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Fungi and Antifungal Agents
Fungi and Antifungal Agents samer kareem 1,638 Views • 2 years ago

This is a brief overview of antifungal agents, their mechanisms of action, and some fungi that they affect.

How to place an external ventricular drain
How to place an external ventricular drain samer kareem 4,723 Views • 2 years ago

This video describes, step by step, how to place an external ventricular drain. This is a common neurosurgical procedure used to relieve intracranial pressure.

Constipation and Encopresis
Constipation and Encopresis samer kareem 20,935 Views • 2 years ago

Encopresis is a problem that children age four or older can develop due to chronic (long-term) constipation. With constipation, children have fewer bowel movements than normal, and the bowel movements they do have can be hard, dry, and difficult to pass. The child may avoid using the bathroom to avoid discomfort.

An ingrown toenail can be  treated at home.
An ingrown toenail can be treated at home. samer kareem 1,797 Views • 2 years ago

An ingrown toenail may be painful, but most you can treat at home. Here's how -- and when to call a doctor:

HELLP syndrome
HELLP syndrome samer kareem 1,770 Views • 2 years ago

The cause of HELLP syndrome is unknown, but there are certain factors that may increase your risk of developing it. Preeclampsia is the greatest risk factor. This condition is marked by high blood pressure and swelling, and it typically occurs during the last trimester of pregnancy.

Pelvic Organ Prolapse
Pelvic Organ Prolapse samer kareem 3,864 Views • 2 years ago

Pelvic organ prolapse occurs when a pelvic organ-such as your bladder-drops (prolapses) from its normal place in your lower belly and pushes against the walls of your vagina. This can happen when the muscles that hold your pelvic organs in place get weak or stretched from childbirth or surgery.

Developmental Dysplasia of the Hip Joint
Developmental Dysplasia of the Hip Joint samer kareem 1,193 Views • 2 years ago

In a normal hip, the ball at the upper end of the thighbone (femur) fits firmly into the socket, which is part of the large pelvis bone. In babies and children with developmental dysplasia (dislocation) of the hip (DDH), the hip joint has not formed normally.

First Aid: Defibrillator
First Aid: Defibrillator samer kareem 6,431 Views • 2 years ago

Defibrillation is a treatment for life-threatening cardiac dysrhythmias, specifically ventricular fibrillation (VF) and non-perfusing ventricular tachycardia (VT). A defibrillator delivers a dose of electric current (often called a countershock) to the heart.

Laparoscopic cervical cerclage
Laparoscopic cervical cerclage samer kareem 31,544 Views • 2 years ago

Cervical cerclage can be placed via transvaginal, open transabdominal, or laparoscopic transabdominal approach, preferably before pregnancy. Recurrent late miscarriages may be due to a weak (sometimes called an incompetent) cervix that shortens or opens too early in pregnancy. Cervical cerclage involves placing a stitch around the upper part of the cervix to keep it closed; the operation may be carried out through the vagina, or through the abdomen, as an open or laparoscopic ('keyhole') procedure.

Watch the difference between first time and the recent time getting flu shot of this teenager.
Watch the difference between first time and the recent time getting flu shot of this teenager. samer kareem 1,713 Views • 2 years ago

Difference between first time and the second time getting flu shot

New breast cancer screening guidelines
New breast cancer screening guidelines samer kareem 1,574 Views • 2 years ago

American Cancer Society release new breast cancer screening guidelines

Anal Fistula and Anal Abscess
Anal Fistula and Anal Abscess samer kareem 11,048 Views • 2 years ago

While an anal abscess is an infection within one or more of the anal spaces, an anal fistula (Choice B) is a tunneling between the anus or rectum and another epithelial lined space (eg, the skin overlying the drainage site). Fifty percent of patients with anal abscesses will go on to develop a chronic fistula from the involved anal gland to the overlying skin. Patients with fistulas typically present with an anal abscess that persists after incision and drainage, or with a pustule-like lesion in the perianal or ischiorectal area that continually drains. Surgical repair is usually necessary to eliminate the fistula while preserving fecal continence.

Sitting on the toilet correctly
Sitting on the toilet correctly samer kareem 8,710 Views • 2 years ago

You've been sitting on the toilet incorrectly your whole life

Brain cyst Surgery
Brain cyst Surgery samer kareem 10,711 Views • 2 years ago

Brain cyst Surgery

Male Reproductive System
Male Reproductive System samer kareem 7,894 Views • 2 years ago

The male reproductive system includes the scrotum, testes, spermatic ducts, sex glands, and penis. These organs work together to produce sperm, the male gamete, and the other components of semen.

Gallbladder & Gallstone Removal Surgery
Gallbladder & Gallstone Removal Surgery samer kareem 5,664 Views • 2 years ago

Gallbladder & Gallstone Removal Surgery

Cold Water Calorics test
Cold Water Calorics test samer kareem 7,073 Views • 2 years ago

This test stimulates your acoustic nerve by delivering cold or warm water or air into your ear canal. When cold water or air enters your ear and the inner ear changes temperature, it should cause fast, side-to-side eye movements called nystagmus. The test is done in the following way: Before the test, your ear, especially the eardrum, will be checked. This is to make sure it is normal. One ear is tested at a time. A small amount of cold water or air is gently delivered into one of your ears. Your eyes should show an involuntary movement called nystagmus. Then they should turn away from that ear and slowly back. If water is used, it is allowed to drain out of the ear canal. Next, a small amount of warm water or air is gently delivered into the same ear. Again, your eyes should show nystagmus. Then they should turn toward that ear and slowly back. Your other ear is tested in the same way.

Types of nystagmus
Types of nystagmus samer kareem 2,625 Views • 2 years ago

Nystagmus is a condition of involuntary (or voluntary, in rare cases) eye movement, acquired in infancy or later in life, that may result in reduced or limited vision. Due to the involuntary movement of the eye, it has been called "dancing eyes"

Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt)
Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt) Surgeon 45 Views • 2 years ago

Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Standard
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017

AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.

Treat Transposition of the Great Arteries (TGA)
Treat Transposition of the Great Arteries (TGA) samer kareem 17,511 Views • 2 years ago

The "great arteries" in this anomaly refer to the aorta and the pulmonary artery, the two major arteries carrying blood away from the heart. In cases of transposition of the great arteries, these vessels arise from the wrong ventricle. They are "transposed" from their normal position so that the aorta arises from the right ventricle and the pulmonary artery from the left ventricle. Other heart defects may occur along with transposition of the great arteries. About 25 percent of children with transposition will also have a ventricular septal defect (VSD) . In nearly a third, the branching pattern of the coronary arteries as they leave the transposed aorta is unusual. Infants may also have narrowing below the pulmonary valve that blocks blood flow from the left ventricle to the lungs.

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