MARTINDALE'S

THE "VIRTUAL" ~ MEDICAL CENTER



CLINICAL - PHYSICAL EXAMINATIONS

& CLINICAL SKILLS



US/Pacific: Tuesday, February 9, 2010
Sydney, Australia: Wednesday, February 10, 2010


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Home Page ~ Medical Center




PHYSICIAN & HEALTHCARE PROVIDERS GUIDELINES

Ethics ~ End-of-Life Care ~ Sterilization & Disinfection ~ Hand Hygiene ~ Latex

Classification of Diseases, Functioning, and Disability
ICD-9 & ICD-10, ICD-9-CM & ICD-10-CM, ICF, etc.


Guidelines for Bioterrorism Physical Examination

Guidelines for Infectious Disease Discovered During Examination

Needlestick



COMPLETE PHYSICAL EXAMINATIONS: HEAD TO TOE
(Basic & Advanced)
(Text, Images, Videos/Movies & Audio/Sound)



Pregnancy, Labor, Delivery, Neonatal, Newborn Exam, etc.


Pediatric Exam, Infant Exam, Toddler Exam, Child Exam, Adolescent Exam


Adult Exam



STETHOSCOPE - AUSCULTATION
How to Use the Stethoscope for Cardiac & Pulmonary Examinations
Cardiac Auscultation (Heart Sounds) & Pulmonary Auscultation (Lung Sounds)

(Text, Images, Simulations, Videos/Movies & Audio/Sound)


CLINICAL SKILLS
(Text, Images, Videos/Movies & Audio/Sound)

Clinical Laboratory Tests

Clinical Skills
Multi Procedures Presentations - Basic & Intermediate



Clinical Procedures by Subject

Antimicrobial Susceptibility Testing ~ Arterial Blood Gas Sampling

Bone Marrow Aspiration

Burn Surface Examination & Emergency Care


Cast & Splint Application & Removal ~ Dermatology Clinical Skills

Fluids & Electrolytes ~ Intubation Procedures & Airway Management

IV Access & Catheter Insertion, Intravenus Dilution Standards, Drug Dosage, etc.

Medicine & Vaccine Administration, Injection Techniques, Immunization Schedules


Exposure to Blood ~ Nasogastric Tube Insertion

Perfusion ~ Peripheral Venous Access

Phlebotomy, Venipuncture, Blood Typing, Hematology

Regional Anesthesia, Anesthesia,
Anesthesia Machines, Nerve Block Techniques, Pediatric Sedation, Capnography, etc.


Specimen Collection (Microbiology) ~ Suprapubic Aspirate Procedure

Suturing, Knot Tying, Wound Closure, Dressing Change

Time of Death ~ Urinary Catheterization



PHYSICAL EXAMINATIONS & PROCEDURES: BY PHYSICAL AREA
(Basic & Advanced)
(Text, Images, Simulations, Videos/Movies & Audio/Sound)



Abdominal Exam, Gastroenterology, GI Exams
(X-Ray Exam of the Colon, Upper GI Series, Esophagram, etc.)



Cardiac Exam, Venous Pulse, EKG, ECG, Invasive Cardiac Monitoring,
Pulmonary Artery Catheter Insertion Procedure, Pacemaker, etc.



Chest, Lung, Pulmonary Exam,
Pulmonary Procedures & Tests: Bronchoscopy Procedure,
Arterial Puncture Procedure, Pleural biopsy, etc.



Dermatology Examination & Procedures
(KOH Prep, Tinea Capitis KOH, KHO of Nails, Tzanck Prep, etc.)



Emergency Exam, Medicine & Procedures
(Emergency Examination, CPR, Emergency Cardiovascular Care,
Emergency Medicine Technical Skills, Airway Management, Anesthesia
Critical Care; Pandemics; Heart Failure; Emergency Room Trauma;
Biological, Chemical, Nuclear & Radiological Mass Casualties Emergencies,
Chemical Hazardous Substances, Poisonous Snake, Spiders, etc.)



ENT Exam, HEENT Exam, Face Exam,
Dental Exam, Oral Cavity Exam, Oral Examination of Infants,
Neck Veins Exam, Thyroid Exam, Endocrine System, Larynx Exam, Voice Exam, etc.



