The authors speculate that this is due to easy detection of cortical deformity and real time correlation with bony tenderness on exam with ultrasound. In another study evaluating POCUS as compared to CT (the gold standard), for the diagnosis of elbow fractures not adequately visualized on x-ray, POCUS had a sensitivity of 97% and a specificity of 88%. reviewing the sensitivity and specificity for ultrasound diagnosis of upper extremity fractures completed by Emergency Medicine physicians compared to x-ray was 83-100% and 73-91% respectively. Identifying fractures of the elbow using POCUS includes visualizing cortical disruption, subperiosteal hematomas, posterior fat pad elevation or lipohemarthrosis. In particular, bedside ultrasound may be superior to x-ray for diagnosis of occult fractures such as nondisplaced fractures, buckle fractures, and Salter Harris I fractures. With the advent of ultrasound availability across Emergency Departments, there may be benefits for using POCUS as an adjunct in diagnosis or exclusion of fractures. However, radiographs are often negative for fracture in these injuries (50% for upper extremities and 85% for ankle injuries). DISCUSSIONĮxtremity injuries and concern for fractures are common reasons for patient visits to the Emergency Department. The patient was diagnosed with a left elbow dislocation with possible occult, proximal radial head avulsion fracture. CT imaging redemonstrated the bone fragment next to the lateral epicondyle suspicious of avulsion fracture, but without a clear source. Given the bone fragment which was seen on x-ray but no clear fracture, the patient then had a CT scan of her elbow to better characterize the injury. It also noted extensive soft tissue swelling with a punctate linear ossific process just proximal to the radial head which was thought to be a fracture fragment. The patient’s plain film report noted a posterior dislocation of the elbow.
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Your whole house will smell amazing as these bake away in your oven, and I guarantee they’ll be a huge hit with whoever you choose to share them with. It’s a vegetable right? Breakfast, lunchbox treat, after school snack… Best Ever Pumpkins for everyone! I’ve made a few batches of these over the last month, and I’m pretty sure Little Boy #3 has eaten his weight in pumpkin. They are anything but dry, and perfectly sweet with a little bit of spice. Guest: Reactions: Re: Alexia Putellas: won the Ballon DOr but could win. Learn more in the Cambridge English-Spanish Dictionary. Pretty little liars :lol: no kidding, it was why I was addicted to that series. And don’t worry if you don’t like the flavor of coconut – pinky promise, you’d never ever know. pretty translate: bastante, bonito, lindo, bonito/ta masculine-feminine, singular, bello/lla masculine-feminine. I love how puffy their muffin tops are, and if you’ve never baked with coconut oil, you won’t believe what it does for the texture of a muffin. No frosting, no glaze, no drizzle, and not even a dusting of powdered sugar. I had originally intended to come up with some sort of glaze or frosting to go on these muffins, but when I saw how pretty they looked all on their own, and then tasted their perfection, I knew I had to leave them alone. 6 7 It started with an accessory only brand with limited products on the site. I get so many comments from LLK friends who’ve made them saying they totally agree with my BEST EVER claim too! PrettyLittleThing was co-founded in 2012 by Umar Kamani and his brother Adam Kamani. I’m pretty careful about adding that BEST EVER on to any of my recipe titles because I want to save it for when something really deserves it. I’m not saying yours isn’t the best, but I can’t really know because I’ve never tasted yours, okay? Don’t want to step on any toes here, I just want you to know how amazing these muffins really are! I know it’s pretty presumptuous of me to title any recipe of mine BEST EVER, and I’m sorry if you make a really good pumpkin muffin as well. Registered office: 49-51 Dale Street, Manchester, M1 2HF.So just to clarify, by BEST EVER, I mean best that I have ever tasted. If you wish to end your email subscription unsubscribe here You want to know how we use customer data please view our We do not reply to e-mails from this address, for further assistance, please visit our contact page. We are emailing after your request to receive our newsletter either when you have made a purchase online or subscribed at No price adjustments on previous purchases. Our plus size women’s clothing is perfect for showing off your shape, with sizes ranging from 16-28, there’s something for every figure. Offer ends 23:59 on 05/11/23 & cannot be used inĬonjunction with any other promotion or code. 