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Ascites: Shifting Dullness - Clinical Examination
Ascites: Shifting Dullness - Clinical Examination DrPhil 416 Views • 3 years ago

The most reliable clinical sign to detect ascites is checking for bilateral flank dullness. If a patient with ascites is lying supine, fluid accumulates in the flank regions, leading to dullness on percussion. At the same time, the air-filled bowel loops are forced upwards by the free fluid due to buoyancy, resulting in tympanitic percussion. To locate specifically where dullness shifts to tympany, or the air-fluid level, percussion should be performed from the sides towards the middle. To confirm that the dullness is caused by ascites, ask the patient to switch to a lateral decubitus position. If ascites is present, the air-filled bowel loops will shift accordingly and remain at the surface of the fluid. As a result, the air-fluid level will shift as well. This is known as shifting dullness.

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Laparoscopic Drainage of Large Liver Abscess
Laparoscopic Drainage of Large Liver Abscess Scott 8,939 Views • 3 years ago

28 years old gentleman presented with huge liver abscess in the right lobe, with repeated attempts of percutaneous aspirations in the past. He was evaluated and subjected to Laparoscopic drainage. This video depicts feasibility of laparoscopy in deep seated liver abscesses. Video created by: Dr. Juneed M. Lanker Fellow Minimal Access Surgery Apollo Hospitals Chennai.

Acute purulent lactational mastitis surgery
Acute purulent lactational mastitis surgery samer kareem 2,449 Views • 3 years ago

Possible causes are a blocked milk duct or bacteria entering the breast. It usually occurs within the first three months of breast-feeding. Symptoms include breast pain, swelling, warmth, fever, and chills. Antibiotics are required. Mild pain relievers can help with discomfort.

Medical Videos - Snake bite causes girl’s leg to rot away
Medical Videos - Snake bite causes girl’s leg to rot away hooda 34,056 Views • 3 years ago

Watch that video of a Snake bite causes girl’s leg to rot away

Ingrown Hair Cyst
Ingrown Hair Cyst samer kareem 11,158 Views • 3 years ago

Non-Alcoholic Fatty Liver Disease
Non-Alcoholic Fatty Liver Disease samer kareem 5,522 Views • 3 years ago

Nonalcoholic fatty liver disease is an umbrella term for a range of liver conditions affecting people who drink little to no alcohol. As the name implies, the main characteristic of nonalcoholic fatty liver disease is too much fat stored in liver cells. Nonalcoholic steatohepatitis, a potentially serious form of the disease, is marked by liver inflammation, which may progress to scarring and irreversible damage. This damage is similar to the damage caused by heavy alcohol use. At its most severe, nonalcoholic steatohepatitis can progress to cirrhosis and liver failure Nonalcoholic fatty liver disease is increasingly common around the world, especially in Western nations. In the United States, it is the most common form of chronic liver disease, affecting an estimated 80 to 100 million people. Nonalcoholic fatty liver disease occurs in every age group but especially in people in their 40s and 50s who are at high risk of heart disease because of such risk factors as obesity and type 2 diabetes. The condition is also closely linked to metabolic syndrome, which is a cluster of abnormalities including increased abdominal fat, poor ability to use the hormone insulin, high blood pressure and high blood levels of triglycerides, a type of fat. Nonalcoholic fatty liver disease care at Mayo Clinic Request an Appointment at Mayo Clinic Symptoms & causes Aug. 23, 2016 Print Share on: Facebook Twitter References Related Magnetic resonance elastography Nonalcoholic fatty liver disease Overview Symptoms & causes Diagnosis & treatment Diagnosis Treatment Departments & specialties Expertise & rankings Locations, travel & lodging Clinical trials Research Costs & insurance Preparing for your appointment Self-management More about In-Depth Multimedia Resources News from Mayo Clinic Advertisement

Pediatric Surgery
Pediatric Surgery hooda 680 Views • 3 years ago

Children are special patients, and their medical needs are unique, including their surgical needs. At UNC Hospitals, an expert and experienced team of physicians treat children in a kid-friendly and family-centered environment. UNC Pediatric Surgeon Dr. Timothy Weiner explains

How to Get Rid of Saggy Breasts Naturally
How to Get Rid of Saggy Breasts Naturally hooda 14,219 Views • 3 years ago

Watch that video to know How to Get Rid of Saggy Breasts Naturally

Urinary Tract Infection
Urinary Tract Infection samer kareem 10,305 Views • 3 years ago

To identify an UTI, keep an eye out for the following symptoms: A burning feeling when you urinate. A frequent or intense urge to urinate, even though little comes out when you do. Pain or pressure in your back or lower abdomen. Cloudy, dark, bloody, or strange-smelling urine. Feeling tired or shaky.

WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery
WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery Surgeon 493 Views • 3 years ago

Dr. Debbie Song at Gillette Children's describes in detail selective rhizotomy surgery.

A selective dorsal rhizotomy is an operation performed to treat spasticity. It is thought that high tone and spasticity arise from abnormal signals that are transmitted through sensory or dorsal nerve roots to the spinal cord. In a selective dorsal rhizotomy we identify and cut portions of the dorsal nerve roots that carry abnormal signals thereby disrupting the mechanisms that lead to spasticity. Potential patients go through a rigorous assessment that includes an in-depth gait and motion analysis as well as a physical therapy evaluation.

