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Anxiety and Panic Attacks
Anxiety and Panic Attacks samer kareem 7,400 Views • 2 years ago

Dealing with Anxiety and Panic Attacks

Vasectomy
Vasectomy samer kareem 23,647 Views • 2 years ago

An egg cannot be fertilized when there are no sperm in the semen. The testicles continue to produce sperm, but the sperm are reabsorbed by the body. (This also happens to sperm that are not ejaculated after a while, regardless of whether you have had a vasectomy.) Sperm are made in the testicles. They pass through two tubes called the vasa deferentia to other glands and mix with seminal fluids to form semen. Vasectomy blocks each vas deferens and keeps sperm out of the seminal fluid. The sperm are absorbed by the body instead of being ejaculated.

Q&A: Brain surgery, post-operation recovery
Q&A: Brain surgery, post-operation recovery Scott 279 Views • 2 years ago

Neurosurgeon Sujit Prabhu, M.D., discusses what happens after surgery and how a patient recovers.

Learn more: http://www.mdanderson.org/educ....ation-and-research/d

Request an appointment at MD Anderson by calling 1-877-632-6789 or online: https://my.mdanderson.org/requestappointment

Hemothorax due to aortic rupture in aortic
Hemothorax due to aortic rupture in aortic samer kareem 1,146 Views • 2 years ago

Acute hemothorax due to aortic rupture in aortic dissection with lung collapse and mediastinal shift.

Ganglion Cyst
Ganglion Cyst samer kareem 2,167 Views • 2 years ago

Ganglion cysts are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. They also may occur in the ankles and feet. Ganglion cysts are typically round or oval and are filled with a jellylike fluid. Small ganglion cysts can be pea-sized, while larger ones can be around an inch (2.5 centimeters) in diameter. Ganglion cysts can be painful if they press on a nearby nerve. Their location can sometimes interfere with joint movement. If your ganglion cyst is causing you problems, your doctor may suggest trying to drain the cyst with a needle. Removing the cyst surgically also is an option. But if you have no symptoms, no treatment is necessary. In many cases, the cysts go away on their own.

Lipid Lowering Agents
Lipid Lowering Agents samer kareem 2,862 Views • 2 years ago

Lipid-Lowering Agents HMG-CoA reductase inhibitors (statins) These agents inhibit the rate-limiting step in cholesterol biosynthesis by competitively inhibiting HMG-CoA reductase. Note the following: Low-density lipoprotein (LDL) reduction of 25%-60% Examples include Atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Contraindications include hypersensitivity, active liver disease, pregnancy, lactation, coadministration with strong CYP3A4 inhibitors (selected statins) Vitamin B3 Vitamin B3 inhibits very-low-density lipoprotein (VLDL) synthesis. Note the following: LDL reduction of 10% High-density lipoprotein (HDL) increase of 20% Example includes Niacin (nicotinic acid) Contraindications include hypersensitivity, liver disease, active peptic ulcer, severe hypotension, arterial bleeding Fibrates Fibrates enhance lipoprotein lipase, resulting in increased VLDL catabolism, fatty acid oxidation, and triglycerides elimination. They decrease hepatic extraction of free fatty acids. Note the following: LDL reduction of 15% Triglyceride reduction of 35% Examples include Gemfibrozil, fenofibrate, fenofibrate (micronized), fenofibric acid Contraindications include active liver disease, renal disease, primary biliary cirrhosis, gallbladder disease 2-Azetidiones These agents inhibit sterol transporter at brush border and, consequently, intestinal absorption of cholesterol. LDL reduction of 15% Example includes Ezetimibe Contraindications include hypersensitivity, coadministration with statins (if active liver disease) Bile acid sequestrants These agents lower cholesterol and LDL via bile duct sequestration. Note the following: LDL reduction of 15% Examples include Cholestyramine, colesevelam, colestipol Contraindications include biliary/bowel obstruction, serum triglycerides >300-500 mg/dL, history of hypertriglyceridemia-induced pancreatitis

How Penile Implants Work!
How Penile Implants Work! samer kareem 12,276 Views • 2 years ago

he inflatable penile prosthesis consists of two attached cylinders -- a reservoir and a pump -- which are placed surgically in the body. The two cylinders are inserted in the penis and connected by tubing to a separate reservoir of saline. The reservoir is implanted under the rectus muscles in the lower abdomen.

Surgery While Fetus is in Uterus to repair Spina Bifida
Surgery While Fetus is in Uterus to repair Spina Bifida Scott 44,415 Views • 2 years ago

Prenatal repair of myelomeningocele (MMC), the most common and severe form of spina bifida, is a delicate surgical procedure where fetal surgeons open the uterus and close the opening in the baby's back while they are still in the womb.

Corneal Crosslinking Procedure for Keratoconus
Corneal Crosslinking Procedure for Keratoconus samer kareem 2,893 Views • 2 years ago

Corneal cross-linking (CXL) is an in-office eye procedure that strengthens the cornea if it's been weakened by keratoconus, other corneal disease, or (rarely) a complication of LASIK surgery. Alternative and brand names for the procedure include corneal cross-linking, corneal collagen cross-linking, C3-R, CCL and KXL.

