Gallbladder "Lumigram" - shows the common bile duct(being probed) and the cystic duct (the duct YOU WANT TO CUT)

The fetal circulation is the circulatory system of a human fetus, often encompassing the entire fetoplacental circulation that also includes the umbilical cord and the blood vessels within the placenta that carry fetal blood.

The fetal circulation works differently from that of born humans, mainly because the lungs are not in use: the fetus obtains oxygen and nutrients from the mother through the placenta and the umbilical cord.

Overview HIV is a virus that affects the immune system, specifically the CD4 cells. The CD4 cells help protect the body from illness. Unlike other viruses that the immune system can fight off, HIV can’t be eliminated by the immune system. The symptoms of HIV can vary greatly from person to person. No two people with HIV will likely experience the exact same symptoms. However, HIV will generally follow this pattern: acute illness asymptomatic period advanced infection Acute illness Approximately 80 percent of people who contract HIV experience flu-like symptoms within two to four weeks. This flu-like illness is known as acute HIV infection. Acute HIV infection is the primary stage of HIV and lasts until the body has created antibodies against the virus. The most common symptoms of this stage of HIV include: body rash fever sore throat severe headaches Less common symptoms may include: fatigue swollen lymph nodes ulcers in the mouth or on the genitals muscle aches joint pain nausea and vomiting night sweats Symptoms typically last one to two weeks. Anyone who has these symptoms and thinks they may have contracted HIV should consider scheduling an appointment with their healthcare provider to get tested. Symptoms specific to men Symptoms of HIV are generally the same in women and men. One HIV symptom that is unique to men is an ulcer on the penis. HIV may lead to hypogonadism, or poor production of sex hormones, in either sex. However, hypogonadism’s effects on men are easier to observe than its effects on women. Symptoms of low testosterone, one aspect of hypogonadism, can include erectile dysfunction (ED).

Repair Deviated Nasal Septum, Endoscopic Septoplasty, endoscopic surgery, Stapler repair of nasal septum, Dr B. Todd Schaeffer.

Toilet Phobia Cure Bathroom Anxiety Phobia Of Public Toilets, Paruresis Shy Bladder.
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Shy bladder syndrome is a type of phobia in which the sufferers are unable to urinate in the presence of other people such as in a public restroom.

In other words, shy bladder is the fear of not being able to urinate without complete privacy.

How common is paruresis?

While there is no way for certain to know how many people suffer from paruresis, surveys done over the last several decades indicate that the numbers could range from less than one percent to more than 25 percent of Americans.

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Meningeal Irritation Signs from the USMLE collection

This shows how to observe the movement pattern of a baby for motor abnormalities

External jugular vein cannulation is an integral part of modern medicine and is practiced in virtually every health care setting. Venous access allows sampling of blood, as well as administration of fluids, medications, parenteral nutrition, chemotherapy, and blood products. [1] This topic describes placement of an intravenous (IV) catheter into the external jugular vein. A similar technique can be used for placement of IV catheters at different anatomic sites.

Tongue fassiculations

Autologous arteriovenous access is the key to long-term success with hemodialysis and is strongly supported by the National Kidney Foundation's Dialysis Outcomes Quality Initiative guidelines. Basilic vein transposition (BVT) fulfills the need for a durable conduit with high patency and maturation rates. This retrospective review examines a single group's experience with this procedure. All patients undergoing BVT for hemodialysis with available follow-up data were reviewed. Telephone interviews were used to supplement clinical data where needed. Functional assisted patency was used as the end point for this procedure, and if the access was never used for dialysis, then the patency was considered zero. Secondary interventions performed while the access remained patent and in use were not considered detrimental to the patency reported. One hundred seventy BVTs in 162 patients were performed between November 1992 and October 2001. There were 87 women (53.7%) and 112 black patients (69.1%); hypertension was present in 138 patients (85.2%) and diabetes in 89 patients (54.9%). Each year, an increasing incidence of BVT was performed in our dialysis population. The BVT was performed as the first access in that extremity in 73 of the procedures (42.9%). Functional patency (primary assisted) was achieved in 40.0% at 2 years and 15.2% at 5 years. The mean assisted patency was 14.6 months. To maintain BVT patency, 40 percutaneous secondary interventions (69.0%) and 18 surgical revisions (31.0%) occurred in 32 patients (19.0%). Ligation for swelling was necessary in 4 patients (2.5%), and steal syndrome occurred in 3 patients (1.9%). BVT is a useful autologous procedure for hemodialysis and the preferred access alternative in patients without an adequate cephalic vein. Although patencies remain poor relative to other conventional arterial vascular procedures, BVT is our most durable hemodialysis access procedure and is often the only available autologous conduit for hemodialysis.

Marcus Greatens, M.D., an orthopedic surgeon at Mayo Clinic Health System provides insight into a few of the things patients can expect to experience during knee replacement surgery.

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This is so gross Huge pimple

They are the leaders of the pack when it comes to minimally invasive surgeries. Laparoscopic and robotic. Different techniques with the same benefits.

"There's significantly less blood loss, it's a quicker procedure, quicker recovery, less scarring, less chance for post operative wound complications or infections," says Dr. Darren Miter, laparoscopic surgeon with Lee Memorial Health System.

In a laparoscopic procedure surgeons operate through a series of poke holes, manually inserting thin cutting tools and a camera to provide magnified vision. It's used in a variety of surgical specialties.

"The vast majority of gallbladder surgeries are performed laparoscopically. A single incision in the belly button, one up under the breastbone and either one or two in the right upper side of the belly. Using long skinny instruments and looking up at a TV monitor, remove the gallbladder that way," says Dr. Miter.

While laparoscopic is a hands-on approach, robotic procedures are surgeon-controlled. Working at a console, surgeons direct the robotic arms, which have super-human capabilities and 3D, hi def vision.

"I mean you have to see it to believe it, that's a great tool to have. You got a very good depth perception. Plus the other thing when you're working with your hands it's more intuitive," says Dr. Nagesh Ravipati, colorectal surgeon with Lee Memorial Health System.

The robotic system performs maneuvers the human hand can't.

"Especially if you have to do any suturing, it is so much simpler with the robots because you can just turn around 360 degrees," says Dr. Ravipati.

Robotic surgery is gaining momentum in precise procedures, including the field of cancer.

"The robot is good when you're going to operate on just one field. For rectal surgery you're in one place, it's docked. It gives you the best 3 dimensional vision," says Dr. Ravipati.

Robotic and laparoscopic. Both cutting edge options, with less cutting.

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Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

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Histology of all the different types of cartilage. This video is a part of our Histology Video Course (https://youtube.com/playlist?l....ist=PLnr1l7WuQdDynxT

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The proper way to suture a wound for best healing and cosmetic results

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Laser lipo, or SmartLipo at SafeSculpt Laser Liposuction is the most advanced method for removing unwanted areas of fat from the body.

Thoracic outlet syndrome is a disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers. Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy. Sometimes doctors can't determine the cause of thoracic outlet syndrome. Treatment for thoracic outlet syndrome usually involves physical therapy and pain relief measures. Most people improve with these approaches. In some cases, however, your doctor may recommend surgery.

Rheumatoid Arthritis Onset and Symptoms and general information