Notes, summaries, assignments, exams, and exercises for Medicine and health sciences for Primary education

Vowel Articulation: Lip Position and Quantity

Lip Shape and Vowel Length

The position of the lips or shape of the lips can be rounded ( ) or unrounded ( ). Vowel quantity is determined by length: RP 5 long vowels ( ) versus 7 short vowels ( ).

Vowel Length Conditions

• So-called long vowels occur in syllables closed by a voiceless consonant ( ), where they become shorter or halflong (pre-fortis clipping).
• Vowels can be checked or free depending on their phonological distribution.
• Short vowels ( ) are checked because they cannot occur in final stressed syllables.
• Long vowels and diphthongs have no such restriction and are labeled free. The short vowel ( ) falls into this class.

Pure Vowels: Stress and Contrast

Stressed vs. Unstressed Vowels

Pure vowels...

To Have: Verb Conjugation

• Present: I have, you have, he/she/it has, we have, you have, they have
• Preterite: I had, you had, he/she/it had, we had, you had, they had
• Present Continuous: I am having, you are having, he/she/it is having, we are having, you are having, they are having
• Present Perfect: I have had, you have had, he/she/it has had, we have had, you have had, they have had
• Future: I will have, you will have, he/she/it will have, we will have, you will have, they will have
• Future Perfect: I will have had, you will have had, he/she/it will have had, we will have had, you will have had, they will have had
• Past Continuous: I was having, you were having, he/she/it was having, we were having, you were having, they were having
• Past Perfect: I had

Nitroglycerin

Action: Vasodilator

Indication: Angina, hypertension, MI from cocaine, intoxication

Contraindications: Hypotension, severe bradycardia, increased ICP, intracranial bleeding, erectile dysfunction

Route: Sublingual tablet or spray

Side Effects: Headache, hypotension, lightheadedness

Dosage:

• Tab: 0.4 mg every 5 minutes (up to 3 doses)
• Spray: 0.4 mg every 5 minutes (up to 3 doses)

Albuterol

Action: Stimulates B2 receptors (Bronchodilator)

Indication: Asthma, bronchitis, COPD, bronchoconstriction

Contraindications: Angioedema, hypersensitivity

Route: Inhaled

Side Effects: Hyperglycemia, palpitations, anxiety, tremor, nausea/vomiting, epistaxis, headache

Dosage:

• Nebulizer: 2.5 mg every 20 minutes (max 3 doses)
• MDI: 4-8 puffs

Nitrous Oxide

Action: Inhaled...

Gastroenterology

Abdominal Quadrants

Key organs located within the four main abdominal quadrants:

• Upper Right (URQ): Liver, Gallbladder
• Upper Left (ULQ): Stomach, Spleen, Pancreas
• Lower Right (LRQ): Appendix, Ascending Colon
• Lower Left (LLQ): Descending and Sigmoid Colon

Gastrointestinal Infections

• Bacterial Infections (e.g., E. coli, Salmonella): Typically characterized by a quicker onset and shorter duration.
• Viral Infections: Generally have a slower onset and longer duration.

Upper GI Disorders

Dyspepsia (Indigestion)

Irritation of the upper GI tract, often presenting as heartburn or a retrosternal burning sensation.

Contributing Factors: Medications, alcohol, caffeine, spicy food, obesity.

Treatment (Rx): Dietary changes, medications.

Gastroesophageal

The Renal System

The renal system includes the kidneys, ureters, bladder, and urethra. Its primary functions are to filter the blood, regulate body fluids, and eliminate metabolic waste from the blood. The kidneys specifically remove waste products and excess water from the blood and regulate electrolyte levels.

Renal and Urogenital Signs and Symptoms

Common signs and symptoms related to the renal and urogenital systems include:

• Hematuria (blood in urine)
• Changes in urinary habits (frequency, urgency, volume)
• Hypertension
• Anemia (decrease in red blood cells)
• Discharges
• Sexual dysfunction
• Menstrual irregularities

Pain Patterns

Pain patterns can help indicate the affected area within the renal system:

• Kidneys: Pain is typically ipsilateral (on the same side)

Antihistamine Side Effects and Pharmacokinetics

Adverse Effects

• Gastrointestinal: Nausea, vomiting, diarrhea, constipation, epigastric pain (in some cases), increased appetite. Examples: Astemizole and Azelastine.
• Central Nervous System (CNS): Sedation. Examples: Azelastine, Cetirizine, and...
• Cardiovascular: QT prolongation by blocking K+ channels. (Observed with) Terfenadine and Astemizole.
• Other Reactions: Headache, rash, hypersensitivity, and anaphylaxis.

