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Monday, February 9, 2015

Classification of Data

1. Quantitive or contunuous
eg. age, height, weight, Blood pressure

2. Ordinal
eg. mild, moderate, severe symptoms

3. Categorical
eg. hair color, ethnic group

4. Binary
eg. male or female

5. Time dependent
eg. Classification of subject whether dead or alive depending on the length of follow-up

Sunday, February 8, 2015

How to calculate confidence interval for the mean

95%CI = mean ± (1.96 * SEM )
99%CI = mean ± (2.58 * SEM )
90%CI = mean ± (1.65 * SEM )
SEM = standard error of the mean

Branches of lumbar plexus

The lumbar plexus involves the anterior primary rami of L1 to L5. This plexus forms in the substance of psoas major muscle. The branches are
Iliohypogastric L1
Ilioinguinal L1
Lateral cutaneous nerve of thigh L2 L3
Femoral L2L3L4

Genitofemoral L1L2

Obturator L2L3L4
Lumbosacral trunk L4L5

All the branches emerge from the lateral border of psoas major except genitofemoral (anterior), Obturator (medial) and Lumbosacral (medial).

The Obturator nerve

Arises from the ventral primary rami of the 2nd, 3rd, 4th lumbar nerves.
Emerges from the medial side of psoas major muscle.
Reaches the thigh by passing through obturator canal.
Provides cutaneous branches to medial aspect of thigh and
Muscular branches to gracilics, Obturator externus and adductor muscles (longus, magnus and brevis).
Articular branches to hip and knee joints.

Wednesday, February 4, 2015

The fallopian tube

The fallopian tube is developed from the cranial portion of paramesonephric duct. It is narrower at its medial than lateral end. The most lateral part is called fimbrial. The fimbria ovarica attaches the tube to the lateral pole of the ovary and presumed to aid in ovum transport into the tube. From medial to lateral the tube has parts namely interstitial, isthmus, ampulla, infundibulum and fimbria.
The tube is lined by single layered columnar epithelium with 4 types of cells; ciliated, secretory, peg and basal. Ciliated cells are more numerous in infundibulum and ampullary regions, with secretory cells more often seen in isthmus.
The epithelium shows cyclical changes.

Fallopian tube

The fallopian tube is developed from the cranial portion of paramesonephric duct. It is narrower at its medial than lateral end. The most lateral part is called fimbrial. The fimbria ovarica attaches the tube to the lateral pole of the ovary and presumed to aid in ovum transport into the tube. From medial to lateral the tube has parts namely interstitial, isthmus, ampulla, infundibulum and fimbria.
The tube is lined by single layered columnar epithelium with 4 types of cells; ciliated, secretory, peg and basal. Ciliated cells are more numerous in infundibulum and ampullary regions, with secretory cells more often seen in isthmus.
The epithelium shows cyclical changes.

Saturday, January 31, 2015

Cardiac output in normal pregnancy

In normal pregnancy, cardiac output starts to rise from early pregnancy and peak at around 20 weeks which is about 1.5litre per minutes (40% above the non pregnant level). This rise is maintained through the rest of pregnancy.
The increase in CO is caused by increased heart rate (15beat/min) and stroke volume (from 65 to 70ml).

Saturday, January 24, 2015

What is Ferguson reflex?

The neuronal stimuli caused by distension of the cervix by the presenting part of the fetus increase the secretion of oxytocin more frequently during labour.
This is called as Ferguson Reflex.

Thursday, January 22, 2015

With regard to antibodies in SLE

The most common autoantibody is antinuclear antibody (ANA) and seen in 96% of SLE patients.
Antibodies against double stranded DNA and anti Smith antibody are the most specific antibodies.
Both anti Ro and anti La cross the placenta.

Thursday, June 12, 2014

Anorexia nervosa

Anorexia nervosa is an eating disorder that causes people to obsess about their weight and the food they eat. People with anorexia nervosa attempt to maintain a weight that's far below normal for their age and height. To prevent weight gain or to continue losing weight, people with anorexia nervosa may starve themselves or exercise excessively.

Physical signs and symptoms of anorexia include:

    Extreme weight loss
    Thin appearance
    Abnormal blood counts
    Fatigue
    Insomnia
    Dizziness or fainting
    A bluish discoloration of the fingers
    Hair that thins, breaks or falls out
    Soft, downy hair covering the body
    Absence of menstruation
    Constipation
    Dry skin
    Intolerance of cold
    Irregular heart rhythms
    Low blood pressure
    Dehydration
    Osteoporosis
    Swelling of arms or legs

Emotional and behavioral characteristics associated with anorexia include:

    Refusal to eat
    Denial of hunger
    Afraid of gaining weight
    Lying about how much food has been eaten
    Excessive exercise
    Flat mood (lack of emotion)
    Social withdrawal
    Irritability
    Preoccupation with food
    Reduced interest in sex
    Depressed mood
    Possible use of laxatives, diet aids or herbal products