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Progressive Multifocal Leukoencephalopathy (PML)
Progressive Multifocal Leukoencephalopathy (PML) samer kareem 4,061 Views • 3 years ago

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

glomus tumor
glomus tumor samer kareem 2,264 Views • 3 years ago

Glomus tumors are rare soft tissue neoplasms that typically present in adults (ages 20-40 years) as small, blue-red papules or nodules of the distal extremities, with most cases involving subungual sites. These tumors are typically painful, often causing paroxysmal pain in response to temperature changes or pressure. Glomus tumors are thought to arise from the glomus body, a thermoregulatory shunt concentrated in the fingers and toes. Most lesions are solitary and localized to cutaneous sites; however, generalized glomuvenous malformations, or multiple glomangiomas, have also been described, and may have extracutaneous involvement.

Endoscopic Removal of Coin from Esophagus
Endoscopic Removal of Coin from Esophagus Mohamed Ibrahim 14,321 Views • 3 years ago

Endoscopic Removal of Coin from Esophagus

Basal Joint Arthroscopic Debridement
Basal Joint Arthroscopic Debridement samer kareem 1,262 Views • 3 years ago

The procedure was performed under wrist block regional anesthesia with tourniquet control. A single Chinese finger trap was used on the thumb with 5 to 8 lb of ongitudinal traction. The arm was held down with wide tape around the tourniquet securing it to the hand table to serve as countertraction. A shoulder holder, rather than a traction tower, was used to facilitate fluoroscopic intervention more easily. The Trapeziometacarpal joint was detected by palpation. Joint distension was achieved by injecting 1 to 3 mL of normal saline (Fig. 1). It is important to distally direct the needle approximately 20 degrees to clear the dorsal flare of the metacarpal base and enter the joint capsule. This course should be reproduced upon entering with arthroscopic sleeve/ trocar assembly to minimize iatrogenic cartilage injury. Fluid distention is important to facilitate this. The incision for the 1-R (radial) portal, used for proper assessment of the dorsoradial ligament, posterior oblique ligament, and ulnar collateral ligament, was placed just volar to the abductor pollicis longus tendon. The incision for the 1-U (ulnar) portal, for better evaluation of the anterior oblique ligament and ulnar collateral ligament, was made just ulnar to the extensor pollicis brevis tendon. A short-barrel, 1.9-mm, 30- degree inclination arthroscope was used for complete visualization of the CMC joint surfaces, capsule, and ligaments, and then appropriate management was done, as dictated by the stage of the arthritis detected (Fig. 2A). A full-radius mechanical shaver with suction was used in all the cases, particularly for initial debridement and visualization. Most of the cases were augmented with radiofrequency ablation to perform a thorough synovectomy and radiofrequency was also used to perform chondroplasty in the cases with focal articular cartilage wear or fibrillation. Chondroplasty refers to thedebridement of the fibrillated cartilage to improve vascularity of the cartilage and enhance the growth of fibrocartilage. Ligamentous laxity and capsular attenu- ation were treated with thermal capsulorraphy using a radiofrequency shrinkage probe. We were careful to avoid thermal necrosis; hence, a striping technique was used to tighten the capsule of the lax joints. The striping technique refers to thermal shrinkage performed in longitudinal stripes on the lax capsule, so as to leave vascular zones between the stripes; hence, thermal necrosis is prevented. Arthroscopic stage I disease was characterized by synovitis without any cartilage wear, wherein a synovectomy coupled with thermal capsulor- raphy as described was performed.

Bilateral Nephrectomy for polycystic kidneys and cholecystectomy
Bilateral Nephrectomy for polycystic kidneys and cholecystectomy samer kareem 8,340 Views • 3 years ago

Amazing Surgery: Bilateral Nephrectomy for polycystic kidneys and cholecystectomy.

