Photo of the right leg

Lopatkin P, 06/09/2016 I will start from the end. I had surgery to remove my gallbladder. Before that I had bouts of pain until I was in intensive care, the doctors thought it was the heart. No one thought it might be a gallstone. We did an ultrasound of the abdominal cavity.

Right bundle branch block: causes and symptoms, risks, treatment and prognosis

Right bundle branch block is a failure of the normal conduction of electrical impulses through the heart's structures. The contractility of the muscle layer is reduced, hemodynamics are disturbed, and general hypoxia occurs. It is not an independent pathology, but a kind of ECG finding.

The conduction abnormality in the muscle itself is caused by other defects in the development of the heart. It is not the blockage that needs treatment, but the cause that led to its formation.

These include sclerotic lesions, inflammatory processes, aortic and mitral regurgitation and other diseases.

In most cases, the chances of recovery are good. The pathological process affects the right ventricle, so dangerous complications arise only at a relatively late stage.

Mechanism of abnormal development

Pathological anomalies appear gradually and suddenly - one speaks relatively rarely of acute processes. In order to understand what underlies the development of pathology, it is necessary to consider anatomical information.

The heart is able to function autonomously for an indefinite period of time. This is due to the presence of what is known as the sinus node, or natural rhythm regulator. It is responsible for generating the electrical impulse.

The stimulation is transmitted via special fibers, the so-called Gis bundle. It is a tree-like, branched structure.

In pre-existing inflammatory diseases, congenital or acquired defects and other conditions, conduction disorders occur and the electrical impulse is slowed down (incomplete blockade) or prevented entirely (complete blockade).

As a result, the contractility of the heart muscle on the right side (atria and ventricles) is reduced and blood flow in the small circulatory system is impaired. Lung problems are therefore an early sign of a pathological process.

Common vascular and arterial diseases of the lower extremities

Due to the global prevalence of lower extremity vascular disease, it is considered by some to be normal, with one in two adult patients experiencing associated disorders. However, this does not mean that these diseases do not require treatment. If left untreated, it can lead to serious complications. Therefore, if any worrying symptoms are detected, it is imperative to visit a doctor to make a differential diagnosis and determine the appropriate treatment tactics.

In medical practice, this type of disease is divided into several groups:

Atherosclerosis obliterans (OAAS) – is a chronic degenerative replacement process caused by thickening of the arterial wall due to excessive accumulation of lipids and cholesterol. These substances, in turn, become catalysts for the formation of atherosclerotic plaques, which progressively narrow the lumen of blood vessels and can lead to their complete closure, which is accompanied by poor nutrition and tissue viability.

Atherosclerosis is a leading cause of disability and death worldwide. Their characteristic symptoms are:

Obliterative arteritis - A rapidly progressive disease of the leg arteries, which is associated with a gradual narrowing of the vessel lumen and necrosis of the tissue that is no longer supplied with blood. The nature of the pathology is not fully understood, but medical professionals believe that the main cause is inflammation associated with an excess of autoimmune antibodies in the blood vessels.

• rapid fatigue of the limbs when walking,
• sudden cooling of the limbs for no objective reason,
• swelling,
• ulceration.

Acute arterial obstruction – is caused by an abnormal increase in blood clotting (hypercoagulation), an inflammatory or atherosclerotic process leading to changes in the vessel wall and a sudden cessation of blood flow. Acute arterial ischemia syndrome is a common cause of this pathology.

risk groups

People with the following problems are at greatest risk for lower-limb vascular disease:

– abuse of alcoholic beverages;

- Hypercholesterolaemia (high levels of cholesterol and triglycerides in the blood);

- high levels of the non-protein-forming amino acid homocysteine in the blood;

Vascular and arterial diseases of the legs mainly affect people over the age of 50, but in recent years there has been an increase in incidence in the younger population. Men are more prone to these diseases than women.

It should be emphasized that most vascular disorders are psychological in nature and are most common in people with stressful personalities.

The presence of dysfunction in the family is also important. Atherosclerosis and varicose veins are particularly susceptible.

