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Chemical Burns
Chemical Burns Scott 10,436 Views • 2 years ago

How to deal with chemical burns and their first aid

Child Responsive Airway Obstruction
Child Responsive Airway Obstruction DrHouse 25,432 Views • 2 years ago

Child Responsive Airway Obstruction

Toilet Training Boys, Training Potty, Best Way To Potty Train, What Age Do You Potty Train
Toilet Training Boys, Training Potty, Best Way To Potty Train, What Age Do You Potty Train lorenzo 3,633 Views • 2 years ago

Toilet Training Boys, Training Potty, Best Way To Potty Train, What Age Do You Potty Train

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Kite Flap
Kite Flap DrPhil 20,568 Views • 2 years ago

Kite flap, Guy Fouchier flap, 2nd finger to thumb. Cadaver dissection. Prof Steven Hovius demonstrates dissection technique and planning for a kite flap.

Cancer Penis
Cancer Penis DrHouse 74,322 Views • 2 years ago

Urogenital neoplasms spreading to the inguinal lymph nodes are penile carcinoma (the most frequent), urethral and scrotum cancers, tumors of the testis with scrotal violation. Penile carcinoma is an uncommon malignant disease and accounts for as many 0.4-0.6% of male cancers. Most patients are elder...ly. It rarely occurs in men under age 60 and its incidence increases progressively until it reaches a peak in the eighth decade 1. The risk of a lymph node invasion is greater with high grade and high stage tumors 2. Some investigators have reported the inaccuracy of the sentinel node biopsy 3, 4, described by Cabanas 5. Patients with metastatic lymph node penis cancer have a very poor prognosis if penectomy only is performed. Ilioinguinal lymphadenectomy is basically carried out as a treatment modality and not only as a staging act. Patients with lymph node invasion have a 30-40% cure rate. Ilioinguinal lymphadenectomy should be also performed in patients with disseminated neoplasms for the local control of the disease. The 5 years survival rate of patients with clinically negative lymph nodes treated with a modified inguinal lymphadenectomy is 88% versus 38% in patients not initially treated with lymphadenectomy 6. This video-tape clearly shows a therapeutic algorithm, the anatomy of the inguinal lymph nodes, according to Rouviere 7 and Daseler 8, the radical ilioinguinal node dissection with transposition of the sartorius muscle and the modified inguinal lymphadenectomy proposed by Catalona 9. References: 1. Lynch D.F. and Schellhammer P: Tumors of the penis. In Campbell’s Urology Seventh Edition, edited by Walsh P.C., Retik A.B., Darracott Vaughan E. and Wein A.J. W.B. Saunders Company, Vol. 3, chapt. 79, p. 2458, 1998. 2. Pizzocaro G., Piva L., Bandieramonte G., Tana S. Up-to-date management of carcinoma of the penis. Eur. Urol. 32: 5-15, 1997 3. Perinetti E., Crane D.B. and Catalona W.J. Unreliability of sentinel lymph node biopsy for staging penile carcinoma. J. Urol. 124: 734, 1980 4. Fowler J.E. Jr. Sentinel lymph node biopsy for staging penile cancer. Urology 23: 352, 1984 5. Cabanas R.M. An approach for the treatment of penile carcinoma. Cancer 39: 456, 1977 6. Russo P. and Gaudin P. Management strategies for carcinoma of the penis. Contemporary Urology;5:48-66, 2000 7. Rouviere H. Anatomy of the human lymphatic system. Edwards Brothers, p. 218, 1938 8. Daseler E.H., Anson B.J., Reimann A.F. Radical excision of the inguinal and iliac lymph glands: a study based on 450 anatomical dissections and upon supportive clinical observations. Surg. Gynecol. Obstet. 87: 679, 1948 9. Catalona W.J. Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results. J. Urol. 140: 306-310, 1988

No Scalpel Vasectomy
No Scalpel Vasectomy Scott 98,741 Views • 2 years ago

No Scalpel Vasectomy

Rheumatic Mitral Valve Repair
Rheumatic Mitral Valve Repair Scott 19,588 Views • 2 years ago

Rhumatic fever has almost been eraicated in the developed world, however it remains prevelent in many under developed countries and causes devastating damage to heart valves. Up till recently valve replacement was the treatment of choice. The long term results and sequelae of valve replacement are...

common knowledge. Mitral and tricuspid valve replacement results are on the whole far worse than for example Aortic valve. Mitral valve replacement should be the last resort and patients with very severe valvular and sub valvular mitral disease can nowadays be helped by mitral valve repair. NO MITRAL OR TRICUSPID VALVE SHOULD BE REPLACED IF IT CAN BE REPAIRED

How to Perform Obstetric Palpation
How to Perform Obstetric Palpation samer kareem 24,488 Views • 2 years ago

The obstetric examination is distinct from other examinations in that you, the clinician, are trying to assess the health of two individuals – the mother and the fetus – simultaneously. From the initial history, you should be able to judge the health of the pregnancy, any risk factors that need to be addressed, and any concerns from the parents. The history is an opportunity for you to find out how much the parents know about pregnancy, labour and delivery and if they have any preferences to which these events are carried out. A carefully taken history will also direct your attention to specific signs during the examination. As such, it is important that you develop a concise and systematic method of taking the history and carrying out the examination so that you do not miss any important information. This article focuses primarily on the examination. Pregnancy is a sensitive issue, especially for the primigravida’s. Therefore, extra care is needed when you approach a pregnant woman. Always obtain expressed informed consent before examining her and have a chaperone accompany you throughout the examination. A walk-through of what you will be doing is a good way of reassuring the patient and allows the examination to go on smoothly. It is also important to let your patient know that if the examination is too painful, she can stop at any time she wants. Finally, before you begin, you should always wash your hands, especially at an OSCE station.

