Top 100 Surgical Secrets
6/03/2009 03:30:00 PM | Author: fadzly
These secrets are 100 of the top board alerts. They summarize the concepts, principles, and most salient details of surgical practice.

1. Clinical determinants of brain death are the loss of the papillary, corneal, oculovestibular, oculocephalic, oropharyngeal, and respiratory reflexes for > 6 hours. The patient should also undergo an apnea test, in which the pCO2 is allowed to rise to at least 60 mmHg without coexistent hypoxia. The patient should be observed for the absence of spontaneous breathing.

2. The estimated risks of HBV, HCV, and HIV transmission by blood transfusion in the United States are 1 in 205,000 for HBV, 1 in 1,935,000 for HCV, and 1 in 2,135,000 for HIV.

3. The most common location of an undescended testis is the inguinal canal.

4. The most common solid renal mass in infancy is a congenital mesoblastic nephroma and in childhood a Wilms' tumor.

5. Ogilvie's syndrome is acute massive dilatation of the cecum and the ascending and transverse colon without organic obstruction.

6. The best screening method for prostate cancer is digital rectal exam combined with serum prostate-specific antigen.

7. The most common histologic type of bladder cancer is transitional cell carcinoma.

8. Carcinoma in situ of the bladder is treated with immunotherapy with intravesical bacillus Calmette-Guérin (BCG).LOLZ.. BCG used for Ca?

9. Localized renal cell carcinoma is treated with surgery (radical nephrectomy).

10.The most common cause of male infertility is varicocele.

11. The most common nonbacterial cause of pneumonia in transplant patients is cytomegalovirus.

12. Chimerism is leukocyte sharing between the graft and the recipient so that the graft becomes a genetic composite of both the donor and the recipient.

13. OKT3 is a mouse monoclonal antibody that binds to and blocks the T-cell CD3 receptor.

14. The most common disease requiring liver transplant is hepatitis C.

15. Cystic hygroma is a congenital malformation with a predilection for the neck. It is a benign lesion that usually presents as a soft mass in the lateral neck.


16. In neuroblastomas, age at presentation is the major prognostic factor. Children younger than 1 year have an overall survival rate > 70%, whereas the survival rate for children older than 1 year is < 35%.
17. The most feared complication of diaphragmatic hernia is persistent fetal circulation.
18. The three most common variants of tracheoesophageal fistula are (1) proximal esophageal atresia with distal tracheoesophageal fistula, (2) isolated esophageal atresia, and (3) tracheo-esophageal fistula with esophageal atresia.
19. Atresia can occur anywhere in the GI tract: duodenal (50%), jejunoileal (45%), or colonic (5%). Duodenal atresia arises from failure of recanalization during the 8th-10th week of gestation; jejunoileal and colonic atresia are caused by an in utero mesenteric vascular accident.
20. The types of aortic dissection are ascending (type A) dissection, which involves only the ascending or both the ascending and descending aorta, and descending dissection (type B), which involves only the descending aorta.


21. A solitary pulmonary nodule is < 3 cm and is discrete on chest radiograph. It is usually surrounded by lung parenchyma.
22. Mediastinal staging is indicated in patients with apparent or documented lung cancer who have (1) known lung cancer with mediastinal nodes > 1 cm accessible by cervical mediastinal exploration, as assessed by CT scan; (2) adenocarcinoma of the lung and multiple mediastinal lymph nodes < 1 cm; (3) central or large (> 5 cm) lung cancers with mediastinal lymph nodes < 1 cm; and (4) lung cancer with risk of thoracotomy and lung resection.
23. The most common causes of aortic stenosis are now congenital anomalies and calcific (degenerative) disease.
24. In mitral regurgitation, the left ventricle ejects blood via two routes: (1) antegrade, through the aortic valve, or (2) retrograde, through the mitral valve. The amount of each stroke volume ejected retrograde into the left atrium is the regurgitant fraction. To compensate for the regurgitant fraction, the left ventricle must increase its total stroke volume. This ultimately produces volume overload of the left ventricle and leads to ventricular dysfunction.
25. The indications for CABG are (1) left main coronary artery stenosis; (2) three-vessel coronary artery disease (70% stenosis) with depressed left ventricular (LV) function or two-vessel coronary artery disease (CAD) with proximal left anterior descending (LAD) involvement; and (3) angina despite aggressive medical therapy.
26. Hibernating myocardium is improved by CABG. Myocardial hibernation refers to the reversible myocardial contractile function associated with a decrease in coronary flow in the setting of preserved myocardial viability. Some patients with global systolic dysfunction exhibit dramatic improvement in myocardial contractility after CABG.
27. The surgical treatment of ulcerative colitis is total colectomy with ileoanal pouch anastomosis.
28. Dieulafoy's ulcer is a gastric vascular malformation with an exposed submucosal artery, usually within 2-5 cm of the gastroesophageal junction. It presents with painless hematemesis, often massive.
29. The role of blind subtotal colectomy in the management of massive lower gastrointestinal bleeding is limited to a small group of patients in whom a specific bleeding source cannot be identified. The procedure is associated with a 16% mortality rate.
30. Colorectal polyps < 2 cm have a 2% risk of containing cancer, 2 cm polyps have a 10% risk, and polyps > 2 cm have a cancer risk of 40%. Sixty percent of villous polyps are > 2 cm, and 77% of tubular polyps are < 1 cm at the time of discovery.
31. Patients with colorectal cancer with lymph node involvement (Dukes' C) should receive chemotherapy postoperatively to treat micrometastases.
32. Goodsall's rule states the location of the internal opening of an anorectal fistula is based on the position of the external opening. An external opening posterior to a line drawn transversely across the perineum originates from an internal opening in the posterior midline. An external opening, anterior to this line, originates from the nearest anal crypt in a radial direction.
Incarcerated inguinal hernia: structures in the hernia sac still have a good blood supply but are stuck in the sac because of adhesions or a narrow neck of the hernia sac. Strangulated inguinal hernia: hernia structures have a compromised blood supply because of anatomic constriction at the neck of the hernia.