The advantages are apparent:

• Successful correction of the silhouette: a narrow calf can be visually widened or, conversely, the ankle thickness can be reduced;
• The area heals quickly due to blood circulation, the effect is quick and easy to care;
• A tattoo can be drawn immediately and on any subject, because the scope for creativity is great - along, around, almost unlimited space for any idea;
• There are many biologically useful points on the foot and thigh line, their activation in the process of tattoo application is beneficial for the body.
• The sexuality and beauty of a specific part of the leg will always be in the spotlight.

A step to success with the right foot

Man subconsciously begins to take steps with his right foot. Even when getting out of bed, we take a step with our right foot. The actual meaning of the word is deciphered as 'righteousness', 'loyalty', 'truth'. Everyone wants everything in life to be in accordance with their principles, and to achieve the goal vigorously and fairly. In addition, the right side of the body is associated with.

• Masculine awakening, the activation of which is suitable for insecure and indecisive people, including girls. They need to bring determination and confidence to their lives.
• Creativity and fresh thinking, rejection of rigid stereotypes and unnecessary attention to detail.

These are the things to consider when choosing a photo to give special meaning to a right leg tattoo.

Examples of photos of tattoos on the right leg:

Sacred meaning for right living

• Feathers and Wings - Ease of attaining a goal.
• Birds (swans, swallows, swifts are a desirable choice) - quick transition to new levels of life, happiness and dizzying adventures. Firebird or Phoenix - an easy path to glory.
• Heart or any combination of hearts – loyalty and devotion, a sensible approach to choosing a worthy life partner.
• Zodiac - highlights the strengths of the character.
• Royal diadem or scepter - rapid career advancement, incredible success and a lasting leadership position, and rightly so.
• Runes or hieroglyphs - the safest place to put them is on the right side. This is an indicator of the forces of light that the wearer has the tattoo on the right side, leaving the symbols only for good work.
• Angels or mythical creatures - worthwhile and timely help in difficult matters. Protection from evil forces.
• Cat or Fox - sexual awakening, flexibility to achieve desired goals, success with men.
• Leo, Tiger - often chosen by men because they want to add strength and energy, become a leader and find royal charisma.
• Rhino - gives its owner indestructible health and impenetrable strength.
• Bear, rabbit - fertility in the literal and figurative sense: motherhood, fatherhood or the fruits of labor, ideas.
• Serpent - awakening wisdom that, like a treasure, protects the wearer from unwanted intruders.
• Sea creatures and fish - free will and immortality.
• Insects – most often help those who want to lose weight and gain a shapely body, especially on the right leg will guarantee the right way to lose weight safely.
• Weapons - a sense of security and the ability to stand up to enemies.

Feel the difference

The straight line on the right is clearly different from the one on the left. Perhaps the only similarity is the twisting of the fist when reaching the target and the shifting of body weight. But already with the legs there are nuances.

You are in a stance. The weight of the body is shifted to the back foot. The right fist is on the chin and the shoulder should be relaxed.

The first movement is a quick shift of the right foot onto the left foot with the heel pointing out. This creates a wavy swing from top to bottom. Performing these movements as correctly as possible will result in the most effective hard kick.

That is, you push off with the back foot and press hard against the front foot to fix it. The heel rotates outward and up. This shifts the weight of the body forward and gives momentum to the thighs. Then the right hip rotates and the pelvis moves from a lateral to an anterior position. The left shoulder is then quickly moved back. This allows for additional right shoulder movement while the torso moves even further forward. And finally the finale: the right shoulder is stretched, the fist points inwards.

An important clarifying accent: The rotation of the leg, pelvis and shoulders occurs practically simultaneously, while the arm 'fires' a little later.

The calves, hips, back, shoulders and of course the arm are involved in the 'process'.

Work on the bugs

This punch 'hides' the bugs we want to work on. And these errors occur in every segment of the beat, so one error distorts the overall picture. The movements are technically difficult, but if you don't do anything, you're doing something wrong. And it's only through trial and error and subsequent improvement work that you can get results.

So what is the first thing to look out for?

Insufficient heel rotation of the rear leg. Inadequate pelvic momentum when moving the right hip forward. This prevents the right hip from fully extending, resulting in a good punch.

