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How the Body Absorbs and Uses Medicine | Merck Manual Consumer Version
 
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Learn more on how the body absorbs and uses medicine: http://www.merckmanuals.com/home/drugs/administration-and-kinetics-of-drugs/drug-absorption How rapidly drugs are absorbed into the body depends on factors such as the speed of the gastrointestinal tract, how acidic it is, and whether the drug is designed to be absorbed slowly (called slow- or sustained-release preparations). Drugs come in tablets, capsules, skin (transdermal) patches, suppositories, and liquids (solutions). Drugs are transformed (metabolized) in the body by enzymes such as those in the liver or kidneys. Drugs that are inactive when taken, but become active after being metabolized, are called pro-drugs. Drugs are eliminated from the body in the urine (for example, if they are soluble in water or after being metabolized) or feces. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 963556 Merck Manuals
How to do a 4-Minute Neurologic Exam | Merck Manual Professional Version
 
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Get a full introduction to the neuro exam: http://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/introduction-to-the-neurologic-examination An experienced examiner completes examination of all the components of the neurologic exam in a patient who has no neurologic abnormalities. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro
Просмотров: 249545 Merck Manuals
Cómo realizar un examen neurológico en 4 minutos | Manual Merck versión para profesionales
 
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Obtenga una introducción completa del examen neurológico en: http://www.merckmanuals.com/es-us/professional/trastornos-neurol%c3%b3gicos/aproximaci%c3%b3n-al-paciente-neurol%c3%b3gico/evaluaci%c3%b3n-del-paciente-neurol%c3%b3gico. Un examinador experimentado completa el examen de todos los componentes del examen neurológico en un paciente que no presenta anomalías neurológicas. Acerca de los Manuales Merck: El Manual, que se publicó por primera vez en 1899 como un breve libro de consulta para los médicos y farmacéuticos, creció en tamaño y alcance hasta convertirse en uno de los recursos médicos integrales más utilizados por los profesionales y los pacientes. A medida que el Manual evolucionó, siguió ampliando el alcance y la profundidad de sus ofertas para reflejar la misión de proporcionar la mejor información médica de la actualidad a la mayoría de los usuarios, incluidos los profesionales y los estudiantes de Medicina, los veterinarios y estudiantes de Medicina veterinaria, y el público general. • Manual Merck Versión para profesionales: http://www.merckmanuals.com/es-us/professional • Facebook para profesionales: https://www.facebook.com/MerckManualUS • Twitter para profesionales: http://www.Twitter.com/MerckManualPro
Просмотров: 15747 Merck Manuals
The Endocrine System and Hormones | Merck Manual Consumer Version
 
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Learn more about the endocrine system: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/biology-of-the-endocrine-system/endocrine-glands The endocrine system involves hormones, chemical messengers that affect various body functions. The hypothalamus, part of the brain, controls the pituitary gland, which itself releases hormones that control other organs in the endocrine system, such as the thyroid and adrenal glands. Growth hormone controls functions such as the body’s growth. Thyroid hormone controls the rate of the body’s metabolism (for example, its heart rate and how rapidly chemical reactions are processed. The pancreas produces insulin, which helps blood sugar enter cells; when there is too little insulin, diabetes develops. The adrenal glands, one on each kidney, make adrenaline (epinephrine), aldosterone, and cortisol, which help the body adapt to stress and maintain heart rate and blood pressure. The testes make testosterone, the male sex hormone, and sperm. The ovaries make estrogen, the female sex hormone, and contain eggs. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 11116 Merck Manuals
Cómo examinar los reflejos | Manual Merck Versión para profesionales
 
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El examen neurológico: prueba de los reflejos http://www.merckmanuals.com/es-us/professional/trastornos-neurol%c3%b3gicos/aproximaci%c3%b3n-al-paciente-neurol%c3%b3gico/evaluaci%c3%b3n-del-paciente-neurol%c3%b3gico Este video muestra a un examinador que evalúa los reflejos tendinosos profundos de un paciente y sus reflejos patológicos, lo que incluye: reflejo bicipital, reflejo tricipital, reflejo braquiorradial, reflejo patelar, reflejo aquíleo, reflejo maseterino (reflejo mandibular), reflejo de Hoffman, reflejo glabelar, reflejo palmomental, reflejo de búsqueda, respuesta plantar, reflejo de Chaddock y reflejo de Oppenheim. Acerca de los Manuales Merck: El Manual, que se publicó por primera vez en 1899 como un breve libro de consulta para los médicos y farmacéuticos, creció en tamaño y alcance hasta convertirse en uno de los recursos médicos integrales más utilizados por los profesionales y los pacientes. A medida que el Manual evolucionó, siguió ampliando el alcance y la profundidad de sus ofertas para reflejar la misión de proporcionar la mejor información médica de la actualidad a la mayoría de los usuarios, incluidos los profesionales y los estudiantes de Medicina, los veterinarios y estudiantes de Medicina veterinaria, y el público general. • Manual Merck Versión para profesionales: http://www.merckmanuals.com/es-us/professional • Facebook para profesionales: https://www.facebook.com/MerckManualUS • Twitter para profesionales: http://www.Twitter.com/MerckManualPro
Просмотров: 10898 Merck Manuals
How to Deliver a Baby in Breech Presentation | Merck Manual Professional Version
 
