USMLE Step 2 CS - Diabetes Mellitus This is just preview video. To get full access please visit our website : www.usmletutoring.com

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USMLE Step 2 CS - Antenatal Visit This is just preview video. To get full access please visit our website : www.usmletutoring.com

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Graphic images focusing on the reconstruction of an ear after the removal of a long-standing skin cancer that this patient allowed to slowly grow over many years because he was afraid of what the surgery to remove might entail. Go to www.skincancercentre.com to learn more about the importance of the early diagnosis of skin cancer. BTW, when you put on your sunscreen, don't forget your ears, and wear a broad brimmed hat to cover this very vulnerable area of your anatomy. www.skincancercentre.com

Graphic video demonstrating the reconstruction of a facial cheek defect following the removal of a common skin cancer in a challenging location near the lower eyelid. Visit us @ www.skincancercentre.com.

Graphic content of Mohs surgical removal of a large Squamous Cell Carcinoma on scalp followed by reconstruction with 10 week follow up. Visit us @ skincancercentre.com.

Squmaous Cell Carcinoma Of Scalp Challenging Cases & Controversial Questions with a focus on Mohs frozen section histology and pathology. Visit us @ www.skincancercentre.com.

This is a 4 minute video depicting the basic technique of the Mohs micrographic procedure and how the tissue is processed in the lab. Visit us @ www.skincancercentre.com

http://www.rhinoplastyspecialist.com Los Angeles County police officer was shot in the face while on duty, in the surgery to repair his face he was left unable to breathe completely through his nose. Dr. Paul Nassif was the only Rhinoplasty specialist that he would trust to repair his breathing through his nose. Join this officer and his experience through rhinoplasty surgery with rhinoplasty specialist Dr. Paul Nassif. Rhinoplasty, often referred to as a nose job, it is the most commonly performed facial plastic surgery procedure. In the past two years, nearly 600,000 people in the U.S. have undergone rhinoplasty, according to the American Society of Plastic Surgeons. People that have had rhinoplasty usually welcome the subtle enhancement that adds balance and harmony to their faces. Rhinoplasty is generally performed to improve the appearance of the nose, to correct breathing problems, or for reconstructive purposes. 120 S. Spalding Drive Suite 315 Beverly Hills, Ca. 90212 Tel: (310) 275-2467

www.rhinoplastyspecialist.com - (310)275-2467 Join Nadia and her experience first hand as she undergoes a primary rhinoplasty (Nose job) surgery. This surgery was performed by rhinoplasty specialist Dr. Paul Nassif. In Los Angeles rhinoplasty, the majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. Certain amounts of bone and cartilage are then removed or rearranged to provide a newly shaped nose. If the patient has a deviated septum (cartilage and/or bone causing obstruction inside the nose), septal surgery, called septoplasty, is simultaneously performed. The incision is placed entirely inside the nose. The septoplasty removes portions of cartilage and/or bone that are causing the obstruction. The incisions are then closed with fine suture, followed by placement of a splint to the outside of the nose. The splint helps retain the new shape while the nose heals. If packing is placed inside the nose during surgery, it is removed the next morning following Los Angeles surgery. The nasal splint is usually removed seven days after surgery. At that time, tape is applied to the nose for another seven days and then removed. The majority of the bruising and swelling usually resolve two weeks after surgery. Cold compresses are used to help reduce the bruising and discomfort. A short course of post-operative antibiotics and steroids are given to help prevent infection and excess swelling. Although discomfort is minimal, pain medication is available if required. Vigorous activity is avoided for four weeks following surgery. Sun exposure and risk of injury must be avoided. If you wear glasses, tape is used to avoid putting stress on the nose. http://www.rhinoplastyspecialist.com Spalding Drive Cosmetic Surgery and Dermatology 120 S. Spalding Drive Suite 315 Beverly Hills, Ca. 90212 Tel: (310) 275-2467

