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Thyroid Problems and How They Affect Fertility
Thyroid Problems and How They Affect Fertility samer kareem 4,310 Views • 2 years ago

If your levels are too low, you have hypothyroidism and may not be ovulating as you should. Taking the right dose of thyroxine, the hormone you lack, can restore your fertility. You may have discovered your underactive thyroid as a result of trying to get pregnant.

How to Check Cervical Mucus
How to Check Cervical Mucus samer kareem 2,689 Views • 2 years ago

How to Check Cervical Mucus

Removal of a large epidermal cyst in the chest
Removal of a large epidermal cyst in the chest hooda 41,037 Views • 2 years ago

Watch that video of Removal of a large epidermal cyst in the chest

Hand Laceration Repair
Hand Laceration Repair samer kareem 9,561 Views • 2 years ago

Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration repair, tissue adhesives are similar in patient satisfaction, infection rates, and scarring risk in low skin-tension areas and may be more cost-effective. The tissue adhesive hair apposition technique also is effective in repairing scalp lacerations. The sting of local anesthesia injections can be lessened by using smaller gauge needles, administering the injection slowly, and warming or buffering the solution. Studies have shown that tap water is safe to use for irrigation, that white petrolatum ointment is as effective as antibiotic ointment in postprocedure care, and that wetting the wound as early as 12 hours after repair does not increase the risk of infection. Patient education and appropriate procedural coding are important after the repair.

Blind loop syndrome
Blind loop syndrome samer kareem 4,676 Views • 2 years ago

Blind loop syndrome (BLS), commonly referred to in the literature as small intestinal bacterial overgrowth (SIBO) or bacterial overgrowth syndrome (BOS), is a state that occurs when the normal bacterial flora of the small intestine proliferates to numbers that cause significant derangement to the normal physiological ...

Holter monitor
Holter monitor samer kareem 13,193 Views • 2 years ago

Holter monitoring, electrocardiogram or echocardiogram are only recommended if a cardiac cause (e.g., arrhythmias, possible cardiac syncope, myocardial ischemia) is suspected.

New and Upcoming Treatments for Epilepsy
New and Upcoming Treatments for Epilepsy samer kareem 3,848 Views • 2 years ago

Epilepsy has existed for thousands of years yet remains a medical challenge.

new sepsis definitions
new sepsis definitions samer kareem 8,375 Views • 2 years ago

new sepsis definitions

Atrial fibrillation vs Atrial Flutter
Atrial fibrillation vs Atrial Flutter samer kareem 61,445 Views • 2 years ago

Atrial fibrillation vs Atrial Flutter

Spleen Palpation
Spleen Palpation M_Nabil 24,472 Views • 2 years ago

Spleen Palpation

Better Vein Care
Better Vein Care Scott 11,615 Views • 2 years ago

Better Vein Care and Safer Injection

Carpopedal Spasm
Carpopedal Spasm Doctor 16,164 Views • 2 years ago

occur in this infant because of hypocalcemia

Laparoscopic pelvic urology
Laparoscopic pelvic urology Mohamed Ibrahim 16,789 Views • 2 years ago

Urological surgeons have become proficient at performing complex pelvic urological procedures, such as radical prostatectomy, using the laparoscopic approach. Declan Murphy and Daniel Moon share their experience of four less common procedures they have performed recently using laparoscopic techniques. These include: excision of a urachal cyst; partial cystectomy for endometriosis (combined endoscopic-laparoscopic approach); repair of an intra-peritoneal bladder rupture; and repair of a ureteric injury (combined endoscopic-laparoscopic approach).

Knock Knee Correction Surgery
Knock Knee Correction Surgery samer kareem 5,291 Views • 2 years ago

Here is how surgeons perform knock knee correction surgery. Titanium plate is used to stabilize the affected area. The femur is cut nearly through to help with the stability. Spreaders angle the cut align the leg. The plate is secured with several screws. Synthetic bone graft material is packed in the joint. The patient will be in crutches for 4 to 6 weeks.

Reduce the pain of vaccination in babies
Reduce the pain of vaccination in babies samer kareem 1,511 Views • 2 years ago

Anorectal Malformation
Anorectal Malformation samer kareem 1,896 Views • 2 years ago

Anorectal malformations are defects that occur during the fifth to seventh weeks of fetal development. With these defects, the anus (opening at the end of the large intestine through which stool passes) and the rectum (area of the large intestine just above the anus) do not develop properly

Anatomy of The Anterior Thorax
Anatomy of The Anterior Thorax Anatomy_Videos 8,953 Views • 2 years ago

Anatomy of The Anterior Thorax

Histology of Spleen
Histology of Spleen Histology 7,175 Views • 2 years ago

Histology of Spleen

Histology of Thymus
Histology of Thymus Histology 4,738 Views • 2 years ago

Histology of Thymus

Low Thyroid - Could It Be A T3 Problem?
Low Thyroid - Could It Be A T3 Problem? samer kareem 5,792 Views • 2 years ago

NTIS refers to a syndrome found in seriously ill or starving patients with low fT3, usually elevated RT3, normal or low TSH, and if prolonged, low fT4. It is found in a high proportion of patients in the ICU setting, and correlates with a poor prognosis if TT4 is <4ug/dl. The patho-physiology includes suppression of TRH release, reducedT3 and T4 turnover, reduction in liver generation of T3, increased formation of RT3, and tissue specific down-regulation of deiodinases, transporters, and TH receptors. Although long debated, tissue TH levels are definitely reduced, and tissue hypothyroidism is presumably present. This is often not clinically evident because of the brief duration, and reduced but not absent tissue levels of TH. Although recognized for nearly 4 decades, interpretation of the syndrome is contested, because of lack of data. Some observes, totally without data, argue that it is a protective response and should not be treated. Other observers (as in this review) present available data suggesting, but not proving, that thyroid hormone replacement is appropriate, not harmful, and may be beneficial. The best form of treatment (TRH,TSH,or T3+T4) and possible accompanying treatments (GHRH, Cortisol, nutrition, insulin) lack consensus. In this review current data are laid out for reader’s review and judgment.

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