A new procedure helps patients with unattractive bunions and hammertoes.

Carpal tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves to the hand — the median nerve — is squeezed or compressed as it travels through the wrist. In most patients, carpal tunnel syndrome gets worse over time, so early diagnosis and treatment are important. Early on, symptoms can often be relieved with simple measures like wearing a wrist splint or avoiding certain activities. If pressure on the median nerve continues, however, it can lead to nerve damage and worsening symptoms. To prevent permanent damage, surgery to take pressure off the median nerve may be recommended for some patients.

Hypothyroidism and Hyperthyroidism Symptoms: Swollen Neck. A goiter is an enlargement of the thyroid gland. As shown here, an enlarged thyroid can be seen as a swelling in the front of the neck. A goiter can occur with either hypothyroidism or hyperthyroidism

surgical examination of intra abdominal lump or mass

lowerlimb motor assesment

An U/S showing first trimesteric scan

First stage of labour with its signs and symptoms like uterine contractions and the show

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 To recover the worm, endoscope was withdrawn along with the basket and the friendly catch.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.

Endoscopic Removal of a Large Choanal Polyp

Michael Marcus, MD Pediatric Pulmonary www.DrMDK.com Maimonides Medical Center Fellowship:Children’s Hospital of Philadelphia www.DrMDK.com

This is a video of a carpal tunnel release surgery

On Tuesday May 29th at 3:00pm EDT, University Hospitals Case Medical Center Cleveland, Ohio, will host a live webcast to demonstrate the removal of brain tumor and epileptic focus from an awake patient using intra-operative MRI and brain mapping. See this on OR-Live.com

The patient was a middle-aged gentleman with new onset seizures. An MRI showed what appeared to be a low grade glioma near the motor strip on the right. Studies have shown that complete removal can cure the seizures, improve quality of life and survival, but this is difficult to do with conventional technology without harming the surrounding normal brain because its difficult to determine where tumor ends and normal brain begins.

In 2003, ETS was banned in its birthplace, Sweden, due to overwhelming complaints by disabled patients. In 2004, Taiwanese health authorities banned the procedure on patients under 20 years of age.

This video is a collection of selected cases of Plastic Surgery performed on children with congenital deformities.

Errata: Cleft Lip Case 2 has a center photo which belongs to case 1 at day of surgery.

Better Vein Care and Safer Injection

The ABC's of Adult CPR emergency video

A video showing normal colonoscopy

Thoracoscopic Discectomy

trigeminal neuralgia can be caused by a vessel loop nearby the entry zone of the trigeminal nerve at the brainstem. a vessel loop is mobilized and transposed and secured with a teflon paddy. the paddy is fixed with tissucol , a fibrin glue without evident neurotoxicity. the long term result of the jannetta procedure regarding pain control is excellent

a video showing subcutaneous injection