Bodybuilder's Colon Contains 10 lbs of Meat Worms
Bodybuilder's Colon Contains 10 lbs of Meat Worms hooda 56,596 Views • 2 years ago

Watch that video of Bodybuilder's Colon Contains 10 lbs of Meat Worms

A real Ovulation  Process
A real Ovulation Process samer kareem 55,272 Views • 2 years ago

Ovulation is the release of eggs from the ovaries. In humans, this event occurs when the follicles rupture and release the secondary oocyte ovarian cells. After ovulation, during the luteal phase, the egg will be available to be fertilized by sperm

Catatonia
Catatonia samer kareem 7,338 Views • 2 years ago

This video illustrates several forms of catatonia including waxy flexibility, forced grasping, opposition, negativism and aversion.

Foreceps Delivery
Foreceps Delivery Scott 31,012 Views • 2 years ago

Delivery using foreceps

Chainsaw Blade Inside Neck Removal Surgery
Chainsaw Blade Inside Neck Removal Surgery hooda 39,628 Views • 2 years ago

Watch that video of Surgery to Remove Chainsaw Blade From Man's Neck

Types and Causes of Vaginal Infection Yeast or Candidiasis, Trichomoniasis or Bacterial ?
Types and Causes of Vaginal Infection Yeast or Candidiasis, Trichomoniasis or Bacterial ? hooda 31,228 Views • 2 years ago

Watch that video to know Types and Causes of Vaginal Infection Yeast or Candidiasis, Trichomoniasis or Bacterial ?

Histology of Colon
Histology of Colon Histology 5,493 Views • 2 years ago

Histology of Colon

How To Firm And Lift Your Sagging Breasts Naturally
How To Firm And Lift Your Sagging Breasts Naturally hooda 6,528 Views • 2 years ago

Watch that video to know How To Firm And Lift Your Sagging Breasts Naturally

How to Know If You Have a Hernia
How to Know If You Have a Hernia DrPhil 336 Views • 2 years ago

Do you think you have a hernia?
What are hernias?
The hernias we address in this http://DoctorsExpressHartsdale.com Medical Minute are inguinal, or groin, hernias. More common in men than women, an inguinal hernia can occur when part of the small intestine protrudes through a weakness or tear in the area between your abdomen and your thigh- or your groin. It's possible for anyone to get an inguinal hernia, but it is more commonly found in males.

Hernias form a bulge and can be accompanied by pain. Men have an approximate 26% lifetime risk of having hernia at some point in their life, where as women have a much lower chance of one- only about 3% of women will experience a hernia at some point in their life. There are other types of hernias, such as abdominal, or "hiatal" hernias but groin hernias outnumber abdominal hernias by about 3 to 1.

What causes a hernia?
The cause of a hernia is not always known, but hernias are often the result of weak spots in the abdominal wall. Weaknesses can be due to congenital defects (present at birth) or formed later in life. Some risk factors for inguinal hernia include:
• fluid or pressure in the abdomen
• heavy lifting
• straining during urination or bowel movements
• obesity
• chronic cough
• pregnancy

Hernias often form in people with weakened abdominal muscles or in those who do a lot of heavy lifting or straining, which is why we see it quite often in young men. Physiology plays a part: men have testicles and scrotum which descend through the inguinal canal-much larger in men than in women. That is part of the reason men tend to be more susceptible to hernias than women.

Symptoms of hernia

Symptoms of inguinal hernia usually include a bulge in the groin area and pain, pressure, or aching at the bulge—especially when lifting, bending, or coughing. These symptoms usually subside during rest periods. Men may also experience swelling around the testicles.


Screening and Diagnosis of Hernias
If you are having abdominal pain or pelvic bulge and pain, you want to see physician, and he or she will do an exam. They will use their finger, to see if you have a bulge in your scrotum or on your groin and they'll see if its reducible or not. If the exam doesn't give them the answer, they can then perform an ultrasound, an inexpensive test that can tell you the same day whether a hernia is present.


What to do if you think you have a hernia
Most of the time hernias do not cause problems. People often live with hernias their entire life without them becoming aggravated or painful. When they do cause pain though, there is concern that complications may have arisen. Most common hernias are what we call reducible; you can take your finger or you can lie down in bed and due to the effects of gravity, the bulge in the groin will actually disappear, which means the intestinal contents actually go back into the abdominal cavity or to the correct location. If it's not reducible by lying down or using a finger or having a physician trying to reduce it, then there are concerns about complications such as strangulation, or incarceration occurring. If those concerns are there, then you need to see a surgeon, and there may be a need for surgery.

How to Treat a Hernia
As stated earlier, hernias can often be watched for years without being treated. If however, they are causing pain, we generally refer you to a surgeon who can do a very simple laparoscopic surgery.

If you suspect a hernia, but have not been diagnosed, you should see your doctor, and of course, we are happy to see you here at Doctors Express

Arterial Cannulation
Arterial Cannulation samer kareem 1,174 Views • 2 years ago

Arterial Cannulation

Mammary Ductoscopy
Mammary Ductoscopy M_Nabil 12,846 Views • 2 years ago

Endoscopy of Mammary Ducts with Micro-Endoscope called Mammary Ductoscopy. Indication:- Nipple Discharge. In this case Papilloma seen quite clearly. Biopsy can also be possible with Ductoscopy. Mammary Ductoscopy is very useful for diagnosis of Breast Cancer in early stage.

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