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Learn how to deliver a baby in breech presentation vaginally: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/fetal-dystocia Recognize frank, complete, and incomplete breech presentation. Some babies in frank or complete presentation can be delivered vaginally. Anticipate cord compression and fetal heart rate deceleration. Splinting the medial thigh and sweeping it laterally, applying traction, rotating the infant, sweeping the arm across the chest, having and assistant apply suprapubic pressure, and grasping and hooking the head and neck are among the techniques than can help. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Will Stone, MD, and Kate Leonard, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 34823 Merck Manuals
How to Test Reflexes | Merck Manual Professional Version
 
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The neurological exam: reflex testing http://www.merckmanuals.com/professional/neurologic-disorders/approach-to-the-neurologic-patient/evaluation-of-the-neurologic-patient This video shows an examiner assessing a patient’s deep tendon reflexes and pathologic reflexes, including: biceps reflex, triceps reflex, brachioradialis reflex, patellar reflex, ankle jerk reflex , jaw jerk (mandibular reflex), Hoffman reflex, glabellar reflex, palmomental reflex, rooting reflex, Plantar response, Chaddock reflex, and Oppenheim reflex. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: Sumeet Multani, MD, MBBS. Department of Neurology, Albert Einstein Medical Center, Philadelphia, PA
Просмотров: 63113 Merck Manuals
How to do the Mental Status Exam | Merck Manual Professional Version
 
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Learn more about assessing mental status: http://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-mental-status This video shows an examiner assessing a patient’s mental status, including components such as orientation to time, place, and person, attention and concentration, memory, verbal and mathematical abilities, judgment, and reasoning. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: Gary Horowitz, DO. Department of Neurology, Einstein Medical Center, Philadelphia, PA
Просмотров: 71303 Merck Manuals
How to Examine the Hand | Merck Manual Professional Version
 
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More on the evaluation of hand disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/hand-disorders/overview-and-evaluation-of-hand-disorders How to examine the hand, including the following: • Inspection (eg, for resting finger orientation, palmar and dorsal hand, metacarpophalangeal and interphalangeal joints) • Checking between the metacarpal bones and on the thenar and hypothenar eminences for muscle atrophy • Palpation for tenderness • Checking range of motion and strength of intrinsic hand muscles and for weakness in the territory of the posterior interosseus nerve • Checking flexion of the flexor digitorum superficialis and the flexor digitorum profundus tendons • Checking for trigger finger • Checking for stability of the ulnar collateral ligament • Doing the Tinnel and Phelan tests for carpal tunnel syndrome • Checking for cubital tunnel syndrome • Testing two-point discrimination About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 88064 Merck Manuals
How to Manage Uterine Inversion | Merck Manual Professional Version
 
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Learn how to recognize and manage uterine inversion: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/inverted-uterus Uterine inversion can occur during vaginal, and placental, deliveries. Recognize the uterus by its fleshy appearance and absence of placental vessels. Reduce the uterus and give drugs that relax the uterus, such as terbutaline, nitroglycerine, or magnesium sulfate. Stop oxytocin. Control bleeding using bimanual massage. If reduction is successful, give a uterotonic drug such as oxytocin and try delivery once more. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Kate Leonard, MD, and Will Stone, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 4833 Merck Manuals
How to Deliver and Inspect the Placenta | Merck Manual Professional Version
 
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Learn how to deliver and inspect the placenta: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/normal-labor-and-delivery/management-of-normal-delivery Give oxytocin after delivering the baby. Place a basin and clamp the umbilical cord. Gently pull the cord. Once delivered, inspect the cord and the birth canal. Massage the uterus. Look for common abnormalities of cord insertion, including marginal insertion, in which the cord inserts along the placental edge, and velamentous insertion, in which the cord ends before reaching the placenta and some vessels run through the membrane unprotected by Wharton’s jelly. Note the cotyledons. If uncertaion, assess the mother for retained prodcuts of conception. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Kate Leonard, MD, and Will Stone, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 7637 Merck Manuals
Overview of Blood | Merck Manual Consumer Version
 
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Learn more about blood: http://www.merckmanuals.com/home/blood-disorders/biology-of-blood/overview-of-blood Blood is a complex mixture of plasma, white blood cells (which help the body fight infection), red blood cells (which carry oxygen to body tissues), and platelets (which help the blood to form clots). The average body contains about 5 to 6 quarts (about 5 liters) of blood. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 16702 Merck Manuals
Cómo realizar el examen de los nervios craneales | Manual Merck Versión para profesionales
 