Eye Exam, Neuro-Ophthalmic Exam,
Pupil Dilation, Ophthalmoscope, Fundoscopic Exam



Geriatric Exam,
Patient Activity Assessment, Geriatrics Manual
(Geriatric Depression Scale (GDS), Rigit Repetition Test,
Six-Maneuver Physical Screen, The Sternal Nudge Test, etc.)



Gynecological Exam, Clincal Breast Exam, etc.


Hearing Exam, Ear Exam,
Otoscopic Exam, Pneumatic Otoscopy Exam, Hearing Test



Musculoskeletal Examination, Orthopaedic Examination
(Neck Exam; Shoulder Exam; Back Exam; Spine Exam;
Wrist Exam; Hand Exam; Nail Exam; Elbow Exam; Hip Exam;
Knee Exam; Ankle Exam; Foot Exam, Girdle Exam; Gait Exam)



Neurological Examination
(Mental Status Exam-MSE, Sensory Exam, Coordination Exam, Gait Exam, etc.)
Neurological Examination for Divers
Neuro-Ophthalmology Exam
Neuromuscular Exam
(Myopathy, Neuropathy & Peripheral Neuropathy Exams)
Electroencephalography (EEG)
(Normal EEG Variants, EEG Seizure Monitoring,
Encephalopathic Patterns, Awake EEG, Drowsy EEG, Sleep, Activation, etc.)
Electromyography (EMG) and Nerve Conduction
Lumbar Puncture Procedure, Cerebrospinal Fluid (CSF) Examination & Analysis



Physical Examination & Treatment
for Sexually Transmitted Infection/Disease



Radiology Exam


Military Operational Medicine
(CSH, Field-Deployed, Special Operations
Medical Aspects of Harsh Environments)



VA & DoD Physicians
(Major Depressive Disorder (MDD),
Post Traumatic Stress Disorder (PTSD),
Post-Deployment Health Examination for Forces
Previously Deployed in Hostile or Unfamiliar Environments)






Laboratory Diagnostics & Medical Tests ~ Medical Cases & Grand Rounds

Anatomy Dissection Laboratory

Anatomy Center ~ Pathology, Forensics & Virology Center ~ Anesthesiology & Surgery Center

Prescription & OTC Drug Databases ~ Clinical Calculators ~ Medical Center











Clinical - Physical Examinations
All Inclusive





Newborn, Pregnancy, Labor, Delivery, Exams, etc.



Pregnancy Diagnosis


Ultrasound Examination ~ Fetal Examination


Antepartum Care & Normal Labor & Delivery


Complications in Pregnancy & Childbirth


Cervical Ripening, Vaginal Delivery, Cesarean Delivery, Breech Delivery,
Forceps Delivery, Vacuum Extraction, Twin Delivery,
Amniotomy, Leopold's Maneuvers, Continuous Lumbar Epidural,
Deliver the Placenta, Episiotomy Repair, Circumcision, etc.



Placenta Examination ~ Neonatal Resuscitation


In Utero Drug Exposure - Drug-Exposed Infants


Newborn Clinical Guidelines


Newborn Examination - Neonatal Examination
& Newborn Normal and Abnormal Findings



Newborn Neurological Examination


Newborn Electroencephalograhy Examination


Breastfeeding Newborns



Obstetrics Center








Pediatric Examinations


Pediatric Physical Examinations


Infant Exam ~ 1-4 Years Old Exam ~ 4-10 Years Old Exam ~ 10-18 Years Old Exam


Pediatric Growth Charts & Training Modules


Pediatric Eye Examinations ~ Pediatric Ear & Hearing Examination


Pediatric Neurological Examination ~ Pediatric Examination For Sexual Abuse



Pediatrics Center







Adult Physical Examinations


Adult Physical Examinations
(Text, Images, Videos/Movies & Audio/Sound)



Adult Physical Examinations
(Text, Images, Simulations & Audio/Sound)



Adult Physical Examinations
(Text & Images)








Stethoscope - Auscultation


Stethoscope


Cardiac Auscultation: Heart Sounds, Mumors, Cardiac Arrhythmias, etc.


Cardiac & Pulmonary Auscultation


Pulmonary Auscultation: Lung Sounds, Pulmonary Breath Sounds, etc.







