Cerclage is indicated in a patient with a history of painless cervical dilation and a second trimester loss. It is also indicated in a patient with a history of preterm birth and a short cervix found on ultrasound between 16-24 weeks gestation. Cerclage placement occurs after the first trimester in case the pregnancy is genetically abnormal and would likely result in a first trimester loss.

St. John's wort (Hypericum perforatum) is an over-the-counter herbal supplement used for its antidepressant, anti-inflammatory, and wound-healing properties. Although it has been prescribed in Europe for mild to moderate depression, negative clinical trials and multiple reports of adverse drug interactions have raised concern about its use. St. John's wort induces various P450 isozymes (CYP 1A2, 2C19, 2C9, and 3A4) and P-glycoprotein systems. Drug interactions with the herbal product can lead to treatment failures with many medications, including hormonal contraceptives, antiretrovirals, immunosuppressive agents, narcotics, anticoagulants, and antifungals. There is also a risk for serotonin syndrome when St. John's wort is used in combination with other serotonergic antidepressants. The lack of strict regulation of herbal products that results in variable quality and content (unknown toxic ingredients or inactive ingredients) is also a concern.

Benzodiazepines are a class of agents that work on the central nervous system, acting selectively on gamma-aminobutyric acid-A (GABA-A) receptors in the brain. GABA is a neurotransmitter that inhibits or reduces the activity of nerve cells (neurons) within the brain. Benzodiazepines open GABA-activated chloride channels, and allow chloride ions to enter the neuron. This makes the neuron negatively charged and resistant to excitation.

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.

Because of his weight, Jimmie Jones was on the waiting list for a new kidney for 17 years. University of Illinois Hospital surgeons used robotic surgery to give him a life without dialysis.

This is a video which discusses the Vioptix tOX system of near infrared spectroscopy for the monitoring of free tissue transfer. Having information as to the health of the microvascular anastomosis is critical to improved patient outcome and free tissue survival. With better monitoring, supplementing clinical evaluation, surgeons are able to assess the health of the free tissue better and potentially improve patient outcome. The example in this video is of a free breast reconstruction where the tOX system was used to remotely monitor the free flap. The surgeon can follow the flap real time and more importantly follow trend lines to help predict flap complications.

This medical animation illustrates how acute myeloid leukemia (AML), the most common type of cancer in adults, develops in the blood and bone marrow. The narrator also discusses the symptoms of AML and AML treatment options.

In 5 minutes find out how and why a normal cell becomes a cancer cell: risk factors and treatment.

Meet Toby, the baby who was born premature at 24 weeks. He may be small, but he's definitely a fighter! Share his story

This 13 yrs young girl has had left temporo parietal cavernous angioma ,she came with acute bleed with raised ICT ,aphasia ,right hemiparesis ,leision was excised microsurgically with excellent out come

This animated video is an informative video that provides information regarding Upper Gastro-intestinal Endoscopy. An upper GI endoscopy procedure allows your doctor to view the mucus lining of the upper portion of your gastro-intestinal tract. This includes your oesophagus, stomach and duodenum. Upper endoscopy is used to evaluate symptoms of persistent upper abdominal pain, nausea, vomiting, bleeding, or difficulty in swallowing. The procedure is performed using an endoscope which is a long thin flexible tube a light and a tiny video camera attached to the end. The camera transmits the image to a monitor. Uncomplicated upper endoscopy takes 10-20 minutes, your doctor will gently insert the endoscope through your mouth and then slowly and carefully move it down your oesophagus until it reaches your stomach. An endoscopy for stomach may also be necessary in some cases.

Wondering how pregnancy happens? It’s not as simple as it seems! Pregnancy takes several days, and there are lots of steps. Here are the basics on how pregnancy works.

Anatomical snuff box tenderness due to probable scaphoid wrist bone fracture.

How to examine a patient's wrist if you suspect a scaphoid fracture: by Cape Town Emergency Medicine

This animation describes the goals of inflammatory bowel disease (IBD) management and how patients can take an active role in managing their disease.

Venipuncture can be a challenging process for medical professionals especially when a patients veins are difficult to see. VeinViewer uses near infrared light to create a digital image of patient vasculature in real time.

Womb Fight amazing

Dialysis and kidney transplantation are treatments for severe kidney failure, also called kidney (or renal) failure, stage 5 chronic kidney disease, and end-stage kidney (or renal) disease. There are two types of dialysis: hemodialysis and peritoneal dialysis. When the kidneys are no longer working effectively, waste products, electrolytes, and fluid build up in the blood. Dialysis takes over a portion of the function of the failing kidneys to remove the fluid and waste products. Kidney transplantation can more completely take over the function of the failing kidneys.

Your kidneys are two bean-shaped organs that lie just below your rib cage, on each side of your spine. They remove waste from your body, level out your blood pressure, and keep your bones strong. They also ensure that you have the right amount of chemicals, like potassium and sodium (salt), in your blood. Finally, they make the hormone that causes your body to create red blood cells.

A ganglion cyst is a tumor or swelling on top of a joint or the covering of a tendon (tissue that connects muscle to bone). It looks like a sac of liquid (cyst). Inside the cyst is a thick, sticky, clear, colorless, jellylike material. Depending on the size, cysts may feel firm or spongy.