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Meckel's Diverticulum
Meckel's Diverticulum samer kareem 5,821 Views • 2 years ago

The differential diagnosis for this child's painless hematochezia includes Meckel's diverticulum as well as vascular malformations. Meckel's diverticulum results from a failure of the vitelline duct to obliterate during the first 8 weeks of gestation, leaving behind a blind pouch often containing ectopic gastric tissue. Meckel's diverticulum classically affects children age ~:2 but can also occur in older children or even adults. Young children are more likely to experience painless bleeding due to mucosal irritation from gastric acid; adolescents and adults are more likely to have signs of obstruction. A technetium-99 nuclear scan will identify the diverticulum, which is usually located in the right lower quadrant of the abdomen within 2 feet of the ileocecal valve. Technetium-99 concentrates in the parietal cells of the diverticulum and stomach. The scan is also known as "Meckel's scan" due to its high specificity. A symptomatic Meckel's diverticulum is generally treated with surgical resection.

Wound-closure technologies
Wound-closure technologies samer kareem 11,761 Views • 2 years ago

Wound-closure technologies are becoming less painful and more efficient at closing wounds

Breast Implants Exchange Surgery
Breast Implants Exchange Surgery samer kareem 7,410 Views • 2 years ago

PIP breast implants exchanged with Nagor 4th generation silicone implants by plastic surgeon Adrian Richards at Aurora clinics in Milton Keynes. During PIP removal procedure, the implants appear in good shape, but as with majority of PIP implants, evidence of silicone gel bleed is found inside the patient's breast pocket, as well as free silicone which caused pain and discomfort to this patient.

Bulbar Palsy
Bulbar Palsy samer kareem 16,229 Views • 2 years ago

Tongue fassiculations

New device to treat spinal stenosis
New device to treat spinal stenosis samer kareem 8,662 Views • 2 years ago

Instead of permanently joining (fusing) vertebrae with metal rods and screws, and therefore restricting movement, the new procedure uses the Anatomic Facet Replacement System (AFRS) device that attaches to each of two adjacent vertebrae with a movable joint that mimics the spine's natural joint.

Anti-phospholipid Syndrome
Anti-phospholipid Syndrome samer kareem 1,766 Views • 2 years ago

Antiphospholipid (AN-te-fos-fo-LIP-id) syndrome occurs when your immune system attacks some of the normal proteins in your blood. It can cause blood clots in your arteries or veins. And it can cause pregnancy complications, such as miscarriage and stillbirth. Blood clots in your leg veins cause a condition known as deep vein thrombosis (DVT). Damage from blood clots in your organs, such as your kidneys, lungs or brain, depends on the extent and location of the clot. For instance, a clot in your brain can cause a stroke. There's no cure for antiphospholipid syndrome, but medications can reduce your risk of blood clots.

Cheapest Best Weight Loss
Cheapest Best Weight Loss samer kareem 5,494 Views • 2 years ago

Cheapest Best Weight Loss Diet Ever

Heart Failure (part 2)
Heart Failure (part 2) samer kareem 1,231 Views • 2 years ago

Not all conditions that lead to heart failure can be reversed, but treatments can improve the signs and symptoms of heart failure and help you live longer. Lifestyle changes — such as exercising, reducing salt in your diet, managing stress and losing weight — can improve your quality of life.

Micro Endoscopic Cervical Discectomy
Micro Endoscopic Cervical Discectomy samer kareem 1,321 Views • 2 years ago

A cervical herniated disc may be treated by removing part of the disc through a small incision (microdiscectomy). If this is done from the back (posteriorly) rather than from the front of the neck, a spinal fusion is not necessary. The alternative is an anterior cervical discectomy and fusion procedure.

How Do You Get Hepatitis A?
How Do You Get Hepatitis A? samer kareem 1,158 Views • 2 years ago

The hepatitis A virus, which causes the infection, usually is spread when a person ingests even tiny amounts of contaminated fecal matter. The hepatitis A virus infects liver cells and causes inflammation. The inflammation can impair liver function and cause other signs and symptoms of hepatitis A. Hepatitis A virus can be transmitted several ways, such as: Eating food handled by someone with the virus who doesn't thoroughly wash his or her hands after using the toilet Drinking contaminated water Eating raw shellfish from water polluted with sewage Being in close contact with a person who's infected — even if that person has no signs or symptoms Having sex with someone who has the virus

Wound Closure Near Eyebrow
Wound Closure Near Eyebrow samer kareem 6,742 Views • 2 years ago

Demonstration of Burke-Baier wound closure forceps on simulated wound near eyebrow.

