SlideShare ist ein Scribd-Unternehmen logo

Injury Coughlin 7 7 08

•Als PPT, PDF herunterladen•
•
A
axix
Gesundheit & Medizin
1 von 84
Systemic Response to Injury & Metabolic Support a review of Schwartz’s Principles of Surgery- Chapter 1 L. Coughlin, M.D. July 7, 2008
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Spectrum of SIRS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signaling ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hormone Signaling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adrenocorticotropic Hormone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glucocorticoids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exogenous administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Macrophage Inhibitory Factor ,[object Object],[object Object],[object Object],[object Object],[object Object]
Growth Hormone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Catecholamines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epinephrine – other effects ,[object Object],[object Object],[object Object]
Aldosterone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insulin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Phase Proteins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inflammatory Mediators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heat Shock Proteins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reactive Oxygen Metabolites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eicosanoids Phospholipids Arachadonic Acid Cyclic endoperoxidases (PGG2, PGH2) Hydroperoxyeicosatetraenoic acid (HPETE) Prostaglandins PGD2, PGE2, PGF2 α , PGI2 Thromboxane TXA2 Hydroxyeicosatetraenoic Acid HETE Leukotrienes Cyclooxygenase 1 & 2 Lipoxygenase Phospholipase A2 Corticosteroids Glucocorticoids (Cortisol)
Eicosanoids ,[object Object],[object Object],[object Object],[object Object],[object Object]
Eicosanoid Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fatty Acid Metabolites ,[object Object],[object Object],[object Object],[object Object],[object Object]
Kallikrein-Kinin System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Serotonin ,[object Object],[object Object],[object Object],[object Object]
Histamine ,[object Object],[object Object],[object Object],[object Object]
Cytokines ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tumor Necrosis Factor α ,[object Object],[object Object],[object Object],[object Object],[object Object]
Interleukin-1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interleukin-2 ,[object Object],[object Object],[object Object],[object Object]
Interleukin-4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interleukin-5 ,[object Object],[object Object]
Interleukin-6 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interleukin-8 ,[object Object],[object Object],[object Object],[object Object]
Interleukin-10 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Interleukin-12 ,[object Object],[object Object],[object Object],[object Object]
Interleukin-13 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interleukin-15 ,[object Object],[object Object],[object Object]
Interleukin-18 ,[object Object],[object Object],[object Object],[object Object]
Interferon- γ ,[object Object],[object Object],[object Object],[object Object],[object Object]
Granulocyte-Macrophage Colony-Stimulating Factor ,[object Object],[object Object],[object Object],[object Object]
High Mobility Group Box 1 ,[object Object],[object Object],[object Object],[object Object]
Cell Signaling Pathways ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell Signaling Pathways ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell Signaling Pathways ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tumor Necrosis Factor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell Mediated Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell Mediated Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cell Mediated Inflammation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endothelium-Mediated Injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nitric Oxide ,[object Object],[object Object],[object Object],[object Object]
Prostacyclin (PGI2) ,[object Object],[object Object],[object Object],[object Object]
Endothelins ,[object Object],[object Object]
Platelet Activating Factor ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism During Fasting ,[object Object],[object Object],[object Object],Mass (kg) Energy (Kcal) Days Available Water 49 0 0 Protein 6 24,000 13 Glycogen 0.2 800 0.4 Fat 15 140,000 78 Total 70.2 164,800 91.4
Metabolism During Fasting ,[object Object],[object Object],[object Object],[object Object]
Metabolism of Simple Starvation ,[object Object],[object Object],[object Object],[object Object]
Metabolism of Prolonged Starvation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism Following Injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lipid Absorption ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fatty Acid Oxidation ,[object Object],[object Object],[object Object],[object Object]
Carbohydrate Metabolism ,[object Object],[object Object],[object Object],[object Object]
Carbohydrate Metabolism ,[object Object],[object Object],[object Object],[object Object]
Protein and Amino Acid Metabolism ,[object Object],[object Object],[object Object],[object Object]
Nutrition in the Surgical Patient ,[object Object],[object Object],[object Object],[object Object]
Surgical Nutrition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Feeding ,[object Object],[object Object],[object Object],[object Object]
Initiation of Enteral Feeding ,[object Object],[object Object],[object Object]
Enteral Formulas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Formulas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Formulas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Formulas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Percutaneous Endoscopic Gastrostomy-Jejunostomy ,[object Object],[object Object],[object Object],[object Object]
Direct Percutaneous Endoscopic Jejunostomy ,[object Object],[object Object],[object Object]
Surgical Gastrostomy and Jejunostomy ,[object Object],[object Object],[object Object]
Parenteral Nutrition ,[object Object],[object Object],[object Object],[object Object]
Parenteral Nutrition Rationale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Total Parenteral Nutrition ,[object Object],[object Object],[object Object]
Peripheral Parenteral Nutrition ,[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Nutrition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Nutrition ,[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object]