33. Incarcerated inguinal hernia: structures in the hernia sac still have a good blood supply but are stuck in the sac because of adhesions or a narrow neck of the hernia sac. Strangulated inguinal hernia: hernia structures have a compromised blood supply because of anatomic constriction at the neck of the hernia.
34. Chvostek's sign is spasm of the facial muscles caused by tapping the facial nerve trunk. Trousseau's sign is carpal spasm elicited by occlusion of the brachial artery for 3 minutes with a blood pressure cuff.
35. The two surgical options for Graves' disease are subtotal thyroidectomy or near-total thyroidectomy.
36. The only biochemical test that is routinely needed to identify patients with unsuspected hyperthyroidism is serum thyroid-stimulating hormone concentration.
37. The surgically correctable causes of hypertension are renovascular hypertension, pheochromocytoma, Cushing's syndrome, primary hyperaldosteronism, coarctation of the aorta, and unilateral renal parenchymal disease.
38. The "triple negative test" or "diagnostic triad" for diagnosing a palpable breast mass includes physical examination, breast imaging, and biopsy.
39. Chest wall radiation is indicated after mastectomy in patients with greater than 5 cm primary cancers, positive mastectomy margins, or more than four positive lymph nodes, all of which are associated with heightened locoregional recurrence rates.
40. Sentinel lymph nodes are the first stop for tumor cells metastasizing through lymphatics from the primary tumor.
41. The most common site of origin of subungual melanomas is the great toe. Amputation at or proximal to the metatarsal phalangeal joint and regional sentinel lymph node biopsy are advised by most authors.
42. Ramus marginalis mandibularis, the lowest branch of the nerve that innervates the depressor muscles of the lower lip, is the most commonly injured facial nerve branch during parotidectomy.
43. Waldeyer's ring is the mucosa of the posterior oropharynx covering a bed of lymphatic tissue that aggregates to form the palatine, lingual, pharyngeal, and tubal tonsils. These structures form a ring around the pharyngeal wall. This may be the site of primary or metastatic tumor.
44. A patient in whom the head and neck examination is completely normal but FNA of a cervical node reveals squamous cancer should have examination of the mouth, pharynx, larynx, esophagus, and tracheobronchial tree under anesthesia (triple endoscopy). If nothing is seen, blind biopsy of the nasopharynx, tonsils, base of tongue, and pyriform sinuses should be done at the same sitting.
45. The microorganisms implicated in atherosclerosis include Chlamydia pneumoniae, Helicobacter pylori, streptococci, and Bacillus typhosus.
46. The cumulative 10-year amputation rate for claudication is 10%.
47. The absolute reduction in risk of stroke is 6% over a 5-year period in asymptomatic patients with > 60% stenosis who undergo carotid endarterectomy plus aspirin versus patients treated with aspirin alone (5.1% versus 11%).
48. Abdominal aortic aneurysm's average expansion rate is 0.4 cm/year.
49. Heparin binds to antithrombin III, rendering it more active.
50. The patient with suspected intermittent claudication should initially be evaluated by obtaining ankle brachial index or segmental limb pressures at rest.
51. Shock is suboptimal consumption of O2 and excretion of CO2 at the cellular level.
52. Nitric oxide is synthesized in vascular endothelial cells by constitutive nitric oxide synthase and inducible NOS, using arginine as the substrate.
53. Saliva has the hightest potassium concentration (20 mEq), followed by gastric secretions (10 mEq), then pancreatic and duodenal secretions (5 mEq).
54. Basal caloric expenditure = 25 kcal/kg/day with a requirement of approximately 1 g protein/kg/day.
55. 6.25 g of protein contains 1 g of nitrogen.
56. Dextrose has 3.4 kcal/g, protein 4 kcal/g, fat 9 kcal/g (20% lipid solution delivers 2 kcal/mL).
57. Maximal glucose infusion rates in parenteral formulas should not exceed 5 mg/kg/min.
58. Refeeding syndrome occurs in moderately to severely malnourished patients (e.g., chronic alcoholism or anorexia nervosa) who, upon presentation with a large nutrient load, develop clinically significant decreases in serum phosphorus, potassium, calcium, and magnesium levels. Hyperglycemia is common secondary to blunted insulin secretion. ATP production is mitigated, and the classic presentation is respiratory failure.
59. Glutamine is the most common amino acid found in muscle and plasma. Levels decrease after surgery and physiologic stress. Glutamine serves as a substrate for rapidly replicating cells (interestingly, it is also the number one metabolic substrate for neoplastic cells), maintains the integrity and function of the intestinal barrier, and protects against free radical damage by maintaing GSH levels. Glutamine is unstable in IV form unless linked as a dipeptide.
60. Fever is caused by activated macrophages that release interleukin-1, tumor necrosis factor, and interferon in response to bacteria and endotoxin. The result is a resetting of the hypothalamic thermoregulatory center.
61. Cardiac output = heart rate x stroke volume; normal CO is 5-6 L/min.
62. SVR = [(MAP - CVP)/CO] x 80; normal SVR is 800-1200 dyne.sec/cm-5.
63. Hypovolemic shock: low CVP and PCWP, low CO and SVO2, high SVR.
64. Cardiogenic shock: high CVP and PCWP, low CO and SVO2, variable SVR.
65. Septic shock: low or normal CVP and PCWP, high CO initially, high SVO2, low SVR.
66. Kehr's sign is concurrent LUQ and left shoulder pain, indicating diaphragmatic irritation from a ruptured spleen or subdiaphragmatic abscess. Anatomically, the diaphragm and the back of the left shoulder enjoy parallel innervation.
67. Rebound tenderness implies peritoneal inflammation and irritation not simply abdominal tenderness.
68. The 5 Ws of post-operative fever are wound (infection), water (UTI), wind (atelectasis, pneumonia), walking (thrombophlebitis), and wonder drugs (drug fevers).
69. Cricothyroidotomy should not be performed in patients <> 80 mmHg; femoral (groin) pulse estimates SBP > 70 mmHg; and carotid (neck) pulse estimates SBP > 60 mmHg.
71. A general rule for crystalloid infusion to replace blood loss is a 3:1 ratio of isotonic crystalloid to blood.
72. Raccoon eyes (periorbital ecchymosis) and Battle's sign (mastoid ecchymosis) are clinical indicators of basilar skull fracture.
73. CPP = MAP - ICP. Some debate exists on the minimum allowable CPP, but consensus indicates that a cerebral perfusion pressure of 50-70 mmHg is necessary.
74. Violation of the platysma defines a penetrating neck wound.
75. Tension pneumothorax is air accumulation in the pleural space eliciting increased intrathoracic pressure and resulting in a kinking of the SVC and IVC that compromises venous return to heart.
76. The most common site of thoracic aortic injury in blunt trauma is just distal to the take-off of the left subclavian artery.
77. The most common manifestation of blunt myocardial injury is arrhythmia.
78. Indications for thoracotomy in a stable patient with hemothorax include an immediate tube thoracostomy output of > 1500 mL and ongoing bleeding of 250 mL/h for 4 consective hours.
79. Beck's triad is hypotension, distended neck veins, and muffled heart sounds.
80. The hepatic artery supplies approximately 30% of blood flow to the liver while the portal vein supplies the remaining 70%. The oxygen delivery, however, is similar for both at 50%.
81. The Pringle maneuver is a manual occlusion of the hepatoduodenal ligament to interrupt blood flow to the liver.
82. Splenectomy significantly decreases IgM levels.
83. 90% of trauma fatalities due to pelvic fractures are due to venous bleeding and bone oozing; only 10% of fatal pelvic bleeding from blunt trauma is arterial (most common site is superior gluteal artery).
84. Intraperitoneal bladder rupture from blunt trauma: operative management; extraperitoneal rupture: observant management.
85. Pseudoaneurysm is a disruption of the arterial wall leading to a pulsatile hematoma contained by fibrous connective tissue (but not all three arterial wall layers, which defines a true aneurysm).
86. The earliest sign of lower extremity compartment syndrome is neurologic in the distribution of the peroneal nerve with numbness in the first dorsal webspace and weak dorsiflexion.
87. Posterior knee dislocations are associated with popliteal artery injuries and are an indication for angiography.
88. Management of suspected navicular fracture despite negative radiography is short-arm cast and repeat x-ray in 2 weeks; at high risk for avascular necrosis.
89. Parkland formula: lactated Ringer's at 4 mL/kg x %TBSA (second- and third-degree only) of burn. Infuse 50% of volume in first 8 hours and the remaining 50% over the subsequent 16 hours.
90. The metabolic rate peaks at 2.5 times the basal metabolic rate in severe burns > 50% TBSA.
91. Gallstones and alcohol abuse are the two main causes of acute pancreatitis.
92. Alcohol abuse accounts for 75% of cases of chronic pancreatitis.
93. Isolated gastric varices and hypersplenism indicate splenic vein thrombosis and are an indication for splenectomy.
94. The treatment for gallstone pancreatitis is cholecystectomy and intraoperative cholangiogram during the same hospital stay once the pancreatitis has subsided.
95. Proton pump inhibitors irreversibly inhibit the parietal cell hydrogen ion pump.
96. Definitive treatment of alkaline reflux gastritis after a Billroth II includes a Roux-en-Y gastro-jejunostomy from a 40-cm efferent jejunal limb.
97. Cushing's ulcer is a stress ulcer found in critically ill patients with central nervous system injury. It is typically single and deep, with a tendency to perforate.
98. Curling's ulcer is a stress ulcer found in critically ill patients with burn injuries.
99. Marginal ulcer is an ulcer found near the margin of gastroenteric anastomosis, usually on the small bowel side.
100. The most common cause of small bowel obstructions is adhesive disease; the second most common cause is hernias.