Clinical Procedural Skills
















Physical Examinations by Physical Area





Abdominal Exam, GI Exam, Gastroenterology


Abdominal Examination


Gastroenterology Textbook




Gastroenterology Center
Atlases, Databases, Journals, Courses, Lectures, Lessons, etc.)



Anesthesiology & Surgery Center
Colonscopoy, Endoscopoy, Laparoscopic Procedures, Techniques, etc.






Cardiac Examinations


Cardiac Physical Examinations


Examination of the Venous Pulse


Electrocardiogram (ECG) - Elektrokardiogramm (EKG)


Invasive Cardiac Monitoring:
Placing a Central Venous Catheter in the Right Juglar Vein
Placing a Pulmonary Artery Catheter



Pacemakers




Stethoscope & Auscultation Section
Cardiac Auscultation Subsection: Heart Sounds, Mumors, Cardiac Arrhythmias




Cardiology Center
Databases, Journals, Courses, Lectures, Lessons, etc.



Cardiothoracic Radiology
Databases, Courses, Lectures, Lessons, etc.







Pulmonary Exam, Pulmonary Procedures & Tests


Pulmonary Examination


Advanced Pulmonary Examination


Pulmonary Procedures & Tests
(Bronchoscopy Diagnostic Procedure,
Arterial Puncture Procedure, Pleural Biopsy, Bronchoscopic Atlases, etc.)




Stethoscope & Auscultation Section
Pulmonary Auscultation Subsection: Lung Sounds, Pulmonary Breath Sounds




Pulmonary & Respiratory Center
(Atlases, Cases, Courses, Journals, etc.)






Dermatology Exam






Emergency Exam, Medicine & Procedures


Emergency Examination in Emergency Situtations


Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care


Cardiopulmonary Physiological Model


Airway Management ~ Anesthesia ~ Emergency Medicine Technical Skills


Influenza Pandemic ~ Blast Injuries


Chemical Hazard Emergencies &
Biological, Chemical, Nuclear & Radiological Mass Casualties Emergencies



Critical Care Procedures
(Fiberoptic Endotracheal Intubation Procedure,
Endotracheal Intubation by Direct Laryngoscopy, etc.)



Emergency Medicine


Diagnosis and Management of Foodborne Illnesses


Heart Failure ~ Hazardous Substances Emergency Medicine


Poisons Recognition & Management


Pesticide Poisoning Recognition & Management


Poisonous Snake, Spiders, Scorpions, Marine Life, etc. Bites


Emergency Room Trauma Assessment & Management









ENT Exam, HEENT Exam, Face Exam,

Dental Exam, Neck Viens Exam, Thyroid Exam,

Endocrine System, Larynx Exam, Voice Exam, etc.


ENT Examination - HEENT Examination


Dental Physical Examination,
Oral Pathology Physical Examination, Oral Examination of Infants



Examination of Neck Veins


Endocrine System
Thyroid Gland, Adrenal Gland, Acromegaly, etc.



Larynx Examination, Voice Examination, Larynx & Phonetics




Otolaryngology, Otorhinoloaryngology Center
(ENT, Larnyx, Voice Atlases, Cases, Courses, Journals, etc.)



Dental Center
(Atlases, Cases, Courses, Journals, etc.)







Eye Exam


Clinical Eye Examination


Neuro-Ophthalmic Examination


Neurological Eye Simulation ~ Oculocephalic Reflex


Ophthalmoscope ~ Fundoscopic Examination




Ophthamology & Optometry Center
(Ophthamology & Optometry Atlases, Cases, Courses, Journals, etc.)




    EYE EXAM, NEURO-OPHTHALMIC EXAMINATION,
      OPHTHALMOSCOPE, PUPIL DILATION, FUNDOSCOPIC EXAM


      Clinical Eye Examination

        Online Eye Test for Computer Users

        EYE TEST FOR COMPUTER USERS - Vutest, EyeLab Ltd., U.K.
        Vutest
          "...analyses your ability to see comfortably and to use your eyes correctly whilst using a computer..."
          "...Vutest is a clinically proven, internet based sight test for computer users. It can be completed from any home or office computer..."
          "...Vutest has been approved by The Royal College of Ophthalmologists..."
          "...Vutest has been in use as an office vision-screening system since 1992..."
        Examples of "Vutest Free Test" Categories include
          Visual Illusions;
          Reaction Test;
          Driver's Test;
          Company Demo: Online Eye Test for Computer Users
        For more information see EyeLab Ltd