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Conozca más acerca de la evaluación de los nervios craneanos en: https://www.merckmanuals.com/es-us/professional/trastornos-neurol%c3%b3gicos/aproximaci%c3%b3n-al-paciente-neurol%c3%b3gico/evaluaci%c3%b3n-del-paciente-neurol%c3%b3gico. Este video muestra a un examinador que evalúa la función de los nervios craneanos de un paciente, lo que incluye la visión, los movimientos de los ojos, la función del nervio trigémino y facial, la función del nervio glosofaríngeo y vagal motriz y la función del nervio hipogloso y accesorio espinal. Para evaluar la función del nervio vestibulococlear, se examina al paciente para determinar la disfunción auditiva y evaluar la función vestibular (incluida la prueba del nistagmo). Acerca de los Manuales Merck: El Manual, que se publicó por primera vez en 1899 como un breve libro de consulta para los médicos y farmacéuticos, creció en tamaño y alcance hasta convertirse en uno de los recursos médicos integrales más utilizados por los profesionales y los pacientes. A medida que el Manual evolucionó, siguió ampliando el alcance y la profundidad de sus ofertas para reflejar la misión de proporcionar la mejor información médica de la actualidad a la mayoría de los usuarios, incluidos los profesionales y los estudiantes de Medicina, los veterinarios y estudiantes de Medicina veterinaria, y el público general. • Manual Merck Versión para profesionales: http://www.merckmanuals.com/es-us/professional • Facebook para profesionales: https://www.facebook.com/MerckManualUS • Twitter para profesionales: http://www.Twitter.com/MerckManualPro Sridhara S. Yaddanapudi, MD. Departamento de Neurología, Einstein Medical Center, Philadelphia, PA
Просмотров: 6136 Merck Manuals
The Nervous System | Merck Manual Consumer Version
 
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Learn more about the nervous system: http://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/biology-of-the-nervous-system/overview-of-the-nervous-system The nervous system includes the brain, spinal cord (which transmits signals between the brain and the body), and the peripheral nerves (which transmit signals between the body and spinal cord). Brain structures include various lobes of the large cerebrum (responsible for higher brain functions such as thinking and some others) and the cerebellum (responsible for coordination and balance). Nerve cells in the nervous system communicate using chemicals called neurotransmitters. In multiple sclerosis, the body’s immune system attacks myelin, a fatty substance forming a sheath around nerves. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 2511 Merck Manuals
How to Examine the Wrist | Merck Manual Professional Version
 
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More on the evaluation of joint disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/approach-to-the-patient-with-joint-disease/evaluation-of-the-patient-with-joint-disorders How to examine the wrist, including the following: • Inspection (of landmarks such as the distal radius and ulna, metacarpal bones, radial styloid, ulnar styloid, and Lister tubercle) and for evidence of ganglionic cysts • Palpation (including the anatomic snuff box, found locating the extensor pollicis longus, abductor pollicis longus, and extensor pollicis brevis) • Range of motion testing (including extension, flexion, radial and ulnar deviation) • Finkelstein test (for DeQuervain syndrome) • Test for stability. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 4524 Merck Manuals
Biology of the Ears, Nose, and Throat | Merck Manual Consumer Version
 
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Learn more about how the ears, nose, and throat work: http://www.merckmanuals.com/home/ear,-nose,-and-throat-disorders/biology-of-the-ears,-nose,-and-throat/introduction-to-biology-of-the-ears,-nose,-and-throat The throat is a passageway through which food and air pass. After passing through the throat, air passes around the epiglottis and through the vocal cords, then through the voice box (larynx) as a person breathes in. The ears transmit sound waves from the outside to the eardrum (tympanic membrane) and then to tiny bones (called ossicles) in the middle ear in the skull. The ossicles send signals to nerves that carry eventually reach the brain where they are interpreted as sounds. The middle ear also has a vestibular system, which is very sensitive to gravity and maintains balance. The nose warms and moistens air and is responsible for smell. The sinuses are air-filled cavities in the face and skull. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 30782 Merck Manuals
How to Repair a Cervical Laceration | Merck Manual Professional Version
 
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Learn how to repair cervical lacerations that develop after delivery: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/postpartum-hemorrhage The cervix can tear spontaneously or after precipitous delivery, cesarean delivery, or labor with a cerclage in place. Use optimal lighting, retractors (if necessary) and the high lithotomy position to recognize the laceration. Use ringed forceps to examine the entire cervical diameter and obtain hemostasis for repair. Use O to 2-O polyglactin, or vicryl sutures in a running, locked fashion, beginning at the apex. Use vaginal packing if necessary. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Kate Leonard, MD, and Will Stone, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 6154 Merck Manuals
How to Manage Postpartum Hemorrhage | Merck Manual Professional Version
 
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Learn various ways to manage postpartum hemorrhage: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/postpartum-hemorrhage Whenever blood loss is significant, call for additional personnel, give IV fluid resuscitation and test for coagulopathy. considering disseminated intravascular coagulation as well as inherited coagulopathy. Lab tests should include fibrinogen level as well as CBC with platelets, PT/PTT, and type and screen for possible transfusion. Uterine atony is the most common cause of hemorrhage. Begin with uterine massage (bimanual if necessary) and oxytocin. Consider a 2nd uterotonic drug, such as methylergonovine, 16-methyl prostaglandin F 2-alpha, or misoprostol. Assess for retained products of conception. Repair vaginal and cervical lacerations. If needed, tamponade the uterus using an intrauterine balloon or gauze packing. If bleeding persists, do a laparotomy. Do a hysterotomy to empty the uterus. Place uterine compression sutures, such as the B-Lynch or the modified B-Lynch. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Kate Barrett, MD and Will Stone, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; Barton Staat, MD, Uniformed Services University; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; Assisted by Elizabeth N Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 8178 Merck Manuals
Cómo realizar un examen del estago mental | Manual Merck Versión para profesionales
 
