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APPENDIX A INSERTION OF NASAL PACK A. FINGER-COT TYPE Materials: 1. Finger,cot (middle finger cut off from a size 7 1/2 surgical gloves _ 1 2. Antibiotic ointment (oxytetracycline/polymixin B) 5 g tube # 1 3. Medium-strip gauze # 1 or 2 4. Nasal speculum 5. Nasal dressing forceps or bayonet forceps Procedure: 1. Coat liberally the outer suface of the finger-cot with the antibiotic ointment. 2. Place the cot over the speculum which is then introduced into the nose. 3. Maintain pressure between your index finger, which is resting on the ala, and the blade of the speculum to avoid slipping of the finger-cot deep into the nasal chamber. 4. Spread out the sides of the finger-cot by probing the nasal forceps within the finger-cot. 5. Insert slowly the medium-strip gauze (dampened with sterile water) using the nasal dressing forcep until the whole chamber is fully packed. B. MEDIUM-STRIP GAUZE Materials: 1. Medium-strip gauze # 1 or 2 2. Antibiotic ointment (oxytetracycline/polymixin B) 5 g # 2 or 3 3. Nasal speculum 4. Nasal dressing forceps or bayonet forceps Procedure: 1. Lubricate liberally the medium-strip gauze with the antibiotic ointment. 2. With the speculum in place, insert the medicated strip using the nasal forceps in a pleated manner within the nasal chamber until fully packed. 93
APPENDIX C MICROBIALGROWTH POTENTIALLYPATHOGENICSTRAIN Pt. Finger-cot Medlurn-strip Pt. Finger-cot Medium-strip outersurface innersurface outersurface Innersurface 1. + - 1. - - 2. - - 2. - - 3. - - 3. - - 4. + + 4. - + 5. + - 5. + - 6. - - 6. - - 7. 0 0 7. 0 O 8. + + 8. - - 9. + + 9. - - 10. - - 10. - - 11. + _ 11. - - 12. + _ 12. - - 13. + - 13. + - 14. - - 14. - - 15. + + 15.. - - 16. + + 16. - - 17. - - 17. - - 18. + - 18. + - 19. - 0 19. - 0 20. - - 20. - - 21. + _ 21. - - :2. 0 - 22. 0 - 23. - _ 23. - - 24. + + 24 + _ 25 - + 25. - + 26. + - 26. + - 27. - - 27. - _ 28. - 28 - _ 29. - 29. - _ 30. - - 30. - - 31. 32. + + - 31. 32. + - + - (sign test, p = 0.04) (sign test, p = 1.0) 94
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Iq4LIPl:qut=S TABLE OF CONTENTS NEC
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HEAD AND NECK SURGERY - TO ADD OR N
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PRESIDENT'S PAGE The years 1989-90
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RIZAL MEDICAL CENTER DEPARTMENT OF
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muscles. Again it is likely possibl
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area measuring 4.8 x 3.7 cm extendi
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tend to recur locally, even after p
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UNIVERSITY OF THE PHILIPPINES PHILI
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The majority of patients with hyper
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mass wa uttrasonograImy. Neck explo
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Figure 2 : Parathyroid Adcnoma vs.
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E.wa_ileMassonLe_Maxilla "salt& pep
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of some clinical features as well a
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MCU HOSPITAL DEPARTMENT OF OTOLARYN
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JOSE REYES MEMORIAL MEDICAL CENTER
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nonetheless stated: "We have the im
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to the diagnostic know-how of the c
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PATIENTS & METHODS: These signs and
Page 45 and 46: Most patients in group 1 complained
Page 47 and 48: DISCUSSION: and septal deviation mi
Page 49 and 50: OSPITAL NG MAYNILA DEPARTMENT OF OT
Page 51 and 52: ..temporary relief. According to Ha
Page 53 and 54: CASE REPORT phonuclear cells. The r
Page 55 and 56: TITLE:Cleft Lip Surgeryfor Rural Fi
Page 57 and 58: After intubation and the endoctrach
Page 59 and 60: BIBLIOGRAPHY Converse, J.M., Recons
Page 61 and 62: UNIVERSITY PHILIPPINE DEPARTMENT OF
Page 63 and 64: Table 3. Distribution of Organism b
Page 65 and 66: J BIBLIOGRAPHY Y MACKOWIAK, P.A., J
Page 67 and 68: Figure 3. SENSITIVITY PATTERN OF Pr
Page 69 and 70: Figure 3. Percent SENSITIVITY PATTE
Page 71 and 72: loradatine 10 mg/tabletgiven once a
Page 73 and 74: 1. Severity of Symptoms 3. Comparis
Page 75 and 76: -J;r,ceiving 40 mg of loratadine da
Page 79 and 80: : ' : _ : ::::::: : : i : ::
Page 81 and 82: These patients are new patients see
Page 83 and 84: - Table Vl Baseline Signs and Sympt
Page 85 and 86: The following Table VII will show t
Page 87 and 88: • 14.Drowsiness: None 30 2 4 10 2
Page 89 and 90: Actifed's side effect of drowsiness
Page 91 and 92: " to be packed with one type of pac
Page 93 and 94: With regard to microbiology of nasa
Page 95: TABLE 6: MANNER OF CONTROL OF REBLE
Page 99 and 100: EAST AVENUE MEDICAL CENTER DEPARTME
Page 101 and 102: type (20%-30% of cases) varies from
Page 103 and 104: TABLE Ii HistologicalClassification
Page 105 and 106: THE LATERAL NASAL WALL IN FILIPINOS
Page 107 and 108: MIDDLE MEATUS: Diameter of ostium:
Page 109 and 110: .;4".,..:'.-" ............. '---.",
Page 111 and 112: Figure 4. Variation in the location
Page 113 and 114: This study presents variations with
Page 115: ACKNOWLEDGMENT The authors would li
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