(Posts tagged anatomy)

biomedicool

Atherosclerosis

biomedicool

Accumulation of fatty material in the artery walls resulting in a narrowing or blocking

Affects mainly medium-large arteries
Only occurs in arteries with high pressure
Does not occur in veins unless exposed to systemic arterial pressures

Atheroma Formation

disease of the tunica intima but can impact on the tunica media
accumulation of lipid rich material to for plaques

ONE

Endothelial damage occurs allowing entry to LDLs (low-density lipoproteins) into the tunica intima

TWO

Lipid taken up by macrophages in the intima
Accumulates to form a visible white bulge - fatty streak

THREE

Continued accumulation of lipids
cytokines from macrophages stimulate proliferation of intima cells with features of myofibroblasts
these secrete collagen - plaque starts to become fibrotic
lesions are more raised and yellower
as the lesion develops there is a pressure atrophy of the tunica media and the elastic lamina is disrupted

Four

Increased collagen secretion forms a dense, fibrous cap (fibrolipid cap) which is hard and white
this advanced plaque shows free lipid as well as the lipid in macrophages
collagen build up also weakens the arterial wall
endothelium is fragile and often ulcerates, allowing platelet aggregation and formation of a thrombus (clot) (thrombosis)

anatomy yep this'll kill ya

regionstraumapro

Do You Really Need To Repeat That Trauma Bay Xray?

regionstraumapro

It happens all the time. You get that initial chest and/or pelvic xray in the resuscitation room while evaluating a blunt trauma patient. A few minutes later the tech returns with another armful of xray plates to repeat them. Why? The patient was not centered properly and part of the image is clipped.

Where is the left side of the chest, and do we care?

Do you really need to go through the process of setting up again, moving the xray unit in, watching people run out of the room (if they are not wearing lead, and see my post below about how much radiation they are really exposed to), and shooting another image? The answer to the question lies in what you are looking for. Let’s address the two most common (and really the only necessary) images needed during early resuscitation of blunt trauma.

First, the chest xray. You are really looking for 3 things:

Big air (pneumothorax)
Big blood (hemothorax)
Big mediastinum (hinting at aortic injury)

Look at the clipped xray above. A portion of the left chest wall is off the image. If there were a large pneumothorax on the left, would you be able to see it? What about a large hemothorax? And the mediastinum is fully included, so no problem there. So in this case, no need to repeat immediately.

The same thing goes for the pelvis. You are looking for gross disruption of the pelvic ring, especially posteriorly because this will cause you to intervene in the ED (order blood, consider wrapping the pelvis). So if parts of the edges or top and bottom are clipped, no big deal.

Bottom line: Don’t let the xray tech disrupt the team again by reflexively repeating images that are not technically perfect. See if you can use what you already have. And how do you decide if you need to repeat it later, if at all? Consider the mechanism of injury and the physical exam. Then ask yourself if there is anything you could possibly see that was not imaged the first time that would change your management in any way. If not, you don’t need it. But it certainly will irritate the radiologists!

anatomy see this is just plain interesting

retrocgads

where the fuck in the body are they supposed to be exactly? anatomy

brainsandbodies

anatomy

i-heart-anatomy-and-physiology

studydiaryofamedstudent

Seriously, have you seen these? Great way to get an introduction to the CNS, and it so well done. Check out the youtube channel: https://www.youtube.com/watch?v=xB7rXw_3gVY&list=PL242bEng6nyIdshvi_ZUid_i3YctT75q9

UBC Faculty of Medicine

brain gore anatomy seriously look at that that shit is YOU.

scientificillustration

fryingtoilet

Bone portfolio for LD class from first year lol. I’m still fond of the drawings… (though the black and white ones are from like 4 years ago lol wtf)

anatomy skeleton bones neat! reference

firstaid101

Hearts Electrical System (the thump thump!)

firstaid101

Wonder what give your heart that kick to thump? That thump is actually from an electrical system that works within the heart! This electrical system is what keeps the heart pumping blood throughout the body to achieve perfusion.

