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Histology of Trachea
Histology of Trachea Histology 6,115 Views • 3 years ago

Histology of Trachea

Colectomy Anterior Approach
Colectomy Anterior Approach Scott 13,096 Views • 3 years ago

Colectomy Anterior Approach

Does Oral Sex Cause Cancer?
Does Oral Sex Cause Cancer? hooda 23,990 Views • 3 years ago

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Symptoms and Causes Of Female Genital Infections
Symptoms and Causes Of Female Genital Infections hooda 80,764 Views • 3 years ago

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Cholecystectomy & Retroperitoneal Tumor Removal
Cholecystectomy & Retroperitoneal Tumor Removal Mohamed 17,746 Views • 3 years ago

Cholecystectomy & Retroperitoneal Tumor Removal

Does Circumcision Affect Male Orgasm?
Does Circumcision Affect Male Orgasm? hooda 34,283 Views • 3 years ago

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Unbelievable Head Infection Exposing a Man's Skull
Unbelievable Head Infection Exposing a Man's Skull hooda 59,485 Views • 3 years ago

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Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction
Dual Sphincterotomy with a Needle Knife Over a Stent for Sphincter of Oddi Dysfunction Mohamed 17,546 Views • 3 years ago

This 38 year old woman has increasingly intractable RUQ pain after cholecystectomy done one year prior. LFTs and pancreatic enzymes have been normal, and ducts are non-dilated, thus she is a Type III possible SOD patient. Initial goal is to define course of pancreatic duct for manometry. 5-4-3 Co...ntour catheter (Boston Scientific) is used to perform the pancreatogram which shows a small straight distal duct. The aspirating triple lumen manometry catheter (Wilson Cook) is used to cannulate the pancreatic duct, with continuous aspiration of fluid once the duct is entered. Careful stationed pullthrough manometry shows markedly abnormal basal pressures in both leads in the pancreatic sphincter. Plan is dual pancreatic and biliary sphincterotomy. Biliary manometry will not now change our plan therefore is omitted. Our first goal is to access the pancreatic duct so we can guarantee wire access for placement of a small caliber pancreatic stent which is critical for safety. Contrast is injected as the 0.018in Roadrunner wire (Wilson Cook) is advanced in order to outline the course of main duct. A separate biliary orifice is clearly seen, unusual in SOD patients. A soft 4Fr 3cm single inner flange pancreatic stent (Hobbs Medical) is placed. We did not want to use our typical 9cm long unflanged stent as even a 3 or 4 French stent might be traumatic to the tiny caliber of this duct out in the body of the gland. Next the bile duct is cannulated with a papillotome (Autotome 39, Boston Scientific), showing a small perhaps 6mm bile duct. Biliary sphincterotomy is performed in very careful stepwise fashion as landmarks are unclear and perforation is higher risk in small duct SOD patients. On the other hand, inadequate sphincterotomies offer limited chance of symptom relief. You can see here a patulous sphincterotomy. Next a pancreatic sphincterotomy is performed with the needle knife (Boston Scientific) over the pancreatic stent. Again this is performed cautiously due to the small size of the pancreatic duct. We are reaching along the stent and cutting the fibers deeply. This is a limited pancreatic sphincterotomy due to small pancreatic duct size, and concern for scarring of the pancreatic duct. It is important to document passage of the stent by xray or remove it endoscopically with two weeks or so. We and many other specialized centers perform dual sphincterotomies at the first ERCP in all SOD patients with abnormal pancreatic manometry and frequent or intractable symptoms based on the belief that response rates are better than for biliary sphincterotomy alone.

200 lb Tumor in Man's Body Removal Surgery
200 lb Tumor in Man's Body Removal Surgery hooda 13,769 Views • 3 years ago

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Is Suhagra Helpful in Treating ED
Is Suhagra Helpful in Treating ED Tom Sterling 1,259 Views • 3 years ago

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Ingrown Hair Removal Close up 200X Video
Ingrown Hair Removal Close up 200X Video hooda 20,774 Views • 3 years ago

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Right side abdominal pain
Right side abdominal pain samer kareem 6,640 Views • 3 years ago

Upper right quadrant: The right upper quadrant contains the liver and gallbladder, which are protected by the lower right part of the ribcage. The large intestine, or colon, also spends a little time in this section. Upper left quadrant: The left upper quadrant contains part of the stomach and the spleen.

Tibial Bone Transport Over an Intramedullary Nail
Tibial Bone Transport Over an Intramedullary Nail samer kareem 4,961 Views • 3 years ago

Tibial Bone Transport Over an Intramedullary Nail Using Cable and Pulleys

Medical Videos - Types of Female Genital discharge
Medical Videos - Types of Female Genital discharge hooda 27,096 Views • 3 years ago

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Poisoned Human Body Medical Dissect
Poisoned Human Body Medical Dissect hooda 52,138 Views • 3 years ago

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Indian Boy Was Born With 232 Teeth Got Them Removed
Indian Boy Was Born With 232 Teeth Got Them Removed hooda 28,351 Views • 3 years ago

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Cholesterol
Cholesterol samer kareem 9,194 Views • 3 years ago

To understand high blood cholesterol (ko-LES-ter-ol), it helps to learn about cholesterol. Cholesterol is a waxy, fat-like substance that’s found in all cells of the body. Your body needs some cholesterol to make hormones, vitamin D, and substances that help you digest foods. Your body makes all the cholesterol it needs. However, cholesterol also is found in some of the foods you eat. Cholesterol travels through your bloodstream in small packages called lipoproteins (lip-o-PRO-teens). These packages are made of fat (lipid) on the inside and proteins on the outside. Two kinds of lipoproteins carry cholesterol throughout your body: low-density lipoproteins (LDL) and high-density lipoproteins (HDL). Having healthy levels of both types of lipoproteins is important. LDL cholesterol sometimes is called “bad” cholesterol. A high LDL level leads to a buildup of cholesterol in your arteries. (Arteries are blood vessels that carry blood from your heart to your body.) HDL cholesterol sometimes is called “good” cholesterol. This is because it carries cholesterol from other parts of your body back to your liver. Your liver removes the cholesterol from your body.

Medical Videos - Male Catheter Insertion Procedure
Medical Videos - Male Catheter Insertion Procedure hooda 16,135 Views • 3 years ago

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Pancreatic Cysts
Pancreatic Cysts samer kareem 7,431 Views • 3 years ago

Pancreatic cysts are saclike pockets of fluid on or in your pancreas, a large organ behind the stomach that produces hormones and enzymes that help digest food. Most pancreatic cysts aren't cancerous, and many don't cause symptoms. They're typically found during imaging testing for another problem. Some are actually noncancerous (benign) pockets of fluids lined with scar or inflammatory tissue, not the type of cells found in true cysts (pseudocysts). But some pancreatic cysts can be or can become cancerous. Your doctor might take a sample of the pancreatic cyst fluid to determine if cancer cells are present. Or your doctor might recommend monitoring a cyst over time for changes that indicate cancer.

Exercises for Leg Lymphedema (Swelling or Edema)
Exercises for Leg Lymphedema (Swelling or Edema) samer kareem 2,913 Views • 3 years ago

Swelling is a typical symptom of lymphedema and commonly affects legs and arms. Compression stockings work to encourage the movement of lymph out of an affected limb. Lymphedema is incurable. However, treatment can help reduce the swelling and pain

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