Pharmacokinetics (Half-Lives - VM)

Astemizole

VM: 20–24 hours

Cetirizine

VM: 7–10 hours

Elastin

VM: 10–16 hours

Loratadine

VM: 12–15 hours

Mizolastine

VM: 8–13 hours

Etc.

Other antihistamines vary.

Muscle Relaxants (Miorelajantes)

Long-Term Benzodiazepines (Half-Lives)

Diazepam

VM: 20–80 hours

Clonazepam

VM:

Common Medical Abbreviations

• RSI: Repetitive Stress Injury
• SAD: Seasonal Affective Disorder
• SIDS: Sudden Infant Death Syndrome
• GP: General Practitioner
• HAV: Hepatitis A Virus
• MD: Medical Doctor

Medications and Treatments

• Decongestant: Decreases nasal stuffiness and relieves a runny nose.
• Anticoagulant: Prevents or delays blood clotting.
• Sedative: Relieves symptoms of stress, irritability, or excitement.
• Laxative: Relieves constipation.
• Digitalis: Strengthens the failing heart.
• Diuretic: Removes excess fluid from the body.
• Antibiotic: Treats infections caused by bacteria and other microorganisms.
• Insulin: Regulates the level of sugar in the blood, used to treat diabetes.

Common Symptoms and Their Causes

• Fainting, dizziness: Anemia
• Headache: Sinus infection
• Fever:

Introduction to the Respiratory System

The cells of the human body require oxygen to stay alive. The respiratory system provides oxygen to the body's cells while removing carbon dioxide, a waste product that can be lethal if allowed to accumulate.

3 Major Parts of the Respiratory System

• Airway: Nose (nasal cavity), mouth, pharynx, larynx, trachea, bronchi, and bronchioles.
• Lungs: The functional unit of the respiratory system, facilitating the exchange of O2 and CO2 via the alveoli.
• Diaphragm Muscles: Muscles of respiration (including intercostal muscles) that separate the thoracic cavity from the abdominal cavity.

Mechanism of Respiration

Respiration involves two main mechanisms:

• Inhalation (Inspiration): Intake of O2.
• Expiration (Exhalation): Exhale

***Random

-Hilpike---->vertigo
-Septal resection=/=Nasal polyp
-Fistula Test----->-ve
-fistula test----->Post ...Canal
-Abnormal Eustachian tube---> no movement
-L bronchitis---->All
-chainal atrsia--->ALL
-Smoking--->reinke edema!
-Audiogram--->conductive+ Mixed
-High Mortality--->subdural + brain abscess!
-OSA+CPAP--->AHI>20

--Photoanthmia---->weak VC
-Contact ulcer---->Vocal abuse!
-Fistula Test----------> -ve
-Fistula Test---------> Post ..Canal
-Smooth water edema--->allergy
**Development
-Child has only---->Ear cartilage
-Breath through nose--->1 year old
- bacteria-------> H Influenza!
***ANATOMY& vessels:
-Limited labyrinth--->Tra...
-GERD affects----->VC
-Bones--->U(D)S
-Pulsation----->

Definition of Consonants

A consonant is a speech sound produced when the airstream from the lungs is obstructed (completely or partially) or when the mouth passage is so narrow that the air is expelled with audible friction.

1. State of the Glottis

This refers to whether or not the vocal cords vibrate during sound production:

• Voiced: The vocal cords vibrate.
• Voiceless: The vocal cords do not vibrate.

2. Place of Articulation

1. Bilabial: Both lips.
2. Labiodental: Lower lip and upper teeth.
3. Dental: Tongue tip just behind the upper front teeth.
4. Alveolar: Blade of the tongue against the alveolar ridge.
5. Post-alveolar/Pre-palatal: Blade or tip of the tongue on the rear part of the alveolar ridge.
6. Palatal: Raising the front of the tongue towards the hard palate.
7. Velar: