Jealousy era vs figther era??
Worry is not going to go away automatically. It’s a decision you make. Every time you’re tempted to worry, turn it around. Thank Allah that He’s taking care of that situation.#im
putting my weight now 🤦🏼♀️#tbt
To check for Gower’s sign (Sir William Richard Gowers, 1845–1915) place the patient in the supine position and ask him to rise. A positive Gower’s sign – an inability to lift the trunk without using the hands and arms to brace and push – indicates proximal muscle weakness.
From the lying position, the patient rolls to the kneeling position, pushes on the ground with extended forearms to lift the hips and straighten the legs, so forming a triangle with hips at the apex and hands and feet on the floor forming the base. The hands are then used to push on the knees and so lift up the trunk (climbing upon yourself). With most of the trunk weight resting on the extended arms, they push the body backward to shift the weight of the trunk over the extended legs. To extend the hip, the child places their hands onto the knees and walks the arms up the thighs until upright. Children with mild disease may not even need a hand on the knee as they are able to bend at the hips once the knees are extended.
Gower’s sign is typically seen in cases of pelvic muscle weakness or proximal muscle weakness.
Spinal muscular atrophy (SMA)
Proximal ascending pseudomyopathic diseases
Juvenile idiopathic arthritis (JIA)
There are three Gowers' signs: Pain along the compressed sciatic nerve on passive dorsiflexion of the foot; the irregular contraction of the pupil in early tabes (Argyll Robertson); and the climbing up the legs signs in Duchenne dystrophy.
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SEXY BODY IS RIGHT
also pls be nice lol this is one of my first edits that i actually tried on and im still figuring everything out 😥😥
I have learned that sometimes SORRY is not enough , I actually have to change myself ❤
Hoover’s sign of leg paresis is one of two signs named after Charles Franklin Hoover (1865–1927), an American physician, born in Cleveland, Ohio, who studied medicine at Harvard.
The images above explains the principles of the test. If the patient has weakness when you test extension of the right leg (A) but has detectable power in the right leg when you test flexion of the left leg (B) it implies that the patient is likely suffering from non-organic limb weakness (positive Hoover's sign). In B the extension of the right leg occurs due to involuntary contraction of synergistic muscles.
Like any physical sign it is important not to get too carried away by Hoover’s tests:
1 A positive Hoover test does not exclude disease. It simply suggests that the majority of the weakness you are observing is not due to disease. Weakness in organic disease like multiple sclerosis may be exaggerated for a number of reasons: for example the patient is not sure whether you believe them and wants to prove they are weak, the patient is distressed and finds it hard to exert maximal effort, or they do not understand your instructions.
2 A positive Hoover test does not tell you if the person is ‘putting on’ the weakness. There is still no reliable way of differentiating those patients who are deliberately deceiving you from the majority of patients who have little conscious control over their leg weakness.
3 Be careful in the presence of pain. Pain may affect the sign in several ways. Arieff reported a patient with ‘left sciatic radiculitis’ who had a positive Hoover test in their normal leg (Arieff 1961). The downward pressure exerted by their normal leg was greater when they tried to lift their painful leg than when they had performed it in isolation. They interpreted this as increased effort to aid the movement
of a painful limb. Conversely, a patient may be consciously reluctant to move a painful, leg which could create a false positive test in the affected limb.
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