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Conozca más acerca de la evaluación del estado mental en: http://www.merckmanuals.com/es-us/professional/trastornos-neurol%C3%B3gicos/aproximaci%C3%B3n-al-paciente-neurol%C3%B3gico/evaluaci%C3%B3n-del-paciente-neurol%C3%B3gico Este video muestra a un examinador que evalúa el estado mental de un paciente, lo que incluye los componentes como la orientación en tiempo y lugar, la atención de la persona y su concentración, la memoria, las habilidades orales y matemáticas, el juicio y el razonamiento. Acerca de los Manuales Merck: El Manual, que se publicó por primera vez en 1899 como un breve libro de consulta para los médicos y farmacéuticos, creció en tamaño y alcance hasta convertirse en uno de los recursos médicos integrales más utilizados por los profesionales y los pacientes. A medida que el Manual evolucionó, siguió ampliando el alcance y la profundidad de sus ofertas para reflejar la misión de proporcionar la mejor información médica de la actualidad a la mayoría de los usuarios, incluidos los profesionales y los estudiantes de Medicina, los veterinarios y estudiantes de Medicina veterinaria, y el público general. • Manual Merck Versión para profesionales: http://www.merckmanuals.com/es-us/professional • Facebook para profesionales: https://www.facebook.com/MerckManualUS • Twitter para profesionales: http://www.Twitter.com/MerckManualPro
Просмотров: 1728 Merck Manuals
The Digestive System | Merck Manual Consumer Version
 
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Learn more about the digestive system: http://www.merckmanuals.com/home/digestive-disorders/biology-of-the-digestive-system/overview-of-the-digestive-system The digestive system includes the gastrointestinal tract (the organs through which food and drink pass, from the mouth to the anus), liver, pancreas, and gallbladder. Acid helps the stomach break down foods into nutrients, which are absorbed mostly in the small intestine. After passing through the large intestine, the remains of food are passed from the rectum. The liver produces bile, a substance that helps absorb fats, into the gallbladder. Bile passes from the gallbladder into the intestine. The pancreas produces enzymes that aid in digestion and insulin. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 3364 Merck Manuals
How to do the Motor Examination | Merck Manual Professional Version
 
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Learn more about assessing the motor system: https://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-the-motor-system This video shows an examiner assessing a patient’s motor function, including observation for muscle hypertrophy and atrophy, strength of muscles (proximal and distal, gravity and anti-gravity), fine movements, and muscle tone. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: Mihai Cosmin Sandulescu, MD. Department of Neurology, Einstein Medical Center, Philadelphia, PA
Просмотров: 4643 Merck Manuals
How to do the Sensory Exam | Merck Manual Professional Version
 
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Learn more about assessing sensation: https://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-sensation This video shows an examiner assessing a patient’s sensation, including light touch, temperature, pain, vibration, proprioception, graphesthesia, stereognosis, double simultaneous stimulation, and balance. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: Aparna M. Prabhu, MD, MRCP(UK). Department of Neurology, Albert Einstein Medical Center, Philadelphia, PA
Просмотров: 48403 Merck Manuals
Biology of the Liver and Gallbladder | Merck Manual Consumer
 
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Learn more about the liver and gallbladder: http://www.merckmanuals.com/home/liver-and-gallbladder-disorders/biology-of-the-liver-and-gallbladder/overview-of-the-liver-and-gallbladder The liver has many functions. It makes bile, a substance that is stored in the gallbladder and released into the intestine after eating. Bile breaks down fats and cholesterol so that they can be absorbed and helps the body absorb some other substances. Bile binds certain toxins that pass through the intestines and are eventually excreted in stool; bile also binds some other toxins that are absorbed into the blood, after which they are eventually excreted by the kidneys. The liver stores sugars as glycogen, a complex sugar that can be broken down and released into the blood as simple sugar when blood sugar levels are low. Liver tissue can be damaged by disorders, such as viral hepatitis. The liver can repair itself, but if damage is too much, scar tissue (called fibrosis) or severe scarring that can cause serious complications (called cirrhosis) develops. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 1790 Merck Manuals
How to Examine the Elbow | Merck Manual Professional Version
 
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More on the evaluation of joint disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/approach-to-the-patient-with-joint-disease/evaluation-of-the-patient-with-joint-disorders How to examine the elbow, including the following: • Inspection (eg, of the carrying angle) • Palpation (eg, lateral and medial epicondyles, radial head, olecranon, extensor tendons, flexor tendons) • Testing range of motion • Provocative testing (eg, for lateral epicondylitis, medial epicondylitis, and varus and valgus instability). About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 35343 Merck Manuals
How to do Spontaneous Vaginal Delivery | Merck Manual Professional Version
 
