Acromegaly is usually caused by a noncancerous tumor. Middle-aged adults are most commonly affected. Symptoms include enlargement of the face, hands, and feet. Prompt treatment is needed to avoid serious illness. Drugs can reduce the effects of growth hormone. If needed, surgery and radiation may be used to remove tumor cells.

Tuberous breast deformity is a congenital breast anomaly that becomes manifest at the time of puberty and breast development. The three components of tubular deformity usually include, pseudoherniation of breast tissue into the nipple areolar complex, poorly defined inframammary fold and flattening of the lower pole of the breast which leads to a conical tubular shape. Stuart Linder M.D. 9675 BRIGHTON WAY, SUITE 420 BEVERLY HILLS CA 90210 (310) 275-4513

19 years old young man with inguinoscrotal right hernia.Decision-making for repair with minimal prosthetic residual material, and no stitches use for best comfort

LASIK or Laser-Assisted In Situ Keratomileusis is a surgical procedure intended to reduce a person's dependency on glasses or contact lenses.

LASIK surgery is most commonly performed as a cure for myopia (nearsightedness), but can also be used to cure hyperopia (farsightedness) or astigmatism (corneal irregularities).

LASIK is a procedure that permanently changes the shape of the cornea using a special laser and thus focusing the light rays exactly on the retina.

The steps of the procedure are as follows:

A suction ring is placed on the eye to stabilize and check the eye pressure.

The microkeratome, a cutting instrument, is attached to the suction ring.

The blade of the microkeratome is used to cut a flap in the cornea.

The exposed inner layer of the cornea is then reshaped with an excimer laser.

The corneal flap is returned to its original position.

LASIK is an ambulatory procedure; the patient can walk into the surgery center, have the procedure and walk out again and is awake the whole time. Occasionally, the doctor may administer a mild oral sedative.

An intra-aortic balloon pump (IABP) is a mechanical device that helps the heart pump blood. This device is inserted into the aorta, the body's largest artery. It is a long, thin tube called a catheter with a balloon on the end of it. If you are hospitalized, your doctor may insert an IABP. Your doctor will numb an area of your leg and thread the IABP through the femoral artery in your leg into your aorta. He or she then positions the IABP at the center of your aorta, below your heart. The doctor will use an X-ray machine during this procedure to help accurately position the IABP. Why is it used? An IABP might be used to stabilize a person who is in the hospital for acute mitral valve regurgitation or severe heart failure. An IABP is only used for a short period of time (hours to days). A long-term treatment will likely be needed, such as valve surgery or the insertion of a left ventricular assist device (LVAD).

We are looking for 5 patients with knee pain who want to get significantly better in the next 30 days. Click this link to let me know you're interested and learn more.

https://www.drdavidgeier.com/work-with-me/contact/

If you suffer a knee injury, what do you do about it? Should you be concerned? On one hand, you could give it a few days to see if it gets better on its own. How can you know if you risk making the problem worse? In this Ask Dr. Geier video, I offer four signs you have a serious knee injury that could require surgery.

Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/

The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK.

SWELLING
If you have a knee that is much more swollen than the opposite knee, especially if the swelling developed soon after you got hurt, then it could be a sign of structural damage. While a small amount of swelling could be normal or a sign of inflammation in the knee, a knee that is really swollen and much larger than the other knee could represent a fracture, torn ACL or other ligament or some other damaged structure.

INABILITY TO FULLY STRAIGHTEN YOUR KNEE
Pain can make it difficult for you to straighten your knee. But being unable to get your knee completely flat can be a sign of an injury like an ACL tear or meniscus tear.

LOCKING OF THE KNEE
Locking is a term orthopedic surgeons use to describe a knee that gets stuck in a certain position. Maybe you can straighten it to a certain point, but it gets stuck around 30 degrees short of fully straight. Or you can’t bend it past a certain point because something inside the knee is blocking it. Catching is a milder form of the same problem, where you can get to the point that the motion stops, but you can twist or rotate your knee past that point.

BUCKLING OR GIVING WAY
Having the tibia (shin bone) shift out from under the femur (thigh bone) usually represents an ACL injury. If your knee buckled during the traumatic injury and keeps happening in the days after the injury, you risk doing more damage to the other structures inside the knee.

This list is not comprehensive, so if you are concerned about your knee injury or knee pain, it never hurts to see your doctor or an orthopedic surgeon.

University Hospitals Neurological Institute will host a live webcast to demonstrate the removal of a brain tumor that doctors believe is causing epileptic seizures in a middle-aged man.

An MRI showed what appears to be a glioma (tumor) near a part of the brain that controls muscle movement, called the motor strip. Studies have shown that complete removal can cure the seizures and improve quality of life and survival, but this is difficult to do with conventional technology without harming the surrounding normal brain because it's difficult to determine where tumor ends and normal brain begins.

