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.

If you have been diagnosed with a bulging disc, you are not alone. Bulging discs, also known as a disc protrusion, are a very common occurrence. They usually remain asymptomatic; however, they can cause discomfort and disability in various parts of the body if the disc compresses an adjacent nerve root or the spinal cord. As we age, the outer fibrous portion of our discs can weaken. Pressure from the central core of the disc can then stretch to the outer rim, causing the disc to bulge. If left untreated, the disc can continue to bulge until it tears, which is classified as a herniated disc. Because a bulging disc does not always show symptoms, many people have bulging discs without realizing it. As long as the bulging area does not press against a nearby nerve, no symptoms occur. When the bulging disc does cause a pinched nerve, however, you may begin to experience symptoms. In the lower back, the damaged disc can cause pain to travel to the hips, buttocks, legs and feet. In the cervical spine, pain can radiate from the neck, down the arm and to the fingers.

Operation performed by Dr D. Vitobello
Director of Division of Gynaecology and Obstetrics. Abano Terme Hospital, Padova (Italy)

Laparoscopic excision of endometriosis

Video of surgical management of cleft lip

Endoscopic Management of Brain Cyst, ForaminoPlasty

Use of Skin Stapler Remover

Endoscopic third ventriculostomy in a patient with obstructive hydrocephalus

A video showing how to draw blood for sampling

A video showing how to insert an intravenous line also called intravenous drip

Fibroma Excision in the Cheek

A knee replacement operation from India shows a Gender specific knee replacement implanted through a subvastus approach. Surgery performed by Dr.Venkatachalam of Madras Joint Replacement center www.kneeindia.com

Medication Through Running IV

A DMC patient suffering from an abdominal aortic aneurysm receives an endovascular graft to alleviate the potentially deadly problem, performed by DMC cardiac specialist Dr. Ali Kafi. ~ Detroit Medical Center

The Miracle in the Human Brain

En este video, Ana Rivera, Asesor de Salud Publica para los CDC, describe la influenza o gripe porcina: sus signos y síntomas, cómo se transmite, los medicamentos para su tratamiento, las medidas que las personas pueden tomar para protegerse de esta enfermedad y lo que deben hacer las personas si se enferman

The video will describe anatomy of thorax as seen on a chest lateral view.

The video will describe what is miliary tuberculosis. Please see my website for disclaimer.

This video shows the many alternatives of hysterectomy and the advantages of each method

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A video shows description of keratoacanthoma with multiple pictures.For more images,Diagrams, MNEMONICS , ALGORITHMS ..join us on http://www.doctorsgate.blogspot.com/