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How The left ventricular assist device (LVAD)  Works
How The left ventricular assist device (LVAD) Works samer kareem 5,368 Views • 3 years ago

Although individual surgeons and centers employ different methods to insert a left ventricular assist device (LVAD), the fundamental concepts remain true for all. That is, most devices use the apex of the left ventricle (LV) as the inflow site to the pump, which subsequently gives off an outflow graft to the aorta, thus bypassing the ailing LV. Currently available devices do not differ significantly with regard to general implantation technique. The sequence of implantation can vary also from patient to patient, depending on the particular situation. In some cases, concomitant procedures may be performed in conjunction with LVAD implantation without adversely affecting outcome.

How CPAP works
How CPAP works samer kareem 14,684 Views • 3 years ago

CPAP, or continuous positive airway pressure, is a treatment that uses mild air pressure to keep the airways open. CPAP typically is used by people who have breathing problems, such as sleep apnea. CPAP also may be used to treat preterm infants whose lungs have not fully developed.

Keratoprosthesis Corneal Transplant
Keratoprosthesis Corneal Transplant samer kareem 1,560 Views • 3 years ago

This patient had a history of herpes and had a previous corneal transplant that subsequently became opacified. There was also a previous Baerveldt implant placed into the anterior chamber. This surgery consists of Baerveldt tube being moved from the anterior chamber to posterior chamber, removal of failed graft, placement of temporary keratoprosthesis, pars plana vitectomy and corneal transplant. Jeffrey Liebmann, MD. Mark Speaker, MD. Uri Shabto, MD. Christopher Teng, MD.

Cervical Biopsy Overview
Cervical Biopsy Overview samer kareem 6,646 Views • 3 years ago

A cervical biopsy is a procedure that is sometimes done on women during an exam called a colposcopy to remove cervical tissue for examination. It is also called a punch biopsy. It is usually performed when a Pap smear result is either inconclusive or abnormal and a doctor wants to screen further for any cervical dysplasia or cervical cancer.

Obstructive vs. Restrictive Lung Disease
Obstructive vs. Restrictive Lung Disease samer kareem 2,359 Views • 3 years ago

Obstructive lung diseases include conditions that make it hard to exhale all the air in the lungs. People with restrictive lung disease have difficulty fully expanding their lungs with air. Obstructive and restrictive lung disease share the same main symptom: shortness of breath with exertion.

Basal Joint Arthroscopic Debridement
Basal Joint Arthroscopic Debridement samer kareem 1,257 Views • 3 years ago

The procedure was performed under wrist block regional anesthesia with tourniquet control. A single Chinese finger trap was used on the thumb with 5 to 8 lb of ongitudinal traction. The arm was held down with wide tape around the tourniquet securing it to the hand table to serve as countertraction. A shoulder holder, rather than a traction tower, was used to facilitate fluoroscopic intervention more easily. The Trapeziometacarpal joint was detected by palpation. Joint distension was achieved by injecting 1 to 3 mL of normal saline (Fig. 1). It is important to distally direct the needle approximately 20 degrees to clear the dorsal flare of the metacarpal base and enter the joint capsule. This course should be reproduced upon entering with arthroscopic sleeve/ trocar assembly to minimize iatrogenic cartilage injury. Fluid distention is important to facilitate this. The incision for the 1-R (radial) portal, used for proper assessment of the dorsoradial ligament, posterior oblique ligament, and ulnar collateral ligament, was placed just volar to the abductor pollicis longus tendon. The incision for the 1-U (ulnar) portal, for better evaluation of the anterior oblique ligament and ulnar collateral ligament, was made just ulnar to the extensor pollicis brevis tendon. A short-barrel, 1.9-mm, 30- degree inclination arthroscope was used for complete visualization of the CMC joint surfaces, capsule, and ligaments, and then appropriate management was done, as dictated by the stage of the arthritis detected (Fig. 2A). A full-radius mechanical shaver with suction was used in all the cases, particularly for initial debridement and visualization. Most of the cases were augmented with radiofrequency ablation to perform a thorough synovectomy and radiofrequency was also used to perform chondroplasty in the cases with focal articular cartilage wear or fibrillation. Chondroplasty refers to thedebridement of the fibrillated cartilage to improve vascularity of the cartilage and enhance the growth of fibrocartilage. Ligamentous laxity and capsular attenu- ation were treated with thermal capsulorraphy using a radiofrequency shrinkage probe. We were careful to avoid thermal necrosis; hence, a striping technique was used to tighten the capsule of the lax joints. The striping technique refers to thermal shrinkage performed in longitudinal stripes on the lax capsule, so as to leave vascular zones between the stripes; hence, thermal necrosis is prevented. Arthroscopic stage I disease was characterized by synovitis without any cartilage wear, wherein a synovectomy coupled with thermal capsulor- raphy as described was performed.

Polycystic Ovarian Disease
Polycystic Ovarian Disease samer kareem 11,782 Views • 3 years ago

Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Women with PCOS may have enlarged ovaries that contain small collections of fluid — called follicles — located in each ovary as seen during an ultrasound exam. Infrequent or prolonged menstrual periods, excess hair growth, acne, and obesity can all occur in women with polycystic ovary syndrome. In adolescents, infrequent or absent menstruation may raise suspicion for the condition. The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications, such as type 2 diabetes and heart disease.

Effect of High Heels on Your Feet
Effect of High Heels on Your Feet samer kareem 1,696 Views • 3 years ago

The pain is your feet trying to tell you something!