SA-> Sinoatrial node (also known as the sinus node.)

AV-> Atrioventricular node

Normal impulses begin in the sinus node. The impulses travel across both atria causing them to contract which pushes the blood out of the atrium. From here the impulses cross a bridge of special electrical tissue between the atria and ventricles called the atrioventricular node. The signal here is slowed for about one to two tenths of a second to allow blood to pass from the valve to the ventricles. The impulses then exit the AV node and spread throughout both ventricles causing them to constrict, pushing blood into the arteries.

SPECIAL:

Cardiac muscle cells have a characteristic called automaticity which isn’t found in any other type of muscle cells. Automaticity allows a cardiac muscle cell to contract spontaneously without a stimulus from a nerve source. Meaning if no impulse arrives from the SA node to the rest of the cells, they will create their own impulses stimulating the contraction of the heart. They are not as affective and will be at a generally slower rate.

*This is due to the Anatomic Nervous System (Click Here to learn more about the anatomic nervous system).

anatomy science heart

azalawa-scroggs tinsnip

tinsnip

Okay do we actually know anything about how the Von karma living situation works?

Like… house in Germany, house in us? Half the year in each place? Did miles move back permanently to go to university or was he educated in Germany & then cross trained to practice in the us?

azalawa-scroggs

This is the question for real I’ve been trying to figure that out, myself. Cause MvK works in the US/Japanifornia (I really like the compromise of Japanifornia for the location of the games, even though it’s officially the US) for sure right? Otherwise he wouldn’t have come across Gregory.

All we know tying the von Karma family to Germany, as far as I recall, is that Franziska “gave up a promising career” there. The anime, I believe, shows them living in a luxurious mansion in the same city as Phoenix and Larry, although in a completely different neighbourhood. (Close enough to get to Miles’s old house by foot, though, although that took him a while.)

So I have no idea whatever the fuck is going on. I think it’s very Romantic to have Miles and Franziska grow up in a big German manor but it doesn't necessarily make a huge ton of sense. Considering the choice the localisation team made for the names though, I think it makes sense for the von Karmas to have German origins but that's about it.

At the end of the day I think it makes the most sense if they grow up in the US/Japanifornia, and Franziska goes study in Germany at some point (before turning 10, most probably) to become a prosecutor there. Another option is the both of them growing up in Germany while Manfred works in the US, with him only visiting from time to time (listen I would never make transatlantic weekends trips myself but 1. you know this guy has a private jet. Miles can charter a private jet with ease he probably can too 2. he’s just crazy enough to do that. It’s on-par with the Ace Attorney brand of practicality). Miles joined him there when he was about to start his own prosecuting career. This scenario makes Franziska’s comments about Miles “leaving her behind” more literal and making more sense, imo, although it’s less practical. It also gives Miles a tie to Europe that would certainly make his little gap year there make more sense too imo.

Idk honestly I’m still thinking it over too but those are my thoughts ^^

tinsnip

Ok I like that. I like the idea of Manfred being like, children should grow and be educated in Germany, as I was. They will have a perfect childhood. Having a parent there is not required.

Franziska being left physically is non-negotiable.

Now I want to dig into how he chose who he would mentor. They both launched at the same time, after all: Miles and Fran have a 7 year age difference, so when he was 20 and she was 13 they both started practicing. How was she educated? Not in the US. Why separate them? Because Manfred is a bastard? We know that. Does he support something more traditional for his biological child and something more experimental for his adopted pet project? When exactly did he decide Miles was going to flame out publicly?

Hmmmmmmmmmmmmmm.

azalawa-scroggs

Can I offer a last headcanon for your perusal? I shut up after that I promise ^^

They both grow up in Germany, Manfred coming from time to time, like a weekend a month or something ~~in his private jet~~. At first he spent that time taking the kids on outings and asking about their grades, but when Miles was like, idk, 13-15 or something, Manfred asked him if he knew what he wanted to work as and he was like I wanna be a prosecutor. So Manfred went like all right. Let’s make you a perfect prosecutor. Instead of taking you and your sister to the museum and the theatre, we’re gonna have legal seminars as family bonding, you and I.