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Learn how to do routine spontaneous vaginal delivery: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/normal-labor-and-delivery/management-of-normal-delivery Ensure full cervical dilation before assisting delivery. Feel the fetal suture lines and fontanelles to assess fetal position. Use the dorsal lithotomy position. Feel the uterus or do tocometry if epidural anesthesia is used. Perineal bulging heralds crowning. Control the rate of delivery and help the head clear the pubic symphysis. Avoid episiotomy. Look for nuchal cord. After restitution, grasp the mandible and pull downward. Deliver the shoulders and begin oxytocin infusion. Strip, clamp, and cut the umbilical cord. Bulb suction and nose. If meconium was not passed, stimulate the infant. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Will Stone, MD, and Kate Leonard, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 12468 Merck Manuals
How to do the Cerebellar Examination | Merck Manual Professional Version
 
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Learn more about assessing gait, stance, and coordination: http://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-gait,-stance,-and-coordination This video shows an examiner assessing a patient’s cerebellar function, including muscle tone, coordination, gait, and rapid alternating movements. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: George Newman, MD-PhD. Chairman, Department of Neurology, Einstein Medical Center, Philadelphia, PA
Просмотров: 8124 Merck Manuals
The Cardiovascular System | Merck Manual Consumer Version
 
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Learn more about the heart and blood vessels, including disorders and diseases that affect both: http://www.merckmanuals.com/home/heart-and-blood-vessel-disorders The cardiovascular system includes the heart and blood vessels. It carries oxygen and nutrients to the tissues and brings waste products (such as carbon dioxide) from them. In the heart, atria recive blood and ventricles pump blood out. The right side of the heart receives blood from the body and pumps it to the lungs, where carbon dioxide is eliminated and oxygen is received. The left side pumps the blood, now carrying oxygen, to the body. Pacemaking cells in the heart maintain its regular rate of pumping. The pacemaking system begins with the sinoatrial node in the right atrium and extends into the ventricles. Disturbances in the rate or rhythm of the heart’s contraction are called arrhythmias. Arteries carry blood from the heart, under high pressures and so are strong. Blood travels through smaller arteries until reaching capillaries, from which blood reaches the veins. Blood travels through veins back to the heart under low pressure, so veins are not as strong as arteries. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 3138 Merck Manuals
How to Insert a Laryngeal Mask Airway  | Merck Manual Professional Version
 
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Learn more about airway and respiratory devices: https://www.merckmanuals.com/professional/critical-care-medicine/respiratory-arrest/airway-and-respiratory-devices About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure demonstrated by Chad Smith, MD, EM-2. Walter A. Schrading, MD, FACEP, faculty supervisor. WellSpan York Hospital Emergency Medicine Residency Program, York, PA. Cadaver specimens provided by Maryland State Anatomy Board, DHMH. Filmed on location at School of Medicine, Anatomical Services Division, Univ. of Maryland.
Просмотров: 715 Merck Manuals
How to do and Repair an Episiotomy | Merck Manual Professional Version
 
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Learn how to do and repair episiotomies: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/normal-labor-and-delivery/management-of-normal-delivery About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Will Stone, MD, and Kate Leonard, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 7892 Merck Manuals
How to Deliver During Shoulder Dystocia | Merck Manual Professional Version
 
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Learn how to deliver a baby with shoulder dystocia vaginally: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/fetal-dystocia Shoulder dystocia is a true obstetric emergency. Learn maneuvers to accomplish a vaginal delivery, including McRoberts maneuver, rotational maneuvers, delivery of the posterior arm, and the Gaskin maneuver. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Procedure by Kate Leonard, MD, and Will Stone, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.
Просмотров: 1259 Merck Manuals
Cómo realizar el examen motor | Manual Merck Versión para profesionales
 
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Conozca más acerca de la evaluación del sistema motriz en: https://www.merckmanuals.com/es-us/professional/trastornos-neurol%c3%b3gicos/aproximaci%c3%b3n-al-paciente-neurol%c3%b3gico/evaluaci%c3%b3n-del-paciente-neurol%c3%b3gico. Este video muestra a un examinador que evalúa la función motriz de un paciente, lo que incluye la observación de la hipertrofia y atrofia muscular, la fuerza muscular (proximal y distal, gravedad y antigravedad), los movimientos rápidos y el tono muscular. Acerca de los Manuales Merck: El Manual, que se publicó por primera vez en 1899 como un breve libro de consulta para los médicos y farmacéuticos, creció en tamaño y alcance hasta convertirse en uno de los recursos médicos integrales más utilizados por los profesionales y los pacientes. A medida que el Manual evolucionó, siguió ampliando el alcance y la profundidad de sus ofertas para reflejar la misión de proporcionar la mejor información médica de la actualidad a la mayoría de los usuarios, incluidos los profesionales y los estudiantes de Medicina, los veterinarios y estudiantes de Medicina veterinaria, y el público general. • Manual Merck Versión para profesionales: http://www.merckmanuals.com/es-us/professional • Facebook para profesionales: https://www.facebook.com/MerckManualUS • Twitter para profesionales: http://www.Twitter.com/MerckManualPro
Просмотров: 838 Merck Manuals
How to Examine the Ankle | Merck Manual Professional Version
 
