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LASIK in patient with congenital nystagmus
LASIK in patient with congenital nystagmus DrHouse 21,804 Views • 3 years ago

Purpose: To evaluate the results of LASIK and IntraLASIK treatment in myopic patients with nystagmus. Methods: Eight patients with congenital nystagmus (16 eyes), from 23 to 49 years of age, underwent LASIK surgery. Corneal flaps were created using either the Hansatome microkeratome or the Intral...ase femtosecond laser. The ablations were performed with the Bausch & Lomb excimer laser with an active tracking system. In some patients, the eyes were fixated with forceps or a fixation ring during the laser ablation. Results: The refractive errors were corrected in all cases. There was no decentration or loss of best corrected visual acuity greater than 1 line. In 56% of the eyes, the post-operative uncorrected visual acuity was better than the best spectacle corrected-visual acuity (BSCVA). 62.5% of the eyes improved their BSCVA. The overall visual performance was improved in all the patients. One patient that did not not drive before become eligible to get a driver license after the surgery. Conclusions: Selected patients with myopia and congenital nystagmus may benefit from laser refractive surgery. Laser refractive surgery may be safely and accurately performed by using either the Hansatome microkeratome or the Intralase femtosecond laser and an active tracking system with or without mechanical fixation. Certain patients improve their BSCVA post-operatively.

Modified Milch method of relocating a dislocated shoulder
Modified Milch method of relocating a dislocated shoulder samer kareem 1,774 Views • 3 years ago

Modified Milch method of relocating a dislocated shoulder

Female IM Injection
Female IM Injection DrPhil 72,140 Views • 3 years ago

Female IM injection

Periodontal Disease and Respiratory Disease
Periodontal Disease and Respiratory Disease samer kareem 1,681 Views • 3 years ago

James Burke Fine DMD by James Burke Fine DMD Periodontal disease is a gum condition caused by the buildup of bacteria along and below the teeth's gumline. Acute forms are usually associated with pain from oral tissue gone bad – also known as necrotizing gingivitis or trench mouth – whereas chronic forms are painless but have a more long-term impact on your overall, systemic health. The most common chronic form is gingivitis, whose bleeding, puffiness and redness comes from an organized mass of bacteria called plaque. You may know it can advance into a form called periodontitis. If these conditions are left untreated, however, it can also lead to infections within other parts of the body, such as the lungs.

Life Journey
Life Journey samer kareem 1,794 Views • 3 years ago

9 Months In The Womb: A Remarkable Look At Fetal Development Through Ultrasound

Forehead wound repaired
Forehead wound repaired samer kareem 2,456 Views • 3 years ago

Forehead wound repaired with "Liquiband" glue

SPERMATOCELE vs EPIDIDIMAL CYST
SPERMATOCELE vs EPIDIDIMAL CYST samer kareem 3,061 Views • 3 years ago

The epididymis is a long coiled tube that lies above and behind each testicle. The epididymis collects and transports sperm from the testis to the vas deferens (tubes that transport sperm to the urethra). An epididymal cyst is a cyst-like mass in the epididymis that contains clear fluid. Typically, epididymal cysts and spermatoceles do not cause symptoms. When discovered, the epididymal cyst is usually about the size of a pea and feels separate from the top of the testis. Spermatoceles typically arise from the head of the epididymis, and are felt on the top portion of the testicle. Epididymal cysts and spermatoceles are often incidental findings on testicular self-examination or routine physical examination. It is important that any mass noted in the scrotum be examined by a urologist in order to obtain an accurate diagnosis, especially a mass on the testicle itself. Our team in the Division of Urology will typically be able to confirm the diagnosis on physical exam. However, a scrotal ultrasound may also be used in order to rule out other conditions.

Decortication For Pleural Empyema
Decortication For Pleural Empyema Mohamed Ibrahim 24,197 Views • 3 years ago

49-years old patient complaining of cough, fever and pleuritic pain for 2 weeks. At admission he was febrile and tachypnic. Chest X-Ray showed left pleural effusion. Thoracocentesis revealed purulent fluid. Chest CT-scan showed large and loculated left pleural effusion and pleural thickening. VATS decortication was performed through three incisions.