This entry was posted on 6/03/2009 03:30:00 PM and is filed under , . You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

116 comments:

On June 14, 2009 at 5:18 PM , Anonymous said...

this is like.. so random. i thought it was 100 tips to passing surgery exam or something. so disappointing. hehe.. good luck in your future undertakings

 
On September 1, 2010 at 4:08 PM , Anonymous said...

Das Bettelarmband existiert als thomas sabo online Schmuckstück bereits seit Jahrzehnten. sabo schmuck Ursprünglich wurde es getragen, um sich von nahestehenden thomas sabo charm Menschen Anhänger „zusammenzubetteln“ und dadurch ein Schmuckstück zu besitzen, thomas sabo glaube liebe hoffnung das eine ganz persönliche Geschichte erzählen konnte. Nicht selten wurde es weiter vererbt thomas sabo und immer wieder in jeder Generation mit neuen Anhängern erweitert. thomas szabo Auch heute noch ist das Bettelarmband ein sehr beliebtes Accessoire. thomas sabo armbänder Und auch heute noch verbirgt es oftmals schmuck thomas sabo ketten Geschichten in sich, die eine ganz persönliche Bedeutung für seinen Träger bzw. seine Trägerin haben. Die einzelnen thomas sabo onlineshop Anhänger, die man an das Bettelarmband anbringen kann, können ganz unterschiedlichen Ursprungs sein. Einige thomas sabo ohrschmuck kauft man sich vielleicht selbst, andere lässt man sich von lieben Mitmenschen schenken und verbindet so mit dem Anhänger immer eine schöne Erinnerung.

 
On January 19, 2013 at 3:17 AM , Anonymous said...

After checking out a number of the articles on your blog, I really
appreciate your way of blogging. I bookmarked it to my bookmark webpage list and
will be checking back soon. Take a look at my web site as well and
tell me your opinion.
Feel free to surf my web-site ; best online casinos for usa players

 
On January 19, 2013 at 11:44 PM , Anonymous said...

