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Medical Education - How to Insert Enema
Medical Education - How to Insert Enema hooda 12,870 Views • 2 years ago

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Sperm Formation and Ejaculation Process
Sperm Formation and Ejaculation Process hooda 89,278 Views • 2 years ago

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Laser Circumcision Indonesia
Laser Circumcision Indonesia Devandra Reynand 3,818 Views • 2 years ago

Laser Circumcision

Terrible Things Were Found Living Inside a Human Body
Terrible Things Were Found Living Inside a Human Body hooda 14,570 Views • 2 years ago

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a Woman Giving Triplets Natural Vaginal Birth
a Woman Giving Triplets Natural Vaginal Birth hooda 29,723 Views • 2 years ago

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Open Inguinal Hernia Operation (German)
Open Inguinal Hernia Operation (German) Scott 36,214 Views • 2 years ago

Open Inguinal Hernia Operation (German)

Eyeball cyst Removal
Eyeball cyst Removal samer kareem 2,240 Views • 2 years ago

Eyeball cyst Removal

Woman Giving Birth
Woman Giving Birth Alicia Berger 3,531 Views • 2 years ago

Woman Giving Birth

Benign Cervical Lesions
Benign Cervical Lesions samer kareem 3,125 Views • 2 years ago

By 5 weeks' gestational age, the wolffian (ie, mesonephric) and the müllerian (ie, paramesonephric) ducts have formed from intermediate mesoderm. In the absence of testosterone and müllerian inhibitory substance, the mesonephric ducts regress and the paramesonephric ducts continue to form the female reproductive structures with fusion of the distal portions of the paramesonephric ducts to give rise to the uterine fundus, the cervix, and the upper vagina. These developmental changes are genetically controlled in large part by a series of complex transcriptional signaling pathways including Wnt signaling, Hox genes, and many others. In a female fetus, the wolffian duct disappears except for nonfunctional vestiges. The müllerian duct is lined by a columnar epithelium. This includes the entire cervix and upper vagina to the vaginal plate (ie, sinovaginal bulb). Through a process of squamous metaplasia, the vagina and a variable portion of the ectocervix become covered with squamous epithelium. This process is complete by the fifth month of pregnancy.

Emergency C Section for a Bleeding Placenta
Emergency C Section for a Bleeding Placenta samer kareem 3,020 Views • 2 years ago

Emergency C Section for a Bleeding Placenta

Cerebral Venous Sinus Thrombosis
Cerebral Venous Sinus Thrombosis samer kareem 5,768 Views • 2 years ago

Thrombosis of the venous channels in the brain is an uncommon cause of cerebral infarction relative to arterial disease, but it is an important consideration because of its potential morbidity. (See Prognosis.) Knowledge of the anatomy of the venous system is essential in evaluating patients with cerebral venous thrombosis (CVT), since symptoms associated with the condition are related to the area of thrombosis. For example, cerebral infarction may occur with cortical vein or sagittal sinus thrombosis secondary to tissue congestion with obstruction. (See Presentation.) Lateral sinus thrombosis may be associated with headache and a pseudotumor cerebri–like picture. Extension into the jugular bulb may cause jugular foramen syndrome, while cranial nerve palsies may be seen in cavernous sinus thrombosis as a compressive phenomenon. Cerebral hemorrhage also may be a presenting feature in patients with venous sinus thrombosis. (See Presentation.) Imaging procedures have led to easier recognition of venous sinus thrombosis (see the images below), offering the opportunity for early therapeutic measures. (See Workup.) Left lateral sinus thrombosis demonstrated on magn Left lateral sinus thrombosis demonstrated on magnetic resonance venography (MRV). This 42-year-old woman presented with sudden onset of headache. Physical examination revealed no neurologic abnormalities. View Media Gallery Axial view of magnetic resonance (MR) venogram dem Axial view of magnetic resonance (MR) venogram demonstrating lack of flow in transverse sinus. View Media Gallery The following guidelines for CVT have been provided by the American Heart Association and the American Stroke Association [1] : In patients with suspected CVT, routine blood studies consisting of a complete blood count, chemistry panel, prothrombin time, and activated partial thromboplastin time should be performed. Screening for potential prothrombotic conditions that may predispose a person to CVT (eg, use of contraceptives, underlying inflammatory disease, infectious process) is recommended in the initial clinical assessment. Testing for prothrombotic conditions (including protein C, protein S, or antithrombin deficiency), antiphospholipid syndrome, prothrombin G20210A mutation, and factor V Leiden can be beneficial for the management of patients with CVT. Testing for protein C, protein S, and antithrombin deficiency is generally indicated 2-4 weeks after completion of anticoagulation. There is a very limited value of testing in the acute setting or in patients taking warfarin. In patients with provoked CVT (associated with a transient risk factor), vitamin K antagonists may be continued for 3-6 months, with a target international normalized ratio of 2.0-3.0. In patients with unprovoked CVT, vitamin K antagonists may be continued for 6-12 months, with a target international normalized ratio of 2.0-3.0. For patients with recurrent CVT, venous thromboembolism (VTE) after CVT, or first CVT with severe thrombophilia (ie, homozygous prothrombin G20210A; homozygous factor V Leiden; deficiencies of protein C, protein S, or antithrombin; combined thrombophilia defects; or antiphospholipid syndrome), indefinite anticoagulation may be considered, with a target international normalized ratio of 2.0-3.0. For women with CVT during pregnancy, low-molecular-weight heparin (LMWH) in full anticoagulant doses should be continued throughout pregnancy, and LMWH or vitamin K antagonist with a target international normalized ratio of 2.0-3.0 should be continued for ≥6 weeks postpartum (for a total minimum duration of therapy of 6 months). It is reasonable to advise women with a history of CVT that future pregnancy is not contraindicated. Further investigations regarding the underlying cause and a formal consultation with a hematologist or maternal fetal medicine specialist are reasonable. It is reasonable to treat acute CVT during pregnancy with full-dose LMWH rather than unfractionated heparin. For women with a history of CVT, prophylaxis with LMWH during future pregnancies and the postpartum period is reasonable. Next: Etiology What to Read Next on Medscape Related Conditions and Diseases Quiz: Do You Know the Complications, Proper Workup, and Best Treatment Practices for Ischemic Stroke? Quiz: How Much Do You Know About Hypothyroidism? Quiz: Do You Know the Risk Factors, Symptoms, and Potential Treatments for Alzheimer Disease? Quiz: How Much Do You Know About Hypertension? 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Tears Of Abortion
Tears Of Abortion samer kareem 5,249 Views • 2 years ago