Empfohlen

Blood supply of the liver
Blood supply of the liverBlood supply of the liver
Blood supply of the liverDr.Bijay Yadav
 
Internal Medicine Lectures
Internal Medicine LecturesInternal Medicine Lectures
Internal Medicine LecturesDr Martha Andrea Castro Noriega MD
 
Summary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and Stomach
Summary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and StomachSummary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and Stomach
Summary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and StomachHannaAhmed2
 
Histology of ear
Histology of earHistology of ear
Histology of earMBBS IMS MSU
 
case presentation - decubitus ulcer
case presentation - decubitus ulcer case presentation - decubitus ulcer
case presentation - decubitus ulcerNamratha Raj
 
Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Dr. Priyanka Shah
 
Diabetic ketoacidosis by Dr.Taniful.pptx
Diabetic ketoacidosis by Dr.Taniful.pptxDiabetic ketoacidosis by Dr.Taniful.pptx
Diabetic ketoacidosis by Dr.Taniful.pptxTaniful Haque
 
Connective tissue proper
Connective tissue properConnective tissue proper
Connective tissue properJhon Mar Bellos
 

Empfohlen

Blood supply of the liver
Blood supply of the liverBlood supply of the liver
Blood supply of the liverDr.Bijay Yadav
 
Internal Medicine Lectures
Internal Medicine LecturesInternal Medicine Lectures
Internal Medicine LecturesDr Martha Andrea Castro Noriega MD
 
Summary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and Stomach
Summary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and StomachSummary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and Stomach
Summary: Anatomy of Abdomen Anterior Abdominal Wall, Esophagus and StomachHannaAhmed2
 
Histology of ear
Histology of earHistology of ear
Histology of earMBBS IMS MSU
 
case presentation - decubitus ulcer
case presentation - decubitus ulcer case presentation - decubitus ulcer
case presentation - decubitus ulcerNamratha Raj
 
Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Dr. Priyanka Shah
 
Diabetic ketoacidosis by Dr.Taniful.pptx
Diabetic ketoacidosis by Dr.Taniful.pptxDiabetic ketoacidosis by Dr.Taniful.pptx
Diabetic ketoacidosis by Dr.Taniful.pptxTaniful Haque
 
Connective tissue proper
Connective tissue properConnective tissue proper
Connective tissue properJhon Mar Bellos
 
Community Based Education (CBE) chainda research
Community Based Education (CBE) chainda researchCommunity Based Education (CBE) chainda research
Community Based Education (CBE) chainda researchRodneykawimbe
 
Orthopaedic History Taking
Orthopaedic History TakingOrthopaedic History Taking
Orthopaedic History TakingMONTHER ALKHAWLANY
 
histology of cardiovascular system
histology of cardiovascular systemhistology of cardiovascular system
histology of cardiovascular systemMuhammad Amir Sohail
 
Lab Exam #2 Histology (labeled)
Lab Exam #2 Histology (labeled)Lab Exam #2 Histology (labeled)
Lab Exam #2 Histology (labeled)Sabrina Chanthalath
 
Histology of skin
Histology of skinHistology of skin
Histology of skinMuhammad Amir Sohail
 
Case presentation on Diabetic foot ulcer
Case presentation on Diabetic foot ulcerCase presentation on Diabetic foot ulcer
Case presentation on Diabetic foot ulcerkomathi komathi
 
Anatomy of Thorax
Anatomy of ThoraxAnatomy of Thorax
Anatomy of ThoraxYusuf Shieba Elhamd
 
connective tissue
connective tissueconnective tissue
connective tissueGOPALASATHEESKUMAR K
 
Anatomy of venous system of lower limb
Anatomy of venous system of lower limbAnatomy of venous system of lower limb
Anatomy of venous system of lower limbindumathibalakrishna
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wallMoamer Gabsa
 
Fundamental types of tissues
Fundamental types of tissuesFundamental types of tissues
Fundamental types of tissuesBENZ BUNGGAY
 