Very Large Mole Removal Surgery
Very Large Mole Removal Surgery hooda 13,713 Views • 3 years ago

Watch that video of a Very Large Mole Removal Surgery

Ligation of Aneurysm in ArterioVenous Malformation
Ligation of Aneurysm in ArterioVenous Malformation Alicia Berger 7,247 Views • 3 years ago

Ligation of Aneurysm in ArterioVenous Malformation

Medical Videos - Intercourse During Her Period - Is It Safe?
Medical Videos - Intercourse During Her Period - Is It Safe? hooda 29,156 Views • 3 years ago

Watch that video to know if it is safe to have intercourse during her period

Cystic Fibrosis Video
Cystic Fibrosis Video Mohamed 6,020 Views • 3 years ago

A very simplified method giving information about cystic fibrosis

Remembering Medications & The Body Systems Affected
Remembering Medications & The Body Systems Affected samer kareem 1,353 Views • 3 years ago

Remembering Medications & The Body Systems Affected

The Big OW!
The Big OW! Info4YourLife 8,500 Views • 3 years ago

Stop suffering alone and get relief from vaginal atrophy symptoms

PARAPHARYNGEAL SPACE TUMORS: SURGICAL APPROACH
PARAPHARYNGEAL SPACE TUMORS: SURGICAL APPROACH bioyanez 6,989 Views • 3 years ago

PARAPHARYNGEAL SPACE TUMORS: SURGICAL APPROACH

Treatment: Pulmonary Embolism
Treatment: Pulmonary Embolism samer kareem 2,082 Views • 3 years ago

Prompt treatment to break up the clot greatly reduces the risk of death. This can be done with blood thinners and drugs or procedures. Compression stockings and physical activity can help prevent clots from forming in the first place.

Root Canal Treatment
Root Canal Treatment samer kareem 27,288 Views • 3 years ago

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.

Cleaning, Numbing, & Suturing the Wound
Cleaning, Numbing, & Suturing the Wound samer kareem 6,311 Views • 3 years ago

STITCHES: Cleaning, Numbing, & Suturing the Wound

Gestational diabetes affect the baby
Gestational diabetes affect the baby samer kareem 1,518 Views • 3 years ago

If you have gestational diabetes, your baby may be at increased risk of: Excessive birth weight. Extra glucose in your bloodstream crosses the placenta, which triggers your baby's pancreas to make extra insulin. This can cause your baby to grow too large (macrosomia).

WORM EXTRACTION FROM BILE DUCTS
WORM EXTRACTION FROM BILE DUCTS DrHouse 15,632 Views • 3 years ago

A 30 YEAR WOMEN WITH INTRACTABLE BILIARY COLIC

CASE REPORT: This 30 year women developed severe pain right upper quadrant for last 10 days. She sought many consultations and was given intravenous analgesics both (nonnarcortic and narcotic). Pain did not subside and she sought my consultation. Examination revealed her to be in agony with severe upper abdominal pain. General physical examination was otherwise unremarkable. Abdominal examination revealed mild tenderness in right hypochondrium with doubtful Murphy's sign. Urgent abdominal ultrasound showed a linear structure in bile ducts making slow writhing movements. The structure had an anechoic tube (alimentary canal) inside suggestive of a large Ascarid. Urgent ERCP was performed and bile duct and pancreatic duct cannulated selectively. Pancreatic duct was normal. Bile ducts contained a long linear filling defect extending from lower end of common bile duct to right intrahepatic duct (see image gallery for ERCP plate). A basket was introduced in the duct (see video clip) and the linear structure was engaged with soft closure and extracted out of the bile duct. Accompanying the basket was a 25 cm thick highly motile Ascarid. To recover the worm, endoscope was withdrawn along with the basket and the friendly catch. While the endoscope was being withdrawn and the basket was in the duodenum with the worm out of bile duct, patient indicated of relief of abdominal pain. A relook cholangiogram showed no more structures in the duct. She was given antihelmintic therapy and passed hundreds of worms with the feces. The worms recovered form stools were both male and female population and varied in length and size. However the lone worm recovered form bile ducts was the longest and the thickest male worm. The phenomenal behavior of this ubiquitous infection remains unexplained.

Breast pain after pregnancy
Breast pain after pregnancy samer kareem 23,443 Views • 3 years ago

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.

How to treat a bruise / haematoma / swelling of the quadriceps
How to treat a bruise / haematoma / swelling of the quadriceps samer kareem 3,814 Views • 3 years ago

Medical Surgery - Above Knee Leg Amputation Surgery
Medical Surgery - Above Knee Leg Amputation Surgery hooda 40,629 Views • 3 years ago

Watch that Above Knee Leg Amputation Surgery

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