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Overview of foot and ankle disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/foot-and-ankle-disorders/overview-of-foot-and-ankle-disorders How to examine the ankle, including the following: • Inspection and palpation (eg, to include the medial malleolus, lateral malleolus, lateral fibular ligaments [anterior talofibular, posterior talofibular, and fibulocalcaneal], deltoid ligament, base of the fifth metatarsal bone, navicular bone, tendons of the extensor hallucis longus and extensor digitorum longus, talar dome, and joint line over the connection between the talus and distal tibiofibular syndesmosis) • Checking dorsalis pedis and posterior tibial artery pulses • Range of motion testing (including dorsiflexion, plantarflexion, inversion, and eversion) • Stress testing (eg, anterior drawer test) • Thompson test for Achilles tendon tears About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 2287 Merck Manuals
The Respiratory System | Merck Manual Consumer Version
 
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Learn more about the respiratory system: http://www.merckmanuals.com/home/lung-and-airway-disorders/biology-of-the-lungs-and-airways/respiratory-system The function of the respiratory system is gas exchange: to gather oxygen from the environment for the body and expel carbon dioxide (a waste product) from the body. The diaphragm is the large muscle inside that lies between the chest and abdomen. The intercostal muscles are between ribs. Breathing in (inspiration) starts when the diaphragm and intercostal muscles contract, expanding the chest and sucking air in through the nose and mouth. Air then passes though the voicebox (larynx) into the windpipe (trachea) to the right and left main air tubes (bronchi). The bronchi then divide further, into smaller tubes called bronchioles and eventually, capillaries. Capillaries are extremely thin. Oxygen and carbon dioxide pass through the capillaries in the lungs, accomplishing gas exchange. After inspiration, the diaphragm and intercostal muscles relax, and the person exhales. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 2074 Merck Manuals
How to Examine the Foot | Merck Manual Professional Version
 
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Overview of foot and ankle disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/foot-and-ankle-disorders/overview-of-foot-and-ankle-disorders How to examine the foot, including the following: • Inspection and palpation (eg, including the medial malleolus, lateral malleolus, ankle joint line, mid-foot, heel, metatarsal bones, fifth metatarsal head, web spaces, interdigital spaces, longitudinal arch, tarso-metatarsal joints, calcaneal bone, navicular bone, other tarsal bones) • Identification of deformities (eg, hallux valgus [bunion], hammertoes) • Inspecting the patient’s shoes • Inspecting while the patient stands to identify pes planus (flat feet) or pes cavus (high arches) • Checking dorsalis pedis and posterior tibial artery pulses • Range of motion testing (including dorsiflexion, plantarflexion, inversion, and eversion) About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 6597 Merck Manuals
How to do the Cranial Nerve Examination | Merck Manual Professional Version
 
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Learn more about assessing the cranial nerves: http://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-the-cranial-nerves This video shows an examiner assessing a patient’s cranial nerve function, including vision, eye movements, facial and trigeminal nerve function, glossopharyngeal and motor vagal nerve function, and spinal accessory and hypoglossal nerve function. To evaluate function of the vestibulocochlear nerve, the patient is screened for hearing dysfunction and vestibular function (including nystagmus testing) is assessed. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: Sridhara S. Yaddanapudi, MD. Department of Neurology, Einstein Medical Center, Philadelphia, PA
Просмотров: 65958 Merck Manuals
The Female Reproductive System | Merck Manual Consumer Version
 
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Learn more about the female reproductive system: http://www.merckmanuals.com/home/women-s-health-issues/biology-of-the-female-reproductive-system/overview-of-the-female-reproductive-system The vagina is a tube that connects the external female genital organs with the uterus and, through the uterus, other female genital organs. Menstrual fluid, sperm, and the newborn fetus all pass through the vagina. The uterus has thick, muscular walls that contract to help expel a fetus during childbirth. The cervix (the opening at the base of the uterus) and vagina widen during childbirth. The fallopian tubes extend from the uterus toward the ovaries. Eggs are fertilized by sperm in the fallopian tubes; fertilized eggs are propelled toward the uterus by finger-like projections in the fallopian tubes. The ovaries, just outside of the fallopian tubes, are where eggs are stored and female sex hormones are produced, mainly estrogen and progesterone. Levels of these hormones increase at the time of puberty, triggering changes that include initiation of menstruation, breast development, and development of many adult characteristics, such as growth of underarm and pubic hair. The breasts are milk-producing glands surrounded by fatty tissue. Milk production is stimulated at about the 24th week of pregnancy by hormones. Milk flows through ducts in the breast glands and then out the nipples. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 6002 Merck Manuals
How To Do The Head Tilt-Chin Lift and Jaw Thrust Maneuvers | Merck Manual Professional Version
 
01:05
More on airway establishment and control: http://www.merckmanuals.com/professional/critical-care-medicine/respiratory-arrest/airway-establishment-and-control About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Filmed on location and with the assistance of the Einstein Center for Clinical Competence, Einstein Healthcare Network, Charles Bortle, EdD, Director.
Просмотров: 4001 Merck Manuals
The Male Reproductive System | Merck Manual Consumer
 
