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Laser Refractive Surgery:  How is SMILE different from LASIK and PRK? | Mitra Nejad, MD
Laser Refractive Surgery: How is SMILE different from LASIK and PRK? | Mitra Nejad, MD Mohamed Ibrahim 61 Views • 2 years ago

Mitra Nejad, MD
Associate Physician Diplomate
UCLA Stein Eye Institute, Cataract and Refractive Surgery Division

Cardiac Surgery ICU | Cedars-Sinai Thoracic Surgery—Integrated Residency
Cardiac Surgery ICU | Cedars-Sinai Thoracic Surgery—Integrated Residency Surgeon 78 Views • 2 years ago

The CSICU rounds are an opportunity for residents to come together with attendings and review all the patients in the ICU.

Cedars-Sinai is committed to educating exceptional cardiothoracic surgeons through outstanding personal mentorship, operative training and research leadership. Residents of the Thoracic Surgery—Integrated Residency at Cedars-Sinai will be part of an incredibly rich, academic environment—each year our research and thought leadership features in hundreds of publications in journals including Nature, New England Journal of Medicine, JAMA, Lancet and leading specialty journals.

Learn more about the Cedars-Sinai Thoracic Surgery—Integrated Residency: https://ceda.rs/3UDrZFL

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Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow’s health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

Shock and Resucitation
Shock and Resucitation DrHouse 10,479 Views • 2 years ago

Basic shock and resuscitation video

Ovarian Cystectomy
Ovarian Cystectomy DrPhil 24,017 Views • 2 years ago

This video shows an ovarian cyst and its removal using a laparoscopic technique.

Endometriosis Excision
Endometriosis Excision Mohamed 17,690 Views • 2 years ago

Laparoscopic excision of endometriosis

Lymph nodes and Thyroid Exam
Lymph nodes and Thyroid Exam Surgeon 37,270 Views • 2 years ago

Examination of the lymph nodes of the head and the neck and Examination of the thyroid gland

Motor examination of lower Limb USMLE
Motor examination of lower Limb USMLE USMLE 18,331 Views • 2 years ago

Motor examination of Lower Limb from the USMLE collection

Otitis Media Pathology
Otitis Media Pathology Scott 15,494 Views • 2 years ago

A video showing the pathology of otitis media

Oral Exam
Oral Exam Scott 26,679 Views • 2 years ago

The exam should be performed in an orderly fashion as follows: 1. Have the patient stick out their tongue so that you can examine the posterior pharynx (i.e. the back of the throat). Ask the patient to say "Ah", which elevates the soft palate, giving you a better view. If you are still unable to see, place the tongue blade � way back on the tongue and press down while the patient again says "Ah," hopefully improving your view. This causes some people to gag, particularly when the blade is pushed onto the more proximal aspects of the tongue. It may occasionally be important to determine whether the gag reflex is functional (e.g. after a stroke that impairs CNs 9 or 10; or to determine if a patient with depressed level of consciousness is able to protect their airway from aspiration). This is done by touching a q-tip against the posterior pharynx, uvula or tongue. It is not necessary to do this during your routine exam as it can be quite noxious!
2. Note that the uvula hangs down from the roof of the mouth, directly in the mid-line. With an "Ah," the uvula rises up. Deviation to one side may be caused by CN 9 palsy (the uvula deviates away from the affected side), a tumor or an infection. CN9 Pasly Cranial Nerve 9 Dysfunction: Patient has suffered stroke, causing loss of function of left CN 9. As a result, uvula is pulled towards the normally functioning (ie right) side. 3. The normal pharynx has a dull red color. In the setting of infection, it can become quite red, frequently covered with a yellow or white exudate (e.g. with Strep. Throat or other types of pharyngitis).
4. The tonsils lie in an alcove created by arches on either side of the mouth. The apex of these arches are located lateral to and on a line with the uvula. Normal tonsils range from barely apparent to quite prominent. When infected, they become red, are frequently covered by whitish/yellow discharge. In the setting of a peritonsilar abscess, the tonsils appear asymmetric and the uvula may be pushed away from the affected side. When this occurs, the tonsil may actually compromise the size of the oral cavity, making breathing quite difficult.
5. Look carefully along the upper and lower gum lines and at the mucosa in general, which can appear quite dry if the patient is dehydrated.
6. Examine the teeth to get a sense of general dentition, particularly if the patient has a dental complaint. Pain produced by tapping on a tooth is commonly caused by a root abscess. Tooth Abscess: Tooth abscess involving left molar region. Associated inflammation of left face can clearly be seen. 7. Have the patient stick their tongue outside their mouth, which allows evaluation of CN 12. If there is nerve impairment, the tongue will deviate towards the affected side. Any obvious growths or abnormalities? Ask them to flip their tongue up so that you can look at the underside. If you see something abnormal, grasp the tongue with gauze so that you can get a better look. Left CN 12 Dysfunction: Stroke has resulted in L CN 12 Palsy. Tongue therefore deviates to the left.
8. Make note of any growths along the cheeks, hard palate (the roof of the mouth between the teeth), soft palate, or anywhere else. In particular, patients who smoke or chew tobacco are at risk for oral squamous cell cancer. Any areas which are painful or appear abnormal should also be palpated. Put on a pair of gloves to better explore these regions. What do they feel like? Are they hard? To what extent does a growth involve deeper structures? If the patient feels something that you cannot see, try to get someone else to hold the light source, freeing both your hands to explore the oral cavity with two tongue depressors.

