem [Liam
A Tn totrol perfarelusr
— & Wg Fighlo.
~~ Polopor'* Vebination
* Indication
+ Ineition
+ Complica Hons
. Priysiotogtcal chang en,
—— Removal of- Grau Bladdue
Fae te INDICATION
Gall sto, G L do #
en Ol Vi
Trflamnatians lice all y
— Colecystits Aaage Iolo rss
Yolon ol.
CneriteHs duedogallstone Paral ar rompleteenrmoveds
— Non orchoning Goll bladdep INbICATION
~ Galt bladder Greer, — 7Bp
Gall bladdey Fistula, SD Ulerotive cols
es, > CrohnIsdiseare 5 8!
—=Gnpiication — SS hbntore, i
RR Re AA MAARAARAAKRKAKRE C
> Clon Rrfor
+ Bie beakoge Severe Constpeten.
Be dl jong COMPLICATION
rfdion > Trffehon
Bleed Byrecling-
o-
Alo $torahe Jeokage .
Pos choke yom Spdvome Fevegt he Wonley G+
VIHA CL dicts, “Beet OT oon tase or oo het
HANES | Difer agdion. .¢rniae
Bille has conga, Cronge in bowse! Hebi
+ Crtines bile los mm: Chora ———
“eit. the digestronof- for — — Alito Bowel Fanchon.
MMi ht causes chong Iabed _ fdapistamay: Rerraoning (lon
— Chongts un light poly
— Rtertit Lsorbton lose.
~ Foviretion, ge
od oy be chong’
~ Eeptive Cos.
© AEH Beil Rea tation
— Ahpee {ot abo, pe,
OEM ID 5 cory
Crvgh aa te fot elgalio
albiler(ae
, Blood transfusion
"Thad
god
Blood tempore ge
wee
Plakeld
“Plasma
“For Blood Traenahaiow
“Bio vo schounbd Uris
a
Comes os ae
— Packed xed bbe «ells.
— Fresh bporen plasm.
— Plerteleth-
= Cryopreciprba:
Drdicatons for
Blood transfusion
Shock
— Chen t Heads
Crosheeclomg
= + Haemerrhagi
. Mayen egou —
* Extensive Burns.
* Grronie Seve Anemia
pe ‘pleedin
Brood vss. COE
“Tron apr Anemia.
oH Blood! 105.
~ Troe aig birth
= Downy
G om onere
1 Packed RBC
Daring. this.
— when whole bood IS
~ eee ween
Pratettt_tich plasma
| Avons\eed
Anan
Peter,
Beeep>
“yj REC
ey
RBC requirel Re
Pater with Hb less thon Fg'
tn habiorde
> Surging
Delivery
teaunds
SiCRD J) OnemiBefphylactically.
Tronspucich
Feolisin.
sy Paw in loin (Bit)
Fever with Chills -
Ate renal tabula rmcxosia
Highesloured urine.
2 BB ° .
;_ Featells biske.
Beg
5 con Pratik: riche
ee ie
od Complications
i eye.
; 8 LN ~toremove
att sang, Pome O Frornune lorepiation.
7 Junit — Som! Should tontunt a Haemolye Reaction
7 5.5 x10 pylets + Due to MiSmatcheo!
; Phackelat it
Thevg petal
l
7 When Hy bo io
Pratt courds Reg’ tomer fatrnse | Uipbobnson-
"is lena Pome an bhecling | ~ Waehy canola,
]p000 Bx ae
7 arom bi topenio Tr ic © Br
ae 9 Tp ee Feeley Ble
ae ths wap ely Or
ne ae Hram 50,000 ow ans se
as 1 ees Stop blood transliotor,
Vu . Sene blood big by tovech
Fi ji Send Sombleol
res am mo. Pattee —; Blood
hama —-200-230m|
Pemasning + Hat = luagt
‘Stored in, * Monitor Urine out ae
“Fro en forte at *CheeR for wore Hb
=18% “Lp renal bprluuoceum jas
—Hamoolysis 1
5 Non Hoemoly he Ren,
a
SensitiTion, to WBC or plate
Alteso 2 runttionCongestive Griine “Faalve
~ Teaptin Sedalia wade Wong
TRiege
Wat
“nlechous Complications,
~ Serum Hebatoes
Bie |_ transmitted
Malaowa, brom one patient”
ty Philis to onothen... Through
arte. Poloed ranshusion-
> _ Other Comp licakiory
Massive Rood 4x
Com Comer
= Hypeceleemia - .