They are evaluated by a multidisciplinary team that includes a pediatric rehabilitation doctor, a neurosurgeon, and an orthopedist, Appropriate patient selection is vital. Ideal candidates for selective dorsal rhizotomy are children who are between four and ten years of age, have a history of being born prematurely, and have a diagnosis of diplegia cerebral palsy. These patients usually walk independently or with the assistance of crutches or a walker. They typically function at a level one, two, or three in the gross motor function classification system or gmfcs. A selective dorsal rhizotomy involves the coordinated efforts of the neurosurgery, physiatry, anesthesia and nursing teams. The operation entails making an incision in the lower back that is approximately six to eight inches long. We perform what we call a laminoplasty in which we remove the back part of the spinal elements from the lumbar one or l1 to l5 levels. At the end of the procedure the bone is put back on. We identify and open up the Dural sac that contain the spinal fluid spinal cord and nerve roots. Once the Dural sac is opened ,we expose the lumbar and upper sacral nerve roots that transmit information to and from the muscles of the lower extremities.

At each level we isolate the dorsal nerve root, which in turn is separated into as many as 30 smaller thread light fruitlets.

Each rootlet is then electrically stimulated. Specialized members of the physiatry team look for abnormal responses in the muscles of the legs as each rootless is being stimulated. If an abnormal response is observed then the rootlet is cut.

If a normal response is observed, then the rootlet is not cut. We usually end up cutting approximately 20 to 40 percent of the rootlets. The Dural sac is sutured closed and the l1 through l5 spinal elements are put back into anatomic position, thus restoring normal spinal alignment. The overlying tissues and skin are then closed and the patient is awoken from surgery. The entire operation takes between four and five hours. A crucial component to the success of our rhizotomy program is the extensive rehabilitation course following surgery. With their tone significantly reduced after a rhizotomy, patients relearn how to use their muscles to walk more efficiently through stretching, strengthening, and gait training. Approximately one to two years after a rhizotomy patients undergo repeat gait and motion analysis. The orthopedic surgeons assess the need for interventions to correct bone deformities, muscle contractures, poor motor control, impaired balance, or other problems related to cerebral palsy.

At Gillette we work closely with patients and families to ensure that our selective dorsal rhizotomy program meets their goals for enhancing their function and improving their quality of life.

VISIT https://www.gillettechildrens.org/ to learn more

0:00 Why choose selective dorsal rhizotomy?
0:56 Who is a good candidate for selective dorsal rhizotomy?
1:31 What does a selective dorsal rhizotomy entail?
3:26 What is recovery from selective dorsal rhizotomy like?

Complete Chopped Hand Re-Implantation Surgery
Complete Chopped Hand Re-Implantation Surgery hooda 23,749 Views • 3 years ago

Watch that Complete Chopped Hand Re-Implantation Surgery

Arterial Line Insertion
Arterial Line Insertion Surgeon 20,715 Views • 3 years ago

Arterial line insertion usually involves cannulation of the radial artery with a 20 gauge catheter for the purposes of beat-by-beat blood pressure monitoring all along with arterial blood gas monitoring.

Top Plastic Surgeon in NYC Dr. Leo Keegan Speaks About Liposuction
Top Plastic Surgeon in NYC Dr. Leo Keegan Speaks About Liposuction DrVickery 5,184 Views • 3 years ago

New York surgeon Dr. Leo Keegan of 5th Ave. Millennium Surgery (http://www.5thavesurgery.com) speaks on the subject of liposuction.

Assisted Fall Technique Step-by-Step | Skill for Nurses & Nursing Assistants
Assisted Fall Technique Step-by-Step | Skill for Nurses & Nursing Assistants nurse 172 Views • 3 years ago

If you notice a patient beginning to fall, follow these steps to help lower them safely to floor. Always stay with the patient and call for additional help.

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Drainage of a Submandibular Mouth Abscess
Drainage of a Submandibular Mouth Abscess Scott 40,673 Views • 3 years ago

Drainage of a Submandibular Mouth Abscess

Histology of Exocrine Gland [Epithelium 7 of 7]
Histology of Exocrine Gland [Epithelium 7 of 7] DrPhil 225 Views • 3 years ago

Histological features and cellular biology of exocrine glands. This video is a part of our Histology Video Course (https://youtube.com/playlist?l....ist=PLnr1l7WuQdDynxT

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How To Breastfeed
How To Breastfeed samer kareem 2,467 Views • 3 years ago

How To Breastfeed - Deep Latch Technique

FemTouch Vaginal Rejuvenation Laser
FemTouch Vaginal Rejuvenation Laser samer kareem 11,668 Views • 3 years ago

FemTouch Vaginal Rejuvenation Laser

Inserting Semen in the Uterus for Pregnancy
Inserting Semen in the Uterus for Pregnancy Scott 34,879 Views • 3 years ago

Intrauterine insemination (IUI) is a fertility treatment that involves placing sperm inside a woman's uterus to facilitate fertilization. The goal of IUI is to increase the number of sperm that reach the fallopian tubes and subsequently increase the chance of fertilization

Big Butt Abscess Drainage
Big Butt Abscess Drainage Scott 13,841 Views • 3 years ago

Big Butt Abscess Drainage

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