        Ophthalmology Courses, Lectures, Lessons with Eye Examination Videos (Text, Images, Videos/Movies & Audio/Sound)

        PRIMARY CARE OPHTHALMOLOGY: SLIT LAMP TECHNIQUES; EYE DISORDERS; CLINICAL TECHNIQUES (WINDOWS MEDIA PLAYER) - Department of Emergency Medicine, Faculty of Medicine, University of Ottawa Multimedia Primary Care Ophthalmology Course (Text, Images, Videos/Movies & Audio/Sound).
        Avaliable in English & French.
        Examples of "Primary Care Ophthalmology" Course Chapters, Lessons & Videos include
          Examples of "Slit Lamp Techniques" Chapter Lessons & Videos include
            "...Parts & Functions;
            Preparing the Patient;
            Lamp Illumination;
            Anterior Segment Exam..."
          Examples from over "15" "Eye Disorders" Lessons & Videos include
            "...Chemical Injuries;
            Allergic Conjunctivitis;
            Adenoviral Conjunctivitis;
            Herpes Zoster;
            Corneal Abrasion; etc...."
          Examples of "Clinical Techniques" Lessons & Videos include
            "...Irrigation;
            Eyelid Eversion;
            Foreign Body Removal..."
        For more information see Medical and Surgical Clinical Procedures the Faculty of Medicine



        THE EYES HAVE IT (FLASH & WINDOWS MEDIA PLAYER) - J.D. Trobe, Kellog Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan Health System (UMHS), University of Michigan Multimedia Ophthalmology Course with Eye Examination Videos & Quizzes (Text, Images, Videos/Movies & Audio/Sound).
        Examples of "The Eyes Have It" Course Subject Categories & Subcategories include
          "...Anatomy of the Visual System;
          Optic Fundus Signs;
          Screening Examination (Ophthalmic Examination);
            Visual Acuity
              Distance Visual Acuity Test Video;
              Near Vision Testing Video; etc.
            Visual Fields
              Amsler Grid Video;
              Confrontation Visual Field Testing Video; etc.
            Penlight Exam of External Ocular Tissues (Penlight Exam Video);
            Ocular Motility and Alignment
              Test Eye Movements Video;
              Cover Test Video; etc.
            Pupils (Pupil Testing Video);
            Ophthalmoscopy (Ophthalmoscopy Video; etc.).
          Visual Symptoms;
          Other Symptoms and Signs;
          The Red Eye;
          Principal Ophthalmic Conditions;
          Ophthalmic Trauma;
          Ophthalmic Side-Effects of Systemic Medications;
          Manifestations of Congenital-Hereditary Systemic Diseases;
          Manifestations of Acquired Systemic Diseases..."
        For more information see Education or the Kellog Eye Center



        TWO MINUTE EYE EXAM (WINDOWS MEDIA PLAYER) - R.E. Verdick & J.E. Sutphin, Department of Ophthalmology and Visual Sciences, Roy J. and Lucille A. Carver College of Medicine, University of Iowa & Hosted by MedRounds Publications, Inc. Multimedia Two Minute Eye Exam Video (Text, Images, Videos/Movies & Audio/Sound).
        "Two Minute Eye Exam" Video
          "...This is a narrated video explaining the steps of an eight point eye exam. The video provides general instruction for students and primary care physicians and is a good introduction to the ophthalmic examination..."
        For more information see MedRounds; Ophthalmology Tutorials; Ophthalmology Grand Rounds; Department of Ophthalmology and Visual Sciences or the Roy J. and Lucille A. Carver College of Medicine



        Ophthalmology Courses with Eye Examination Videos (Text, Images & Videos/Movies)