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We will not try this place again.Menus Icon Bar Menu Icon Accordion Tabs Vertical Tabs Tab Headers Full Page Tabs Hover Tabs Top Navigation Responsive Topnav Split Navigation Navbar with Icons Search Menu Search Bar Fixed Sidebar Side Navigation Responsive Sidebar Fullscreen Navigation Off-Canvas Menu Hover Sidenav Buttons Sidebar with Icons Horizontal Scroll Menu Vertical Menu Bottom Navigation Responsive Bottom Nav Bottom Border Nav Links Right Aligned Menu Links Centered Menu Link Equal Width Menu Links Fixed Menu Slide Down Bar on Scroll Hide Navbar on Scroll Shrink Navbar on Scroll Sticky Navbar Navbar on Image Hover Dropdowns Click Dropdowns Cascading Dropdown Dropdown in Topnav Dropdown in Sidenav Resp Navbar Dropdown Subnavigation Menu Dropup Mega Menu Mobile Menu Curtain Menu Collapsed Sidebar Collapsed Sidepanel Pagination Breadcrumbs Button Group Vertical Button Group Sticky Social Bar Pill Navigation Responsive Header They've been open two plus months so the kinks should be worked out. Next time I want a good soup, meat/vegetable, or noodle dish I'll go to the Thai restaurant in the food court at Gateway Mall - made to order and tasty. When he gave us the bill he didn't even ask how we liked it. Even though we kept looking around to get water and tea refills. Once our waiter served the food, we didn't see him again until he brought the bill. Most of the beef pieces were so tough they couldn't be cut with a fork or chewed. In both dishes the meats and vegetables were cold like they'd been sitting out waiting for a luke warm sauce with salt noodles. The Mei Fun tasted like 1/4 cup of salt was the 'sauce' three small salad shrimp, about two tablespoons of shredded carrot, onion, & celery, three tough pieces of beef, and 1/2 tablespoon of ground up mystery meat. Neither dish had any hint of heat/spice to it. It took 25 minutes to get our food when we counted three occupied tables that hadn't received food. 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Just seems like we need a little bit more development in battery technology before they can compete 100%. A good grooming begins with a good bath and fluff dry.Īhhhh! Thank YOU for sharing this!! I kinda wondered if this might be the case w/ cordless. Watch videos on force (velocity) drying and fluff drying. You can watch some videos on you tube in proper drying technique. I also agree with the person that recommended getting a professional velocity dryer. They are made by a company that made sheep shearing clippers so the motor is a power house. It's the only one I've ever owned to have no issues after more than 2 years of use. It is the most powerful cordless I've ever used and I use it all day, every day and it never dies. It has a sealed motor so hair doesn't get down inside the housing. It's the best I've ever used in almost 15 years of grooming. If you have money to spend and want the Rolls Royce of Clippers go with the Heiniger cordless for dogs. Andis is the most popular among groomers I'd say. If you're looking for a moderately priced Clipper I'd go Andis Excel 5 speed. Thanks so much in advance! Looking forward to learning. Amazon reviews are pretty mixed which is why I need help & opinions from Reddit, particularly this community!! Any advice would be welcome. Also, I’m interested in a company w/ good service that will stand behind their products. I don’t need to have to recharge in the middle of a session. I’m looking for a clipper that will clip cleanly in 1-2 passes (or whatever is reasonable on that). I’m having to go over the same areas many many times to make sure that everything is clipped evenly. Right now, it’s taking me 3-4+ hours/dog and I simply can’t handle that physically (& they aren’t loving it either!). And if there is a specific clipper model you like, I’d love to know. But I’m wondering what brand you prefer and why. I’ve read as much as I could find and I think that the detachable style will work best for us (vs adjustable). It’s also vibrates a lot and the dogs don’t seem to like it much for all of these reasons. And, it’s so loud it’s impossible to follow a TV show in the background. It’s always required many, many passes to get an even cut and it gets HOT. I can’t say I’ve loved the Wahl, to be honest. It seems most Andis & Oster detachable clippers are have combs & blades that are interchangeable but I’m certainly not stuck on either of those brands, if there is something better. The latter actually does better & is quieter but doesn’t have longer combs available to fit (it’s a proprietary shape, darn it) so I’m looking for a “pro clipper” that will accept fairly “universal” combs/guides for length. I’ve been using a Wahl (Designer?) mostly but also a Remington Indestructable. I’m very ready now to invest in a really good set of clippers. I have always groomed our dogs at home (and did the same w/ the Bichon we had prior, and even the Bichon I had before that as a teenager). A 70lb Labradoodle (12.5 years) and a 40lb Border Doodle (8 months), both female. :) But reading through several of the posts, I was struck by what a kind, caring, and supportive sub this is. I didn’t see this subreddit when I searched initially and the r/dog community actually pointed me over here to get the best advice. I hope this is the best place to post this. |
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