“Thrombocy toponeion
= ng. beer Seber
\ cura Ontnlnoch eng Saag
= Hylperdugnamic Crrewehor|
Bounding pulse. a
“Fine vie a in Wwcg
sprue [Spironolactone
—
Jreodmurt— _
ae codequnn gurenraie”
Farronaapye Weernen:
“or
Vol: overload.
«2aYeumone form
Sur real veemoval of- toy —
Arobealors
> 3B
— Brorchiectasin
— Leng @rimoma
~ Trou rsa wesceltin
Troi seneuelteg in exleranas
gritos
7 243 iological chongen =
+ TR porumenectomg.
— Hyperhepng
Risiolac lergiment
Boos sithiy edo
“ys
ornbheaheny
a Repratey fae.
— Prev metrorex
2 Heme thorax
5 Nov _
Mets (Mito
—— Vasespute roncldia2
(Bb: yy bemrmtteat
© Vasorons tue pon)
2 Y foral
©
DISEASE
Couws
— Clow ond Temp faery
Snvesponse #8 Change in tence
soremonly Otposuute Cold.
Eilttinal
Shress
* Most common in —— [¥made
Pho Ib-Yoy rs,
Fraverd im utd wooly obi 9 oe
Disease ot
J
Vasoconse Hon
» Varecons bichioa
Asset ust th
Othe alse
5 ple
2 Aitrinrmune des
~ RA
— Canple ture)
Kick “T-ar tors
— Exposure fp colol
~ Working with eer cling mochyngg,
Evnshond! dis hus
— Smoking.
— Permit ak expower = Pre, Siiheg
~~ Aa boira madi vg. discaat
~ Komen 1 jp cid marebth Poyoloy 7
Exposure 40 (ole!
J
2B Blocker L our
~ > Sabetalo! iis
— (Oliwen Chainn bloke -
Coates
= Tiptok nile glylerin an.
YBa ose Ontay
Peoria io
Baty sditg
= Amie hand. move me}
‘
‘
Pha cord hon c
Lele Chango fem :
as % hat Ae i
eyo gieod [
‘ omteste Piru “BE ;
1 Uxe Rep. Bicod) eymeaped
White Gracy ~ombetnal ey, '
> Arputste ;
Yietcay —» Blue ~ themnal Ty, nj lio ‘
-_ ‘
* Blood Sl rain —— thy (om Pleats — ‘
aa Necrosis ;
ae
Nondng. aes
Reurs
(012 Feraptniatian> "Trea ae Odin The)
} =} nosis. ~ Sey mentaf pre
wk Occuareg
alata
Rosthine Doves gation Trflom ale
ee rae a, rll oss bl ta
| = Pye rel (ith gy lafjeiad thrombost hs
| ~ olor Chom,
| 2 .
— TP Antitegly Micvoabscte Loree
— FSR — Old sHenlatentor —]
{ Wail] collage, = ae
pa i oe
ane [iCotten Bight Gres.
: Fito ny Porastrecee
fewer tomb, 5 Whang Hate tess, ries,
|Saromaige ] i a
Meer...
°
Ske Foto. ————— Pert fospsnos o Gyr
—— er
ae ~5 MokiNG- ”
oe Meng — (Skee fe]
M"y persons hv
—— Mares teed
— Sens,
,
'
‘
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a ~ = Distad te Side of -rteried
—Adtinrm < Diseare. ellen,
arnt Histee -
FTPs ase TY] Ne oid x
Smokin
2 a Tiler 3 “Foote coop htar_
Motion Reid — ee — hy ebrmattis
on Moonie. V
med 1" Hs
Medion ise bed
Vasospasm Ban ow! Meg ie Corclicrotey.
Agora es Hoan
etom
° Bled fohsoue_ oe
hh ipeolie a Trina PE Reet bain
J if Sv — Mrupaiy Ibtenppiing
Occ hasion ef Verrch Tathemig, yet
7 ’ Celldeate. —d Fagnoss — =
Bn a rhs —H
SG reas eon
Gat as Pile jbdeoven
AFohient Complain of pary
wahyts wth ages | 7 qT, Rogie graphy.
