Cholecystectomy means removal of the gallbladder. The most common reasons
your doctor might recommend a cholecystectomy are biliary colic, cholecystitis,
choledocolithiasis, or gallstone pancreatitis. Biliary colic, also known as symptomatic
cholelithiasis, is caused by gallstones, which are hardened deposits of bile. Gallstones are
common in the general population, and gallstones alone are not a reason for gallbladder
removal if they do not cause symptoms. However, sometimes gallstones can get caught at the
neck of the gallbladder, causing pain when the gallbladder contracts against them trying to
release its bile, especially after a fatty meal. With biliary colic, the pain typically resolves within
an hour or so. Occasionally, a stone or some other blockage may prevent the gallbladder from
emptying over a long period of time, causing an increase in pressure and trapped fluid within the
gallbladder. This can cause inflammation and infection of the gallbladder, which we call
cholecystitis. Choledocholithiasis is when there are one or more stones in the bile ducts, which
can cause back up of bile into the liver, and depending on the location of the stones, could
cause pancreatitis, which is inflammation of the pancreas. Other reasons for gallbladder
removal, though less common, are gallbladder polyps and cancer. All of these are reasons for
gallbladder removal.

Attention-deficit/hyperactivity disorder (ADHD) is a chronic condition that affects millions of children and often continues into adulthood. ADHD includes a combination of persistent problems, such as difficulty sustaining attention, hyperactivity and impulsive behavior.

During root canal treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is restored with a crown or filling for protection.

Thoracentesis is a procedure to remove fluid or air from around the lungs. A needle is put through the chest wall into the pleural space. The pleural space is the thin gap between the pleura. The pleura are a double layer of membranes that surrounds the lungs.

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.

Although most women have had enough experience to know how to pleasure a man in the bedroom, but you can be sure that are several girls who would be virgins when you first take them to bed. Though most Indian men actually prefer to make love with a virgin. There are also numerous men who dislike the idea due to the pressure of making love to someone with no experience. So if you happen to be dating a virgin then there are a few important things that you should always keep in mind when you take her to bed. Though you have made love to different women before, you need to understand that this one being a virgin will know little or nothing about what is expected of her in bed. Because she will be anxious and nervous, you have to be all the more careful to ensure that she gets to enjoy her first time with you. Kiss her Whether you are doing it with a virgin or someone with a record that would put Pam Anderson to shame, you should take your time to make love to her just with your lips. Use your lips with passion, and kiss her parts that other guys tend to ignore. Kiss her lips, her hips, her shoulders, her hands, nuzzle her ears - parts which aren’t necessary sexual. Give your girl a hand Okay this one may look straight out of a B-grade south Indian movie, but starting off with a sensual full body massage is an excellent way of warming her up. So use some nice aromatic oils like lavender or Yang-Yang to massage her body. If you are more experienced, you would be aware the various erogenous zones of a woman’s body. Start with the nape of her neck and slowly work your way down to her back, gently knead her breasts and play with her nipples, gently flick at them and manipulate them to erection. Get her to lie on her stomach and massage her inner thighs. Lovingly caress her buttocks and move your hands close to her valley of pleasure. She might be too shy to tell you, but her ultimate pleasure point would be dying for your attention. Gently, stroke her outer lips or the labia. Whatever, apprehensions or fears she may have had about sex will all disappear once your finger start creating magic in her nether regions. Never criticise her Remember, she has never felt a man’s body before, which essentially means that when she tries to explore your body you may not necessarily enjoy it. So let her hold your penis and fondle it, let her lick and nibble you and tickle you body. You may not find her amateurish attentions very arousing but don’t make her feel like an amateur in bed. If she does something right let her know how much you are enjoying it. Guide her fingers to your pleasure points and tell her what you would like a girl to do in bed. Being the more experienced partner you should be like her loving mentor, and teach her the intricacies of pleasuring a man. Make her touch herself While she may or may not have masturbated before, by getting her to touch herself you would be able to make her feel the unknown. Tell her how badly you want to see her masturbate. The idea is open her to own sexuality. Its time to penetrate When you think that she is finally ready to be penetrated, enter her as gently as possible. Also make sure that she is producing enough lubrication to facilitate the act. Keep your strokes slow and shallow and avoid pushing too deep during your first few strokes. If you are able to make her feel comfortable and safe, any pain that she may experience in the beginning will soon disappear, and be replaced by moans of ecstasy. The first time can be nerve racking for most men. Just remember how nervous you were when you had sex for the first time. So when your take your virginal girlfriend to bed for first time makes the experience as pleasurable for her as possible.

