A detailed description of Adrenal insufficiency (Addison's disease) including basic physiology of the HPA axis, causes of primary and secondary insufficiency, clinical features of acute and chronic adrenal insufficiency. Lab testing for Addison's disease is also dealt with in detail. The management, both short term and long term are discussed in detail.

ESCLEROTERAPIA

Fibrodysplasia ossificans progressiva (FOP) is a disorder in which muscle tissue and connective tissue such as tendons and ligaments are gradually replaced by bone (ossified), forming bone outside the skeleton (extra-skeletal or heterotopic bone) that constrains movement. This process generally becomes noticeable in early childhood, starting with the neck and shoulders and proceeding down the body and into the limbs. Extra-skeletal bone formation causes progressive loss of mobility as the joints become affected. Inability to fully open the mouth may cause difficulty in speaking and eating. Over time, people with this disorder may experience malnutrition due to their eating problems. They may also have breathing difficulties as a result of extra bone formation around the rib cage that restricts expansion of the lungs.

Celebrity hair stylist Michael DeMarse of Houston, TX shares his experience with us. Michael has been a loyal patient of Dr. Jue for a long time! Call us for a free consultation at (281) 277-9200 or visit https://www.sugarlanddentalspa.com/

Demystify knee pain and discover nine of the most common causes of pain in this complex joint. Join Burke Selbst PT as we work through our simple screening for the most common types of problems.

Burke is the founder and clinical director of Focus Physical Therapy in Bend Oregon.
Find him:
https://focusptbend.com
https://facebook.com/focusphysio

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Shout out @Muscle and Motion for the amazing anatomy graphics.

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Emory has one of the few heart and vascular centers nationally performing robotic cardiac surgery using the daVinci Surgical System. Emory's robotic surgeons have completed numerous cases and are recognized in Atlanta, the Southeast and across the country for their expertise in cardiac surgery. Some of the cardiac and thoracic conditions treated by Emory cardiac surgeons include mitral valve repair and replacement, atrial septal defect repair, atrial myxoma and thrombi, coronary bypass (LIMA to LAD), mediastinal mass excision, thymectomy, epicardial lead placement and pericardial window.

When a ventral hernia occurs, it usually arises in the abdominal wall where a previous surgical incision was made. In this area the abdominal muscles have weakened; this results in a bulge or a tear. In the same way that an inner tube pushes through a damaged tire, the inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a balloon-like sac. This can allow a loop of intestines or other abdominal contents to push into the sac. If the abdominal contents get stuck within the sac, they can become trapped or “incarcerated.” This could lead to potentially serious problems that might require emergency surgery.

Observation of both jugular veins can provide a reliable indication of the volume and pressure in the right side of the heart since internal jugular veins pulsate in response to phasic changes in right atrial pressure. Proper positioning of the patient to increase the effects of gravity enhances distention of the jugular veins and, therefore, increases the ability to observe venous pulsations.

A video showing how to perform knot tying

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.

A video of appendectomy surgery performed by the laparoscope

A vidoe showing the pronator drift from the USMLE collection

Open Inguinal Hernia Operation (German)

A 30 YEAR WOMEN WITH INTRACTABLE BILIARY COLIC CASE REPORT: This 30 year women developed severe pain right upper quadrant for last 10 days. She sought many consultations and was given intravenous analgesics both (nonnarcortic and narcotic). Pain did not subside and she sought my consultation. Examination revealed her to be in agony with severe upper abdominal pain. General physical examination was otherwise unremarkable. Abdominal examination revealed mild tenderness in right hypochondrium with doubtful Murphy's sign. Urgent abdominal ultrasound showed a linear structure in bile ducts making slow writhing movements. The structure had an anechoic tube (alimentary canal) inside suggestive of a large Ascarid. Urgent ERCP was performed and bile duct and pancreatic duct cannulated selectively. Pancreatic duct was normal. Bile ducts contained a long linear filling defect extending from lower end of common bile duct to right intrahepatic duct (see image gallery for ERCP plate). A basket was introduced in the duct (see video clip) and the linear structure was engaged with soft closure and extracted out of the bile duct. Accompanying the basket was a 25 cm thick highly motile Ascarid. To recover the worm, endoscope was withdrawn along with the basket and the friendly catch. While the endoscope was being withdrawn and the basket was in the duodenum with the worm out of bile duct, patient indicated of relief of abdominal pain. A relook cholangiogram showed no more structures in the duct. She was given antihelmintic therapy and passed hundreds of worms with the feces. The worms recovered form stools were both male and female population and varied in length and size. However the lone worm recovered form bile ducts was the longest and the thickest male worm. The phenomenal behavior of this ubiquitous infection remains unexplained. (Source Records from Dr. Khuroo's Medical Clinic. Review prepared by Mehnaaz Sultan Khuroo Host website www.drkhuroo.org , E-mail: mkhuroo@yahoo.com ).

Examination of the upper limb by Loyola medical school, Chicago Part 2

Loyola Respiratory System Exam Part 1 A video from Loyola Medical School, Chicago showing the medical and clinical examination of the respiratory system.

Part 6: from Loyola Medical School, Chicago showing clinical examination of the neurological system.

Removal of pregnancy within the fallopain tube using laparoscopic keyhole surgery. A segment of the tube together with the pregnancy within is removed video.