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Learn more about the male reproductive system: http://www.merckmanuals.com/home/men-s-health-issues/biology-of-the-male-reproductive-system/structure-of-the-male-reproductive-system The male reproductive system includes the penis, testes, scrotum, epididymis, prostate gland, vas deferens, and seminal vesicles.The testes produce testosterone, the main male sex hormone, and sperm. The scrotum protects and cools the testes. Cooling can help sperm survive. The epididymis is a coiled tube on top of the testicle that collects sperm, allowing them to mature. At puberty, an increase in testosterone production leads to enlargement of the testes, lengthening of the penis, and development of adult characteristics such as growth of underarm, pubic, and facial hair. The prostate gland is under the bladder and surrounds the urethra. The prostate produces fluid that nourishes sperm. Normally walnut sized, it enlarges with age or with prostate cancer. Enlargement or prostate cancer can cause difficulty urinating. The urethra is a tube through which urine and sperm pass. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 2161 Merck Manuals
Cómo realizar el examen del cerebelo | Merck Manual Versión para profesionales
 
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Conozca más acerca de la evaluación de la marcha, la postura y la coordinación en: http://www.merckmanuals.com/es-us/professional/trastornos-neurol%c3%b3gicos/aproximaci%c3%b3n-al-paciente-neurol%c3%b3gico/evaluaci%c3%b3n-del-paciente-neurol%c3%b3gico. Este video muestra a un examinador que evalúa la función cerebelosa de un paciente, lo que incluye el tono muscular, la coordinación, la marcha y los movimientos alternantes rápidos. Acerca de los Manuales Merck: El Manual, que se publicó por primera vez en 1899 como un breve libro de consulta para los médicos y farmacéuticos, creció en tamaño y alcance hasta convertirse en uno de los recursos médicos integrales más utilizados por los profesionales y los pacientes. A medida que el Manual evolucionó, siguió ampliando el alcance y la profundidad de sus ofertas para reflejar la misión de proporcionar la mejor información médica de la actualidad a la mayoría de los usuarios, incluidos los profesionales y los estudiantes de Medicina, los veterinarios y estudiantes de Medicina veterinaria, y el público general. • Manual Merck Versión para profesionales: http://www.merckmanuals.com/es-us/professional • Facebook para profesionales: https://www.facebook.com/MerckManualUS • Twitter para profesionales: http://www.Twitter.com/MerckManualPro George Newman, MD-PhD. Director, Departamento de Neurología, Einstein Medical Center, Philadelphia, PA
Просмотров: 790 Merck Manuals
How to Examine the Neck | Merck Manual Professional Version
 
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More on the evaluation of neck and back pain: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/neck-and-back-pain/evaluation-of-neck-and-back-pain How to examine the neck, including the following: • Inspection (from behind and in front) to identify muscle atrophy (eg, of trapezius and spinal muscles) and other abnormalities • Palpation • Range of motion testing (including flexion, extension, rotation, and lateral bending) • The Spurling maneuver About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
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How the Merck Manual is Made
 
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Order your 20th Edition of the Merck Manual: http://mrkmnls.co/20th Trusted by doctors, pharmacists, and other healthcare professionals for more than a century, The Merck Manual, now published in its 20th Edition, offers readers the tactile satisfaction of paging through an array of medical topics. Completely updated and extensively expanded content has added significant girth to the tome since the last edition was published in 2011, and it now weighs in at more than six pounds. Bibliophiles will appreciate the detailed index, page-specific cross references, large trim, and thumb tabs. The 3,584-page volume is the work of a team of more than 350 expert contributors; all content is reviewed by an independent editorial board. The comprehensive resource covers a full range of medical specialties, including gastroenterology, cardiology, ophthalmology, dermatology, endocrinology, oncology, immunology, neurology, and psychiatry. There are dedicated sections for pediatrics and geriatrics. All of the information in the print version is enhanced by many multimedia features also accessible for free in app form or at http://MerckManuals.com -------------------------------------------------------- • Merck Manual Professional Version: http://www.MerckManuals.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro
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How to Examine the Shoulder | Merck Manual Professional Version
 
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More on the evaluation of joint disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/approach-to-the-patient-with-joint-disease/evaluation-of-the-patient-with-joint-disorders How to examine the shoulder, including the following: • Inspection of structures (eg, of the clavicle, acromion, acromioclavicular joint, scapula, and scapular spine) • Inspection for muscle wasting (eg, over the deltoid, supraspinatus, and infraspinatus) • Palpation (eg, of the clavicle, acromion, acromioclavicular joint, subacromial bursa, supraspinatus and infraspinatus) • Checking range of motion • Examining for impingement syndrome (eg, using the Neer test and the Hawkins test) • Examining for acromioclavicular (A-C) joint injury using the cross-body adduction test • Examining for specific injuries, such as: Rotator cuff injuries by testing external rotation, Arm abduction against resistance, or a drop-arm test,Supraspinatus weakness, Bicipital tendonitis by palpating the bicipital groove and doing a speed test) • Examining for instability (eg, anterior glenohumeral instability). About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 76198 Merck Manuals
How to Examine the Back | Merck Manual Professional Version
 