The rotation of the pelvis and the shift to the left foot ensure a good kick. And one more thing: By shifting your body weight to the left leg, the foot can be rotated slightly outwards (to the left). This dissipates the energy generated by the rotation of the pelvis.

Before the punch, try to relax your right shoulder. If you don't, it will block the force of the punch coming up from below. When the right shoulder is down, it creates extra inertia that throws the arm outward. Also, the arm movement should not start before the leg movement. Just as one 'dances from the hearth' when building a house, here one must 'dance' from the movement of the legs.

It's important to remember, and this has already been mentioned: when working with one hand, remember that the other hand covers the chin. And the chin must be lowered and covered by the raised shoulder of the attacking hand. Double protection!

Of course, there are many other knocks to the side. When training, it's important to find 'your' shot that suits you: by the muscle groups involved, your general constitution, etc. That means you should try to get a feel for all types of shots and the 'crown' to recognize. This is achieved through long-term training and struggle.

When it comes to the power of the shot, the most important thing is probably the greatest sharpness in the application and the most accurate hitting of the target.

There are a few exercises to develop a strong kick, including the straight kick.

Numbness in right toes ↑.

The right toes can become numb Some or all of them may be deaf. The fifth lumbar nerve root is responsible for the nerve supply to the fingers. Therefore, the hernia can be localized at the level of L4-L5. The symptoms extend to the outer part of the lower limbs up to the knee. The big toe and the 2nd and 3rd toes are affected. When severe, there is weakness in the right foot and patients are unable to stand on their toes. Tilting the head and trunk forward, breathing deeply, or coughing worsens the symptoms. When the straight leg is raised, the numbness increases and radiates to the lower back on the right side near the sacrum.

The little toe and part of the fourth toe of the right foot are innervated by the first sacral nerve root. Therefore, the disc herniation can be at the level of L5-S1. The entire little toe is numb and extends to the heel area. Worsening of the disease leads to a reduction in the reflexes of the Achilles tendon, and patients are unable to stand on the right heel. The pain increases when sitting on a hard surface, walking, or lifting the foot flat.

Redness, swelling and stiffness should be discussed with an orthopedist/traumatologist and may indicate systemic tissue injury, burns or frostbite, arthritis, Raynaud's syndrome, etc.

What to do if you feel numb in the right thigh above the knee? ↑

The right hip extends from the knee through the hip joint to the groin. Numbness in right thigh from the groin area indicates Bernhardt-Roth disease, an intervertebral hernia L1-L4, nerve root damage caused by tumor processes. There are also many lymph nodes and vessels in this area, but the symptoms are other than numbness.

Treatment and causes ↑

• Lumbar disc herniation, herniated disc, spinal canal stenosis, spondylolisthesis – the diagnosis is made by MRI of the lumbar spine;
• Sciatica, Lumboischialgia, Sciatica – pain along the sciatic nerve (from the buttocks to the back of the leg);
• Polyneuropathy (caused by diabetes or alcoholism) - wandering pains followed by numbness in both legs and arms like 'gloves and boots';
• Tunnel Syndrome – a fairly diverse phenomenon that most often occurs as a result of spinal diseases. Numbness can occur on the front of the thigh from the groin, below the knee, in the ankle area, etc.;
• Heel spurs - numbness rarely bothers, sharp pain in heel when pressure is applied;
• Vascular damage (varicose veins, thrombosis, angiopathy, arteritis) – bulging veins, swelling of the feet, fever, redness and other symptoms. An ultrasound scan of the blood vessels in the lower limbs is performed;
• Rheumatoid arthritis - small joints in the limbs are affected;
• Raynaud's disease - cold limbs, symptoms usually present in all fingers;
• Stroke, TIA - acute onset, over 45 years old;
• Multiple sclerosis - MRI of the brain for confirmation;
• tumors of the central and peripheral nervous system;
• injuries or frostbite;
• Morton's neuroma.

If the right leg is numb, a pre-treatment exam should be performed to confirm the diagnosis. Since symptoms are present in 9 out of 10 cases of intervertebral hernia, treatment should be decided.

