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Hip Exam
Hip Exam Scott 53,068 Views • 2 years ago

Function and Anatomy: The hip is a ball and socket type joint, formed by the articulation of the head of the femur with the pelvis. Normal range of motion includes: abduction 45 degrees, adduction 20-30 degrees, flexion 135 degrees, extension 30 degrees, internal and external rotation. Hip pathology can cause symptoms anywhere around the joint, though frequently pain is anterior and radiates to the groin region. Additionally, pathology outside of the hip can be referred to this region. History and exam obviously help in making these distinctions.

Delivering Breech Baby
Delivering Breech Baby samer kareem 6,634 Views • 2 years ago

Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal. When this fails to happen, the baby’s buttocks and/or feet will be positioned to be delivered first. This is referred to as “breech presentation.” Breech births occur in approximately 1 out of 25 full-term births.

Piriformis Syndrome versus Sciatica
Piriformis Syndrome versus Sciatica samer kareem 135,003 Views • 2 years ago

Piriformis syndrome refers to when the piriformis muscle irritates the sciatic nerve and caues pain along the back of the leg and foot.

Renal agenesis
Renal agenesis samer kareem 6,169 Views • 2 years ago

Renal agenesis is a condition in which a newborn is missing one or both kidneys. Unilateral renal agenesis (URA) is the absence of one kidney. Bilateral renal agenesis (BRA) is the absence of both kidneys. Both types of renal agenesis occur in fewer than 1 percent of births annually, according to the March of Dimes. Fewer than 1 in every 1,000 newborns has URA. BRA is much rarer, occurring in about 1 in every 3,000 births.

Pap smear test
Pap smear test samer kareem 33,314 Views • 2 years ago

In patients age ;::25, HPV DNA testing is the preferred next step in management if the initial cytology shows ASC-US. In this method, samples are collected for both cytology and reflex HPV DNA. If cytology results are positive, HPV DNA testing is performed. If cytology results are negative, the sample for HPV DNA is discarded. HPV DNA testing along with Pap smear at 3 years is recommended if initial cytology shows ASC-US but HPV DNA testing is negative

Tears Of Abortion
Tears Of Abortion samer kareem 5,349 Views • 2 years ago

Tears Of Abortion - Story of an aborted baby,

Laparoscopic Appendectomy Steps
Laparoscopic Appendectomy Steps Doctor 14,264 Views • 2 years ago

Laparoscopic Appendectomy for Acute Appendicitis Post-illeal Appendix

Sever's disease
Sever's disease samer kareem 11,282 Views • 2 years ago

Sever's disease (also known as calcaneal apophysitis) is a type of bone injury in which the growth plate in the lower back of the heel, where the Achilles tendon (the heel cord that attaches to the growth plate) attaches, becomes inflamed and causes pain.

Flail Chest
Flail Chest Doctor 100,398 Views • 2 years ago

A rare video showing the flail chest which is traumatic condition during which the chest wall shows paradoxical movement i.e. in with expiration and out with inspiration

ACE INHIBITORS  MECHANISM OF ACTION
ACE INHIBITORS MECHANISM OF ACTION samer kareem 3,140 Views • 2 years ago

ACE Inhibitor Mechanisms. Angiotensin converting enzyme (ACE) inhibitors are agents used to relax blood vessels and lower blood pressure. They prevent an enzyme from producing angiotensin II, which narrows blood vessels and raises blood pressure, meaning the heart has to work harder to pump blood around the body.

Worst Ingrown Toenail! What Caused It?
Worst Ingrown Toenail! What Caused It? samer kareem 33,833 Views • 2 years ago

Worst Ingrown Toenail! What Caused It?

Depression and how to treat it
Depression and how to treat it Alicia Berger 3,086 Views • 2 years ago

When you’re depressed, it can feel like you’ll never get out from under a dark shadow. However, even the most severe depression is treatable. So, if your depression is keeping you from living the life you want to, don’t hesitate to seek help. Learning about your depression treatment options will help you decide what approach is right for you. From therapy to medication to healthy lifestyle changes, there are many effective treatments that can help you overcome depression and reclaim your life.