Life Journey
Life Journey samer kareem 1,756 Views • 2 years ago

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

Multiple Myeloma Mechanism of Action
Multiple Myeloma Mechanism of Action samer kareem 1,511 Views • 2 years ago

The pathobiology of MM is complex and the root underlying cause of myeloma is the multistep genetic changes in the postgerminal center B cell. In addition, the bone marrow microenvironment plays a crucial role.[2] The interaction between myeloma cells and the microenvironment is mediated through adhesive interactions via cell-surface receptors, paracrine loops involving several cytokines, such as IL-6, VEGF and IL-10, and suppression of cell-mediated immunity.[2–4] IMiDs modulate many of these interactions leading to decreased myeloma cell growth and survival. Thalidomide was the first IMiD introduced to treat MM. It was initially synthesized in Germany in the late 1950s to treat insomnia and morning sickness. It was withdrawn from the market in 1961 because of its teratogenic effects. Its immunomodulatory properties were realized when it was observed to improve erythema nodosum leprosum, a painful immunologic reaction of leprosy, leading to its approval by the FDA in 1998 with tight prescribing and marketing regulations. Subsequent research showed the diverse mechanism of action of thalidomide including its immunomodulatory effect by inhibition of de novo IgM antibody synthesis,[5] modulation of the T-cell subset by increasing the T-helper cells, inhibitory effects on the TNF-α and antiangiogenic activity leading to its use in MM. Significantly higher response rates in combination with dexamethasone led to its approval in the treatment of newly diagnosed MM in 2006. Lenalidomide, a second-generation IMiD, was developed from the structural backbone of the thalidomide molecule by the addition of an amino group (NH2-) at position 4 of the phthaloyl ring and removal of the carbonyl group (C = O) of the 4-amino-substituted phthaloyl ring (Table 1).[6] In addition to immunomodulatory effects, other mechanisms of action have been described such as direct cytotoxicity via induction of apoptosis, inhibition of cell adhesion molecules and inhibition of growth signals that promote bone marrow angiogenesis

Acute Respiratory Distress Syndrome Pathophysiology
Acute Respiratory Distress Syndrome Pathophysiology samer kareem 2,178 Views • 2 years ago

ARDS was recognized as the most severe form of acute lung injury (ALI), a form of diffuse alveolar injury. The AECC defined ARDS as an acute condition characterized by bilateral pulmonary infiltrates and severe hypoxemia in the absence of evidence for cardiogenic pulmonary edema. The severity of hypoxemia necessary to make the diagnosis of ARDS was defined by the ratio of the partial pressure of oxygen in the patient’s arterial blood (PaO2) to the fraction of oxygen in the inspired air (FiO2). ARDS was defined by a PaO2/FiO2 ratio of less than 200, and in ALI, less than 300. This definition was further refined in 2011 by a panel of experts and is termed the Berlin definition of ARDS. [3] ARDS is defined by timing (within 1 wk of clinical insult or onset of respiratory symptoms); radiographic changes (bilateral opacities not fully explained by effusions, consolidation, or atelectasis); origin of edema (not fully explained by cardiac failure or fluid overload); and severity based on the PaO2/FiO2 ratio on 5 cm of continuous positive airway pressure (CPAP). The 3 categories are mild (PaO2/FiO2 200-300), moderate (PaO2/FiO2 100-200), and severe (PaO2/FiO2 ≤100).

Blackhead Removal
Blackhead Removal samer kareem 10,432 Views • 2 years ago

There is nothing that compares to the fresh-faced feeling you have when you leave the aesthetician after a facial. There is just something so freeing about knowing that nasty little buggers like blackheads, whiteheads and all other kinds of heads have been given the heave-ho. That could be why this Facebook video of a blackhead being removed has gone viral. With more than 24 million views, the popular video is weirdly difficult to stop watching.

General Dentistry in 3D
General Dentistry in 3D Dentist 1,783 Views • 2 years ago

Amazing animation: General Dentistry in 3D

100 Facts About The Human Body
100 Facts About The Human Body Scott 1,686 Views • 2 years ago

These are amazing 100 facts about the human body, see how many you know!

How Deep Vein Thrombosis develop
How Deep Vein Thrombosis develop samer kareem 7,932 Views • 2 years ago

In Deep Vein Thrombosis, blood clot is able to reach the heart and from there it transport to the arteries of the lungs, where it may stuck in the...

Repair of Pectus Excavatum.
Repair of Pectus Excavatum. Alicia Berger 1,672 Views • 2 years ago

Surgical Repair of Pectus Excavatum. Pectus excavatum is a condition in which a person's breastbone is sunken into his or her chest.

Human heart & Electric Beat-Pacemakers
Human heart & Electric Beat-Pacemakers samer kareem 7,253 Views • 2 years ago

Vediographic-Electric Beat-Pacemakers and the human heart

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