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Epistaxis01:30

Epistaxis

402
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Oral Cavity01:11

Oral Cavity

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The oral cavity, or the mouth, is a complex structure in humans that plays a vital role in our day-to-day lives. Its role is not only in chewing and swallowing food; it also plays a role in speech and facial expressions.
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Esophagus01:24

Esophagus

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The esophagus, a muscular conduit linking the pharynx and stomach, measures roughly 10 inches (25.4 cm) and sits behind the trachea. It remains collapsed when not swallowing. The esophagus follows a predominantly straight path through the thoracic mediastinum and enters the abdominal cavity through a diaphragmatic opening known as the esophageal hiatus.
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...
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Assessment of the Mouth01:26

Assessment of the Mouth

812
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
812
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

596
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Related Experiment Video

Updated: Dec 5, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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A Case Report of a Massive Epignathus.

Farhad Naleini1, Nazanin Farshchian1, Mahmood Mehrbakhsh1

  • 1Department of Radiology, Clinical Research Development Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Journal of Medicine and Life
|October 19, 2020
PubMed
Summary

A massive epignathus, a rare congenital orofacial teratoma, was diagnosed via ultrasound at 25 weeks gestation. Early prenatal diagnosis of fetal epignathus is crucial for managing this condition.

Keywords:
Prenatal diagnosisepignathusteratoma

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Area of Science:

  • Obstetrics and Gynecology
  • Developmental Biology
  • Surgical Pathology

Background:

  • Epignathus is a rare congenital teratoma arising from all three germ layers.
  • Teratomas, including epignathus, can present with significant morbidity depending on size and location.

Observation:

  • A massive epignathus was identified in a fetus at 25 weeks of gestation via routine ultrasound.
  • The pregnancy was complicated by the onset of labor in the 28th week, leading to fetal demise and subsequent abortion.

Findings:

  • Pathologic examination of the aborted fetus confirmed a diagnosis of benign teratoma consistent with epignathus.
  • The large tumor size was a significant factor in the adverse outcome.

Implications:

  • This case highlights the importance of early prenatal diagnosis of fetal epignathus.
  • Timely identification allows for appropriate management strategies and counseling for expectant parents.