Shaken Baby Syndrome Brain Injury
Shaken Baby Syndrome Brain Injury samer kareem 11,068 Views • 3 years ago

Shaken baby syndrome symptoms and signs include: Extreme irritability Difficulty staying awake Breathing problems Poor eating Tremors Vomiting Pale or bluish skin Seizures Paralysis Coma Other injuries that may not be initially noticeable include bleeding in the brain and eye, damage to the spinal cord and neck and fractures of the ribs, skull and bones. Evidence of prior child abuse also is common.

Peak Flow Meter for Respiratory illness
Peak Flow Meter for Respiratory illness samer kareem 3,523 Views • 3 years ago

A peak flow meter is an inexpensive, portable, handheld device for those with asthma that is used to measure how well air moves out of your lungs. Measuring your peak flow using this meter is an important part of managing your asthma symptoms and preventing an asthma attack.

Chest x-ray interpretation, RDS
Chest x-ray interpretation, RDS academyo 40,648 Views • 3 years ago

The video will describe RDS in premature babies. Please see website for disclaimer

Quick Volleyball Knee Injury Recovery with Memorial Sports Medicine Center
Quick Volleyball Knee Injury Recovery with Memorial Sports Medicine Center Scott 81 Views • 3 years ago

After Sammyra’s knee injury, Marvin Smith, MD, orthopaedic surgeon at Memorial Sports Medicine Center, helped her get back on the volleyball court and playing pain free. Following a thorough examination, meniscus surgery and rehabilitation got Sammyra back to playing with her college team within two months. Learn more about how Memorial Sports Medicine Center helps athletes move forward at MHS.net/SportsMedicine.
To learn more about Dr. Smith, visit his physician profile page at: https://www.mhs.net/physicians/s/smith-marvin-k

Endoscopic View of Vocal cords
Endoscopic View of Vocal cords Mohammed Wahba 12,829 Views • 3 years ago

This clip shows an endoscopic view of the vocal cords with the endotracheal tube in place. The patient was intubated by Dr. Khaled Soliman and photographed by Dr. Mohammed Wahba.

Peritoneal Dialysis: At Home Treatment for Kidney Failure | Mass General Brigham
Peritoneal Dialysis: At Home Treatment for Kidney Failure | Mass General Brigham Scott 162 Views • 3 years ago

For more information on peritoneal dialysis: https://www.massgeneralbrigham.....org/en/about/newsro

Why does someone need dialysis? What is peritoneal dialysis? How does it work? John Kevin Tucker, M.D., Nephrologist at Brigham and Women's Hospital and Vice President for Education at Mass General Brigham, discusses peritoneal dialysis and its benefits for people who have lost their kidney function.

Subscribe Link: https://www.youtube.com/channe....l/UCYrLjATd88gPwIKnt

0:00 - Intro
0:24 - Why Do I Need Dialysis?
1:42 - Treatment
2:02 - Why Is It Called Peritoneal Dialysis
2:35 - 2 Forms of Peritoneal Dialysis
3:50 - Continuous Cycling Peritoneal Dialysis
4:38 - Myths
5:55 - Preparing For Peritoneal Dialysis

About Mass General Brigham:
Mass General Brigham combines the strength of two world-class academic medical centers, five nationally ranked specialty hospitals, 11 community hospitals, and dozens of health centers. Our doctors and researchers accelerate medical breakthroughs and drive innovations in patient care. They are leaders in medical education, serving as Harvard Medical School faculty and training the next generation of physicians. Mass General Brigham’s mission is to deliver the best, affordable health care to patients everywhere. Together, we transform the health of our communities and beyond.

#MassGeneralBrigham #Peritoneal #Dialysis

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Peritoneal Dialysis: At Home Treatment for Kidney Failure | Mass General Brigham
https://youtu.be/of1T6hMEN_Q

Femoral Acetabular Impingement
Femoral Acetabular Impingement samer kareem 1,661 Views • 3 years ago

Femoroacetabular impingement (FAI) is a condition in which extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. Because they do not fit together perfectly, the bones rub against each other during movement. Over time this friction can damage the joint, causing pain and limiting activity.

Brain
Brain samer kareem 39,811 Views • 3 years ago

The human brain is the command center for the human nervous system. It receives input from the sensory organs and sends output to the muscles. The human brain has the same basic structure as other mammal brains, but is larger in relation to body size than any other brains.

Varicose Veins:
Varicose Veins: samer kareem 5,231 Views • 3 years ago

Varicose veins are caused by weakened valves and veins in your legs. Normally, one-way valves in your veins keep blood flowing from your legs up toward your heart. When these valves do not work as they should, blood collects in your legs, and pressure builds up. The veins become weak, large, and twisted.

Electroconvulsive therapy
Electroconvulsive therapy samer kareem 3,051 Views • 3 years ago

Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental illnesses. It often works when other treatments are unsuccessful. Much of the stigma attached to ECT is based on early treatments in which high doses of electricity were administered without anesthesia, leading to memory loss, fractured bones and other serious side effects. ECT is much safer today. Although ECT still causes some side effects, it now uses electric currents given in a controlled setting to achieve the most benefit with the fewest possible risks.

Follicle Development and Ovulation!
Follicle Development and Ovulation! samer kareem 4,139 Views • 3 years ago

Before ovulation occurs, the average diameter of the dominant follicle is 22 to 24 mm (range 18-36 mm). It is the only marker that can predict ovulation with ease. * In stimulated cycle (hormonal treatment), generally, all or most of the antral follicles grow. The growth rate will be different for each of them.

Hip Exam Video
Hip Exam Video Scott 9,669 Views • 3 years ago

Hip Exam Video

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