Appendectomy Set

complete pack
ap set
prep bowl
big OS
rubber tubing
suction tip
spinal set
scissors: mayo curve, metz, mayo straight
towel clips
army navy
baby richardson
deaver
sutures: chromic 3.0 vicyl 4.0 silk 3.0

set:
10mosquito curve
5 " straight
3kelly curve
2" straight
2needle holder
2blade holder
2 bobcock
1 tissue forcep
1 thumb forcep
5towel clip
1 suture book

TAHBSO

complete pack
TAHBSO set
gloves
blade 10,20
foley cath
urine bag
army navy
big OS
richardson
deaver wide nd narrow
self retaining
mixters
bobcock
epidural set
scissors
lidocaine
powder
sutures: chromic 1 NA, chromic 2.0 PDS 0, procere 3.0, silk 1 strand

1 bladder ret
1long thumb
1 tissue/thumb
3needle holder(long)
6 long kelly curve
2" straight
3ochsner curve
3" st
2kelly st
7" curve
blade handle 3 nd 4
4allis
5towel clips
suture book

needles

chromic 1.0 - 1st and 2nd
chromic 2.0 - 3rd peritoneum
vicryl 1-0 - fascia
plain 2-0 subq
vicryl 3-0 skin

Dermatology Review

Atopic Dermatitis: Scaling, Itching, Redness and Excoriation. Possible lichenification in chronic cases. Most common in young children around the elbow and knees. Adults are more common in neck and knees. May be associated with an allergic disorder, hay fever, or asthma.

Contact Dermatitis: Itchy, weepy reaction with a foreign substance (Poison Ivy) or lotions. Skin becomes red.

Diaper Rash: Inflammatory reaction in the region covered by a diaper. This may include chemical allergies, sweat, yeast, or friction irritation.

Ermatitis stasis: Decreased blood flow the lower legs resulting in a skin irritation, possible ulcer formation.

Onychomycosis: Fungal infection related to the fingernails or toenails. Often caused by Trichophyton rubrum.

Lichen planus: Treated with topical corticosteroids. The presence of pink or purple spots on the legs and arms. Lesions are itchy, flat and polygonal. May cause hair loss.

Pityriasis rosea: A mild to moderate rash that starts as a single pink patch and then numerous patches begin to appear on the skin. This may lead to itching. Found primarily in ages 10-35 years old.

Psoriasis: An autoimmune disease mediated by T lymphocytes that can lead to arthritis. Generally, treated with UV light, tar soap and topical steroid cream. A reddish rash that can be found in numerous locations.

Stevens-Johnson syndrome: An allergic reaction that can include rashes, and involve the inside of the mouth. May be due to drug sensitivity. Can lead to uveitis and keratitis. Other factors related to SJS include: pneumonia, fever, myalgia and hepatitis. SJS can be extremely similar to varicella zoster and pemphigus vulgaris conditions. There may also be the presence of herpes virus or Mycoplasma pneumoniae.

Bullous pemphigoid: Eruptions of the skin caused by the accumulation of antibodies in the basement membrane of the skin. Treated with cortisone creams or internally. Skin biopsy offers definitive diagnosis.

Acne vulgaris: Oil glands become inflamed, plugged or red. May be treated in moderate to severe cases with anti-inflammatory medications or creams.

Rosacea: A redness that covers the middle part of the face. Blood vessels in the face dilate. Most common in adults 30-50 years old. Unable to be cured, only treated. May cause long term skin damage is left untreated. Antibiotics are often prescribed.

Seborrheic keratosis: The development of skin “tags” or the barnacles of old age. Usually found in people over 30 years old. Appear to be tabs growing in groups or individually on your skin. Can be treated with Scrapping, Freezing or Electrosurgery.

Actinic keratosis: A site that can become cancerous, usually small and rough on the skin that has been exposed to the sun a lot. Usually treated with cryosurgery and photodynamic therapy.

Scabies: Caused by the human itch mite: Sarcaptes scabies, and identified by presence of raised, red bumps that are itchy. Closer identification with a visual aid will show streaks in the skin created by the mite.

