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The symbol for Radian Group Inc. in the NYSE is: RDN.

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Carrying angle of the elbow - excessive?

Alternative NamesElbow carrying angle - excessive; Excessive carrying angle of the elbow; Cubitus valgusInformationWith the arms extended at the sides and the palms facing forward, the forearm and hands are normally slightly away from the body. This is the normal "carrying angle" of the elbow, which is 5 to 15 degrees. This angle permits the forearms to clear the hips in swinging movements during walking, and is important when carrying objects.After certain fractures of the elbow, the carrying angle of the healed arm may increase, causing the arms to stick out too much from the body. This is called an excessive carrying angle. Or, the angle may be decreased so that the arm points toward the body, creating what is called a "gunstock deformity."Because the carrying angle varies from person to person, it is important to compare one elbow with the other when evaluating a problem with the carrying angle.


Tricuspid regurgitation?

DefinitionTricuspid regurgitation is a disorder in which the heart's tricuspid valve does not close properly, causing blood to flow backward (leak) into the right upper heart chamber (atrium) when the right lower heart chamber (ventricle) contracts.Alternative NamesTricuspid insufficiencyCauses, incidence, and risk factorsThe tricuspid valve separates the right lower heart chamber (the right ventricle) from the right upper heart chamber (right atrium).The most common cause of tricuspid regurgitation is swelling of the right ventricle. Such swelling may be a complication of any disorder that causes failure of the right ventricle.Tricuspid regurgitation may also be caused by or made worse by valve disease on the left side of the heart such as mitral regugitation and mitral stenosis.Other diseases can directly affect the tricuspid valve. The most common of these is rheumatic fever, which is a complication of untreated strep throat infections.Tricuspid regurgitation may be found in those with a type of congenital heart disease called Ebstein's anomaly.Other infrequent causes of tricuspid regurgitation include:Carcinoid tumors, which release a hormone that damages the valveMarfan syndromeInjuryRheumatoid arthritisRadiation therapyAnother important risk factor for tricuspid regurgitation is use of the diet medications called "Fen-Phen" (phentermine and fenfluramine) or dexfenfluramine.SymptomsTricuspid regurgitation may not cause any symptoms if the patient does not have pulmonary hypertension. If pulmonary hypertension and moderate to severe tricuspid regurgitation exist together, the following symptoms may result:Active pulsing in the neck veinsDecreased urine outputFatigue, tirednessGeneral swellingSwelling of the abdomenSwelling of the feet and anklesWeaknessSigns and testsThe health care provider may detect abnormalities when when gently pressing with the hand (palpating) on your chest. The doctor may also feel a pulse over your liver. The physical exam may reveal liver and spleen swelling.Listening to the heart with a stethoscope shows a murmur or abnormal sounds.There may be signs of fluid collection in the abdomen.An ECG or echocardiogram may show swelling of the right side of the heart. Doppler echocardiography or right-sided cardiac catheterization are used to measure blood pressures inside the heart and lungs.TreatmentTreatment may not be needed if there are few or no symptoms. Hospitalization may be required for diagnosis and treatment of severe symptoms.Swelling may be managed by medications (diuretics) that help remove fluids from the body.Underlying disorders should be identified and treated. Some people may be able to have surgery to repair or replace the tricuspid valve. When surgical treatment is done it is usually done as part of another procedure, most commonly mitral valve repair for mitral regurgitation.Expectations (prognosis)Treatment of any underlying conditions, especially high blood pressure in the lungs and swelling of the right lower heart chamber, may correct the disorder. Surgical valve repair or replacement usually provides a cure. However, persons with severe tricuspid regurgitation that cannot be corrected may have a poor prognosis.ComplicationsWorsening of heart failureEndocarditisCirrhosisWeight lossLoss of appetiteCalling your health care providerCall your health care provider if symptoms of tricuspid regurgitation are present.PreventionPrompt treatment of disorders that can cause valve disease reduces your risk of tricuspid regurgitation. Treat strep infections promptly to prevent rheumatic fever.Any invasive procedure, including dental work and cleaning, can introduce bacteria into your bloodstream. The bacteria can infect a damaged mitral valve, causing endocarditis. Always tell your health care provider and dentist if you have a history of heart valve disease or congenital heart disease before treatment. Taking antibiotics before dental or other invasive procedures may decrease your risk of endocarditis.ReferencesKarchmer AW. Infectious endocarditis. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007:chap. 63.Nishimura RA, Carabello BA, Faxon DP, et al. ACC/AHA 2008 Guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52(8):676-685.


Triglyceride level?

DefinitionThe triglyceride level is a laboratory test to measure the amount of triglycerides in your blood. Triglycerides are a type of fat.Your body makes some triglycerides. Triglycerides also come from the food you eat. When you eat, your body uses carbohydrate calories for immediate energy. Leftover calories are turned into triglycerides and stored in fat cells for later use. If you eat more calories than your body needs, your triglyceride level may be high.See also:Low density lipoprotein testHigh density lipoprotein testHigh blood cholesterol and triglyceridesTotal cholesterol testAlternative NamesTriacylglycerol testHow the test is performedBlood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm.Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.How to prepare for the testYou should not eat for 8 to 12 hours before the test.Alcohol and certain drugs may affect test results. Make sure your doctor knows what medicines you take, including over-the-counter drugs and supplements. Your doctor may tell you to temporarily stop taking certain medicines. Never stop taking any medicine without first talking to your doctor.Drugs that can increase triglyceride measurements include beta blockers, cholestyramine, colestipol, estrogens, protease inhibitors, retinoids, certain antipsychotics, and birth control pills.Drugs that can decrease triglyceride measurements include ascorbic acid, asparaginase, clofibrate, fenofibrate, fish oil, gemfibrozil, nicotinic acid, and statin medications.How the test will feelWhen the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.Why the test is performedThe most important use of this test is to help estimate your LDL cholesterol. This test is also done to help determine your risk of developing heart disease. A high triglyceride level may lead to atherosclerosis, which increases your risk of heart attack and stroke. A high triglyceride level may also cause inflammation of your pancreas.Persons with a high triglyceride level often have other conditions such as diabetes and obesity that also increase the chances of developing heart disease.The triglyceride level is usually included in a lipid panel or coronary risk profile.Normal ValuesNormal: Less than 150 mg/dLBorderline High: 150 - 199 mg/dLHigh: 200 - 499 mg/dLVery High: 500 mg/dL or aboveWhat abnormal results meanHigh triglyceride levels may be due to:CirrhosisDiet low in protein and high in carbohydratesFamilial hyperlipoproteinemia (rare)HypothyroidismNephrotic syndromePancreatitisPoorly controlled diabetesLow triglyceride levels may be due to:Low fat dietHyperthyroidismMalabsorptionsyndromeMalnutritionAdditional conditions under which the test may be performed:Chylomicronemia syndromeHyperlipidemia; acquiredFamilial combined hyperlipidemiaFamilial dysbetalipoproteinemiaFamilial hypertriglyceridemiaFamilial lipoprotein lipase deficiencyNoninsulin-dependent diabetes (NIDD)Stroke secondary to atherosclerosisWhat the risks areVeins and arteries vary in size from one patient to another, and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others. Other risks may include:Excessive bleedingFainting or feeling light-headedHematoma (blood accumulating under the skin)Infection (a slight risk any time the skin is broken)Special considerationsPregnancy can interfere with test results.ReferencesExpert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 2001;285(19):2486-2497.Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation. 2004 Jul 13; 110(2):227-39.Semenkovich CF. Disorders of lipid metabolism. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 217.


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