Pyelolithotomy
Pyelolithotomy M_Nabil 29,584 Views • 3 years ago

51 yr old female with right flank pain and recurrent UTI. IVP showed a UPJ calculus on the right.

Kocher's method of relocating a dislocated shoulder
Kocher's method of relocating a dislocated shoulder samer kareem 4,364 Views • 3 years ago

This is a demonstration of the Kocher's method of relocating a dislocated shoulder

Microvascular Decompression of facial nerve
Microvascular Decompression of facial nerve samer kareem 1,221 Views • 3 years ago

Brain Surgery: Microvascular Decompression of facial nerve for hemifacial spasm

Examination of the Spleen
Examination of the Spleen samer kareem 15,557 Views • 3 years ago

Start in RLQ (so you don’t miss a giant spleen). Get your fingers set then ask patient to take a deep breath. Don’t dip your fingers or do anything but wait. When patient expires, take up new position. Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness If spleen is not felt, repeat with pt lying on right side. Gravity may bring spleen within reach. “LET THE SPLEEN PALPATE YOUR FINGERS AND NOT THE OTHER WAY AROUND. THERE IS NO GOLD, SO DON’T DIG!”

Sacrococcygeal Teratoma
Sacrococcygeal Teratoma samer kareem 2,240 Views • 3 years ago

Sacrococcygeal teratoma (SCT) is an unusual tumor that, in the newborn, is located at the base of the tailbone (coccyx). This birth defect is more common in female than in male babies. Although the tumors can grow very large, they are usually not malignant (that is, cancerous).

COPD
COPD samer kareem 9,844 Views • 3 years ago

COPD, or chronic obstructive pulmonary disease, is a progressive disease that makes it hard to breathe. Progressive means the disease gets worse over time. COPD can cause coughing that produces large amounts of a slimy substance called mucus, wheezing, shortness of breath, chest tightness, and other symptoms. Cigarette smoking is the leading cause of COPD. Most people who have COPD smoke or used to smoke. However, up to 25 percent of people with COPD never smoked. Long-term exposure to other lung irritants—such as air pollution, chemical fumes, or dusts—also may contribute to COPD. A rare genetic condition called alpha-1 antitrypsin (AAT) deficiency can also cause the disease.

Difficult Caesarean Sections
Difficult Caesarean Sections samer kareem 5,374 Views • 3 years ago

This video is a teaching aid for use in conjunction with broader surgical training

Delivering Breech Baby
Delivering Breech Baby samer kareem 6,777 Views • 3 years ago

Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal. When this fails to happen, the baby’s buttocks and/or feet will be positioned to be delivered first. This is referred to as “breech presentation.” Breech births occur in approximately 1 out of 25 full-term births.

How To Test Fertility In Men?
How To Test Fertility In Men? samer kareem 5,227 Views • 3 years ago

Start out with a visit to a doctor called a urologist. He'll give you a physical exam and ask you questions about your lifestyle and medical history, such as: Surgeries you've had Medications you take Your exercise habits Whether you smoke or take recreational drugs He may also have a frank discussion with you about your sex life, including any problems you've had or whether you have or ever had any STDs (sexually transmitted diseases). You'll probably be asked to give a sample of semen for analysis.

Arterial Cannulation
Arterial Cannulation samer kareem 1,211 Views • 3 years ago

Arterial Cannulation

Bartholin Cyst
Bartholin Cyst samer kareem 4,179 Views • 3 years ago

Bartholin gland Marsupialization in Primary Bartholin Cyst

Gerstmann Syndrome
Gerstmann Syndrome samer kareem 2,392 Views • 3 years ago

Testing for the four features of Gerstmann Syndrome in this patient with two separate left sided strokes (left frontoparietal ischaemic stroke followed by left posterior parietal haemorrhagic stroke). He exhibits (i) acalculia, (ii) agraphia, (iii) left-right disorientation, and (iv) finger agnosia. Complicating the issue is his obvious nonfluent aphasia (expressive dysphasia) with paraphasic errors (replacing words with associated words (e.g. says 'fork' instead of 'spoon')) and some comprehension issues.

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