Modified radical mastectomy
Modified radical mastectomyModified radical mastectomy
Modified radical mastectomyJaideep Pradeep
 
Introduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiIntroduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiDr.B.B. Gosai
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injuryNur Izzatul Najwa
 
A case of unsteadiness and limb weakness
A case of unsteadiness and limb weaknessA case of unsteadiness and limb weakness
A case of unsteadiness and limb weaknessRichard McCrory
 
Case presentation
Case presentationCase presentation
Case presentationHariz Jaafar
 
surgical anatomy Inguinal canal anatomy dr.vishnu
surgical anatomy Inguinal canal anatomy dr.vishnusurgical anatomy Inguinal canal anatomy dr.vishnu
surgical anatomy Inguinal canal anatomy dr.vishnuvishnu mohan
 
Great saphenous vein
Great saphenous veinGreat saphenous vein
Great saphenous veinRithik Katariya
 
anatomy and physiology of small intestine
anatomy and physiology of small intestineanatomy and physiology of small intestine
anatomy and physiology of small intestineikramdr01
 
Physiological Responses to Surgery & Trauma
Physiological Responses to Surgery & TraumaPhysiological Responses to Surgery & Trauma
Physiological Responses to Surgery & TraumaMuhammad Shoyab
 
Sirs and metabolic support
Sirs and metabolic supportSirs and metabolic support
Sirs and metabolic supportdrjessieboy
 
Systemic Response To Injury
Systemic Response To InjurySystemic Response To Injury
Systemic Response To InjuryMD Specialclass
 

Weitere ähnliche Inhalte

Was ist angesagt?

Community Based Education (CBE) chainda research
Community Based Education (CBE) chainda researchCommunity Based Education (CBE) chainda research
Community Based Education (CBE) chainda researchRodneykawimbe
 
histology of cardiovascular system
histology of cardiovascular systemhistology of cardiovascular system
histology of cardiovascular systemMuhammad Amir Sohail
 
Case presentation on Diabetic foot ulcer
Case presentation on Diabetic foot ulcerCase presentation on Diabetic foot ulcer
Case presentation on Diabetic foot ulcerkomathi komathi
 
Anatomy of venous system of lower limb
Anatomy of venous system of lower limbAnatomy of venous system of lower limb
Anatomy of venous system of lower limbindumathibalakrishna
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wallMoamer Gabsa
 
Fundamental types of tissues
Fundamental types of tissuesFundamental types of tissues
Fundamental types of tissuesBENZ BUNGGAY
 
Modified radical mastectomy
Modified radical mastectomyModified radical mastectomy
Modified radical mastectomyJaideep Pradeep
 
Introduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiIntroduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiDr.B.B. Gosai
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injuryNur Izzatul Najwa
 
A case of unsteadiness and limb weakness
A case of unsteadiness and limb weaknessA case of unsteadiness and limb weakness
A case of unsteadiness and limb weaknessRichard McCrory
 
surgical anatomy Inguinal canal anatomy dr.vishnu
surgical anatomy Inguinal canal anatomy dr.vishnusurgical anatomy Inguinal canal anatomy dr.vishnu
surgical anatomy Inguinal canal anatomy dr.vishnuvishnu mohan
 
anatomy and physiology of small intestine
anatomy and physiology of small intestineanatomy and physiology of small intestine
anatomy and physiology of small intestineikramdr01
 
Physiological Responses to Surgery & Trauma
Physiological Responses to Surgery & TraumaPhysiological Responses to Surgery & Trauma
Physiological Responses to Surgery & TraumaMuhammad Shoyab
 

Was ist angesagt? (20)

Community Based Education (CBE) chainda research
Community Based Education (CBE) chainda researchCommunity Based Education (CBE) chainda research
Community Based Education (CBE) chainda research
 
Orthopaedic History Taking
Orthopaedic History TakingOrthopaedic History Taking
Orthopaedic History Taking
 
histology of cardiovascular system
histology of cardiovascular systemhistology of cardiovascular system
histology of cardiovascular system
 
Lab Exam #2 Histology (labeled)
Lab Exam #2 Histology (labeled)Lab Exam #2 Histology (labeled)
Lab Exam #2 Histology (labeled)
 
Histology of skin
Histology of skinHistology of skin
Histology of skin
 
Case presentation on Diabetic foot ulcer
Case presentation on Diabetic foot ulcerCase presentation on Diabetic foot ulcer
Case presentation on Diabetic foot ulcer
 