Interstitial Lung Disease Chest x-ray
Interstitial Lung Disease Chest x-ray samer kareem 5,104 Views • 2 years ago

The diffuse lung diseases tend to cause infiltrative opacification in the periphery of the lung. As the name of the group of diseases suggests, they are diffuse. While the consolidation or ground-glass change is usually bilateral, it may be localised, e.g. radiation pneumonitis.

Tonsil Stone Removal Procedure
Tonsil Stone Removal Procedure Scott 20,724 Views • 2 years ago

A tonsillolith lodged in the tonsillar crypt. Specialty. Otorhinolaryngology. Tonsilloliths, also known as tonsil stones, are clusters of calcified material that form in the tonsillar crypts, the crevices of the tonsils. While they occur most commonly in the palatine tonsils, they may also occur in the lingual tonsils.

Mitral Valve Regurgitation Treatment
Mitral Valve Regurgitation Treatment samer kareem 1,249 Views • 2 years ago

A leaking mitral valve allows blood to flow in two directions during the contraction. Some blood flows from the ventricle through the aortic valve – as it should – and some blood flows back into the atrium. A leaking (or regurgitant) aortic valve allows blood to flow in two directions. Oxygen-rich blood either flows out through the aorta to the body – as it should – or it flows backwards from the aorta into the left ventricle when the ventricle relaxes. Leaking valves can cause the heart to work harder to pump the same amount of blood.

Lipid Lowering Agents
Lipid Lowering Agents samer kareem 2,832 Views • 2 years ago

Lipid-Lowering Agents HMG-CoA reductase inhibitors (statins) These agents inhibit the rate-limiting step in cholesterol biosynthesis by competitively inhibiting HMG-CoA reductase. Note the following: Low-density lipoprotein (LDL) reduction of 25%-60% Examples include Atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Contraindications include hypersensitivity, active liver disease, pregnancy, lactation, coadministration with strong CYP3A4 inhibitors (selected statins) Vitamin B3 Vitamin B3 inhibits very-low-density lipoprotein (VLDL) synthesis. Note the following: LDL reduction of 10% High-density lipoprotein (HDL) increase of 20% Example includes Niacin (nicotinic acid) Contraindications include hypersensitivity, liver disease, active peptic ulcer, severe hypotension, arterial bleeding Fibrates Fibrates enhance lipoprotein lipase, resulting in increased VLDL catabolism, fatty acid oxidation, and triglycerides elimination. They decrease hepatic extraction of free fatty acids. Note the following: LDL reduction of 15% Triglyceride reduction of 35% Examples include Gemfibrozil, fenofibrate, fenofibrate (micronized), fenofibric acid Contraindications include active liver disease, renal disease, primary biliary cirrhosis, gallbladder disease 2-Azetidiones These agents inhibit sterol transporter at brush border and, consequently, intestinal absorption of cholesterol. LDL reduction of 15% Example includes Ezetimibe Contraindications include hypersensitivity, coadministration with statins (if active liver disease) Bile acid sequestrants These agents lower cholesterol and LDL via bile duct sequestration. Note the following: LDL reduction of 15% Examples include Cholestyramine, colesevelam, colestipol Contraindications include biliary/bowel obstruction, serum triglycerides >300-500 mg/dL, history of hypertriglyceridemia-induced pancreatitis

A Stimulating Discovery: VNS Stimulator for Epilepsy
A Stimulating Discovery: VNS Stimulator for Epilepsy Emery King 11,348 Views • 2 years ago

A DMC Neurologist and Neurosurgeon install a nerve stimulator in a young patient to try and control his epileptic seizures. ~ Detroit Medical Center

Successful External Cephalic Version
Successful External Cephalic Version samer kareem 2,199 Views • 2 years ago

Successful External Cephalic Version (ECV) - Turning a breech baby in just 2 minutes!

Toe Amputation
Toe Amputation samer kareem 4,899 Views • 2 years ago

Possible complications could include: Difficulty healing. Infection. Stump pain (severe pain in the remaining tissue) Phantom limb pain (a painful sensation that the foot or toe is still there) Continued spread of gangrene, requiring amputation of more areas of your foot, toes or leg. Bleeding. Nerve damage.

Infant Urine Specimen Collection
Infant Urine Specimen Collection Scott 32,068 Views • 2 years ago

Infant Urine Specimen Collection

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