Molluscum contagiosum: Considered a STD. Small downgrowths called molluscum bodies that include the presence of soft tumors in the skin caused by a virus. Contagious.

Herpes zoster: Infection caused by the varicella-zoster virus. Can cause chickenpox and then shingles in later years. The virus infects the dosal root ganglia of nerves and can cause intense itching.

St. Anthony’s Fire: Claviceps purpurea (fungus) can cause intense pain in the extremities by causing blood vessels to constrict. Fungus produces ergotamines.

Impetigo: A skin infection caused by Staph or Streptococcus that causes itchy, red skin and pustules. Treated with topical antibiotics and primarily affects children.

Acanthosis nigricans: The presence of dark velvety patches of skin around the armpit, back, neck and groin. Can occur with multiple diseases. Has been linked to patients with insulin dysfunction.

Hidradenitis suppurativa: The presence of numerous abscess in the groin and armpit region.

Melasma: “Mask of Pregnancy” Changes in the pigmentation of women that are pregnant. Occurs in 50% of all pregnancies.

Urticaria: Elevated itchy areas that are linked to allergic reactions. May be accompanied with edema and may blanch with touch. “Hives”

Vitiligo: Loss of melanocytes resulting in skin turning white. Hair in regions affected will also turn white. Primarily identified in ages 10-30. Several genetic factors involved. May be associated with other more severe autoimmune disorders.

Nursing Licensure Result June 2008

COMPLETE LIST OF NURSING LICENSURE EXAM PASSERS

A total of 27,765 out of 64,459 passed the Nurse Licensure Examination held last June 2008. The examination was administered in 10 areas nationwide.

Click here.

TOP 10 NURSING BOARD PASSERS 2008

MANILA, Philippines—Following are the top 10 test-takers of the nursing licensure examination:

Top 1
• Aira Therese Salamanca Javier, University of Santo Tomas -- 86.00%

Top 2
Alrin Flores Falgui, Far Eastern University-Nicanor Reyes Medical Foundation -- 85.80%

Top 3
• Kristine Maravilla Mendoza, Remedios Trinidad Romualdez Memorial School -- 85.60%
• Joanna Jacob Quirante, University of Santo Tomas -- 85.60%

Top 4
• Ana Rica Chan Gutierrez, University of Santo Tomas -- 85.40%
• Dalfon Silvio Babular Navaja, Cebu Institute of Technology -- 85.40%
• Maria Alyssa Yee Policarpio, University of Santo Tomas -- 85.40%
• Aileen Grace Yu Sotyco, University of Santo Tomas -- 85.40%

Top 5
• Michelle Cruz Amoroso, University of the Philippines-Manila -- 85.20%
• Ma. Regina Basa Ang, Our Lady of Fatima University-Valenzuela -- 85.20%
• Michelle Joyce Cheung Encarnacion, University of Santo Tomas -- 85.20%
• Lyka Abalajon Gede-Y, Riverside College -- 85.20%
• Jason Albia Go, University of Santo Tomas -- 85.20%
• Katherine Rose Rodrigo Raquel, De La Salle University-Dasmariñas Health Science Campus -- 85.20%

