Notes, summaries, assignments, exams, and problems for Medicine and health sciences

Cardiac and Respiratory Assessment Findings

Dizziness and Cardiac Conduction Issues

The blackouts do not seem to have had any relationship to posture. They have been a mixture of dizziness and loss of consciousness. The one witnessed episode seems to have been associated with loss of color. This suggests a loss of cardiac output, usually associated with an arrhythmia. This may be the case despite the absence of any other cardiac symptoms. There may be an obvious flushing of the skin as cardiac output and blood flow return.

The normal ECG and chest X-ray when the patient attended hospital after an episode do not rule out an intermittent conduction problem. On this occasion, the symptoms have remained in a more minor form. The ECG shows third-degree...

1. Cholinergic Agonists

Respond to acetylcholine; refers to receptor sites stimulated by acetylcholine, as well as neurons that release acetylcholine.

• Cause SLUDGE: Salivation, Lacrimation, Urination, Defecation, Gastrointestinal distress, Emesis

2. Direct-Acting Cholinergic Agonists

1. Acetylcholine (Both Muscarinic and Nicotinic)
   • Miosis (pupil constriction)
   • Limited clinical use due to:
     • Non-selectivity
     • Charged nature
     • Short half-life
2. Bethanechol (Muscarinic)
   • Clinical use: Urinary retention
   • Side effect: SLUDGE
   • Not hydrolyzed
3. Pilocarpine (Muscarinic)
   • Clinical use: Dry mouth, Glaucoma
   • Side effect: SLUDGE
   • Can cross the blood-brain barrier (BBB)
4. Succinylcholine (Muscarinic)
5. Carbachol (Both Muscarinic and Nicotinic)
   • Not hydrolyzed
6. Nicotine (Nicotinic)
   • Clinical use: Smoking

Common English Idioms and Phrases

Idioms with Meanings and Examples

Put Your Foot in Your Mouth

Meaning: To say something foolish, embarrassing, or hurtful by accident.

Example: I put my foot in my mouth when I called my brother's new wife by his ex-wife's name.

Cost an Arm and a Leg

Meaning: To be very expensive.

Example: It cost me an arm and a leg to get my car fixed.

Get Off My Back

Meaning: Stop bothering or criticizing me.

Example: Stop telling me what to do. Get off my back!

Give Someone the Cold Shoulder

Meaning: To ignore someone or treat them in an unfriendly way.

Example: I saw my ex-girlfriend at a party, but she wouldn't talk to me. She gave me the cold shoulder.

Feel Weak at the Knees

Meaning: To feel nervous, frightened, or excited.

Example:

Vocabulary for Describing Meat

Describing Meat Quality (Adjectives)

• Red, Dark, White, Tender, Pinkish (Carn rosada)
• Bright Red (Vermell intens)
• Sweet, Game Meat, Dry (Seca)
• Tasty (Sabrosa)
• Versatile, Pink (Carn rosa)
• Farmed, Wild, Tasteless (Insípida, sense gust)
• Lean Meat (Sense greix, carn magra)

Meat Doneness Levels

These terms describe the internal cooking point of the meat:

• Punt més (Most done): WELL COOKED / WELL DONE
• Al punt (Medium): MEDIUM-RARE
• Punt menys (Least done): RARE / UNDERCOOKED

Essential Meat Cuts and Charcuterie

Meat Cuts Vocabulary

• LAMB LEG: Cama de xai
• HAM: Pernil
• CURED HAM: Pernil salat (This is the name for salted ham)
• STEAK: Bistec
• MINCED MEAT: Carn picada
• TENDERLOIN / SIRLOIN: Solomillo. LOIN alone means Llom.
• RUMP: Rabadilla (The upper

Keep the Wolf from the Door

To earn enough money to live on; to make ends meet. (Original definition: reach end of month)

Chicken Out

To decide not to do something because you are too frightened. (Spanish: rajarse)

Be a Fly on the Wall

To observe a situation secretly without being noticed; to spy.

Get By

To manage to live or accomplish something with difficulty; to live on.

Brought Up

Raised; educated and cared for as a child.

Making Waves

To cause trouble or excitement; to make conflict.

To Be Chalk and Cheese

To be completely different from each other.

Stick It Out

To endure a difficult situation; to persevere. (Original definition: aguantarse dread)

Hate Assertive

To be an open person. (Note: This phrase is uncommon in standard English, and its meaning here

Medical Specialties and Their Functions

Paediatrics:

Deals with sick children.

Pharmacy:

Dispenses medicines.

Renal Unit:

Treats kidney diseases.

Obstetrics:

Specializes in pregnancy and birth.

Pathology:

Studies illnesses and analyzes samples.

Dermatology:

Treats diseases of the skin.

Surgery:

Performs operations on patients.

Physiotherapy:

Designs special exercises for patients.

Haematology:

Studies blood disorders.

Orthopaedics:

Treats bones.

Cardiology:

Specializes in the heart.

Neurology:

Treats disorders of the nervous system.

Healthcare Professionals

• Anaesthetist
• Cardiologist
• Consultant
• Lab Technician
• Midwife

Medical Equipment and Instruments

X-ray Machine:

An imaging device used to view the inside of the body.

Scalpel:

A very sharp knife that is used for cutting through

This pushes your blood through your body: heart (corazon)

Grammar: the comparative, superlative, and equative

Essential English Expressions & Collocations

Common Travel Idioms

• To get/be off the beaten track: to be in a place far away from the city or popular tourist areas.
• To rough it: to live without the comforts of modern life.
• To get by on a shoestring budget: to survive with a very limited budget.
• To end up spending a fortune: to spend a lot of money.
• To be a culture vulture: to enjoy art and culture.
• To get back to nature: to live in a simple way, close to the natural environment.
• To be in the lap of luxury: to live in a very comfortable and expensive condition.

Collocations with 'Traveler'

• Frequent traveler: someone who travels often.
• Independent traveler: a traveler who hasn't booked a package tour.
• Seasoned traveler: an experienced traveler.
• Intrepid