6-8 yo Franziska, obviously, became jealous. Her beloved father already wasn’t home much but now she’s going to see him even less! Well, no matter for little Franziska (I’m sure the vK mansion have servants and she’s driving all of them up the wall out of sheer stubbornness because this is Franziska). She’s just gonna have to follow the law classes with Miles. Manfred tries to discourage her but she will. Not. Budge. So he says okay. You’re allowed in there, but only if you keep up and don’t disturb your brother’s learning. (which is kind of an insane thing to tell a preteen but perfection doesn’t wait on age, now does it!)

And that’s how Franziska said “bet. I’m smarter than him and I’m gonna prove it” and studied so hard she took the bar at 13 years old. After many, many tears and late nights and tantrums, of course.

(Miles left for the US because that’s his home country. Franziska remained in Germany because in the AA world, Germany apparently has laxer laws on child labour than the US, if Phoenix’s reaction to hearing Franziska’s been prosecuting since she was 13 is anything to go by)

tinsnip

1st) condoned. I like it.

2nd) never shut up. Talk more.

3rd) I can now see a third terrible possibility: that when Fran and Miles had each other, they could compare data and realize what a shitty parent MVK really was. Perhaps even stand up to him. And that had to get shut down immediately. Siblings having each others’ backs? Not in the VK household. Which makes it even more dangerous/difficult for Fran to let her guard down and trust Miles as an adult - she’s expecting to get punished for it.

Trauma fun~~~

azalawa-scroggs

1) :D

2) <~~;3 you have no idea what you’re asking~~ for

3) Ahhhhh D’‘‘: This is very depressing, poor Fran and Miles! Would that be the point when he decides to bring Miles with him to the US?

Yet another thought, building on the “shutting down when they have each other’s backs” stuff - maybe at some point Miles sees Franziska struggle and offers to help her. And she’s like, 6 so she’s not as proud - or rather, she is exactly as proud but she is more liable to let him turn it around so it feels like she is taking advantage of him rather than him taking pity on her. But Manfred finds out and tries to put a stop to it, because “you should focus on your own studies - you’re just wasting your time and hers. I have no doubt she’ll get there when she grows older but for now she has her own classes.” I like to think Miles still tries to do it behind his back (what if he loses a couple more hours of sleep to catch up on his own work, he would only have nightmares otherwise anyway) but he has to be really low-key about it, and so the help becomes rarer anyway, which Franziska takes personally. It’s a betrayal to her, because while Miles and Manfred only see this as tutoring sessions, to Franziska she’s fighting for her place in the family. Which I think Miles recognises to an extent (but he has too much pressure on his head not to be able to do much about) but completely flies over Manfred’s head.

(I like to think they end up having some fun though. Franziska’s been pushed from a too young age - but I think she’s a very intelligent girl too who thrives on stimulation. So she catches up with Miles after a couple years or so, and by then the lessons become - well, difficult, exhausting, merciless because of the unending competition which Manfred naturally encourages, but also very thrilling. Miles can’t wave the white flag when he’s at the end of his rope without Franziska taking it like a dismissal, but otherwise, yeah.)

~~you said to talk more so I did you only have yourself to blame :P~~

Ace Attorney Miles Edgeworth Franziska von Karma Manfred von Karma perfection is the norm Aza talks too much help I was not planning on revealing the brainrot to that extent xD it's kinda embarrassing to be honest! I'm entirely serious about the 30k fic

(Posts tagged anatomy)

See, that’s what the app is perfect for.

Atherosclerosis

Atheroma Formation

Do You Really Need To Repeat That Trauma Bay Xray?

Ankle Sprains

Hearts Electrical System (the thump thump!)