Anatomy of Thorax
Anatomy of ThoraxAnatomy of Thorax
Anatomy of Thorax
 
connective tissue
connective tissueconnective tissue
connective tissue
 
Anatomy of venous system of lower limb
Anatomy of venous system of lower limbAnatomy of venous system of lower limb
Anatomy of venous system of lower limb
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
 
Fundamental types of tissues
Fundamental types of tissuesFundamental types of tissues
Fundamental types of tissues
 
Modified radical mastectomy
Modified radical mastectomyModified radical mastectomy
Modified radical mastectomy
 
Introduction abdomen-dr.gosai
Introduction abdomen-dr.gosaiIntroduction abdomen-dr.gosai
Introduction abdomen-dr.gosai
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
 
A case of unsteadiness and limb weakness
A case of unsteadiness and limb weaknessA case of unsteadiness and limb weakness
A case of unsteadiness and limb weakness
 
Case presentation
Case presentationCase presentation
Case presentation
 
surgical anatomy Inguinal canal anatomy dr.vishnu
surgical anatomy Inguinal canal anatomy dr.vishnusurgical anatomy Inguinal canal anatomy dr.vishnu
surgical anatomy Inguinal canal anatomy dr.vishnu
 
Great saphenous vein
Great saphenous veinGreat saphenous vein
Great saphenous vein
 
anatomy and physiology of small intestine
anatomy and physiology of small intestineanatomy and physiology of small intestine
anatomy and physiology of small intestine
 
Physiological Responses to Surgery & Trauma
Physiological Responses to Surgery & TraumaPhysiological Responses to Surgery & Trauma
Physiological Responses to Surgery & Trauma
 

Andere mochten auch

Sirs and metabolic support
Sirs and metabolic supportSirs and metabolic support
Sirs and metabolic supportdrjessieboy
 
Systemic Response To Injury
Systemic Response To InjurySystemic Response To Injury
Systemic Response To InjuryMD Specialclass
 
Systemic metabolic response to injures
Systemic metabolic response to injures Systemic metabolic response to injures
Systemic metabolic response to injures salahudin ahadi
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injurySudarsan Agarwal
 
Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02axix
 
Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01axix
 
Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016pathologydept
 
Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.Nir Hus MD, PhD, FACS
 
Homestasis Surgery
Homestasis SurgeryHomestasis Surgery
Homestasis Surgeryaxix
 
Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to traumazubinpancharia
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01axix
 
Autologous blood transfusion
Autologous blood transfusionAutologous blood transfusion
Autologous blood transfusionNippun Prinja
 
Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16surgerymgmcri
 
03.sabiston surgery questions 17th ed
03.sabiston surgery questions 17th ed03.sabiston surgery questions 17th ed
03.sabiston surgery questions 17th edLucia Rosales
 
Shock 090914002728 Phpapp02
Shock 090914002728 Phpapp02Shock 090914002728 Phpapp02
Shock 090914002728 Phpapp02axix
 
Salivary gland tumors
Salivary gland tumors Salivary gland tumors
Salivary gland tumors drksreenath
 

Andere mochten auch (20)

Sirs and metabolic support
Sirs and metabolic supportSirs and metabolic support
Sirs and metabolic support
 
Systemic Response To Injury
Systemic Response To InjurySystemic Response To Injury
Systemic Response To Injury
 
Systemic metabolic response to injures
Systemic metabolic response to injures Systemic metabolic response to injures
Systemic metabolic response to injures
 
1.sirs 060812
1.sirs 0608121.sirs 060812
1.sirs 060812
 
Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
 
Metabolic response to injury
Metabolic response to injury Metabolic response to injury
Metabolic response to injury
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
 
mAb
mAbmAb
mAb
 
Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02
 
Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01
 
Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016
 
Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.
 
