Waching daily Jun 1 2017

Acute Otitis Media

What is Acute Otitis Media?

'Acute' stands for 'abrupt onset' 'Ot-' stands for 'Ear'

'itis' stands for 'Infection & inflammation'

While 'Media' stands for 'middle ear'

So acute otitis media means 'Inflammation of the middle ear'

What are the stages of 'Acute Otitis Media'?

I. Stage of tubal occlusion: Since the middle ear drainage is entirely

dependent upon Eustachian Tube.

The first step in 'Acute otitis Media' is the blockage of Eustachian Tube.

Children are particularly pre-disposed to 'Acute otitis Media' because their Eustachian

Tube is Shorter, Wider and More horizontal as compared to Adults.

Which increases the chances of their Eustachian Tube getting blocked.

II.

Stage of presuppuration After the Eustachian Tube is blocked, the

micro-organisms start Infecting.

III.

Stage of suppuration This is marked by formation of pus in the

middle ear.

Tympanic membrane starts bulging to the point of rupture.

IV.

Stage of resolution The tympanic membrane rupture, with release

of pus and subsidence of symptoms.Inflammatory process begins to resolve.

If proper treatment is started early or if the infection was mild, resolution may start

even without rupture of tympanic membrane.

V. Stage of complication.

If virulence of organism is high or resistance of patient poor, resolution may not take

place and disease spreads beyond the confines of middle ear.

Treatment 1.

Antibacterial therapy : It is indicated in all cases with fever and severe earache.

2.

Decongestant nasal drops.

nose drops should be used to relieve eustachian tube edema and promote ventilation

of middle ear.

4.

Analgesics and antipyretics.

help to relieve pain and bring down temperature.

5.

Ear toilet.

If there is discharge in the ear, it is dry mopped with sterile cotton buds and a wick

moistened with antibiotic may be inserted.

6.

Dry local heat.

It helps to relieve pain.

7.

Myringotomy.

It is incising the drum to evacuate pus and is indicated when (a) drum is bulging and

there is acute pain, (b) there is an incomplete resolution despite

antibiotics when drum remains full with persistent conductive deafness, (C) there is persistent

effusion beyond 12 weeks.

All cases of acute suppurative otitis media should be

carefully followed till drum membrane returns to its normal

appearance

For more infomation >> What is Acute Otitis Media? | ENT | Free Medical Education | Subtitled - Duration: 3:14.

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Korean Breaking News: This 21-year-old Japanese Idol Is Constantly Mistaken For ? - Duration: 1:52.

This 21-year-old Japanese Idol Is Constantly Mistaken For ?

This adorable Japanese idol has taken the internet by storm for her baby-faced visuals.

Nagasawa Marina is a member of the group Hokago Princess.  She has become well known for her baby-doll facial features. Her large and expressive eyes give a puppy-like effect that could charm anyone.

It is not uncommon for Marina to be mistaken for being much younger than she is but the cute singer will be turning 22-year-old this year.

Though she may have a baby face she is a mature and talented singer that also has a great figure.

With an adorable face and charismatic personality, she has been able to attract a large following. She has won a number of competitions for showing off her contrasting physique and aura including the Miss ID 2016 competition.

Many cannot get over the drastic difference between her image and her age. It seems Marina is certainly an anomaly. Check out more pictures of the baby-faced idol below!.

For more infomation >> Korean Breaking News: This 21-year-old Japanese Idol Is Constantly Mistaken For ? - Duration: 1:52.

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Renault Trafic 2.5 dCi L1 H1 prijs is incl. BTW - Duration: 0:56.

For more infomation >> Renault Trafic 2.5 dCi L1 H1 prijs is incl. BTW - Duration: 0:56.

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What is covfefe? Donald Trump baffles with late-night Twitter post - Duration: 8:37.

What is covfefe? Donald Trump baffles with late-night Twitter post

If you haven't looked it up already, don't bother. Just after midnight in Washington, Donald Trump tweeted: "Despite the constant negative press covfefe." That was it. Just that word "covfefe" left hanging there.

Covfefe is a word now. Deal with it | David Shariatmadari   Read more. It left many of his 31 million followers on Twitter baffled, and slightly concerned.

Anthony Brian Smith (@AnthonyBLSmith) that was the moment Trump became prsiduvhirw pic. twitter. com/fKVPPNVFH0 May 31, 2017. The tweet had been active on Trump's account without comment or clarification overnight and was not deleted until shortly before 6am the following morning.

