Splenectomy for massive splenomegaly (>1500 g) provides palliation but is associated with a high rate of perioperative complications in a population of patients with advanced hematological malignancies. Predictive factors for survival and whether the palliative goals are achieved in the long-term are not well defined.

Ellie was born with a rare condition which stopped her jawbones from growing properly. At first, her parents didn't realize there was a problem, apart from the fact that her teeth were not aligned. But when she went to have braces fitted to straighten her teeth when she was 14, orthodontist Joy Hickman realized her jaw had not grown since she was eight. Over the next six years Hickman worked with a maxillofacial surgeon to transform Ellie's looks. Ellie, who is now 20, said the surgery was painful but paid almost immediate dividends. "About six months after it was my year 11 prom and it looked good." Ellie told the Daily Post the change in her appearance has been matched by an increase in confidence.

Lupus is an autoimmune disease that can affect almost any part of your body, most often your joints, skin, kidneys, heart, lungs, blood, or brain. Your two kidneys are part of your renal system, which also includes two ureters, the bladder, and the urethra. As the primary organs of the renal system, your kidneys are responsible for: Maintaining the correct amount and type of body fluids Removing waste products and toxic substances Regulating the hormones (chemical messengers) that help control blood pressure and blood volume

Eating a high-protein breakfast has been shown to reduce cravings and calorie intake throughout the day (16, 17). Avoid sugary drinks and fruit juice. These are the most fattening things you can put into your body, and avoiding them can help you lose weight (18, 19). Drink water a half hour before meals.

Alcoholic hepatitis can occur in people who drink heavily for many years. Symptoms include yellow skin and eyes along with increasing belly size due to fluid accumulation. Treatment involves hydration, nutritional care, and stopping alcohol use. Steroid drugs can help reduce liver inflammation.

The first step is to see if you have pigmentation issues -not really classed as acne scars, but this is controversial, or if you have contour changes. The best thing to do is to examine under tangential or angled lighting, as this will reveal all. Once this is done, scars can be subtyped and mapped, with high resolution photos. The second aspect, which is equally as important is to examine scars upon animanation, namely when you speak, smile and move your face. This will give me an idea of the amount of tethering and anchored acne scars. Time and time again I get request for ‘what is the treatment’ with static photos, an impossible task to answer correctly. Acne scar assessment has to be done live- with the patient in front of you, and lighting from all angles. Photos do not map scars as well a real time examination under magnification and lighting.

ABGs Made Easy | Arterial Blood Gas | Acid Base Balance: Everything You Need To Know!

Knee replacement involves replacing a knee joint that has been damaged or worn away, usually by arthritis or injury. Find out more here: https://www.bupa.co.uk/health-....information/knee-cli

For open hernia repair surgery, a single long incision is made in the groin. If the hernia is bulging out of the abdominal wall (a direct hernia), the bulge is pushed back into place. If the hernia is going down the inguinal canal (indirect), the hernia sac is either pushed back or tied off and removed.

assesment of coordination

Examination of different gaits

Central Venous Line Placement in the subclavian vein

Residents Communication

A clue cell appears smudged, with indistinct contents and fuzzy, poorly defined borders.

how to apply a tourniquet

It demonstrates basic suturing techniques as might be applied in an emergency room setting.

a video showing how to suture a wound

This patented device replaces cumbersome metal retractors for a variety of surgical procedures. The surgeon has maximum unobstructed exposure and the size of the required incision is minimized.