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 A registered nurse first assistant is a very specialized area of nursing. An RN first assistant assists the surgeon during a surgical procedure. The exact responsibilities vary depending on the type of surgery and the individual surgeon’s preference. But RN first assistants generally control bleeding, suture incisions and intervene during complications. For example, if a patient develops an abnormal heart rhythm during the procedure, an RN first assistant may administer medication to treat the condition.  

The cardiac examination is rich with tradition and time-honored techniques. Increasingly, there is evidence for the predictive value of the dynamic cardiac exam.

Acute appendicitis (AA), a common intra-abdominal surgical pathology, requires a comprehensive understanding of its presentation, evaluation, diagnosis, and overall operative management. In the United States, AA occurs in approximately 7% of the population, with a mortality of 0.2-0.8%.The morbidity and mortality are related to the presenting stage of disease and increases in cases of perforation.