Homestasis Surgery
Homestasis SurgeryHomestasis Surgery
Homestasis Surgery
 
Metabolic response to trauma
Metabolic response to traumaMetabolic response to trauma
Metabolic response to trauma
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01
 
Autologous blood transfusion
Autologous blood transfusionAutologous blood transfusion
Autologous blood transfusion
 
Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16Metabolic response to injury 14 03-16
Metabolic response to injury 14 03-16
 
03.sabiston surgery questions 17th ed
03.sabiston surgery questions 17th ed03.sabiston surgery questions 17th ed
03.sabiston surgery questions 17th ed
 
Shock 090914002728 Phpapp02
Shock 090914002728 Phpapp02Shock 090914002728 Phpapp02
Shock 090914002728 Phpapp02
 
Salivary gland tumors
Salivary gland tumors Salivary gland tumors
Salivary gland tumors
 

Ähnlich wie Injury Coughlin 7 7 08

Metabolic response to trauma - In Perspective of Maxillofacial Surgery
Metabolic response to trauma - In Perspective of Maxillofacial SurgeryMetabolic response to trauma - In Perspective of Maxillofacial Surgery
Metabolic response to trauma - In Perspective of Maxillofacial SurgeryMaxfac Center
 
ENHANCED RECOVERY AFTER SURGERY (ERAS)
ENHANCED RECOVERY AFTER SURGERY (ERAS)ENHANCED RECOVERY AFTER SURGERY (ERAS)
ENHANCED RECOVERY AFTER SURGERY (ERAS)fast.track
 
Physiology and mli of shock
Physiology and mli of shockPhysiology and mli of shock
Physiology and mli of shocktsokos
 
Molecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptx
Molecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptxMolecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptx
Molecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptxSamikshaHamane
 
Class corticosteroids new
Class corticosteroids newClass corticosteroids new
Class corticosteroids newRaghu Prasada
 
Non narcotic analgesics
Non narcotic analgesicsNon narcotic analgesics
Non narcotic analgesicsSharique Ayaz
 
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01prashanthsangu
 
Pharma chemmediators
Pharma chemmediatorsPharma chemmediators
Pharma chemmediatorsnowienajoyce
 
Approach to hypovolemic and septic shock
Approach to hypovolemic and septic shockApproach to hypovolemic and septic shock
Approach to hypovolemic and septic shockAhmed Bahamid
 
Adrenal hormones - Pharmacology
Adrenal hormones - PharmacologyAdrenal hormones - Pharmacology
Adrenal hormones - PharmacologyAreej Abu Hanieh
 
Corticosteroids the often used but least understood drug
Corticosteroids the often used but least understood drugCorticosteroids the often used but least understood drug
Corticosteroids the often used but least understood drugAvijit Prusty
 
Angiotensin, kinins, leukotrienes, prostaglandins & cytokines
Angiotensin, kinins, leukotrienes, prostaglandins & cytokinesAngiotensin, kinins, leukotrienes, prostaglandins & cytokines
Angiotensin, kinins, leukotrienes, prostaglandins & cytokinesDr Resu Neha Reddy
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injuryOmarAlaidaroos3
 

Ähnlich wie Injury Coughlin 7 7 08 (20)

Autacoidstu
AutacoidstuAutacoidstu
Autacoidstu
 
Metabolic response to trauma - In Perspective of Maxillofacial Surgery
Metabolic response to trauma - In Perspective of Maxillofacial SurgeryMetabolic response to trauma - In Perspective of Maxillofacial Surgery
Metabolic response to trauma - In Perspective of Maxillofacial Surgery
 
corticosteroids
corticosteroidscorticosteroids
corticosteroids
 
Septic shock.pptx
Septic shock.pptxSeptic shock.pptx
Septic shock.pptx
 
ENHANCED RECOVERY AFTER SURGERY (ERAS)
ENHANCED RECOVERY AFTER SURGERY (ERAS)ENHANCED RECOVERY AFTER SURGERY (ERAS)
ENHANCED RECOVERY AFTER SURGERY (ERAS)
 
Physiology and mli of shock
Physiology and mli of shockPhysiology and mli of shock
Physiology and mli of shock
 
Molecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptx
Molecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptxMolecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptx
Molecular & Cellular Pharmacology & Mechanism of Action of Corticosteroids.pptx
 
Class corticosteroids new
Class corticosteroids newClass corticosteroids new
Class corticosteroids new
 
Non narcotic analgesics
Non narcotic analgesicsNon narcotic analgesics
Non narcotic analgesics
 
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01Metabolicresponsetoinjury dr-141014134434-conversion-gate01
Metabolicresponsetoinjury dr-141014134434-conversion-gate01
 
Pharma chemmediators
Pharma chemmediatorsPharma chemmediators
Pharma chemmediators
 
shock.pptx
shock.pptxshock.pptx
shock.pptx
 
Approach to hypovolemic and septic shock
Approach to hypovolemic and septic shockApproach to hypovolemic and septic shock
Approach to hypovolemic and septic shock
 
sepsis.pptx
sepsis.pptxsepsis.pptx
sepsis.pptx
 
shock
shockshock
shock
 
Adrenal hormones - Pharmacology
Adrenal hormones - PharmacologyAdrenal hormones - Pharmacology
Adrenal hormones - Pharmacology
 