Terrific work! That is the kind of information that should be shared across the net.
Shame on Google for not positioning this publish higher!
Come on over and consult with my site . Thanks =)
Also visit my web-site : slots for money

 
On January 20, 2013 at 12:26 AM , Anonymous said...

Good post. I am dealing with many of these issues
as well..
Feel free to surf my web page ; Work From Home With No Startup Fees

 
On January 20, 2013 at 12:23 PM , Anonymous said...

Inspiring quest there. What happened after? Good luck!
my web site - play slots for real money online

 
On March 13, 2013 at 5:38 AM , Anonymous said...

WOW just what I was searching for. Came here by searching for currency reserves

Feel free to surf to my webpage ... Binary options trading platform

 
On March 13, 2013 at 9:11 AM , Anonymous said...

I do agree with all the concepts you've offered on your post. They are really convincing and will definitely work. Still, the posts are very quick for newbies. Could you please prolong them a little from next time? Thank you for the post.

Look at my web-site ... work From Home jobs In pa

 
On March 13, 2013 at 11:10 AM , Anonymous said...

Thank you for the good writeup. It in fact was a amusement account it.

Look advanced to more added agreeable from you!
By the way, how could we communicate?

Also visit my site :: ways to make money fast online
My site > how to make money online fast

 
On March 13, 2013 at 12:12 PM , Anonymous said...

Thank you for the auspicious writeup. It in fact was a amusement account
it. Look advanced to far added agreeable from you!
By the way, how can we communicate?

Look into my page ... binary options practice account

 
On March 13, 2013 at 12:55 PM , Anonymous said...

Every weekend i used to pay a quick visit this web site, for the
reason that i wish for enjoyment, for the reason that this this site conations actually pleasant funny stuff too.


my web blog - http://www.cedarfinance.com/

 
On March 13, 2013 at 1:38 PM , Anonymous said...

Hello, Neat post. There is a problem with your website in internet
explorer, might check this? IE still is the market
leader and a huge part of folks will miss your magnificent writing due to this
problem.

my website options trading for beginners

 
On March 13, 2013 at 2:04 PM , Anonymous said...

Greetings from Colorado! I'm bored to tears at work so I decided to browse your site on my iphone during lunch break. I love the info you provide here and can't wait to
take a look when I get home. I'm shocked at how quick your blog loaded on my mobile .. I'm not even using WIFI, just 3G .
. Anyways, excellent site!

my web page ... leicht und schnell geld verdienen
my page > Geld verdienen Im Internet

 
On March 13, 2013 at 4:50 PM , Anonymous said...

Pretty section of content. I simply stumbled upon your weblog and in accession capital to assert
that I acquire in fact enjoyed account your weblog posts.
Anyway I'll be subscribing on your augment or even I fulfillment you access consistently quickly.

my blog - what is forex trading

 
On March 13, 2013 at 5:55 PM , Anonymous said...

First off I would like to say fantastic blog! I had a quick
question which I'd like to ask if you don't mind. I was
curious to know how you center yourself and clear your mind before writing.
I've had a tough time clearing my thoughts in getting my ideas out there. I do take pleasure in writing but it just seems like the first 10 to 15 minutes are wasted simply just trying to figure out how to begin. Any ideas or tips? Thank you!

Here is my weblog; Binary Options Software

 
On March 13, 2013 at 7:35 PM , Anonymous said...

Good response in return of this difficulty with real arguments and telling all regarding
that.

Feel free to visit my blog post; day trading definition
my web page - how to withdraw money from cedar finance

 
On March 14, 2013 at 4:13 AM , Anonymous said...

Thanks for the good writeup. It in reality was a enjoyment account it.
Glance complicated to more brought agreeable from you!
By the way, how could we keep in touch?

Also visit my page stock options trading

 
On March 14, 2013 at 10:16 AM , Anonymous said...

wonderful publish, very informative. I'm wondering why the other specialists of this sector don't realize this.

You must proceed your writing. I am sure, you've a huge readers' base already!


Take a look at my blog post: free online slot machines no download

 
On March 14, 2013 at 11:10 AM , Anonymous said...

I am sure this piece of writing has touched all the internet people,
its really really fastidious piece of writing on building up new blog.


Also visit my website: how to make money online no scams

 
On March 14, 2013 at 11:19 AM , Anonymous said...

I am genuinely delighted to glance at this weblog posts which carries plenty of valuable information,
thanks for providing these statistics.

My web blog; earn extra money online

 
On March 14, 2013 at 12:19 PM , Anonymous said...

Hi there, I found your web site by way of Google even as looking for a related subject, your site got here
up, it appears to be like great. I have bookmarked it in my google bookmarks.

Hello there, simply became alert to your blog thru Google, and located that it's truly informative. I'm going
to watch out for brussels. I will appreciate for those who continue this in
future. Numerous folks can be benefited from your writing.

Cheers!

Feel free to surf to my weblog: jobs to work at home

 
On March 14, 2013 at 12:39 PM , Anonymous said...

This site was... how do you say it? Relevant!! Finally I have found something that helped me.
Cheers!

Feel free to visit my website online slots for money
my webpage :: real money slots

 
On March 14, 2013 at 1:00 PM , Anonymous said...

Ahaa, its good discussion about this piece of writing at
this place at this web site, I have read all that, so at this time me also commenting here.


My web page :: slot machines online for real money
Also see my page :: Real money slots online

 
On March 14, 2013 at 1:03 PM , Anonymous said...

I'm extremely pleased to discover this great site. I wanted to thank you for ones time due to this wonderful read!! I definitely appreciated every part of it and i also have you book marked to see new stuff in your website.

Visit my weblog online slots for cash

 
On March 14, 2013 at 1:37 PM , Anonymous said...

Thanks for the good writeup. It in truth was once a leisure account it.
Glance complicated to far delivered agreeable from you! By
the way, how can we keep in touch?

