Start in RLQ (so you don’t miss a giant spleen). Get your fingers set then ask patient to take a deep breath. Don’t dip your fingers or do anything but wait. When patient expires, take up new position. Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness If spleen is not felt, repeat with pt lying on right side. Gravity may bring spleen within reach. “LET THE SPLEEN PALPATE YOUR FINGERS AND NOT THE OTHER WAY AROUND. THERE IS NO GOLD, SO DON’T DIG!”

Colorectal surgeon Conor Delaney, MD, explains laparoscopic surgery for colon cancer, including how it works and what patients can typically expect before, during, and after the procedure.

Learn more about colon cancer at http://cancer.org/coloncancer

Acute hemothorax due to aortic rupture in aortic dissection with lung collapse and mediastinal shift.

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Examination of the first and the second cranial nervers: Olfactory and Optic nerves

Tummy tuck Sydney Dr Barnouti. Call us on 02-9561 0222 or 1300 002 006
Broadway, Chatswood, Burwood NSW Australia
email:drbarnouti@australiaplasticsurgery.com.au
https://www.plasticsurgery-syd....ney.com.au/abdominop
What is a tummy tuck?

A tummy tuck operation is also known as abdominoplasty. It involves removing excess skin and fat from the stomach area, mainly the lower part of the tummy through surgical procedure. A tummy tuck operation is intended to leave the patient with a flatter tummy and to remove any signs of an 'apron' stomach or an overhang which is sometimes visible above underwear. The skin on this area tends to be stretched and of poor quality. A tummy tuck operation will usually focus on the lower part of the stomach, below the belly button and may require the belly button to be repositioned in some cases. The procedure is often carried out on women or men who have suffered from stretched skin in the stomach area after pregnancy, giving birth, excess fat deposition or weight loss.

What happens during a tummy tuck?

During a tummy tuck procedure the aim of the surgeon is to cut away fat and excess skin. To do this Dr Barnouti will make in incision on the lowest part of the stomach, where a fold will be visible above the pubic bone. He will take out as much excess fat as can be removed and will then cut the skin to fit back over the place where the fat has been removed from. It is important to have realistic expectations of a tummy tuck. Taking too much fat and skin away can result in folds at each end of the resulting scar which are sometimes referred to as "dog ears". Dr Barnouti will make sure you will not have this problem.

Who should have a tummy tuck?

Tummy tucks are recommended for either men or women who have an excess of fat and skin around their abdomen which cannot be removed by weight loss, exercise or liposuction. Tummy tuck operations in women are usually reserved for those who are not likely to have children as it is inadvisable to get pregnant again after having skin removed, this can cause the wound to stretch and scar.

The cost of a tummy tuck in Sydney Australia

The total cost is $7,900 if the patient's health fund cover the hospital's fees. In case the health fund does not cover the hospital's fee, the total cost will be around $12,000 inclusive of the Surgeon, assistant surgeon, Anaesthetist, hospital, operating theatre and follow ups visit.

Payment plans are alos available from Dr Barnouti's office in Chatswood, Burwood or Broadway.

A tummy tuck is a cosmetic procedure that removes excess skin and fatty tissue in order to give a flatter appearance to the stomach. Tummy tucks, also known as abdominoplasties, are ideal for patients who are not excessively overweight but suffer from an overhang of skin around the abdomen.

Performed under general anaesthetic, tummy tucks involve a horizontal incision being made just above the pubic area between the hip bones. Skin and fatty tissue is separated from the muscle and the area is tightened, with the excess skin and fatty tissues then being pulled downwards and removed.
Following your tummy tuck, there will be a scar present across the lower abdomen, but this will gradually fade. You may experience moderate tissue swelling for several months, but this will disappear with time. There may also be a sensation reduction just above the pubic area.

Once your tummy tuck recovery is complete however, you'll benefit from a more attractive figure and the ability to wear a wider selection of clothes.

FemTouch Vaginal Rejuvenation Laser

Watch that video to know How to Use Female Condom

This one goes out to all the student, resident and fellows trying to clarify what their bosses are trying to say to the patient

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Intro (0:00)
Anatomy & Function (0:08)
Classification (1:11)
Treatment Options (1:46)
Bracing (3:30)
Rehab Overview (4:28)
Early Stage (5:27)
Mid-Stage(8:50)
Late Stage/Return to Sport (21:14)
Programming (22:13)
Summary (23:47)

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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.

A very interesting video showing how white blood cells (Neutrophil) are chasing bacteria (Diplococci). It also shows how the white blood cell engulf the bacteria. This is a real video.

Delayed puberty is defined as the absence of any signs suggestive of puberty by 14 years of age. In this case, the patient's pubertal delay appears to be constitutional because of his positive family history, absence of syndromic features or systemic illness, and bone age of 12 years. Puberty correlates more closely with bone age than chronological age. On follow-up, the patient will most likely demonstrate a similar onset of puberty as his father.

Hemorrhoidectomy

Ovulation is the release of eggs from the ovaries. In humans, this event occurs when the follicles rupture and release the secondary oocyte ovarian cells. After ovulation, during the luteal phase, the egg will be available to be fertilized by sperm

It used to be when a woman needed a hysterectomy she could expect full abdominal surgery with a long recovery time. Dr. Melissa Lee uses less invasive methods that can cut the patients downtime in half.

"We were trained in more laparoscopic and minimally invasive cases so of course that's what I'm more comfortable with doing right now."

She sees a new generation of patients opting for laparoscopic surgery.

"Laparoscopy is the use of small cameras with small incisions and instruments that are guided by the hand, and you're able to see directly into the abdomen without actually fully opening the abdomen," says Dr. Lee, an obstetrician-gynecologist with Lee Memorial Health System.

Nowadays, even a large mass or uterus can be removed using the slender tools.

"There are multiple different laparoscopic instruments that you can use. Whether they're blunt dissections or just dissectors that hold and retract back or actual scissors or cutting instruments, there are multiple different options," says Dr. Lee.

While a standard abdominal hysterectomy requires a four to eight inch incision, the laparoscope needs only a quarter to half inch. It's enough to make a big difference in terms of recovery.

"They're able to get up and move around faster. They're able to recover faster, their pain level and their need for pain medicine is much lower," says Dr. Lee.

The laparoscopic procedure also cuts down on scarring and more importantly, shortens the hospital stay. The trend now is home within 24 hours.

"Where the patient is done early in the morning, they're doing well they're tolerating oral intake they're able to getup and move around. And those patients a lot of times will feel comfortable to go home that same nigh after a major surgery," says Dr. Lee.

New studies show women who've had a laparoscopic hysterectomy viewed their quality of life as better than those who had an open abdominal procedure, making this a good option for the right patient.

View More Health Matters video segments at leememorial.org/healthmatters/

Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.

Visit leememorial.org