Corticosteroids the often used but least understood drug
Corticosteroids the often used but least understood drugCorticosteroids the often used but least understood drug
Corticosteroids the often used but least understood drug
 
Angiotensin, kinins, leukotrienes, prostaglandins & cytokines
Angiotensin, kinins, leukotrienes, prostaglandins & cytokinesAngiotensin, kinins, leukotrienes, prostaglandins & cytokines
Angiotensin, kinins, leukotrienes, prostaglandins & cytokines
 
Corticosteroids(2&3)
Corticosteroids(2&3)Corticosteroids(2&3)
Corticosteroids(2&3)
 
Metabolic response to injury
Metabolic response to injuryMetabolic response to injury
Metabolic response to injury
 

Mehr von axix

Cell Injury And Cell Death (2006)(1)
Cell Injury And Cell Death (2006)(1)Cell Injury And Cell Death (2006)(1)
Cell Injury And Cell Death (2006)(1)axix
 
Cell Injury Patho
Cell Injury PathoCell Injury Patho
Cell Injury Pathoaxix
 
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02axix
 
Ch02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And PharmacodynamicsCh02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And Pharmacodynamicsaxix
 
Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01axix
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01axix
 
Acute And Chronic Inflammation
Acute And Chronic InflammationAcute And Chronic Inflammation
Acute And Chronic Inflammationaxix
 
Labaratory Patho
Labaratory PathoLabaratory Patho
Labaratory Pathoaxix
 
Pharmacology
PharmacologyPharmacology
Pharmacologyaxix
 
Surgery
SurgerySurgery
Surgeryaxix
 
Pharmacology 1
Pharmacology 1Pharmacology 1
Pharmacology 1axix
 
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 PatientFluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patientaxix
 
Surgery Questions
Surgery QuestionsSurgery Questions
Surgery Questionsaxix
 
Fluid And Electrolyte
Fluid And ElectrolyteFluid And Electrolyte
Fluid And Electrolyteaxix
 
Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02axix
 

Mehr von axix (15)

Cell Injury And Cell Death (2006)(1)
Cell Injury And Cell Death (2006)(1)Cell Injury And Cell Death (2006)(1)
Cell Injury And Cell Death (2006)(1)
 
Cell Injury Patho
Cell Injury PathoCell Injury Patho
Cell Injury Patho
 
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
 
Ch02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And PharmacodynamicsCh02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And Pharmacodynamics
 
Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01
 
Acute And Chronic Inflammation
Acute And Chronic InflammationAcute And Chronic Inflammation
Acute And Chronic Inflammation
 
Labaratory Patho
Labaratory PathoLabaratory Patho
Labaratory Patho
 
Pharmacology
PharmacologyPharmacology
Pharmacology
 
Surgery
SurgerySurgery
Surgery
 
Pharmacology 1
Pharmacology 1Pharmacology 1
Pharmacology 1
 
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 PatientFluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
 
Surgery Questions
Surgery QuestionsSurgery Questions
Surgery Questions
 
Fluid And Electrolyte
Fluid And ElectrolyteFluid And Electrolyte
Fluid And Electrolyte
 
Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02
 

Kürzlich hochgeladen

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...GENUINE ESCORT AGENCY
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Anamika Rawat
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls ServiceGENUINE ESCORT AGENCY
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableGENUINE ESCORT AGENCY
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Anamika Rawat
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...chennailover
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...parulsinha
 

Kürzlich hochgeladen (20)

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 

Injury Coughlin 7 7 08

  • 1. Systemic Response to Injury & Metabolic Support a review of Schwartz’s Principles of Surgery- Chapter 1 L. Coughlin, M.D. July 7, 2008
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. Eicosanoids Phospholipids Arachadonic Acid Cyclic endoperoxidases (PGG2, PGH2) Hydroperoxyeicosatetraenoic acid (HPETE) Prostaglandins PGD2, PGE2, PGF2 α , PGI2 Thromboxane TXA2 Hydroxyeicosatetraenoic Acid HETE Leukotrienes Cyclooxygenase 1 & 2 Lipoxygenase Phospholipase A2 Corticosteroids Glucocorticoids (Cortisol)
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 84.