Here is my web site: work at home jobs that are real

 
On March 14, 2013 at 1:42 PM , Anonymous said...

Hello I am so delighted I found your website, I really found you by mistake,
while I was browsing on Askjeeve for something else, Regardless
I am here now and would just like to say many thanks for a marvelous post and a all round thrilling blog (I also love
the theme/design), I don’t have time to look over it
all at the moment but I have book-marked it
and also added your RSS feeds, so when I have time I will be back to
read more, Please do keep up the fantastic work.

Also visit my web site ... Work from home jobs in nc
My web site: work from home jobs in ct

 
On March 14, 2013 at 2:09 PM , Anonymous said...

I was curious if you ever considered changing the layout
of your website? Its very well written; I love what youve got to say.
But maybe you could a little more in the way of content so people could connect with
it better. Youve got an awful lot of text for
only having one or two pictures. Maybe you could space
it out better?

My page - online foreign currency trading

 
On March 14, 2013 at 2:52 PM , Anonymous said...

Keep on writing, great job!

Also visit my web site; slots for real money

 
On March 14, 2013 at 3:13 PM , Anonymous said...

It is the best time to make some plans for the future and it is time to be happy.
I've read this put up and if I may I desire to counsel you few interesting things or advice. Perhaps you can write next articles referring to this article. I want to learn even more issues about it!

Feel free to visit my webpage ... legit work at home jobs

 
On March 14, 2013 at 3:16 PM , Anonymous said...

Link exchange is nothing else but it is just
placing the other person's blog link on your page at proper place and other person will also do similar in support of you.

my weblog; are there legitimate work at home jobs
my site :: how to make alot of money online

 
On March 14, 2013 at 4:04 PM , Anonymous said...

Hi there, You've done a fantastic job. I will certainly digg it and personally recommend to my friends. I'm sure they'll be benefited from this website.

My web-site :: how to make money off a website

 
On March 14, 2013 at 4:42 PM , Anonymous said...

Fantastic items from you, man. I have take into accout your stuff previous to and you're simply too great. I actually like what you've acquired here, really like what you are stating and the way wherein you say it.

You make it entertaining and you continue to care for to keep it sensible.
I can not wait to read far more from you. That is really
a terrific website.

Also visit my page :: make money online work from home

 
On March 14, 2013 at 4:42 PM , Anonymous said...

Today, while I was at work, my sister stole my apple ipad and tested to see if it can survive a 40 foot
drop, just so she can be a youtube sensation.
My iPad is now broken and she has 83 views.
I know this is completely off topic but I had to share it with someone!


Feel free to visit my blog: online slot real money

 
On March 14, 2013 at 4:49 PM , Anonymous said...

Hello friends, nice article and pleasant urging commented
here, I am really enjoying by these.

Also visit my webpage ... is there any legitimate work from home jobs

 
On March 14, 2013 at 5:09 PM , Anonymous said...

Hello, the whole thing is going sound here and ofcourse every one is sharing data, that's really good, keep up writing.

Here is my blog; currency forex learn online trading

 
On March 14, 2013 at 5:10 PM , Anonymous said...

Hello, There's no doubt that your blog could be having internet browser compatibility issues. Whenever I take a look at your site in Safari, it looks fine however, when opening in Internet Explorer, it's
got some overlapping issues. I merely wanted
to give you a quick heads up! Apart from that, great site!


My web page ... the best ways to make money

 
On March 14, 2013 at 5:55 PM , Anonymous said...

Paragraph writing is also a fun, if you know then you can
write if not it is complex to write.

Here is my web blog; im netz geld verdienen

 
On March 14, 2013 at 6:04 PM , Anonymous said...

excellent points altogether, you simply gained a new reader.
What might you recommend in regards to your publish that you just made some days ago?

Any sure?

Here is my page fast ways to Make money online

 
On March 14, 2013 at 7:40 PM , Anonymous said...

you're in point of fact a just right webmaster. The website loading velocity is incredible. It sort of feels that you are doing any distinctive trick. Moreover, The contents are masterpiece. you've done a
excellent task on this matter!

Feel free to surf to my blog - make extra money online

 
On March 14, 2013 at 8:08 PM , Anonymous said...

Hey there! Do you use Twitter? I'd like to follow you if that would be ok. I'm absolutely enjoying your blog and look forward
to new posts.

My blog: cnn after Hours trading

 
On March 14, 2013 at 8:15 PM , Anonymous said...

You really make it appear so easy together with your presentation but
I in finding this matter to be really something that I believe I'd never understand. It sort of feels too complex and very large for me. I am taking a look ahead for your subsequent post, I will attempt to get the grasp of it!

Also visit my blog ... trading stock

 
On March 15, 2013 at 2:03 AM , Anonymous said...

Usually I don't learn article on blogs, however I would like to say that this write-up very pressured me to check out and do so! Your writing taste has been amazed me. Thanks, very nice article.

My page; make money online for real

 
On March 15, 2013 at 5:56 AM , Anonymous said...

Hello fantastic website! Does running a blog such as this require a
lot of work? I have absolutely no expertise in programming but I
had been hoping to start my own blog in the near future.
Anyways, should you have any suggestions or techniques for new blog owners please share.
I understand this is off subject but I just had to ask.
Many thanks!

my web-site :: free casino slots
My website - play free casino slot machine

 
On March 15, 2013 at 6:13 AM , Anonymous said...

I'm impressed, I have to admit. Seldom do I come across a blog that's equally educative and amusing, and let me tell you, you have hit the nail on the head.
The issue is something which too few men and women are speaking intelligently
about. I am very happy I stumbled across this during my search for something relating to this.


Also visit my page :: start trading forex

 
On March 15, 2013 at 10:10 AM , Anonymous said...

Saved as a favorite, I like your blog!

My homepage :: buy penny stocks online

 
On March 15, 2013 at 11:05 AM , Anonymous said...