        OPHTHALMIC ELEARNING: OPEN CLASSROOM (FLASH) - Alcon Institute, Alcon Spain Campus, Alcon Cusí, S.A., El Masnou, Spain Multimedia Ophthalmology Courses (Text, Images, Animations, Simulations & Videos/Movies).
        "...Available in English, Spanish & Portuguese..."
        Ophthalmic eLearning
          "...More than 1,200 classified images for your scientific presentations;
          Make a virtual Retinoscopic examination; etc..."
        Examples of Ophthalmic eLearning Courses, Lessons, etc. include
          Ophthalmology eCourses
            "...Ophthalmology Anatomy Course;
            Ophthalmology Pathology Course..."
          Ophthalmology Animations (Includes over "50" Animations);
          Foto-Web
            Examples of "Ophthalmology Anatomy" Course Subject Categories include
              "...Ocular Globe;
              Orbit/Cranial Cavity;
              Ocular Muscles;
              Lids;
              Lacrimal System;
              Visual Pathways; etc..."
            Examples of "Ophthalmology Pathology" Course Subject Categories include
              "...Anterior segment;
              Posterior segment;
              Allergy;
              Strabismus;
              Glaucoma;
              Infections;
              Neuroophthalmology;
              Oculoplasty;
              Tumoral Pathology;
              Uveal Disorders;
              Trauma; etc..."
          Ophthalmology Simulations Subject Categories include
            Examples of "Ophthalmology Anatomy" Simulations include
              "...Ocular motility simulator..."
            Examples form over "25" "Ophthalmology Pathology Simulations include
              "...Anterior Segment: Fluid Dynamics in Phacoemulsification Simulator;
              Posterior Segment: Optic Disc Simulator;
              Strabismus: Ocular Motility Simulator;
              Strabismus: Primary and Secondary Deviation Simulator;
              Strabismus: Muscle Pathology Simulator;
              Strabismus: Bagolini Test Simulator;
              Neuroophthalmology: Cranial Nerve Pairs Simulator;
              Neuroophthalmology: Simulator of Neurological Syndromes Affecting Ocular Motility; etc..."
        For more information see Alcon Institute



        CLINICAL EYE EXAMINATION I & II (REAL PLAYER) - C.N. Chua, MRCOphth, U.K. Multimedia Clinical Eye Examination Course with Videos (Text, Images & Videos/Movies).
        Examples from over "25" "Clinical Eye Examinations I & II" Videos include
          "...Ocular Motility Examinations and Abnormalities Videos;
          Facial Nerve Examination and Abnormalities Videos;
          Orbit Examination and Related Topics Videos;
          Eyelid Examination and Related Topics Videos;
          Pupil Examination and Abnormalities Videos;
          Examination of an Enucleated Socket Video, etc..."
        For more information see Chua Eye Page or Welcome to sucess in MRCOphth



        Eye Examination Lectures & Lessons

        EYE EXAMINATIONS - National Eye Institute Multimedia Eye Examination Lessons (Text & Images).
        Examples of NIE's "Eye Examination" Lessons include
          "...An occluder allows the eye care professional to test a patient's eyes one at a time;
          Eye care professional screens child for color vision defects;
          An eye care professional tests a patient's near vision;
          An eye care professional applies eyedrops to dilate a patient's pupils; etc..."
        For more information see the National Eye Institute



      Ophthalmology: Doctor-to-Patient Lectures & Lessons with Text, Images, Animations, Simulations & Videos/Movies

        OPHTHALMOLOGY: DOCTOR-TO-PATIENT (FLASH) - Alcon Institute, Alcon Spain Campus, Alcon Cusí, S.A., El Masnou, Spain Multimedia Ophthalmology: Doctor-to-Patient Lectures & Lessons (Text, Images, Animations, Simulations & Videos/Movies).
        "...Available in English, Spanish & Portuguese..."
        "...Click on "Services"..."
        Doctor-to-Patient
          "...animations and illustrations have been developed to complement your explanations to the patients. With this service Alcon wishes to positively contribute to the crucial role of the doctor during the communication process with the patient..."
        Examples from over "20" "Doctor-to-Patient" Lectures & Lessons include
          "...Allergy (Seasonal Allergic Conjunctivitis);
          Glaucoma;
          Eye Ointment Administration; etc..."
        For more information see Alcon Institute







Geriatric Exam,

Patient Activity Assessment, Geriatrics Manuals


Geriatric Standardized Patient Activity Assessment Course
(Geriatric Depression Scale (GDS), Rigit Repetition Test,
Six-Maneuver Physical Screen, The Sternal Nudge Test, etc.)