Gadi akrary — a > 13 tance ~ Yes peneeees
© Burger Dasrow
a Chaos jfrrah
2TAD
—fre Nowe Tivaly cnt irl — Laffer Lim
Berraing Jensetignn
benfliRe
= + Fawr jn_Colf>
Block
¢
IL avolror MexFe
\
\ diate
— Absene of Sensatoro
ie ——_—
— General vamothene,
a Regional vamentheata,
J yn
Brood Bidar
— Greneral anesthero
— No consiouness
— Pier is fot lnconaiond «
— Muscle rexanb. ane quan
Meanse all Sensahon loss
1@ touch
Poin
Posture
emp
‘oft Shelfy reversible 100s of.
Conglossnes.
Como vib of Ars tbia
Taplin
O Anateesia
AYPNosis,
MUSCLE RE IAXANT. ‘e
Ohnoesthete nt:
~ Groseouo anastnates,
~ ZV araotretes
+ Notedile— Vaperise inroomaxs
recthane Paton tacel\
Sof turane a
SS — Nitous oxide
Cy ctopropanc.
-Iv
== Ketamine. -2mylke-
Propebel“Magen (Wen,
— 0;
2 in High wonernfaliond ts
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Menin gism
orentra indication
lonchde patents
Aliorgy
aie. Uhewrnnaiss
Psis
SPrattumen
Bock bur -
Iq bhasis
Scatrosrs,
PIDURAL
ANAgSTESIA
Space blus dra, amtuionty &
Ugomuntimr>
q bosterior ty
Aelvanatoae aah
a Febt por Seveeot dei
Comb Use ay fost Op evitimomalerae
=?
Trelieshom
— Haemorrherdat Surgery
Cortamayon
Smal proceluno
colonels Gypsy
Compticoton
Aral cana!
Troumae i
Ty Tyyection
Favihave Of Coudal block,i A
Ar-therinsclerosis Celie yx
\ Si 4
Depimation . | 75"* Sy mph L
Bail up of Choleatol Chest pow ° An. Sj
Fat & otter Substome, Sok “Bi Sat cf
on Artery. walk Mumbai 0° Ueah= Pre — tea €
+ Biitolup called pla [ree — Ae, Nek
SS Marrow avieey, eertroetew: cae
~ Fae ‘elec i * Sog ¢
+ Numba ¢
eel bento
Ernlo 7 Zymphm lr ad ¢
Ot: ai Vern tie ¢
— use — exact cause ~The ope tn, ee ‘anv, ¢
Arter, Art e
—De xz 6 cougeg
—Pomege #9 Dime onl =p ag hE z
gh Chotes trot Corohd Pe iba :
Fat in blood Artes —— os 2 Hecloche
— Basuten Respstne | ee 2 Fag tol teee
__ Hig iedpeae Obert Compieolion Pacatyas ©
ee —Shat « c
on Prfere — Chron Ridmayebse e
a Ln Doherstne— — Pertbrrvot eee ‘
—» x te — Mesh dk —orgre. H
£
t
‘
Weed) teh
So cnernear Piagnosis —
| “Prysrcal Gar,
| TB tsa test EKO
| CH Seon She tet
| \ Angiogram
Cheap
| | ante
aa Manogement ttrrdtment.
Ang ropa Dry be hagh che cho teatro |
Stent prac meoh— ay ote Bp
~ Goren nabs — Blood Ahmers — ACE Danie,
BG ortg bobo PET | — opis ce rongn ~ Baa dockan
—Fripheral oa, bykos arate Anti coagulant
\j
Comse
Unknown
Most Importect Ris k froctor
=> long term te bs c@.ues-
o
Snahfag (eantoin
J Witehinw ong
tous 4
_Neasosipasen B nypebionia.
“Trrorrboongis_Opiver
~- “Aefamnmatoray. fondition,
Corben rmonenicle
Pome,
“Thrombus fa eee
distal ashrets0} bo
Aye tnd re “8
“Thromesis & oblitiaken ok Veosclocuas
— Alice man 25-35
v
ea
aah nes Pana seins:
v
Obliterakion -
tender
wee ween
Cord Ire Nein.