Do you have a spam issue on this blog; I also am a blogger,
and I was wanting to know your situation; we have created some nice methods and we are looking to trade techniques with others, be sure
to shoot me an email if interested.

My blog :: online trading comparison

 
On March 15, 2013 at 12:16 PM , Anonymous said...

I have read so many content regarding the blogger lovers except this post is actually a fastidious article, keep it up.



Also visit my blog post :: online trading game

 
On March 15, 2013 at 12:45 PM , Anonymous said...

Howdy are using Wordpress for your blog platform?
I'm new to the blog world but I'm trying to get started and set up
my own. Do you need any html coding knowledge to make your own blog?
Any help would be greatly appreciated!

Also visit my weblog ... earn money online

 
On March 15, 2013 at 12:52 PM , Anonymous said...

This site was... how do I say it? Relevant!! Finally I've found something that helped me. Thanks!

My homepage; play free online slots
Also see my web site: free slots online

 
On March 15, 2013 at 1:49 PM , Anonymous said...

wonderful submit, very informative. I'm wondering why the opposite specialists of this sector don't
realize this. You should proceed your writing. I am sure, you've a great readers' base
already!

my webpage - work from home employment opportunities

 
On March 15, 2013 at 2:13 PM , Anonymous said...

I have read a few good stuff here. Definitely worth bookmarking for
revisiting. I surprise how a lot attempt you put to make
this type of wonderful informative website.

Have a look at my web blog how can i make money fast

 
On March 15, 2013 at 2:59 PM , Anonymous said...

What's up, I desire to subscribe for this web site to obtain hottest updates, therefore where can i do it please help.

Check out my blog post - How To Make A Lot Of Money

 
On March 16, 2013 at 3:27 AM , Anonymous said...

Appreciation to my father who told me on the topic of this web site, this website is truly awesome.



Here is my web blog :: online freelance writing Jobs

 
On March 16, 2013 at 6:01 AM , Anonymous said...

Hey there! I simply want to offer you a huge thumbs up
for the great info you've got here on this post. I am returning to your blog for more soon.

Feel free to surf to my homepage; daily forex news

 
On March 16, 2013 at 8:59 AM , Anonymous said...

This website certainly has all the information and facts I needed about this
subject and didn't know who to ask.

Here is my website; how to make a quick money

 
On March 16, 2013 at 10:11 AM , Anonymous said...

It's actually a cool and helpful piece of info. I am happy that you just shared this helpful info with us. Please stay us up to date like this. Thanks for sharing.

Here is my webpage: ideas to make money fast

 
On March 16, 2013 at 11:03 AM , Anonymous said...

I'd like to find out more? I'd love to find out some additional information.


Also visit my page; trading stock online

 
On March 16, 2013 at 11:08 AM , Anonymous said...

I do accept as true with all of the ideas you've introduced to your post. They're really convincing and can certainly
work. Still, the posts are too short for novices. Could you please lengthen them a little from subsequent time?
Thank you for the post.

Also visit my web blog - Todays stock market

 
On March 16, 2013 at 5:57 PM , Anonymous said...

I think this is among the most significant info for me.
And i am glad reading your article. But should remark on some general things, The web site style is great, the articles is really great :
D. Good job, cheers

Here is my web-site: apply for online jobs

 
On March 16, 2013 at 8:08 PM , Anonymous said...

This is my first time pay a visit at here and
i am in fact pleassant to read all at one place.

my homepage ... earn money fast online

 
On March 16, 2013 at 9:18 PM , Anonymous said...

Hi there, after reading this remarkable paragraph i am too delighted to share my knowledge
here with mates.

my homepage make easy money online

 
On March 17, 2013 at 12:08 AM , Anonymous said...

Great web site. A lot of useful information here.
I am sending it to a few pals ans also sharing in delicious.
And of course, thank you for your sweat!

Here is my web blog ... find legitimate online jobs

 
On March 17, 2013 at 4:29 AM , Anonymous said...

What's up i am kavin, its my first occasion to commenting anywhere, when i read this paragraph i thought i could also make comment due to this good post.

Feel free to visit my web-site - Forex trading signals

 
On March 17, 2013 at 7:36 AM , Anonymous said...

Hey are using Wordpress for your site platform?
I'm new to the blog world but I'm trying to get started and set up my own.
Do you require any html coding expertise to make your own blog?
Any help would be greatly appreciated!

my webpage - how to make money quickly

 
On March 17, 2013 at 9:10 AM , Anonymous said...

I like the valuable info you supply on your articles.
I'll bookmark your blog and test once more right here frequently. I am rather certain I will be told lots of new stuff proper right here! Best of luck for the next!

Here is my weblog :: How to make money with affiliate marketing

 
On March 17, 2013 at 9:29 AM , Anonymous said...

I've been browsing on-line greater than 3 hours as of late, yet I never discovered any fascinating article like yours. It's
beautiful worth enough for me. In my view, if all website owners and bloggers made good content material
as you did, the net will likely be a lot more useful than ever before.



Also visit my webpage; fastest ways to make money online

 
On March 18, 2013 at 12:06 AM , Anonymous said...

Marvelous, what a weblog it is! This webpage provides helpful data to us, keep it up.


Here is my web-site forex free trading

 
On March 18, 2013 at 8:56 AM , Anonymous said...

My spouse and I stumbled over here different page and thought I may
as well check things out. I like what I see so
i am just following you. Look forward to checking out your web page yet again.



Here is my webpage :: I need some money Now

 
On March 19, 2013 at 5:16 PM , Anonymous said...

I wanted to thank you for this excellent read!! I certainly
enjoyed every little bit of it. I have you saved as a favorite
to look at new things you post…

Here is my web page; http://www.youtube.com/watch?v=YWF4AFSGbJk

 
On March 19, 2013 at 6:28 PM , Anonymous said...

Nice post. I was checking constantly this blog and I am impressed!
Very helpful information specially the last part :) I care for such information much.
I was seeking this certain information for a very long time.
Thank you and good luck.

