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Scleroderma and systemic sclerosis
The treatment of peritonsillar abscess requires both the selection of appropriate antibiotics and the best procedure to remove the abscessed material. Individualized treatment modalities will result in more successful outcomes. The choice of antibiotics is highly dependent on both the gram stain and culture of the fluid obtained from the needle aspiration. Penicillin used to be the antibiotic of choice for the treatment of peritonsillar abscess, but in recent years the emergence of beta-lactamase-producing organisms has required a change in antibiotic choice.15 Results of studies16,17 suggest that 500 mg of clindamycin administered twice daily or a second- or third-generation oral cephalosporin be used instead of penicillin. Another study1 recommends using penicillin as the first-line agent, and, if there is no response within the first 24 hours, adding 500 mg of metronidazole administered twice daily to the regimen. All specimens should be examined by culture for antibiotic sensitivity to ensure appropriate antibiotic coverage. Three main surgical procedures are available for the treatment of peritonsillar abscess: needle aspiration, incision and drainage, and immediate tonsillectomy. Three recent studies have compared needle aspiration with incision and drainage for the treatment of peritonsillar abscess.16โ18 In one study,16 52 consecutive patients who had a positive needle aspiration of a peritonsillar abscess were randomized into two groups comparing needle aspiration alone with incision and drainage.8 There were no significant differences between the two groups in duration of symptoms or initial treatment failure. The results indicated that no further surgical management for peritonsillar abscess was required following the initial needle aspiration. Another study17 conducted in 1991 reported similar results.
Watch as neurosurgeon Dr. Shawn Hervey-Jumper performs awake brain surgery on a 31-year-old woman with a brain tumor at UCSF Health.
Learn more here: https://magazine.ucsf.edu/awak....e-brain-cancer-surge
Top 10 Foods that Can Kill You
Laparoscopy Gunshot Wound to Abdomen
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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Toilet Phobia Cure, Bathroom Anxiety, Phobia Of Public Toilets, Paruresis Shy Bladder,
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Transverse Colostomy Closure
Total laparoscopic hysterectomy using staples to secure major blood vessels. Vaginal colpotomy and mobilization of bladder performed initally with suture line at junction of vagina and cervix visualized laparoscopically.
How to Imporve Sexual Health or Stamina Part 2 https://youtu.be/S17bCnwCLuI Dr. Aslam Naveed is a well known sexologist in Pakistan. He has treated more than 1 Lac patients since last 30 years of clinical Practice in sexology, he knows how to help the people facing sexual disorders. Contact: 021-34595050, 03432821919 sexologistpakistan.com facebook.com/menssexcareclinic/ Address: Men's Care Clinic, 2nd floor, The Modern Hospital Opposite Safari Park, University Road. Karachi.
Treatment of a stroke interventionaly
Loop duodenal switch is an end-to-side proximal duodeno-ileal bypass with a sleeve gastrectomy. The proximal duodenal stump is anastomosed to an ileal loop, 200 cm from the ileocecal valve. The procedure is a malabsorptive operation with some theoretical advantages: only one anastomosis is performed..., and so the operative time is shorter, and there is no mesenteric opening. It is not a mini-gastric bypass, as the gastric antrum, the pylorus and the first centimeters of the duodenum are preserved. The short term outcome shows a very good weight loss curve with no metabolic disturbances.
Cervicitis is an inflammation of the cervix, the lower, narrow end of the uterus that opens into the vagina. Possible symptoms of cervicitis include bleeding between menstrual periods, pain with intercourse or during a cervical exam, and abnormal vaginal discharge. However, it's also possible to have cervicitis and not experience any signs or symptoms. Often, cervicitis results from a sexually transmitted infection, such as chlamydia or gonorrhea. Cervicitis can develop from noninfectious causes, too. Successful treatment of cervicitis involves treating the underlying cause of the inflammation.
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A heart attack occurs when blood flow to a part of your heart is blocked for a long enough time that part of the heart muscle is damaged or dies. The medical term for this is myocardial infarction.
Classical PKU is an autosomal recessive disorder, caused by mutations in both alleles of the gene for phenylalanine hydroxylase (PAH), found on chromosome 12. In the body, phenylalanine hydroxylase converts the amino acid phenylalanine to tyrosine, another amino acid.
The removal of a clot is called an embolectomy. An embolectomy might be done during a surgery. Or it might be done with a minimally invasive procedure that uses a catheter (a thin tube that is guided through a blood vessel). This type of treatment for pulmonary embolism is used only in rare cases.
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.
Golfer's elbow causes pain that starts on the inside bump of the elbow, the medial epicondyle. Wrist flexors are the muscles of the forearm that pull the hand forward. The wrist flexors are on the palm side of the forearm. Most of the wrist flexors attach to one main tendon on the medial epicondyle.