— > Ciontca g a
Fain
— Bie diwoloratron of
Destel pow 7
_ Mog Produce Bier
2 Ganorene
. Reputation oF
Digits.
+ Complete Seshtra Stop
— eating —Nicotrg_
— Tea
—— Pentextpryi tre -
— Put hrombin
—— Anatgric
me presoal?
reg rae ee ———he9) e necded
Frvestegetiong — GuRGERY,
“Rmipateion /
Omenteploaty-— revascutanias Hoe abfycbeal Hind,
—Hb 1 bleed S4gor+
Doppler Ston-
AFansbrachiah angingram,ATHEROSLERAGIC
2 CPrence
- Thlensttory Gonditron of
+ Aye —elderty |
— toner inne F~Rak
— Sberity & Family, His for :
— Clagtete Smoki
— Hyper traion
— Brean.
erhica,
Fal
e201,
Attrerosclertic Consist
Plague formation (Smecthmnade sey
aero bo
“rds
Utcerotion & Gk if stior oceans
in
Fagus.
Cousses Hhrombasig
Vessel bloc —> LTschemre.,
=
heveton ,
i Feahures
|
Elder — Soyr-
Family History coro
—— Smoking Hin, PM rosiead
Choleshol ———" Commnan carat
— Feelole pulee
DE chemi tack
Chest pain
— eye problem
— Altered sumal (umet?
— Complication
— Arteries Morita
—~ Lehemra
—tamanene.
_ Anenuryson or ah
!
D>
T
cw MAA AAAAAARVVVAVIAAANNOOOAR
—— Avord Smokir
— Hts contol
rabeter
Hypercholesterel eenia,
Peags Aetpatet tenth
Atorvastatin
— Angioplasty...
SURGRIES
_ Throbectom
Reverse vein gral
By Pas qroph— ive ernoraf
Ror-tofemaraf
— Amputection Soe
I limb vy Fang henots,/ heumo thorex
aia Coceeeanel
Ain Denese
=m
Z
bho pleural Shace,
j
fom
Baltes Forms ——» Explo,
Leis, — te presse
Chel se epee
bie ths igen gE
Fw
Prevalshlce me
ae aie cewbp
Muscle femafin maf Dphrand ting teas
— & boot reoit of large yy &, Bix ‘Shuoly-Seeponto
“Pull PS — arg tse
Sinand. ,
Ataroli heal up bot Aue Bulloe
Bolance —Pleurol
a *
—— _ SEAL of Pleural Spaq —
Fendueol
u TRaumaTic__
Air Move Tn ———*
L
Fressuna in pleural spore.
Gregative Pleural
Guan Shot TT Treigh a
>
Alfow air from outside # lively
Cn to pleuron. sspace .
procine — bos
Leg, pala mvoend. &
lervrion —
Glo} — "
Cheotwolt Spring ubword _— One wary Ve
° me a aie but cam not lous .
Collated tung — L
= uit ans
Si os Freon neanby orm
D (0 in body, J
vO
— 8B
—— Conse Cheat por Preowrs i
w
Theat tube ISuscol to rela asi tubeSYMPTOM Camo
Sar
cae aim
S/@NS. —Aardert
Relics Bread Sounch — Gunshot
Hyperresonerce 7 Tehogeni
J ag Jung biops
ml pirslepy uo a
sg Ba LO ge
eT Dfjlar...
TREATMENT
— No S0B Wo ~trelmant>
— lension Freumothora.
_— Ait neeoly tovemoveo!
Dre wits
Cheottube,
|
Lg a a AAA AAAARARAAAAANNNNAS. ec oo + Vig * Fe , .
“Flidooy Cleo Be lisire | age pe :
ee Sp potter chur, Je of |
Sadie fom mn Sun a H2o i
is
iS more than fone, i3 hss |~ ;
s then ite HibeNolume PNa+ & ho trel
——“Tetol willie in Serum: Tne’,
fee Hy poratremia. —— ond Nast Cone, normal
honor gl
Twain (SB
y 7 -
D bai fw 1 Hgforatien —_
Tow fal co Pon \
) —_ “tenses Iypotm hypo
; pa Sodium. Bertin: Section’ Luveleomie
,
y
, Natolec - by R pi E
Gy choleg ical Ziy gene
effet * ce Loa
Uh fanaa or
’ ‘
) toe coneole Not Fay ree By rr cones of wala
a\ls Sy bain Ines an re a x
“Fimeffert rtercromal ide
1s The Tlereramas pres
| iohuch thus Kaune brovm Shem
) herndalon -
7 TH pt
- Dorr hoe 4eet this Ait Mp rone. Nat
| Pesiol 1s plete the
bool J
Ayo ele,
>" Excsaive ai
bn. 4 Nat is gue thar!