Top 6
• Regina Krys Villaflor Cabanilla, Cebu Normal University (Cebu State College) -- 85.00%
• Aster Annie De Jesus Calma, University of the Philippines-Manila -- 85.00%
• Tracy Michelle Buan Catacutan, Centro Escolar University-Manila -- 85.00%
• Diana Justo Cupino, University of Santo Tomas -- 85.00%
• Rachel Mae Tabuena Daigdigan, Mindanao State University-Marawi City -- 85.00%
• Karen Marie Galvez Flores, Trinity University of Asia (Trinity-QC) -- 85.00%
• Elaine Esther Saldua Funtanar, Cebu Normal University (Cebu State College) -- 85.00%
• Marion Delos Santos Llauder, University of Santo Tomas -- 85.00%
• Kevin Bryan Uy Lo, University of Santo Tomas -- 85.00%
• Anne Lorraine Trinidad Lorenzo, University of Perpetual Help Rizal-Las Piñas -- 85.00%
• Louie Jhon Erracho Lunaria, University of the Philippines-Manila -- 85.00%
• Joanna Roxas Maala, Our Lady of Fatima University-Valenzuela -- 85.00%
• Patrick Paras Mejia, University of Santo Tomas -- 85.00%
• Kristine Valino Picadizo, University of Perpetual Help Rizal-Las Piñas -- 85.00%
• Eiren Oro Rebute, West Visayas State University-La Paz -- 85.00%
• Rizza Armas Tamayo, Colegio De Dagupan (Computronix College) -- 85.00%
• Anna Mae Maquiling Trinidad, Mindanao State University-Marawi City -- 85.00%
• Jennifer Laggad Ugalde, Dr. Carlos S. Lanting College-Q.C. -- 85.00%

Top 7
• Ma. Leonor Galvan Barbosa, Mindanao Sanitarium & Hospital College of Med -- 84.80%
• Jennifer Baguio Gait, Velez College -- 84.80%
• Ariane Castañares Llevares, Cebu Normal University (Cebu State College) -- 84.80%
• Neil Anthony Esmilla Manzano, Our Lady of Fatima University-Valenzuela -- 84.80%
• Oliver Naval Mendoza, Saint Bernadette College of Health And Sciences -- 84.80%
• Maricor Cortez Montalbo, University of the Philippines-Manila -- 84.80%
• Tara Patawaran Patawaran, Dr. Carlos S. Lanting College-Q.C. -- 84.80%
• Roger Carlo Payawal Pineda, Dr. Yanga's Francisco Balagtas College -- 84.80%
• Bartolome Arthur Marcaida Quincina, Dr. Carlos S. Lanting College-Q.C. -- 84.80%
• Marion Katrina Lara Raguini, Far Eastern University-Manila -- 84.80%

Top 8
• Ma Cristina Diesta Arroyo, University of the East Ramon Magsaysay Mem. Medical Center -- 84.60%
• Lance Lambert Gatdula Ayson, Bulacan State University (Bulacan Coll. of Arts & Trades) -- 84.60%
• Carla Emille Dalangin Barbon, University of the Philippines-Manila -- 84.60%
• Rosauro Cruz Briones, Manuel S. Enverga Univ. Foundation-Lucena City -- 84.60%
• Jan Paolo Santiago Caparas, De La Salle University-Dasmariñas Health Science -- 84.60%
• Sozein Soliel Bacena Bustamante, University of Santo Tomas -- 84.60%
• Lourdes Claire Rodriguez David, University of Santo Tomas -- 84.60%
• Ana Joy Almie Cruz Dizon, University of Santo Tomas -- 84.60%
• Lorrainne Yu Embay, University of the Visayas-Mandaue City -- 84.60%
• Kristine Marie Lee Indiongco, Perpetual Help College of Manila -- 84.60%
• Imee Loren Chan Lim, University of Santo Tomas -- 84.60%
• Sim Pama Paniza, West Visayas State University-La Paz -- 84.60%
• Rochelle-Anne Ordinanza Primavera, University of Santo Tomas -- 84.60%
• Raichel Faye Mallari Ringor, University of Santo Tomas -- 84.60%
• Roxan Salvadora Roman, Our Lady of Fatima University-Valenzuela -- 84.60%
• Czarina Ann Arellano Sevilla, University of Santo Tomas -- 84.60%
• Jeffrey De Justo Silva, Saint Paul University-Iloilo -- 84.60%
• Zyena Joyce Palines Untalasco, University of the Philippines-Manila -- 84.60%
• Paola Sarona Young, University of the East Ramon Magsaysay Mem. Medical Center -- 84.60%