Endoscopic Sphenopalatine Artery Ligation
Endoscopic Sphenopalatine Artery Ligation Doctor 24,906 Views • 2 years ago

A 55-year-old man presented with recurrent epistaxis. After endoscopic sphenopalatine artery cauterization, the bleeding stopped. The patient was doing well at last follow up.

Breast Crawl Self Attachment
Breast Crawl Self Attachment samer kareem 22,233 Views • 2 years ago

The importance of uninterrupted contact between mother and newborn SHOW MORE

Open Appendectomy
Open Appendectomy DrHouse 69,555 Views • 2 years ago

Open Appendectomy Surgery Video

Drainage of the Knee Joint
Drainage of the Knee Joint Scott 8,191 Views • 2 years ago

nee joint aspiration and injection are performed to aid in diagnosis and treatment of knee joint diseases. The knee joint is the most common and the easiest joint for the physician to aspirate. One approach involves insertion of a needle 1 cm above and 1 cm lateral to the superior lateral aspect of the patella at a 45-degree angle. Once the needle has been inserted 1 to 1½ inches, aspiration aided by local compression is performed. Local corticosteroid injections can provide significant relief and often ameliorate acute exacerbations of knee osteoarthritis associated with significant effusions. Among the indications for arthrocentesis are crystal-induced arthropathy, hemarthrosis, unexplained joint effusion, and symptomatic relief of a large effusion. Contraindications include bacteremia, inaccessible joints, joint prosthesis, and overlying infection in the soft tissue. Large effusions can recur and may require repeat aspiration. Anti-inflammatory medi

Surgical tracheostomy
Surgical tracheostomy samer kareem 15,126 Views • 2 years ago

Nasal Septal Deviation Surgery
Nasal Septal Deviation Surgery samer kareem 10,361 Views • 2 years ago

Initial treatment of a deviated septum may be directed at managing the symptoms of the tissues lining the nose, which may then contribute to symptoms of nasal obstruction and drainage. Your doctor may prescribe: Decongestants. Decongestants are medications that reduce nasal tissue swelling, helping to keep the airways on both sides of your nose open. Decongestants are available as a pill or as a nasal spray. Use nasal sprays with caution, however. Frequent and continued use can create dependency and cause symptoms to be worse (rebound) after you stop using them. Decongestants have a stimulant effect and may cause you to be jittery as well as elevate your blood pressure and heart rate. Antihistamines. Antihistamines are medications that help prevent allergy symptoms, including obstruction and runny nose. They can also sometimes help nonallergic conditions such as those occurring with a cold. Some antihistamines cause drowsiness and can affect your ability to perform tasks that require physical coordination, such as driving. Nasal steroid sprays. Prescription nasal corticosteroid sprays can reduce inflammation in your nasal passage and help with obstruction or drainage. It usually takes from one to three weeks for steroid sprays to reach their maximal effect, so it is important to follow your doctor's directions in using them. Medications only treat the swollen mucus membranes and won't correct a deviated septum.

Gunshot Wound Repairing Surgery Video
Gunshot Wound Repairing Surgery Video samer kareem 14,069 Views • 2 years ago

Gunshot Wound to the Abdomen: Laparoscopic Exploration and Repair of Small Bowel Injury.

PARAPHARYNGEAL SPACE TUMORS: SURGICAL APPROACH
PARAPHARYNGEAL SPACE TUMORS: SURGICAL APPROACH bioyanez 6,972 Views • 2 years ago

PARAPHARYNGEAL SPACE TUMORS: SURGICAL APPROACH

Baby born with 2 Faces
Baby born with 2 Faces Alicia Berger 25,304 Views • 2 years ago

Baby is born with 2 faces: 4 eyes,2 mouth orifices,2 noses, 2 ears

Ectopic Pregnancy Surgery
Ectopic Pregnancy Surgery samer kareem 4,843 Views • 2 years ago

An ectopic pregnancy results when a fertilized egg implants outside the uterus. Unfortunately, there's no way to transplant an ectopic pregnancy into your uterus, so ending the pregnancy is the only option. About 2 percent of pregnancies are ectopic. Because ectopic pregnancy is potentially dangerous for you, it's important to recognize the early signs and get treatment as soon as possible.

Cricothyrotomy
Cricothyrotomy samer kareem 18,677 Views • 2 years ago

A cricothyrotomy (also called crike, thyrocricotomy, cricothyroidotomy, inferior laryngotomy, intercricothyrotomy, coniotomy or emergency airway puncture) is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by ...

Hernia Examination for Medical Students
Hernia Examination for Medical Students Mohamed Ibrahim 137,654 Views • 2 years ago

This is an educational medical video for Medical Students showing how to examine a hernia swelling

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