How do I prepare and how is the examination carried out?

How do I prepare for an X-ray examination of the extremities?

Before having an X-ray of your arms or legs, you should tell your doctor if you are pregnant. In some cases, other tests are recommended to protect the fetus from radiation.

How is an X-ray examination of the limbs performed?

X-rays of the legs or arms may be done by a radiologist or other doctor. Before the examination, all jewelry and other metal objects must be removed.

The arm or leg is placed on a table while a special film is placed underneath. If necessary, the limb can be fixed. If the x-ray is taken in the groin, a special lead apron can be put on the patient. Sometimes a second, healthy arm or leg is x-rayed to compare with the diseased arm or leg.

The entire procedure usually takes between five and 10 minutes.

What are the risks and what can affect the X-ray examination?

There is always a small risk of tissue damage from radiation. However, the normal dose of radiation you receive from an X-ray is very small.

What can affect the performance of an X-ray examination?

Reasons that can interfere with an X-ray examination:

• inability to stay in a relaxed position;
• obesity (the picture becomes blurred);
• Pregnancy when a pelvic X-ray is required.

What should I put attention on?

X-ray images may vary slightly depending on the device.

Currently, CT and MRI scans of the extremities are very popular. They provide a clearer picture and have fewer limitations. No radiation is used in MRI scans.

Keep in mind that after an X-ray of your leg or arm, you may need further tests.

How to keep your kidneys healthy at home

To keep your kidneys healthy, you just need to follow a few simple rules.

• Eat less salt and less meat, canned, ready meals and concentrated foods,
• Drink at least 1.5 liters of water per day,
• Do not drink or smoke too much alcohol,
• avoid being overweight,
• Do not take too many painkillers and diuretics without doctor's advice,
• Avoid hypothermia of the lumbar region, pelvic organs and legs,
• Wear protective equipment when working with insecticides and fungicides, when working in nature, on the construction site or during renovation work,
• Monitor your cholesterol, blood sugar and blood pressure levels,
• If you have no symptoms, have a urine test, blood tests for creatinine and urea, and a kidney ultrasound once a year.

A lack of water in your diet can indirectly cause kidney stones. If you already have kidney problems, your doctor can determine the amount of water you should drink per day.

Popular questions and answers

Among other things, questions about the early detection of kidney problems and other popular questions are answered. Medical student and urologist Sergei Belomytsev.

Which doctor treats kidney problems?

– Nephrologist and urologist. The difference is that a nephrologist deals with the conservative treatment of kidney disease, chronic kidney disease and damage caused by other diseases (e.g. kidney failure, glomerulonephritis, etc.), while urologists deal with all diseases of the genitourinary system, acute kidney disease and everything that may require surgical treatment.

What are the first symptoms of kidney problems?

– Disorders occur when urinating (violent, painful). The amount of urine either decreases or increases significantly. You may experience lower back stiffness, lower back pain, swelling of the face and legs, and increased blood pressure. A particularly dangerous symptom is blood in the urine. In such a situation, a visit to the urologist is a must!

Unfortunately, the kidneys are patient and can go quite a long time without showing any signs of a problem. It is often only discovered during an examination or when the disease is very advanced and much more difficult to treat. Chronic kidney disease puts you at risk of developing kidney failure. The disease increases blood pressure, affects metabolism and urination, decreases appetite, causes weakness, nausea and vomiting.

Lower back pain can occur with both kidney disease and osteochondrosis. How to tell the difference? Osteochondrosis is usually a nagging, stabbing pain that increases with physical exertion and limits mobility. Kidney pain can be insistent or stabbing, is often accompanied by nausea and vomiting, and is independent of body position.

What foods are good for the kidneys?

– Oily fish: salmon, tuna, mackerel, etc.
– Vegetables: peppers, cauliflower, garlic, onions, radishes and beets,
– Fruits: apples, watermelon, pineapple,
– Berries: cranberries, strawberries, blueberries, strawberries, raspberries, cherries, red grapes,
– protein,
– buckwheat,
– olive oil.

