Cannula are often introduced into blood vessels in 80% of patients in the hospital for treatment. This can be a daunting experience to patients and stressful to doctors as multiple attempts are used. This may result in introducing spreading MRSA, E Coli & Chlostredium living on your skin into blood and results in Invasive MRSA infection.

Skin is often not adequatly cleaned during subsequent atempts as doctors/nurses do not wait for 1 min after applying cleaning solution on the skin before they puncture your skin.

Multiple punctured sites allow CA-MRSA to enter blood stream resulting in bacteremia and death.

Our mission is to reduce spreading invasive CA-MRSA in the hospitals by developing alternative technique to introduce cannulae.

Medifix was created by doctors with a mission to reduce the threat of spreading antibiotic resustant bacteria to mankind.

Endoscopic Treatment of Allergic Fungal Maxillary Sinusitis

Laparoscopic Roux-en-Y Gastric Bypass with Hand-Sutured Anastomosis. Dr. Dennis Smith, Advanced Obesity Surgery, Marietta, GA

Meningeal Irritation Signs from the USMLE collection

Rest
Ice
Compression
Elevation

A dermatologist explains how this skin condition is recognised and treated and the challenging effects it can have on an individual.

The Knee Exam
Observation:
1. Make sure that both knees are fully exposed. The patient should be in either a gown or shorts. Rolled up pant legs do not provide good exposure!
2. Watch the patient walk. Do they limp or appear to be in pain? When standing, is there evidence of bowing (varus) or knock-kneed (valgus) deformity? There is a predilection for degenerative joint disease to affect the medical aspect of the knee, a common cause of bowing. Varus Knee Deformity, more marked on the left leg. 3. Make note of any scars or asymmetry. Chronic/progressive damage, as in degenerative joint disease, may lead to abnormal contours and appearance. Is there obvious swelling as would occur in an effusion? Redness suggesting inflammation? 4. Is there evidence of atrophy of the quadriceps, hamstring, or calf muscle groups? Knee problems/pain can limit the use of the affected leg, leading to wasting of the muscles.

While both legs have well developed musculature,
the left calf and hamstring are bulkier than the right. 5. Look at the external anatomy, noting structures above and below the knee itself: 1. Patella 2. Patellar tendon 3. Quadriceps/Hamstring/Calf muscles 4. Medial and lateral joint lines. 5. Femur and Tibia 6. Tibial tuberosity


Ballotment (helpful if the effusion is large) 1. Slightly flex the knee which is to be examined.
2. Place one hand on the supra-pateallar pouch, which is above the patella and communicates with the joint space. Gently push down and towards the patella, forcing any fluid to accumulate in the central part of the joint.
3. Gently push down on the patella with your thumb.
4. If there is a sizable effusion, the patella will feel as if it's floating and "bounce" back up when pushed down.

How to insert Endotracheal tube in children

Flexor compartment synovectomy in a patient with rheumatoid arthritis presenting with loss of finger movement and local pain due to synovitis. Performed at the Queen Victoria Hospital, East Grinstead.

Surgical Knot

Horizontal Mattress Pattern Suture

Pilonidal disease with lateral extension. Follicle removal (Bascon's technique)

UltraSound-guided Sciatic nerve block by supra popliteal approach

Removal of adrenal gland

Excision of breast cancer that is visible only on mammogram. diagnosis is typically established on stereotactic biospy and excision is done with wire localization. This techniques involves localization by sonography of the hematoma that is left behind at the time of biopsy. It provides not only accu...rate location of the tumor but ensures adequate margins of excision.

Resection of a glioblastoma multiforme, a very malignant, aggressive brain tumor.

The challenge of position a patient with severe kyphosis for cataract extraction and lens implantation is met with a team effort and ingenuity.

Allograft material is placed submucosally to expand tissue to simulate turbinate tissue. It is placed in a location to direct the airstream toward "virgin" tissue that can sense airflow. Empty Nose Syndrome (ENS) is an iatrogenic disease characterized by paradoxical obstruction: a hugely patent no...

se with subjective "blockage" or poor nasal breathing.

Modern technique of thyroidectomy for tumors

Single tooth implant