Geriatrics Manuals, Courses, Grand Rounds & Cases







Gynecological Exam,

Clinical Breast Exam, Lymph Nodes Exam


Gynecological Examination


Clinical Breast Examination & Lymph Nodes Examination


Breast Cancer Screening & Diagnosis Guidelines




Gynecology Center
(Atlases, Cases, Courses, Databases, Journals, etc.)







Hearing Examination,

Ear Exam, Otoscopic Exam, etc.


Otoscopic Examination ~ Hearing Test ~ Hearing Loss



Ear, Audiology, Hearing
(Atlases, Cases, Courses, Databases, Journals, etc.)




    HEARING EXAM, EAR EXAM, OTOSCOPIC EXAM, PNEUMATIC OTOSCOPY EXAM, HEARING TEST, ETC.


      Otoscopic Examination


      Hearing Test with Text, Images, Videos/Movies & Audio/Sound


      Hearing Loss Simulations with Text, Images & Audio/Sound

        HEARING LOSS SIMULATIONS (FLASH) - HOW HEARING LOSS SOUNDS - Phonak Holding AG Multimedia Hearing Loss Simulations (Text, Images, Simulations & Audio/Sound).
        Hearing Loss Simulation
          "...discover how sensorineural hearing losses affect hearing. This type of hearing impairment is by far the most frequent and is caused by a dysfunction of the inner ear..."
        Examples of "Hearing Loss Simulation" Categories & Subcategories for Normal Hearing, Mild Hearing Loss & Moderate Hearing Loss include
          Speech
            "...Speech Dialog Two Speakers;
            Speech in a Restaurant;
            In Traffic; etc..."
          Environmental Sounds
            "...In the Mountains;
            Birds Singing;
            Industry; etc..."
          Music Sounds
            "...Piano;
            Clarinette;
            Children Singing; etc..."
          Background Noise..."
        For more information see Phonak Holding AG






Musculoskeletal Examination


Musculoskeletal Examination - All Inclusive
(Neck Exam; Shoulder Exam; Back Exam; Spine Exam;
Wrist Exam; Hand Exam; Nail Exam; Elbow Exam; Hip Exam;
Knee Exam; Ankle Exam; Foot Exam, Girdle Exam; Gait Exam)



Musculoskeletal Examination by Specific Exams


Back Examination:
Cervical Spine, Lumbar Spine, Upper & Lower Extremities



Foot & Ankle Exam ~ Hand Exam & Wrist Exam ~ Hip Exam ~ Knee Exam ~ Shoulder Exam




Orthopaedic Surgery
(Guidelines, Atlases, Surgery Procedures & Techniques,
Interventional Radiology Musculoskeletal Procedures, Cases, etc.)








Neurological Exam, Mental Status Exam

Neuromuscular Exam, EEG, EMG, CSF, etc.


Neurological Examination
(Mental Status Exam, Cranial Nerve Exam, Motor Exam,
Sensory Exam, Coordination Exam, Gait Exam, etc.)



Neurological Examination for Divers


Pediatric Neurological Examination (Newborn to 2-1/2)


Neuro-Ophthalmology Examination


Neuromuscular Examination
(Myopathy, Neuropathy, Peripheral Neuropathy)



Electroencephalography (EEG)
(Normal EEG Variants, EEG Seizure Monitoring, Encephalopathic Patterns,
Awake EEG, Drowsy EEG, Sleep, Activation, etc.)



Electromyography (EMG) and Nerve Conduction


Lumbar Puncture (Spinal Tap),
Cerebrospinal Fluid (CSF) Examination & Analysis
(Positioning the Patient, Lunbar Puncture Technique,
Collecting CSF Samples, Fluid Analysis, etc.)




Neuro & Brain Center
(Atlases, Databases, Courses, Cases, Journals, etc.)



Radiology Center
(Neuro MRI, PET, etc. Atlases & Databases)









Physical Examination & Treatment for

Sexually Transmitted Infection


Physical Examination for Sexually Transmitted Infection (STI)
Sexually Transmitted Disease (STD)



Sexually Transmitted Disease (STD's) Treatment Guidelines







Radiology Examination


Med Students - Basic Introduction to Radiology


Residents & Physicians - Radiology Examinations



Radiology Center
(Neuro MRI, PET, etc. Atlases, Courses, Cases, Databases, etc.)









Health Science Guide ~ Medical Center

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