Top 9
• Blake Warren Coloma Ang, Cebu Doctors’ University -- 84.40%
• Trisha Carmelli Gonzales Bautista, University of the Philippines-Manila -- 84.40%
• Danica Bianca Bernad Cagalawan, Saint Michael's College-Iligan City -- 84.40%
• Janna Bianca Albano Cajigal, University of Santo Tomas -- 84.40%
• Kathryn Kaye Aquino Carpio, University of Santo Tomas -- 84.40%
• Glynnis Doreen Olegario Corpuz, Capitol Medical Center School of Nursing -- 84.40%
• Katrina Rae Limjoco Daza, University of Santo Tomas -- 84.40%
• Jean Daisy Camacho De Guzman, University of the Philippines-Manila -- 84.40%
• Fritzie Praxidio Dela Cruz, University of Perpetual Help System-Laguna -- 84.40%
• Willenburgh Wong Ducusin, Manila Central University-Caloocan City -- 84.40%
• Gwen Atienza Legaspi, Saint Paul University-Manila -- 84.40%
• John Philip Tecson Lim, University of Santo Tomas -- 84.40%
• Stephanie Anne Chan Lopez, De Los Santos-Sti College,Inc-(Delos Santos S.N.) -- 84.40%
• Myron Marco Miranda Mariano, University of Santo Tomas -- 84.40%
• John Vincent Lim Omo, Holy Name University (Divine Word-Tagbilaran) -- 84.40%
• Maria Wella Balbona Pichon, University of the Visayas-Cebu City -- 84.40%
• May Stephanie Go Pua, Naga College Foundation -- 84.40%
• Daryle Joie Masocol Ragasa, Manila Doctors’ College -- 84.40%
• Girlie Lazaro Repuyan, University of Santo Tomas -- 84.40%
• Meludee Joy Madrigal Roche, Cebu Normal University (Cebu State College) -- 84.40%
• Maria Aileen Custodio Santiago, Dr. Carlos S. Lanting College-Q.C. -- 84.40%
• Arthur Michael Aris Camu Sunico, Far Eastern University-Manila -- 84.40%
• John Hirogie Abad Toku, Trinity University of Asia (Trinity-QC) -- 84.40%
• Angela Solayao Tiu, Velez College -- 84.40%
• Catherine Dasmariñas Uy -- Southeast Asian College (UDMC) -- 84.40%

Top 10
• Romina Paula Parreño Barrameda, University of Santo Tomas -- 84.20%
• John Robert Razote Bautista, Trinity University of Asia (Trinity-Qc) -- 84.20%
• Jeriel Bayhonan Besagas, Cebu Normal University (Cebu State College) -- 84.20%
• Marienne Sungcad Bravo, STI College Cebu, Inc -- 84.20%
• Evelyn Cuares Caseñas, University of Bohol -- 84.20%
• Bridgel Avila Galorio, Cebu Normal University (Cebu State College) -- 84.20%
• Ma. Bernadette Valdivia Lopez-Dee, University of Santo Tomas -- 84.20%
• May Flor Llego Marcolino, Larmen De Guia Memorial College -- 84.20%
• Kristian Santos Noche, Centro Escolar University-Manila -- 84.20%
• Dianne Mae Lagman Notario, Our Lady of Fatima University-Valenzuela -- 84.20%
• Kristine Ann Tagupa Panal, Mountain View College -- 84.20%
• Marnela Kathleen Veluya Pasamba, Sacred Heart College of Lucena City, Inc. -- 84.20%
• Ruby Joma Fadri Rafanan, Adventist University of the Philippines -- 84.20%
• Razeille Kristine Asistio Razon, University of Santo Tomas -- 84.20%
• Darra May Rapada Riano, Far Eastern University-Manila -- 84.20%
• Jomar Pacleb Ronquillo, Columban College-Olongapo City -- 84.20%
• Jeffrey Ramos Salazar, University of the Philippines-Manila -- 84.20%
• Frederick Abad Sampang, University of Santo Tomas -- 84.20%
• Marnelee Grace Rivera Semilla, Trinity University of Asia (Trinity-QC) -- 84.20%
• Janelle Grace Teo Sia, University of Santo Tomas -- 84.20%
• Jeanette Martinez Villar, West Visayas State University-La Paz -- 84.20%

CONGRATULATIONS EVERYONE!

courtesy of inquirer.net

Disorder of the Ears

Otitis media: Most common caused by the bacteria (H.flu) and Streptococcus pneumoniae in about 85% of cases. 15% of cases viral related. More common in bottlefeeding babies. Can be caused by upper respiratory infections. Ear drums can rupture in severe cases. A myringotomy may be performed in severe cases to relieve pus in the middle ear.