Trump replaced it with a tweet reading: "Who can figure out the true meaning of 'covfefe' ??? Enjoy!".

That it had not been immediately deleted was confusing to users who, in the hours between the two tweets, had indeed tried to work out what exactly Trump might have meant.

Clive Thompson (@pomeranian99) Does no one on staff have his password? Have they tried the most common ones? 123456, or 11111, or, like. password? May 31, 2017.

emily nussbaum (@emilynussbaum) Its been five minutes. What if this is it. That is his final tweet & the rest of history stops.

Ashley Feinberg (@ashleyfeinberg) I was about to go to bed but I guess i have to stare at this covfefe tweet until it goes away now May 31, 2017.

The Merriam-Webster dictionary, which has a track record of fact-checking Trump's tweets and neologisms on Twitter, decided to sit this one out. Merriam-Webster (@MerriamWebster) Wakes up.

Others suggested the tweet had taken the heat off US comedian Kathy Griffin, who had earlier been under fire for posting a video in which she held a replica of Trump's severed bloody head.

Victoria Cliett (@VictoriaCliett1) Kathy Griffin: Tonight, I have all of Twitter paying attention to me!@realDonaldTrump: Hold my #covfefe. Lauren Reeves (@laurenreeves) Thank god for covfefe. -Kathy Griffin May 31, 2017.

Erik Brooks (@ChipBrooks17) Congratulations Kathy Griffin. No one cares about you anymore. We have #covfefe now. Kristina Wong, a US comedian, observed that the domain Covfefe. com had been promptly snapped up.

Kristina Wong ❄️ (@mskristinawong) Goddamit. Someone already bought #Covfefe.com. pic.twitter.com/duRrtb41PO May 31, 2017.

Kristina Wong ❄️ (@mskristinawong) I think #Covfefe is Russian for Take Jared and spare me. twitter. com/pDpjqX0Cyg May 31, 2017. The actor Zach Braff predicted Sean Spicer's wholehearted defense of the word.

Zach Braff (@zachbraff) Not only is covfefe a word, its the greatest word ever uttered. twitter. com/kWhfLrFaKn May 31, 2017. "Covfefe" was trending in the US as Twitter rushed to get its gags in.

billy eichner (@billyeichner) When they go low, we covfefe.

Matt Slevinsky (@_MATTATTAK) You used to #covfefe me on my cell phone. pic.twitter.com/rkp5r9XDJ0 May 31, 2017. Jason Filiatrault (@jfiliatrault) Nevertheless, she covfefe. May 31, 2017.

Jordan VanDina (@Shrimptooth) Finally figured out what Bill Murray whispered in Scarlett Johanssons ear at the end of Lost in Translation #covfefe pic. twitter. com/fDFJUYlEz8 May 31, 2017. Eli Matthewson (@EliMatthewson) *sings* I'M GONNA SWIIIIIING FROM THE COVFEFE-FE FROM THE COVFEFE-FEEEEEEE.

Travon Free (@Travon) Ask your doctor if Covfefe is right for you. pic.twitter.com/XcDAXMNw1m May 31, 2017. KimKierkegaardashian (@KimKierkegaard) Life can only be understood backwards; but it must be lived covfefe May 31, 2017.

Patrick Monahan (@pattymo) When the covfefe hits pic. twitter. com/onkjuvcuVN May 31, 2017. Jesse Singal (@jessesingal) Dont normalize covfefe May 31, 2017.

Matt 15 (@Aggie_Matt15) Media frantically typing #Covfefe on Google translate to see what it means in Russian. pic.twitter.com/0DubNBvs3C May 31, 2017.

Trump has been known to tweet on both Android and Apple devices in the past, but the "covfefe" tweet had been sent from the Twitter app on an iPhone.

The news site Axios had reported on Thursday that the president's current device was an iPhone with only one app: Twitter.

It cited anonymous White House officials who said that limiting screen time was key to "forcing a more disciplined President Trump", as witnessed on his overseas tour:.

In Trump's case, it's curtailing his time watching TV and banging out tweets on his iPhone. Trump himself has been pushing staff to give him more free time.

But staff does everything it can to load up his schedule to keep him from getting worked up watching cable coverage, which often precipitates his tweets. It has worked well overseas so far.