What is a bunch of gis

The Gis bundle (BG) is a collection of cells in the heart's conduction system located below the atrioventricular node and the interventricular septum. The PG consists of right and left branches. The pedicles of the PG are the elements responsible for transmitting electrical impulses to the ventricles of the heart. These, in turn, are divided into branches and are located on either side of the ventricular septum. In the ventricular myocardium, the trunks are divided into bundles that conduct heart muscle cells (Purkinje fibers).

Poor conduction of excitation of the Gis bundle is a dangerous pathology that affects the functioning of the heart muscle. Incomplete right GH bundle block results in partial impairment of impulse transmission on the right side. Complete right bundle branch block, in which the excitation of the heart comes to a complete standstill, is life-threatening.

In clinical practice, right bundle branch block is uncommon in young people (less than 0.1 %). The disease develops with age and more often affects the cardiovascular system in men.

Causes of bundle branch block

The main causes of the disease are abnormalities in the structure of the heart:

• cardiomyopathy;
• myocardial infarction
• arterial hypertension;
• heart failure;
• autoimmune diseases;
• Coronary heart disease;
• heart valve malformations;
• myocarditis;
• congenital defects of the cardiovascular system.

Among the congenital defects, dangerous anomalies such as atrial and interventricular septal deformities, pulmonary artery stenosis, underdeveloped pedicle segments and other defects that overload the right ventricle deserve special attention.

Acquired diseases can also cause heart failure:

• tumors of the heart;
• abnormalities in the structure of the heart muscle;
• chest injuries;
• overdose of heavy drugs;
• hyperkalemia with increased potassium levels;
• progressive forms of muscular dystrophy;
• chronic respiratory diseases with obstruction as a complication.

The development of abnormalities in the cardiac conduction system is also influenced by:

• toxic poisoning;
• Disorders of the endocrine system – the pancreas plays an important role in metabolic processes;
• Autonomic system disorders – imbalances in nerve function affect the entire body;
• Electrolyte imbalances – insufficient levels of potassium, sodium and magnesium in the blood can lead to serious disorders in the functioning of all organs and systems.

Express yourself on your toes

People with an anxious fate have toes that look 'tired', are wrinkled and have hidden nails. These people unconsciously close themselves off so that no one can enter their inner world.

Cramped fingers are characteristic of people who are hard and inflexible.

Stiff fingers indicate a deep resentment that is unwilling to forgive.

Long fingers indicate an emotional, receptive nature. They are aesthetes who often have their heads in the clouds.

Short fingers indicate a strong resistance to negative influences. A sign of a strong connection to earth. Such fingers have pragmatists who think more of themselves than of humanity.

Fingers of equal length indicate that their owner can perform heavy physical work.

Fingers of different lengths are more typical of creative people who work with their heads.

A nice set of fingers (in a neat stair case) indicates a high level of organization, orderliness, cleanliness, and pedantry.

Crossed fingers indicate impatient people who want everything at once.

An irregular shape or curvature of the finger, a noticeable difference between one finger and the rest, suggests that the person has a history of failure in the area for which that finger is responsible. For the uninitiated, however, it's difficult to draw any conclusions because the thumb alone has as many as 15 shapes. And each of them has a meaning.

Divination by the toe

As a child, the toe-eyed made predictions by saying that whoever had the longest big toe should be the head of the family and the husband. Turns out that wasn't quite right. The right foot is responsible for social life, the left for family and private life, including the relationship with oneself. The right foot symbolizes the past, the left foot the future.

If the second toe is longer than the first toe of the right foot, it means that it is a leader who does not like the position of a subordinate, she must always be the first. That's the kind of feet bosses have. A similar combination on the left foot is a sign that this person values family values above all else.

The longest, largest and most visible toe indicates the priority of this or that area of \u200b\u200blife in the person's destiny. Any signs or changes (cracks, blisters, etc.) indicate problems in this area.

The more problematic the foot, the more problems and difficulties the person has had.

• Photograph of a person's leg with a description.
• Ligament damage in the right ankle.
• Outer malleolus of the right tibia.
• Anatomy of the pelvic bones.
• Ankle of the right foot in Latin.
• Photo of the ankle.
• outward rotation of the leg.
• Ligaments of the human leg.