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Superior Rhinotomy as Anterior approach to skull base
Superior Rhinotomy as Anterior approach to skull base Doctor 114,287 Views • 2 years ago

This procedure describes one of the most versatile approaches to the anterior skull base for large tumors of the sinonasal cavity. It may be used with or without a craniofacial resection. The benefits of this approach are: wide access around the tumor; good postoperative cosmesis; & decreased operative & postoperative morbidity. We have used this approach for many bilateral tumors of the nasal & sinus cavities that approach &/or invade the skull base & brain. This video show the resection of a large esthesioneuroblastoma.

Homan sign for DVT
Homan sign for DVT Doctor 28,008 Views • 2 years ago

Homan's sign for deep vein thrombosis

Sex health education
Sex health education samer kareem 2,599 Views • 2 years ago

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.

Isolated sphenoidal sinusitis
Isolated sphenoidal sinusitis samer kareem 4,966 Views • 2 years ago

Results Sinusitis was characterized as acute in 26 patients, subacute in 5 (including 1 pyocele), and chronic in 8 (including 2 fungal infections). No tumors were found. Isolated sinus cysts were excluded from the study. Headache, the main symptom in 32 patients (82%), was localized most commonly on the vertex. Other common complaints were rhinitis, dizziness, eye symptoms, and fever. In 2 patients, the finding was occult. Eight patients (21%) presented with cranial nerve deficits, and 1 patient had an intracranial complication. Sinus irrigation was performed in 16 patients (41%) and sphenoidotomy was performed in 10 (26%). Fifteen patients (38%) were treated with antibiotic drugs alone. Within 3 months, 31 (84%) of 37 patients had recovered from the illness; 5 still experienced headaches despite having normalized radiographic findings; and 1 had permanent unilateral visual loss. Two patients were lost to follow-up.

Genipap New Pap smear obtaining device
Genipap New Pap smear obtaining device Mohamed Ibrahim 33,273 Views • 2 years ago

Genipap. A home pap smear product demo.

How to increase breast milk supply
How to increase breast milk supply samer kareem 2,315 Views • 2 years ago

How to increase breast milk supply How to Naturally Boost & Increase your breast milk supply

Craziest Surgeries
Craziest Surgeries samer kareem 8,726 Views • 2 years ago

Craziest Surgeries You'll Never Believe Occurred!

Aldosterone: Sodium and Potassium Balance
Aldosterone: Sodium and Potassium Balance samer kareem 1,298 Views • 2 years ago

Have You Had Your Medical Tune Up?
Have You Had Your Medical Tune Up? News Canada 7,695 Views • 2 years ago

When it comes to our health men over the age of 45 are in need of regular doctor visits and testing, as a large percentage of medical decisions are based on the lab test results.

Kidney Dialysis pump test
Kidney Dialysis pump test samer kareem 1,890 Views • 2 years ago

Pediatric Surgery with MUSC Children’s Health
Pediatric Surgery with MUSC Children’s Health hooda 79 Views • 2 years ago

MUSC Children’s Health offers South Carolina’s only Level 1 Children’s Surgery Center, representing excellence in inpatient surgery at MUSC Shawn Jenkins Children’s Hospital, as well as outpatient surgery at R. Keith Summey Medical Pavilion. These two state-of-the-art facilities are equipped with a team of pediatric board-certified providers utilizing pediatric-specific devices and the most technologically advanced tools.

30 Basic Skills a Doctor Needs to Have !
30 Basic Skills a Doctor Needs to Have ! Scott 286 Views • 2 years ago

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This is one of the most interesting medical topics to discuss. What are the responsibilities of a doctor? What are the basic skills a doctor needs to have? and what are the responsibilities of a doctor?

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Examination of the Spleen
Examination of the Spleen samer kareem 15,405 Views • 2 years ago

Start in RLQ (so you don’t miss a giant spleen). Get your fingers set then ask patient to take a deep breath. Don’t dip your fingers or do anything but wait. When patient expires, take up new position. Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness If spleen is not felt, repeat with pt lying on right side. Gravity may bring spleen within reach. “LET THE SPLEEN PALPATE YOUR FINGERS AND NOT THE OTHER WAY AROUND. THERE IS NO GOLD, SO DON’T DIG!”

Pulmonary Function Tests
Pulmonary Function Tests samer kareem 2,089 Views • 2 years ago

Pulmonary function tests are a broad range of tests that measure how well the lungs take in and exhale air and how efficiently they transfer oxygen into the blood. Spirometry measures how well the lungs exhale.

Septoplasty: Repair Deviated Nasal Septum with Stapler
Septoplasty: Repair Deviated Nasal Septum with Stapler Scott 4,436 Views • 2 years ago

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

What is Guillain-Barre Syndrome?
What is Guillain-Barre Syndrome? samer kareem 1,841 Views • 2 years ago

Anatomy of The Superficial Dissection of The Upper and Lower Limbs
Anatomy of The Superficial Dissection of The Upper and Lower Limbs Anatomy_Videos 17,908 Views • 2 years ago

Anatomy of The Superficial Dissection of The Upper and Lower Limbs

Patent Ductus Arteriosus  PDA
Patent Ductus Arteriosus PDA samer kareem 2,879 Views • 2 years ago

Patent ductus arteriosus (PDA), in which there is a persistent communication between the descending thoracic aorta and the pulmonary artery that results from failure of normal physiologic closure of the fetal ductus (see image below), is one of the more common congenital heart defects.

Stretches for Perfect Posture
Stretches for Perfect Posture samer kareem 891 Views • 2 years ago

Neonatal Examination
Neonatal Examination samer kareem 19,149 Views • 2 years ago

A brief screening examination should be conducted checking the face, eyes, mouth, chest, abdomen, spine and limbs to exclude major abnormalities. A strong cry and a widespread pink blush over the face and body are good signs that all is well. Some children may be born with ambiguous genitalia. Ambiguous genitalia is a medical emergency and requires urgent assessment by a paediatrician. If you have sufficient clinical experience, an orogastric tube should be passed when the neonate's mother has suffered polyhydramnios. This excludes oesophageal atresia.

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