Tears Of Abortion - Story of an aborted baby,

Claudication
Claudication samer kareem 4,757 Views • 2 years ago

Claudication is pain caused by too little blood flow, usually during exercise. Sometimes called intermittent claudication, this condition generally affects the blood vessels in the legs, but claudication can affect the arms, too. At first, you'll probably notice the pain only when you're exercising, but as claudication worsens, the pain may affect you even when you're at rest. Although it's sometimes considered a disease, claudication is technically a symptom of a disease. Most often, claudication is a symptom of peripheral artery disease, a potentially serious but treatable circulation problem in which the vessels that supply blood flow to your legs or arms are narrowed. Fortunately, with treatment, you may be able to maintain an active lifestyle without pain.

Delivering Breech Baby
Delivering Breech Baby samer kareem 6,588 Views • 2 years ago

Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal. When this fails to happen, the baby’s buttocks and/or feet will be positioned to be delivered first. This is referred to as “breech presentation.” Breech births occur in approximately 1 out of 25 full-term births.

PAP Smear
PAP Smear samer kareem 9,268 Views • 2 years ago

A Pap smear (also called a Pap test) is a screening procedure for cervical cancer. It tests for the presence of precancerous or cancerous cells on the cervix, the opening of the uterus. It's named after the doctor who determined that this was a useful way to detect signs of cervical cancer.

Goniotomy for Congenital Glaucoma
Goniotomy for Congenital Glaucoma DrHouse 14,392 Views • 2 years ago

A technique of goniotomy. Sent by Prof. Dr. Daljit Singh. I think it has been done by Dr. Jan Worst and the video is probably more than 15 years old.

Intramuscular (IM) injection Tutorial for Nurses
Intramuscular (IM) injection Tutorial for Nurses Mohamed Ibrahim 5,047 Views • 2 years ago

Intramuscular (IM) injection Tutorial for Nurses Video

How To Firm And Lift Your Sagging Breasts Naturally
How To Firm And Lift Your Sagging Breasts Naturally hooda 6,435 Views • 2 years ago

Watch that video to know How To Firm And Lift Your Sagging Breasts Naturally

Aortic Heart Valve Replacement Surgery
Aortic Heart Valve Replacement Surgery samer kareem 10,826 Views • 2 years ago

During open-heart valve surgery, the doctor makes a large incision in the chest. Blood is circulated outside of the body through a machine to add oxygen to it (cardiopulmonary bypass or heart-lung machine). The heart may be cooled to slow or stop the heartbeat so that the heart is protected from damage while surgery is done to replace the valve with an artificial valve. The artificial valve might be mechanical (made of man-made substances). Others are made out of animal tissue, often from a pig.

A patient suffering from Diabetic gangrene and maneged by
A patient suffering from Diabetic gangrene and maneged by "myiasis" samer kareem 1,937 Views • 2 years ago

A patient suffering from Diabetic gangrene and maneged by "myiasis"

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