Small cell lung cancer, which occurs almost exclusively in smokers, is a malignancy characterised by rapid doubling time, high growth fraction and widespread metastasis at presentation. In this presentation, we will briefly discuss the classification of pulmonary Neuro-endocrine tumours by the World Health Organisation followed by a detailed discussion of the clinical features, lab evaluation and management of SCLC, both limited and extended stage. The frontline therapy in small cell lung cancer is etoposide and cisplatin along with thoracic radiotherapy and prophylactic cranial irradiation in patients who have a good response to therapy. Hyperfractionation of radiotherapy may provide some benefit but is also associated with increase incidence of complications. Newer agents for SCLC include Vandetanib and immunotherapy molecules, such as Iplimumab and nivolumab.

Thoracentesis is a procedure in which a needle is inserted into the pleural space between the lungs and the chest wall. This procedure is done to remove excess fluid, known as a pleural effusion, from the pleural space to help you breathe easier. It may be done to determine the cause of your pleural effusion. Some conditions such as heart failure, lung infections, and tumors can cause pleural effusions.

The Combitube is a twin lumen device designed for use in emergency situations and difficult airways. It can be inserted without the need for visualization into the oropharynx, and usually enters the esophagus. It has a low volume inflatable distal cuff and a much larger proximal cuff designed to occlude the oro- and nasopharynx.

If the tube has entered the trachea, ventilation is achieved through the distal lumen as with a standard ETT. More commonly the device enters the esophagus and ventilation is achieved through multiple proximal apertures situated above the distal cuff. In the latter case the proximal and distal cuffs have to be inflated to prevent air from escaping through the esophagus or back out of the oro- and nasopharynx.

Hodgkin lymphoma has characteristics that distinguish it from other diseases classified as lymphoma, including the presence of Reed-Sternberg cells. These are large, cancerous cells found in Hodgkin lymphoma tissues, named for the scientists who first identified them. Hodgkin lymphoma is one of the most curable forms of cancer. NHL represents a diverse group of diseases distinguished by the characteristics of the cancer cells associated with each disease type. Most people with NHL have a B-cell type of NHL (about 85 percent). The others have a T-cell type or an NK-cell type of lymphoma. Some patients with fast-growing NHL can be cured. For patients with slow-growing NHL, treatment may keep the disease in check for many years.

A grand mal seizure causes a loss of consciousness and violent muscle contractions. It's the type of seizure most people picture when they think about seizures. A grand mal seizure — also known as a generalized tonic-clonic seizure — is caused by abnormal electrical activity throughout the brain. Usually, a grand mal seizure is caused by epilepsy. But sometimes, this type of seizure can be triggered by other health problems, such as extremely low blood sugar, a high fever or a stroke. Many people who have a grand mal seizure never have another one and don't need treatment. But someone who has recurrent seizures may need treatment with daily anti-seizure medications to control and prevent future grand mal seizures

Histology of GastroEsophageal Junction

Function and Anatomy: The hip is a ball and socket type joint, formed by the articulation of the head of the femur with the pelvis. Normal range of motion includes: abduction 45 degrees, adduction 20-30 degrees, flexion 135 degrees, extension 30 degrees, internal and external rotation. Hip pathology can cause symptoms anywhere around the joint, though frequently pain is anterior and radiates to the groin region. Additionally, pathology outside of the hip can be referred to this region. History and exam obviously help in making these distinctions.

Watch that video of a Brazilian Model's Leg and Butt Implants Exploded Inside Her

Watch that Full Real Human Body Decomposition Process

Knee replacement, also called arthroplasty, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury.