CPAP is a treatment that uses mild air pressure to keep your breathing airways open. It involves using a CPAP machine that includes a mask or other device that fits over your nose or your nose and mouth, straps to position the mask, a tube that connects the mask to the machine’s motor, and a motor that blows air into the tube. CPAP is used to treat sleep-related breathing disorders including sleep apnea. It also may be used to treat preterm infants who have underdeveloped lungs.

28 years old gentleman presented with huge liver abscess in the right lobe, with repeated attempts of percutaneous aspirations in the past. He was evaluated and subjected to Laparoscopic drainage. This video depicts feasibility of laparoscopy in deep seated liver abscesses. Video created by: Dr. Juneed M. Lanker Fellow Minimal Access Surgery Apollo Hospitals Chennai.

Elbow Exam - Orthopaedic OSCE - Clinical Skills - Dr Gill

The elbow examination is a core skill - in this video, we demonstrate how to perform an elbow EXAM for an Orthopaedic Clinical Skills OSCE, which should be one of the more accessible examination stations for medical students.

For a passing grade in your Clinical Skills OSCE, an elbow assessment should follow the LOOK, FEEL, MOVE approach

Initially looking for erythema, scars, swelling and position

Palpating the elbow - specifically the olecranon, medial and lateral epicondyles, and radial head for heat, oedema and crepitus

Finally assess range of movement with flexion and extension at the elbow, before determining for tennis and golfers' elbows

Watch further orthopaedic examinations for your OSCE revision:

The Elbow - Deep Dive
https://youtu.be/SX5buhtCVDw

The Spine Examination:
https://youtu.be/pJxMHa6SCgU

The Knee examination
https://youtu.be/oyKH4EYfJDM

The Hip examination
https://youtu.be/JC9GKq5nSdQ

The GALS examination
https://youtu.be/5qJaf7gW-B0 - Gait, Arms, Legs, Spine - GALS screen

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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.

Some people viewing this medical examination video may experience an ASMR effect

#clinicalskills #Elbow #DrGill

Demonstration of subcuticular or intradermal suturing technique for wound closure in the operating room.

A small-bowel obstruction (SBO) is caused by a variety of pathologic processes. The leading cause of SBO in industrialized countries is postoperative adhesions (60%), followed by malignancy, Crohn disease, and hernias, although some studies have reported Crohn disease as a greater etiologic factor than neoplasia.

Warning: This video contains actual surgical footage, which may not be suitable for all viewers.

To learn more about coronary artery bypass surgery, please visit http://cle.clinic/3b7dqpE

Cardiothoracic surgeon Faisal Bakaeen, MD, discusses how he does single and bilateral internal mammary arteries, and the benefits of doing this type of coronary artery bypass.

If you liked the video hit like and subscribe for more!

Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Prior to any surgeries, patients usually undergo hormone replacement therapy (HRT), and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgery, breast augmentation, and various other procedures.

Pregnancy ultrasounds are performed mainly using transabdominal ultrasound. For many women, especially after 8 weeks gestation, sufficient information about the baby may be obtained with transabdominal ultrasound only. However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby. Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. It will not harm you or your baby.

Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract camera.gif and pass from the body. See a picture of ESWL camera.gif. You lie on a water-filled cushion, and the surgeon uses X-rays or ultrasound tests to precisely locate the stone. High-energy sound waves pass through your body without injuring it and break the stone into small pieces. These small pieces move through the urinary tract and out of the body more easily than a large stone. The process takes about an hour. You may receive sedatives or local anesthesia. Your surgeon may use a stent if you have a large stone. A stent is a small, short tube of flexible plastic mesh that holds the ureter open. This helps the small stone pieces to pass without blocking the ureter.

Urological surgeons have become proficient at performing complex pelvic urological procedures, such as radical prostatectomy, using the laparoscopic approach. Declan Murphy and Daniel Moon share their experience of four less common procedures they have performed recently using laparoscopic techniques. These include: excision of a urachal cyst; partial cystectomy for endometriosis (combined endoscopic-laparoscopic approach); repair of an intra-peritoneal bladder rupture; and repair of a ureteric injury (combined endoscopic-laparoscopic approach).

Cervical artificial disc replacement using the BRYAN Disc, a trusted product of Medtronic. Spine care offices are located in New Jersey, New York, and Florida. Are you experiencing neck pain? Do you think you may have a herniate disc? Learn more about our doctors' 97% success rate for performing BRYAN disc replacement:

Comedone Extraction Video

Nosebleeds are common due to the location of the nose on the face, and the large amount of blood vessels in the nose. The most common causes of nosebleeds are drying of the nasal membranes and nose picking (digital trauma), which can be prevented with proper lubrication of the nasal passages and not picking the nose.