The Stuur) |
Nat lon. is Aigh in
Tatra vasulan lomfaitmerd?
re
1 the Reapsirement?
— Bho
Cell u'll loose wrod
cell shrinkage will occugy
7"
at drink water pahichs Fluid enter in Tntravonush,
dhe este v+egyuiremerd lompart moots
, ie abeet is not Gus
fee piled. Pekhistor @ ,
x, —_ Tne
eI TREATMENT.
I raw? —="_ 4
Hiffovolernic a 2 a Noa leg Rompe 3
— lossof Nat is more than 130 —/35
H20 in Severe diarrhea 1 =
Vornrtting oF persistanb. + Nat inc in oral olor,
+ adhydict@> wit Totre| — (ovot Nat vtplacrmed>)
ar 8) 2
wd ea i Fant Re Hil 7
» [= nie -
Of Se ybernabronieh femedh (Tt wuorbo » Ayfervolume
2 Ry -
THo clue yhoo Ayponebeema.»)
vs
“Hue tons
vhae J
Trt
Te hip
etal
J
- SL Dor
bohm [? Jo lDector
Ay lrs cow op oasis =,~TOONER
CAate lmmane gpiom ac had,
l ‘ita \
8—> “Bone arn — metastoar
ea
Corte disease ch ag eo i,
Abnormal RE) os
&
cell. Snead _ tee oss Grin tind
» Demon Arcumnalaton S- a ae in Skin: darkening ved
' loll
; (lord) Sp Persistent (ough je —nibple dischong
onton nines Saba in Breas imps.
’
; Be, UG Melina pada ‘ole Bere
nign.
» ng loner \,,, Lous)
) : cian frajoral eae ar fad : fabs tore
L ag telige leukemia . fo )
eal eee
» broad see Ty . A Sherr Camcer.
dont ot isapa| “Pldrenehs Gilind a
porns Sfaoman ApOP
ed “DBet Bai ae
¥ defyncel border ah b Teshe\ aineer wh C+ Stortatehony,
)*Grrew slowl: by immu ne apolin Aitre hee! gdh uundurbined.
; Shin.
,
'
9— NarolegicoA haa
— headachy
Serwus
!
u
0 Digestive Tssuea ~ Tndigeatron
anata,
Diffprattiy = paseFE ragnasts erly
\ : 017
An ae a leSsion
| Sottd—Mof hurd.
Gh hal fille
i:
oe ack,
~The Slag
TA Sire, /lombh
ee Monee node
Erdecdye -
MN = Metactoain Fr bens)”
| y— Comcer ao.
a. i Under ranrovbe
Most Common
Breast
— Spread Is
Pa
4 Ovary —- ,
tote Tadic
[Ae ian. ‘yriph rrodke'4> Pesshrve sn
ros The
3),
Ne ar: e ;
(Pscan. 71 eral 4: tele tasmaloien
Ss, A ee l= Growth Comer localized! ;
e |
O. re Stiles wea iy. Grroutng +t ree Melertoge ,
Trvoleeo!, , VL estate
— Labtets —Biod test Metastaara . |
See
— By 2 Remawa ST
Of tine: Probe FO
14 Comer un Jncoktzed ts ©
Smolh arta, vem Una!
depnp mods ovine: Uae ;
Q—> Greer is Grown buck has!}Spreag
ie aaa
pread ur
pacd of Pedy
3 Commo pos
& hap posi
bud wot to te
Mebiateane ccaunse , !
if
od Oeil
Teese?
ae
R wn
us Seconal ys dng te PUR
: nab
Se ea ce
eve PP iSheeapie oa atu
Hor organ, , . Ll gp Maig
, lanen ferns oe » ool he
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