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More on the evaluation of neck and back pain: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/neck-and-back-pain/evaluation-of-neck-and-back-pain How to examine the back, including the following: • Inspection (eg, for kyphosis and scoliosis) • Palpation (eg, of the pelvic brim, vertebral column, sacrum, ileum, sacroiliac joints, ileolumbar ligament) • Selected maneuvers (eg, straight leg raising, sciatic nerve stretching, concealed straight leg raising) About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 1728 Merck Manuals
Biology of the Kidneys and Urinary Tract | Merck Manual Consumer Version
 
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Learn more about how the kidneys and urinary tract work: http://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/biology-of-the-kidneys-and-urinary-tract/kidneys The kidneys are bean-shaped organs located in the flanks. They regulate blood pressure and the body’s amount of water and minerals. Blood from the aorta reaches the kidneys by passing through the kidney’s (renal) arteries. From there, the blood begins to be filtered as fluids, minerals, and waste products pass through the glomerulus and Bowman’s capsule (in the cortex, or outer part of the kidney) to tubules (in the medulla, or inner part of the kidney), The filtered solution passes into collecting ducts, then into the ureter (tubes connecting the kidney to the bladder) and bladder, and then out through the urethra. Among the disorders that can affect the kidney and urinary tract, stones, usually made mostly of calcium, can cause pain, bleeding, and infection. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 62965 Merck Manuals
How To Do the Heimlich Maneuver in the Conscious Adult | The Merck Manuals
 
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The Heimlich maneuver is a rapid first aid procedure to treat choking due to upper airway obstruction by foreign objects. Learn more: http://www.merckmanuals.com/professional/critical-care-medicine/respiratory-arrest/how-to-do-the-heimlich-maneuver-in-the-conscious-adult About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Filmed on location and with the assistance of the Einstein Center for Clinical Competence, Einstein Healthcare Network, Charles Bortle, EdD, Director.
Просмотров: 629 Merck Manuals
How to Examine the Knee | Merck Manual Professional Version
 
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More on the evaluation of joint disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/approach-to-the-patient-with-joint-disease/evaluation-of-the-patient-with-joint-disorders How to examine the knee, including the following: • Inspection (eg, for patellar alignment and to identify landmarks such as the tibial tubercle and patellar and quadriceps tendons) • Measuring the thighs to detect muscle atrophy • Detection of effusions (eg, using patellar ballottement) • Palpation (including the patellar underside, tibial tendon, and for joint line tenderness) • Testing passive range of motion • Assessing the quadriceps mechanism • Testing for laxity of ligaments (eg, medial collateral ligament, lateral collateral ligament, anterior cruciate ligament) using stress tests (eg, varus, valgus) and other ways, such as the Lachman test, anterior drawer test, and posterior drawer test. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Просмотров: 1955 Merck Manuals
Overview of Cancer | Merck Manual Consumer Version
 
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Learn more about cancer: http://www.merckmanuals.com/home/cancer/overview-of-cancer/overview-of-cancer Cancer is uncontrolled growth of abnormal cells that can eventually overwhelm the body. Cancers can be solid (lumps or masses) or occur in the cells of the blood. The immune system normally patrols the body for potential cancer cells and destroys them. Symptoms of cancer depend on what part of the body becomes dysfunctional. Treatments can include surgery radiation therapy, drugs (called chemotherapy), or a combination. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 1361 Merck Manuals
How to do Cardiopulmonary Resuscitation (CPR) in Adults | Merck Manual Professional Version
 
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More on cardiopulmonary resuscitation (CPR) in adults: http://www.merckmanuals.com/professional/critical-care-medicine/cardiac-arrest-and-cpr/cardiopulmonary-resuscitation-cpr-in-adults About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Filmed on location and with the assistance of the Einstein Center for Clinical Competence, Einstein Healthcare Network, Charles Bortle, EdD, Director.
Просмотров: 887 Merck Manuals
"You won't find a better job." -  Dr. James Jeffrey Malatack on the Field of Medicine
 
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Dr. James Jeffrey Malatack is professor of pediatrics at Thomas Jefferson University's Sidney Kimmel College of Medicine with primary clinical responsibility at Nemours/Alfred I. duPont Hospital for Children. Dr. Malatack also serves on the editorial board for the Manuals. In this video, Dr. Malatack shares his personal journey from potential astrophysicist to transplant immunologist and pediatrician. He also gives some practical advice and tips for medical students aspiring to be pediatricians. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro
Просмотров: 267 Merck Manuals
Introduction to the Human Body | Merck Manual Consumer Version
 
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More about the human body: http://www.merckmanuals.com/home/fundamentals/the-human-body/introduction-to-the-human-body The body is made of cells, each of which contain smaller structures, such as the cytoplasm (fluid inside the cell), energy-producing mitochondria, and nucleus, which contains the nuclear code, or DNA. Cells form tissues (for example, the connective tissues). Organs contain various types of tissues. For example, the heart contains fibrous tissue that make up its valves, muscle tissue that pumps the blood, and cells that conduct electrical signals (called pacemaking cells) that make the heart beat in rhythm. Various organs work together to form organ systems; for example, the cardiovascular system includes the heart and blood vessels. About The Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Consumer Version: http://www.MerckManuals.com/Home • Facebook for Consumers: http://www.Facebook.com/MerckManualHome • Twitter for Consumers: http://www.Twitter.com/MerckManualHome
Просмотров: 6882 Merck Manuals