Hypoglycemia is a common and serious medical emergency which may occur in both daibetic and non-diabetic patients. The signs and symptoms of hypoglycaemia may be present in many individuals, but may also be masked in several individuals due to a condition called hypoglycaemia induced autonomic failure. This presentation aims to deal with the causes, clinical features, diagnosis and management of various causes of hypoglycaemia. The causes of hypoglycaemia may be divided into hypoglycaemia in ill or medicated individuals and hypoglycaemia in previously asymptomatic individuals. A variety of causes are discussed under both headings. Management of hypoglycaemia is also discussed in detail. There is also a brief discussion about management of insulinoma.

In this medical video: This 72-year-old patient was unable to resist blinking when we tapped on the glabella. This is the glabellar reflex or Myerson's sign . It is often an early sign of Parkinson's disease, but can also be seen in early dementia as well as other progressive neurologic illness. Note the left (i.e., asymmetrical) hand resting tremor.

A vasectomy is a simple surgery done by a doctor in an office, hospital, or clinic. The small tubes in your scrotum that carry sperm are cut or blocked off, so sperm can’t leave your body and cause pregnancy. The procedure is very quick, and you can go home the same day. And it’s extremely effective at preventing pregnancy — almost 100%

Dumping syndrome is a condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. Also called rapid gastric emptying, dumping syndrome occurs when food, especially sugar, moves from your stomach into your small bowel too quickly.Diet: Eating too much sugar can cause sugars to pass into the colon, making the bacteria there get all excited and cause diarrhea. Other things like sorbitol, a sweetener in some sugarless candy, can also cause diarrhea through osmosis. Malabsorption: Some people don't digest sugars or fats properly.

Large Bowel Epiploica Laparoscopic Resection

procedure is usually done in the hospital or outpatient surgical center under general anesthesia (while you are asleep and pain-free). The procedure is performed in the following way: The surgeon makes a small cut (incision) below the belly button (navel). A needle or tube is inserted into the incision. Carbon dioxide gas is passed into the abdomen through the needle or tube. The gas helps expand the area, giving the surgeon more room to work, and helping the surgeon see the organs more clearly. A tube is placed through the cut in your abdomen. A tiny video camera (laparoscope) goes through this tube and is used to see the inside of your pelvis and abdomen. More small cuts may be made if other instruments are needed to get a better view of certain organs. If you are having gynecologic laparoscopy, dye may be injected into your cervix area so the surgeon can view your fallopian tubes. After the exam, the gas, laparoscope, and instruments are removed, and the cuts are closed. You will have bandages over those areas.

The MAKOplasty® procedure is an FDA-cleared treatment option for patients who suffer from osteoarthritis damage in the medial (inner) portion of the knee. ... Only the diseased portion of your knee is removed, leaving the healthy bone and tissue surrounding it untouched.

Watch that Above Knee Leg Amputation Surgery

For the first few days after giving birth, a new mother’s breasts remain soft. They will produce colostrum. Colostrum, the first milk, is available in just the right amount, and is rich in immune factors that protect newborns. Sometime during the next few days, the breasts will become full, firm, warm, and perhaps tender. When this occurs, people say: “the milk is coming in!” The scientific term for this event is: engorgement. Engorgement is normal, and lasts for various periods of time depending on the individual woman. Some women experience only a day or so of mild, easy-to-manage engorgement. For other women, engorgement may be more intense, and can last from several days to two weeks.