Barotitis: Atmospheric pressures causing middle ear dysfunction. Any change in altitude causes problems.

Mastoiditis: May be caused by an ear infection and is known as inflammation of the mastoid.

Meniere's disease: Inner ear disorder. Causes unknown. Episodic rotational vertigo, Tinnitus, Hearing loss, and Ringing in the ears are key symptoms. Dazide is the primary medication for Meniere’s disease. Low salt diet and surgery are also other treatment options. Diagnosis is a rule-out diagnosis.

Labyrinthitis: Vertigo associated with nausea and malaise. Related to bacterial and viral infections. Inflammation of the labyrinth in the inner ear.

Otitis externa: Usually caused by a bacterial infection. Swimmer’s ear. Infection of the skin with the outer ear canal that progress to the ear drum. Itching, Drainage and Pain are the key symptoms. Suctioning of the ear canal may be necessary. Most common ear drops (Volsol, Cipro, Cortisporin).

Disorder of the Eyes

Diabetic retinopathy: Blood vessels in the retina are affected. Can lead to blindness if untreated. Two primary stages (Proliferative and Nonproliferative. Retina may experience bleeding in nonproliferative stage. During the proliferative stage damage begins moving towards the center of the eye and there is an increase in bleeding. Any damage caused is non-reversible. Only further damage can be prevented.

Strabismus: Eyes are moving in different stages. The axes of the eyes are not parallel. Normally, treated with an eyepatch; however, eye drops are now used in many cases. Atropine drops are placed in the stronger eye for correction purposes. Surgery may be necessary in some cases. Suture surgery will reduce the pull of certain eye muscles.

Macular Degeneration: Impaired central vision caused by destruction of the macula, which is the center part of the retina. Limited vision straight ahead. More common in people over 60. Can be characterized as dry or wet types. Wet type more common. Vitamin C, Zinc, and Vitamin E may help slow progression.

Esotropia: Appearance of cross-eyed gaze or internal strabismus.

Exotropia: External strabismus or divergent gaze.

Conjunctivitis: Inflammation of the conjuctiva, that can be caused by viruses or bacteria. Also known as pink eye. If viral source can be highly contagious. Antibiotic eye drops and warm cloths to the eye helpful treatment. Conjunctivitis can also be caused by chemicals or allergic reactions. Re-occurring conjunctivitis can indicate a larger underlying disease process.

Glaucoma: An increase in fluid pressure in the eye leading to possible optic nerve damage. More common in African-Americans. Minimal onset symptoms, often picked to late. Certain drugs may decrease the amount of fluid entering the eye. Two major types of glaucoma are open-angle glaucoma and angle-closure glaucoma.

Disorders of the mouth

Acute pharyngitis: Often the cause of sore throats, inflammation of the pharynx.

Acute tonsillitis: Viral or Bacterial infection that causes inflammation of the tonsils.

Aphthous ulcer: Also known as a canker sore. A sensitive ulcer in the lining of the mouth. 1 in 5 people have these ulcers. Cause is unknown in many cases.

Acute Epiglottitis: Inflammation of the epiglotitis that may lead to blockage of the respiratory system and death if not treated. Often caused by numerous bacteria. Intubation may be required and speed is critical in treatment. IV antibiotics will help reverse this condition in most cases. Common symptoms are high fever and sore throat.

Oral candidiasis: This is a yeast infection of the throat and mouth by Candida albicans.

Oral leukoplakia: A patch or spot in the mouth that can become cancerous.

Parotitis: A feature of mumps and inflammation of the parotid glands.