Spleen Palpation
Spleen Palpation M_Nabil 24,471 Views • 2 years ago

Spleen Palpation

Better Vein Care
Better Vein Care Scott 11,614 Views • 2 years ago

Better Vein Care and Safer Injection

Loyola Full Neurological Exam Part 3
Loyola Full Neurological Exam Part 3 Loyola Medicine 16,789 Views • 2 years ago

Part 3: from Loyola Medical School, Chicago showing clinical examination of the neurological system.

Loyola Full Neurological Exam Part 6
Loyola Full Neurological Exam Part 6 Loyola Medicine 15,047 Views • 2 years ago

Part 6: from Loyola Medical School, Chicago showing clinical examination of the neurological system.

The ABC's of Adult CPR Part 1
The ABC's of Adult CPR Part 1 Mohamed 20,360 Views • 2 years ago

The ABC's of Adult CPR emergency video

Subcuticular Pattern Continuous Suture
Subcuticular Pattern Continuous Suture M_Nabil 17,441 Views • 2 years ago

Subcuticular Pattern Continuous Suture

How to read ECG Part 2
How to read ECG Part 2 M_Nabil 29,693 Views • 2 years ago

How to read ECG Part 2:
1-All
2-Myocardial Ischaemia
3-Ectopics, Sinus Pause
4-Atrial Arrhythmias
5-Ventricular Arrhythmia
6-A-V Block

MICROSURGICAL CLIPPING OF CEREBRAL ANEURYSM
MICROSURGICAL CLIPPING OF CEREBRAL ANEURYSM Scott 22,192 Views • 2 years ago

ANEURYSMS OF THE CEREBRAL VESSELS CAUSE SUBARACHNOID HEMORRHAGE. MICRONEUROSURGICAL CLIPPING ELIMINATES DEFINITIVE THE RISK OF RERUPTURE, ENABLES TO TREAT VASOSPASMS AND ELIMINATES THE NEED FOR RE-ANGIOGRAPHIES. INTRAOPERATIVE PUNCTURE CHECKS IMMEDIATLY THE ELIMINATION OF THE ANEURYSM.

Meniscus allograft transplantation - 3 Tunnel Technique
Meniscus allograft transplantation - 3 Tunnel Technique DrPhil 13,315 Views • 2 years ago

Meniscus allograft survival in patients with moderate to severe unicompartmental arthritis: a 2- to 7-year follow-up.PURPOSE: We present meniscus allograft survival data at least 2 years from surgery for 45 patients (47 allografts) with significant arthrosis to determine if the meniscus can survive ...in an arthritic joint. Type of Study: Prospective, longitudinal survival study. METHODS: Data were collected for 31 men and 14 women, mean age 48 years (range, 14 to 69 years), with preoperative evidence of significant arthrosis and an Outerbridge classification greater than II. Failure is established by previous studies as allograft removal. No patient was lost to follow-up. RESULTS: The success rate was 42 of 47 allografts (89.4%) with a mean failure time of 4.4 years as assessed by Kaplan-Meier survival analysis. Statistical power is greater than 0.9, with alpha = 0.05 and N = 47. There was significant mean improvement in preoperative versus postoperative self-reported measures of pain, activity, and functioning, with P = .001, P = .004, and P = .001, respectively, as assessed by a Wilcoxon rank-sum test with P = .05. CONCLUSIONS: Meniscus allografts can survive in a joint with arthrosis, challenging the contraindications of age and arthrosis severity. These results compare favorably with those in previous reports of meniscus allograft survival in patients without arthrosis. LEVEL OF EVIDENCE: Level IV.

Astigmatism Animation
Astigmatism Animation DrHouse 14,383 Views • 2 years ago

This animated video explains what is meant by astigmatism, which is a very common problem with the eyes.

demonstration of proper CPR for a child
demonstration of proper CPR for a child Doctor 10,582 Views • 2 years ago

Video demonstration of proper CPR for a child

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