Aumento De Gluteos, Metacrilato En Gluteos, Aumento De Gluteos Natural, Operacion De Nalgas.--- http://aumente-gluteos.plus101.com/ --- Con una combinación de dieta, ejercicio y mejoras artificiales, puedes cambiar la forma de los glúteos rápidamente, sin importar tu tipo de cuerpo. Aunque no verás un cambio significativo en una semana, si dedicas un tiempo y haces ejercicios enfocados en los tres músculos principales de los glúteos: el glúteo mayor, el glúteo medio y el glúteo menor, tendrás unos glúteos más grandes. Enfócate en consumir muchas proteínas. Las proteínas son esenciales para el crecimiento y el desarrollo de los músculos, por lo que es importante comer el tipo correcto de proteínas. La proteína combinada con el ejercicio correcto aumentará definitivamente el tamaño de los glúteos. Algunas fuentes saludables de proteínas incluyen los huevos, las pechugas de pollo sin piel, el salmón, el atún, el queso cottage, el pavo, los frijoles, las legumbres, la carne de res magra y las nueces de soya. En cuanto a la carne, busca una que sea magra y sin procesar. Cuando compres el pescado, trata de hornearlo en lugar de freírlo. Elige el tipo correcto de carbohidratos y grasas. Existen muchas dietas que dicen que eliminan por completo los carbohidratos y las grasas, pero lo mejor no es eliminar los alimentos de la dieta, sino sustituirlos por opciones más saludables. Evita el exceso de calorías y la mala alimentación, alejándote de los carbohidratos procesados, como las papas fritas y la pasta. Los carbohidratos saludables incluyen la quinua, el camote, el arroz integral, los granos de avena enteros y los panes integrales. Las fuentes de grasas saludables que pueden ayudarte a perder peso y a tonificar los glúteos son los aceites de pescado, el aceite de oliva extra virgen, la mantequilla de almendras y las nueces. Abastécete de vegetales. Los vegetales suelen ser una parte olvidada de la dieta para agrandar los músculos. Al agregar vegetales a cada comida te darás cuenta de que tus niveles de energía serán más constantes y por lo tanto, podrás hacer un entrenamiento más fuerte ya que no sentirás demasiado cansancio. Descubre por qué las cirugías y los implantes no son la solución más efectiva. Olvídate del quirófano y ahorra tu dinero, porque con mi método resolverás el problema de “Síndrome de los glúteos planos” rápidamente. ingresa ahora a: http://aumente-gluteos.plus101.com/

A surgical video showing Femoro-Popliteal Bypass with a Saphenous Vein Graft

How did Mr Bean get himself into pretending to be a doctor?

In this video, Dr. Robert Rozbruch, chief of Limb Lengthening and Complex Reconstruction at Hospital for Special Surgery performs an osseointegration after a primary amputation. The patient, a 40 year old woman, had chronic nerve pain and compromised function of her residual limb.

For more information, visit: https://www.limblengthening.com/

https://www.hss.edu/limblengthening
https://www.hss.edu/LSARC
https://www.facebook.com/limblengtheningNYC
https://www.instagram.com/limblengthening
https://www.twitter.com/limblengthen
https://www.youtube.com/channe....l/UC-JL_X6ALjZXiXtcP

key words: Osseointegration, Amputee, Amputation, Limb Replacement, Tibia, Osseointegration

Funny Video from hospital waiting room

If a fetal lung lesion is causing heart failure, fetal surgery may be performed to remove the CCAM before birth. http://fetalsurgery.chop.edu

N. Scott Adzick, MD, Mark Johnson, MD, and Holly Hedrick, MD, experts from the Center for Fetal Diagnosis and Treatment at Children’s Hospital of Philadelphia, explain when fetal intervention for CCAM is recommended, the various approaches that may be used to treat the most complex fetal lung lesions before birth, and how these procedures are performed.

One concern with fetal lung lesions is that they take up space in the chest. If the lung mass grows and pushes the heart and other organs out of place, it can lead to complications such as fetal hydrops (heart failure in the fetus). If this happens, a fetal surgery procedure may be performed to remove the CCAM before birth.
In other cases, an EXIT procedure may be performed to partially deliver the baby, so the team can remove the mass before the baby is fully delivered.

In this video series, parents, nurses and doctors from Children’s Hospital of Philadelphia’s Center for Fetal Diagnosis and Treatment talk about the different types of fetal lung lesions like congenital cystic adenomatoid malformation (CCAM) and bronchopulmonary sequestration (BPS), the importance of accurate diagnosis and monitoring, and the most advanced treatment options currently available. They also discuss follow-up care and long-term outcomes for babies diagnosed with fetal lung lesions.

Delayed puberty is defined as the absence of any signs suggestive of puberty by 14 years of age. In this case, the patient's pubertal delay appears to be constitutional because of his positive family history, absence of syndromic features or systemic illness, and bone age of 12 years. Puberty correlates more closely with bone age than chronological age. On follow-up, the patient will most likely demonstrate a similar onset of puberty as his father.

a video showing the technique of Shave and Punch Skin Biopsies nique of

Ellis demonstrates how to perform a sterile wound dressing change. It would be appropriate to perform hand hygiene between glove changes.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #ClinicalSkills #woundcare #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #nurseeducator

00:00 What to expect
00:51 Prepping for wound dressing change
1:15 Removing the old wound dressing
1:40 Assessing a wound
2:05 Setting up sterile field
2:49 Sterile gloving
4:02 Preparing equipment for wound dressing change
5:09 Cleaning a wound
6:13 Drying a wound
6:28 Packing a wound
7:19 Covering a wound
7:47 Labeling a wound dressing

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