Dialysis lecture 1. Dialysis Study: EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis https://amzn.eu/d/35Ui1kT

2. Dialysis Study : Q & A: MCQs, Fill in the blanks, True or False https://amzn.eu/d/gGn8u73

1. Dialysis Study :EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis, Naseha Helal.
https://play.google.com/store/....books/details?id=D_7

2. Dialysis Study: Q & A MCQ https://play.google.com/store/....books/details?id=T_3

Whatsapp
https://chat.whatsapp.com/DKCHbgsNwXS1wd7xI31tpr

Telegram
https://t.me/dialysislife PRINCIPLE OF dialysis
https://youtu.be/cfOm0aFmbe8

Dialysis machine alarms
https://youtu.be/-1A1INyDEOg

DDS dialysis disequilibrium syndrome
https://youtu.be/8AqVFiBOkIc

Peritoneal Dialysis
https://youtu.be/iHPPadGmsv0

Itching
https://youtu.be/T83Wm3HHU4M

What is CRRT
https://youtu.be/jPgFnoSEBMU

LVH
https://youtu.be/ZhFL3Z6LHeA

Sorbent dialysis
https://youtu.be/-rie5dC_FkY

RO Water
https://youtu.be/3jlEsK4Lg_I

Carbon filter RO water
https://youtu.be/mJrgtjNafQw

Hemoperfusion
https://youtu.be/UkbBm8rm9Ww

AV fistula or Dialysis fistula
https://youtu.be/uDbyfqCkCbo

Dialysis MCQ
https://youtu.be/zmOj0BL6jVY

AVF cannulation
https://youtu.be/PyqMcHA07zY

Complications of AV fistula
https://youtu.be/a_CXIvuOO_s

Blood clotting during Dialysis
https://youtu.be/9hYNepiO2o8

Muscle crapms
https://youtu.be/09s07Eiqr2k

Hepatitis C
https://youtu.be/qdNj_GhmnSE

Dialysis procedure
https://youtu.be/u1mGqXO5pzQ

Hypotension
https://youtu.be/4EVPmWTSyN8

Heparin free dialysis
https://youtu.be/rFqAn7HcWwM

Plasmapheresis
https://youtu.be/kbgsjjs9krg

Isolated ultrafiltration
https://youtu.be/xp5I5--uWb0

High flux dialyzer
https://youtu.be/gCNsErn1HHM

Urea and Creatinine
https://youtu.be/Id9AIySMQ6c

Practical RO water demo
https://youtu.be/2pXKGMDNS84

Sodium profiling
https://youtu.be/bE_DcBXNB5g

Peritoneal Dialysis
https://youtu.be/vtK6VZsi8AY

Air embolism
https://youtu.be/WJE-xqnQfd8

Dialysate
https://youtu.be/z_nb43bcWsM

How to stop Bleed from fistula
https://youtu.be/N_inLKPhPUc

Dialysis short form
https://youtu.be/3BqB-gODb5o

Dialyzer reprocessing
https://youtu.be/XelfkKsndlc

Dialysis catheter
https://youtu.be/V7y90m4xlv8

How to set KT/V
https://youtu.be/hWXjU8VTQdk

Mircera injection
https://youtu.be/STtd3I3EijA

Dialysis procedure
https://youtu.be/MIdhIgcKRZ8

Dialysis in snake bite poison
https://youtu.be/niA9RI38jyY

Uf profiling
https://youtu.be/wyjpFjD5Hi0

Heparin dose
https://youtu.be/kB56MkzHIQ0

Hyperkalemia
https://youtu.be/1rWWNlcAuio

Change bandages of leaking fistula
https://youtu.be/_0cebWWdjM8

AvF needle
https://youtu.be/GvUxbXxftTk

Polycystic kidney disease
https://youtu.be/IhsMbHFXZG8

Nephrotic syndrome
https://youtu.be/FEEOsIrXxV8

Diabetic nephropathy
https://youtu.be/v-FBIQ7MA4k

Hemodialysis permanent access
https://youtu.be/_YrwxwiR0f8

Sex and dialysis
https://youtu.be/vvl8UT8lK4k

Albumin and dialysis
https://youtu.be/yzG7yD45Nwg

A very simplified method giving information about cystic fibrosis

How amblyopia develops in children. Basically, if one eye doesn't see well from an early age, the wiring never forms correctly back to the occipital cortex.

Progressive multifocalleukoencephalopathy is a demyelinating illness of the central nervous system that typically occurs in immunosuppressed patients, especially those with AIDS. It is caused by reactivation of the polyomavirus JC (JC virus) and presents with neurologic deficits including hemiparesis, gait ataxia, visual symptoms, and altered mental status. It is not seen in non-immunosuppressed patients, and fever is not typical