Feel free to surf to my web site: http://www.youtube.com/watch?v=VLOMm8qK07w

 
On March 19, 2013 at 7:20 PM , Anonymous said...

Heya this is somewhat of off topic but I was wanting to know if blogs
use WYSIWYG editors or if you have to manually code with HTML.
I'm starting a blog soon but have no coding skills so I wanted to get guidance from someone with experience. Any help would be enormously appreciated!

my blog post; http://www.youtube.com/watch?v=PWAvUBrzmjU

 
On March 19, 2013 at 8:20 PM , Anonymous said...

What a stuff of un-ambiguity and preserveness of precious knowledge on the topic
of unexpected feelings.

My homepage - forex trading online

 
On March 20, 2013 at 2:06 PM , Anonymous said...

Usually I don't read article on blogs, but I wish to say that this write-up very compelled me to try and do so! Your writing taste has been surprised me. Thank you, very nice article.

Here is my page: binary options trading strategy

 
On March 20, 2013 at 4:46 PM , Anonymous said...

Excellent blog you have got here.. It's difficult to find quality writing like yours nowadays. I really appreciate people like you! Take care!!

my blog: cedar finance company payment

 
On March 20, 2013 at 5:39 PM , Anonymous said...

I get pleasure from, cause I found exactly what I used to be having a look for.
You have ended my four day long hunt! God Bless you
man. Have a great day. Bye

My weblog: http://www.youtube.com/watch?v=mT9AUFIFgc4

 
On March 20, 2013 at 6:00 PM , Anonymous said...

Link exchange is nothing else but it is simply placing the other
person's webpage link on your page at appropriate place and other person will also do same for you.

Feel free to surf to my web-site cedar finance

 
On March 20, 2013 at 7:59 PM , Anonymous said...

Hi mates, how is all, and what you would like to say concerning
this post, in my view its really awesome designed for
me.

Have a look at my web-site http://www.youtube.com/watch?v=8_5-HCBTaKA

 
On March 21, 2013 at 4:11 PM , Anonymous said...

Hello There. I found your blog using msn. This is a really well written
article. I'll make sure to bookmark it and return to read more of your useful information. Thanks for the post. I'll certainly comeback.


Also visit my page hot jobs augusta ga

 
On March 22, 2013 at 7:44 PM , Anonymous said...

Excellent blog post. I certainly appreciate this website.
Continue the good work!

Also visit my web page ... high paying jobs without a degree

 
On March 30, 2013 at 9:20 AM , Anonymous said...

hello there and thank you for your info – I've certainly picked up something new from right here. I did however expertise a few technical points using this web site, since I experienced to reload the site a lot of times previous to I could get it to load properly. I had been wondering if your web hosting is OK? Not that I am complaining, but sluggish loading instances times will sometimes affect your placement in google and can damage your quality score if advertising and marketing with Adwords. Anyway I am adding this RSS to my e-mail and could look out for a lot more of your respective fascinating content. Ensure that you update this again very soon.

Have a look at my page ... legitimate work at home jobs

 
On March 30, 2013 at 1:28 PM , Anonymous said...

Heya this is somewhat of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML.
I'm starting a blog soon but have no coding knowledge so I wanted to get guidance from someone with experience. Any help would be greatly appreciated!

Stop by my website: work at home online

 
On March 30, 2013 at 2:14 PM , Anonymous said...

Yes! Finally something about stowaway.

Look at my webpage; jobs apply online

 
On March 30, 2013 at 2:18 PM , Anonymous said...

I was recommended this blog by my cousin. I'm not sure whether this post is written by him as nobody else know such detailed about my trouble. You're incredible!
Thanks!

Also visit my web page: forex trading tools

 
On March 30, 2013 at 3:43 PM , Anonymous said...

I'm really inspired together with your writing skills and also with the layout in your weblog. Is that this a paid topic or did you modify it yourself? Anyway stay up the excellent high quality writing, it is rare to look a great weblog like this one these days..

Also visit my website: algorithmic Trading

 
On April 2, 2013 at 8:30 PM , Anonymous said...

I have read several excellent stuff here. Certainly value bookmarking for revisiting.

I wonder how so much effort you set to make one of these wonderful informative site.


Here is my web page - cedar financial

 
On April 3, 2013 at 7:19 AM , Anonymous said...

Please let me know if you're looking for a article author for your blog. You have some really great articles and I think I would be a good asset. If you ever want to take some of the load off, I'd absolutely love to write some content
for your blog in exchange for a link back to mine.
Please blast me an e-mail if interested. Regards!

Here is my blog: free money to start small business

 
On April 9, 2013 at 3:17 AM , Anonymous said...

Hi friends, its great post regarding educationand fully explained, keep it up all the time.


Here is my weblog - Cedar Finance

 
On April 9, 2013 at 11:13 PM , Anonymous said...

Good day! Do you know if they make any plugins
to help with Search Engine Optimization? I'm trying to get my blog to rank for some targeted keywords but I'm not seeing
very good results. If you know of any please share.

Appreciate it!

Also visit my webpage :: www.weightloss.com

 
On May 5, 2013 at 8:40 PM , Anonymous said...

When your cholesterol ranges are significant, reducing them can
add several disease-free years to the daily life.


Here is my web-site ... Dumbbell Step Up

 
On May 7, 2013 at 5:43 AM , Anonymous said...

1st, let's talk about everything you get together with the BeachBody resistance bands standard kit.

my web site: cheap dumbbells set

 
On May 12, 2013 at 2:29 PM , Anonymous said...

If you desire to obtain a great deal from this paragraph then you
have to apply these methods to your won blog.

Also visit my weblog - Abercrombie France

 
On May 22, 2013 at 4:01 PM , Anonymous said...

If you'd like to coach at home, be certain which you retain an experienced to put collectively your conditioning gear.

My page :: sa gear dumbbells

 
On May 22, 2013 at 11:50 PM , Anonymous said...