http://www.rhinoplastyspecialist.com This video will take you through Donna’s experience with Revision Rhinoplasty Specialist Dr. Paul Nassif. Follow Donna as she goes through the process before, during and after surgery. Listen to what Donna has to say about Dr. Paul Nassif and his staff in regards to the overall operation. Patients seeking revision rhinoplasty have a number of concerns. The foremost is a poor aesthetic and functional result. Second is often the loss of trust in their first surgeon, and the third: will surgery help improve them or just cause more deformity. Dr. Nassif and his staff are well trained in helping patients overcome these fears. They are sensitive to the reluctance patients have over considering more surgery. The staff will help you feel at ease from the beginning; recognizing your courage to address the need for revision surgery and consider improving upon what was your less than ideal surgical result. Together we can work towards achieving our mutual goals of looking and breathing better. By choosing the right specialist for surgery, the goal is to improve the functional and aesthetic results from prior treatment. Dr. Nassif often states that revision rhinoplasty follows the architectural theme "form follows function." Noses that look pinched typically don't work well and vice versa. Improving nasal airflow usually has the consequence of also enhancing the appearance of the nose. Revision surgery is about restoring structure and strength. Finally, I will use the computer image as a goal in surgery. Often times, patients will bring photos (models, movie stars, etc.) of what they feel their nose should look like. My goal is to take what you have and make a moderate, and sometimes, significant difference in the appearance and function of your nose, creating an aesthetically pleasing, natural nose. Following surgery, the majority of patients have minimal pain. I will ask you to clean your incisions and the inside of your nose approximately twice a day. You will be instructed to spray salt water (saline) into your nose with a spray bottle and a baby bulb syringe. Your cast and the stitches will be removed in one week (assuming that you are having an open revision rhinoplasty). For the second week, your nose will be taped. Following the second week, if needed, I will instruct you on how to tape your nose nightly to help reduce the swelling. The most important attribute that you, the patient, can possess following revision nasal surgery is PATIENCE. It may well take one year for the swelling to completely resolve. I can promise you that I will do the best job possible to improve the health of your nose and your spirit. http://www.rhinoplastyspecialist.com 120 S. Spalding Drive Suite 315 Beverly Hills, CA 90212 Tel: (310)-275-2467

Amyotrophic lateral sclerosis The disorder causes muscle weakness and atrophy throughout the body caused by degeneration of the upper and lower motor neurons. Unable to function, the muscles weaken and atrophy. Affected individuals may ultimately lose the ability to initiate and control all voluntary movement, although bladder and bowel sphincters and the muscles responsible for eye movement are usually, but not always, spared. Cognitive function is generally spared for most patients although some (~5%) also have frontotemporal dementia.A higher proportion of patients (~30-50%) also have more subtle cognitive changes which may go unnoticed but are revealed by detailed neuropsychological testing. Sensory nerves and the autonomic nervous system, which controls functions like sweating, are generally unaffected but may be involved for some patients. The earliest symptoms of ALS are typically obvious weakness and/or muscle atrophy. Other presenting symptoms include muscle fasciculation (twitching), cramping, or stiffness of affected muscles; muscle weakness affecting an arm or a leg; and/or slurred and nasal speech. The parts of the body affected by early symptoms of ALS depend on which motor neurons in the body are damaged first. About 75% of people contracting the disease experience "limb onset" ALS i.e. first symptoms in the arms ("upper limb", not to be confused with "upper motor neuron") or legs ("lower limb", not to be confused with "lower motor neuron"). Patients with the leg onset form may experience awkwardness when walking or running or notice that they are tripping or stumbling, often with a "dropped foot" which drags along the ground. Arm-onset patients may experience difficulty with tasks requiring manual dexterity such as buttoning a shirt, writing, or turning a key in a lock. Occasionally, the symptoms remain confined to one limb for a long period of time or for the whole course of the illness; this is known as monomelic amyotrophy. About 25% of cases are "bulbar onset" ALS. These patients first notice difficulty speaking clearly or swallowing. Speech may become slurred, nasal in character, or quieter. Other symptoms include difficulty swallowing, and loss of tongue mobility. A smaller proportion of patients experience "respiratory onset" ALS where the intercostal muscles that support breathing are affected first. Regardless of the part of the body first affected by the disease, muscle weakness and atrophy spread to other parts of the body as the disease progresses. Patients experience increasing difficulty moving, swallowing (dysphagia), and speaking or forming words (dysarthria). Symptoms of upper motor neuron involvement include tight and stiff muscles (spasticity) and exaggerated reflexes (hyperreflexia) including an overactive gag reflex. An abnormal reflex commonly called Babinski's sign (the big toe extends upward and other toes spread out) also indicates upper motor neuron damage. Symptoms of lower motor neuron degeneration include muscle weakness and atrophy, muscle cramps, and fleeting twitches of muscles that can be seen under the skin (fasciculations). Around 15–45% of patients experience pseudobulbar affect, also known as "emotional lability", which consists of uncontrollable laughter, crying or smiling, attributable to degeneration of bulbar upper motor neurons resulting in exaggeration of motor expressions of emotion.