A beginning walker in particular is additional possible to encounter a lot less discomfort
throughout and immediately after an training period of time
than the usual beginning runner.

Also visit my site modells dumbbells

 
On May 23, 2013 at 8:20 PM , Anonymous said...

The cheaper sets will have you wrap the bands around your legs, however
the superior sets will involve a set of ankle straps.


Feel free to visit my web page Recommended Site

 
On May 24, 2013 at 4:49 PM , Anonymous said...

It offers a tremendous array of exercises that hit each solitary muscle mass team in the entire
body.

Also visit my blog - dumbbells for Cheap

 
On May 30, 2013 at 10:59 PM , Anonymous said...

Currently it seems like Drupal is the preferred blogging platform out there right now.

(from what I've read) Is that what you are using on your blog?

Feel free to surf to my web-site ... pirater un compte Facebook

 
On June 2, 2013 at 7:17 AM , Anonymous said...

Keep this going please, great job!

Also visit my page :: Generateur De Code PSN

 
On June 3, 2013 at 7:49 AM , Anonymous said...

Hi, There's no doubt that your website could be having web browser compatibility problems. When I take a look at your site in Safari, it looks fine however, when opening in Internet Explorer, it's got some
overlapping issues. I merely wanted to provide you with a quick heads up!
Aside from that, excellent blog!

My web page - candy crush saga cheats

 
On June 3, 2013 at 8:31 AM , Anonymous said...

I constantly spent my half an hour to read this website's posts all the time along with a mug of coffee.

my homepage ... Psn Code Generator

 
On June 4, 2013 at 8:30 AM , Anonymous said...

Generally I don't learn post on blogs, but I would like to say that this write-up very pressured me to check out and do so! Your writing taste has been amazed me. Thanks, very nice article.

Feel free to visit my web page NFL wholesale Jerseys

 
On June 6, 2013 at 4:20 PM , Anonymous said...

We will are in the fitness center, try to eat many of the correct meals,
but we nevertheless won't gain a pound.

Also visit my web page bowflex 552

 
On June 8, 2013 at 12:31 PM , Anonymous said...

The padding of the treadmill finest for home may
be the most vital attribute about which significantly less had been said and stressed upon.


Here is my homepage: http://www.getfitnstrong.com/adjustable-dumbbells/free-weights-sale/">free

 
On June 11, 2013 at 11:42 AM , Anonymous said...

For latest information you have to visit internet and on the web
I found this site as a finest site for most up-to-date updates.



Here is my blog post - Sac A Main Louis Vuitton

 
On June 11, 2013 at 7:11 PM , Anonymous said...

The other day, while I was at work, my cousin stole my
iPad and tested to see if it can survive a thirty foot drop, just so she can
be a youtube sensation. My apple ipad is now broken and she has 83 views.
I know this is entirely off topic but I had to share it with someone!



Review my blog :: Dragon City Hack

 
On June 12, 2013 at 3:27 PM , Anonymous said...

This design is incredible! You certainly know how to keep a reader entertained.
Between your wit and your videos, I was almost moved
to start my own blog (well, almost...HaHa!
) Wonderful job. I really enjoyed what you had to say, and more than that, how you presented it.
Too cool!

My page ... air max pas cher

 
On June 12, 2013 at 11:23 PM , Anonymous said...

Hello! I've been reading your blog for some time now and finally got the courage to go ahead and give you a shout out from New Caney Texas! Just wanted to say keep up the fantastic job!

Also visit my web page Louis Vuitton Purses

 
On June 13, 2013 at 12:34 AM , Anonymous said...

Piece of writing writing is also a fun, if you know then you can write if not it
is complex to write.

my web-site :: Nike Air Jordan

 
On June 13, 2013 at 2:21 AM , Anonymous said...

The Bowflex is usually a bit of energy coaching machines
that makes use of resistance electrical power rods and cables
to be able to create the resistance that you simply need while you shift forward
and to have the appropriate type exercise routine that you just want.


my web-site bowflex selecttech dumbbells

 
On June 13, 2013 at 3:28 AM , Anonymous said...

Alternatively, elastic exercising bands make it easier to
focus on each single muscle team in your entire body and you will really enhance your resistance amounts while you go.


Also visit my website; standard dumbbell handles

 
On June 14, 2013 at 4:44 AM , Anonymous said...

Hello would you mind letting me know which webhost you're working with? I've loaded
your blog in 3 completely different browsers and I must say this blog loads a lot
quicker then most. Can you recommend a good internet hosting provider at a fair price?
Thank you, I appreciate it!

Stop by my homepage ... cheap Nfl jerseys

 
On June 14, 2013 at 10:31 AM , Anonymous said...

I'm not sure where you're getting your information,
but great topic. I needs to spend some time learning more or understanding more.
Thanks for magnificent info I was looking for this
information for my mission.

My site: how to create binaural beats

 
On June 15, 2013 at 2:40 PM , Anonymous said...

Thanks in support of sharing such a pleasant idea, post is fastidious, thats why
i have read it completely

Here is my blog :: Going Here

 
On June 15, 2013 at 5:20 PM , Anonymous said...

When I initially commented I clicked the "Notify me when new comments are added"
checkbox and now each time a comment is added I get four emails with
the same comment. Is there any way you can remove
people from that service? Bless you!

Also visit my weblog :: Air Max

 
On June 15, 2013 at 9:23 PM , Anonymous said...

But, let you perform eighty or maybe more work outs.

Here is my webpage ... click the next site

 
On June 17, 2013 at 12:19 AM , Anonymous said...

Your means of describing everything in this article is actually good, all be capable
of effortlessly be aware of it, Thanks a lot.

my web site: Minecraft Crack

 
On November 29, 2015 at 12:07 PM , Faysal said...

Your site is looking like so assume because its quality is outstanding.
I got a site which is use for easy movie download in a little time.
<a href="http://graboidvd.blogspot.com/”> Movie download</a>