There is a strong association with obesity. In children younger than 10 years, it is associated with metabolic endocrine disorders {hypothyroidism, panhypopituitarism, hypogonadism, renal osteodystrophy, growth hormone abnormalities). SCFE is considered chronic if it has been present more than 3 weeks and acute if it has been present for 3 weeks or less. It is called "stable" if the patient can bear weight and "unstable" if the patient cannot ambulate. Unstable SCFE is associated with more complications, including avascular necrosis of the femoral head (AVN). SCFE is diagnosed by x-ray of the pelvis and bilateral hips. The underlying cause is a widened epiphyseal growth plate, due to abnormal cartilage maturation and endochondral ossification. The treatment is surgical, requiring immediate internal fixation with a single screw. Delay in treatment {> 24 hours) leads to increased AVN, SCFE progression from stable to unstable, and high risk of future degenerative arthritis. Prophylactic contralateral fixation of the unaffected hip is not routinely done in the U.S., except in patients with endocrine abnormalities.

Dr. Ailawadi, M.D., the Chair of Cardiac Surgery at Michigan Medicine, specializes in minimally invasive valve surgery as well as complex cardiac operations. This video shows step by step footage of a Coronary Artery Bypass Graft (CABG) in a complex patient. In this case, CABG was performed through a sternotomy (through the breast bone) using the internal thoracic artery and saphenous leg veins to bypass obstructed coronary arteries. In this video, Dr. Ailawadi will perform a triple vessel bypass (CABG) which has been shown to minimize the risk of future heart attack and help patients live longer in the setting of complex coronary artery disease.

To learn more about cardiac surgery at Michigan Medicine, visit: https://medicine.umich.edu/dept/cardiac-surgery

To learn more about Frankel Cardiovascular Center, visit: https://www.umcvc.org/

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This video depicts how a stent is placed in the coronary artieries. We first place a guiding wire in the heart artery through a catheter, usually from the groin. Then the stent is inflated by a balloon in the artery, which is then removed. The stent remains permanently. Blood thinners, aspirin and plavix, are both required after a stent is placed in your heart artery.

Acute compartment syndrome refers to ischemic tissue damage secondary to elevated pressures in the enclosed compartments of the lower legs or forearm. When the tissue pressure in an enclosed compartment exceeds the perfusion pressure, the resulting diminished tissue perfusion and compromised blood flow to the muscles and nerves inevitably lead to ischemic tissue necrosis. Majority of the cases involving the lower extremities are due to a traumatic event, most commonly tibial fractures. Other causes include a crush injury or other long bone fractures in a motor vehicle accident, a tight cast or dressing after trauma, and drug overdose.

In this instructional video, Director of Critical Care Nephrology, Sevag Demirjian, MD goes over the steps for in-hospital production of ultra-pure continuous hemodialysis fluid.

By using the information in this video and/or any other materials made available by Cleveland Clinic related to the dialysate solution, you agree to comply with and be bound by the terms of the Permissive Use Agreement, a copy of which is available at https://bit.ly/3f9lN4j

Dr. Linder is removing a patients breast implants after having five breast augmentations from three previous surgeons. She has baker 4 capsular contracture and is look forward to having them removed. The most common reasons for removing a breast implant include; heath reasons such as back pain, reoccurring complications and the desire for a different shape or size. For implant removal surgery, Dr. Linder makes an inframammary incision (along the breast crease). The implant can be removed intact, or it may need to be punctured before removal. An antibiotic solution is used to irrigate the breast pocket after implant removal. For more information about breast implant removal go to www.implantremoval.net or call Dr. Linder's office at 310-275-4513

A little venom is drawn into a syringe. ... The quick coagulation or blood clotting caused by the Russell's viper venom is of particular interest to scientists — there's a lot of research into how it might be used in medicine. But this effect is only present in healthy blood.

Wound-closure technologies are becoming less painful and more efficient at closing wounds

Vaginoplasty is a surgical procedure designed to rejuvenate and tighten a woman’s vagina, by removing excess lining and repairing the surrounding soft tissues. It is designed to decrease the diameter of the vagina, resulting in increased friction during intercourse to make the experience more pleasurable for both partners.

How to properly apply a tourniquet

Watch that video of an Ingrown hair turns into 140-pound tumor in man’s stomach

Both lower extremities must be evaluated to determine the presence or extent of any disease and to ascertain the pulse status of the patient. The feet are examined for signs of peripheral vascular disease and the anterior and posterior tibial pulses are palpated. Because an intact arch can supply retrograde flow to the major vessels of the foot, it can be helpful to put pressure on the anterior tibial artery when detecting the presence of a posterior tibial pulse and visa-versa. This "modified Allen's test" may detect proximal vessel obstruction masked by an intact foot arch. The need for preoperative angiography in young, healthy patients with a normal physical examination has been hotly debated. Our tendency has been to obtain preoperative angiograms as a guide. Although rare, we have seen lower extremities with a dominant peroneal artery nourishing the foot and distal anterior and posterior vessels, contraindicating sacrifice of the peroneal artery. MRI or CT angiography can also be used in many circumstances.

Diagnose an abusive relationship and you will be on your way to ending domestic abuse. Getting a definitive, objective diagnosis can put you in the "stop-guessing" mode and into the "start-treating" mode in moments.

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Watch that video of People should have gone to the dentist a lot sooner

Dieta Iposodica Per Acufeni, Agopuntura Efficacia Contro Acufeni, Ronzio Orecchie Nel Silenzio---- http://acufeni-cura.plus101.com/ --- I sintomi dell'acufene, I sintomi dell'acufene possono causare molti fastidi e problemi a chi ne soffre. Inoltre anche i sintomi possono causare confusione. Prendiamo un esempio per capire meglio. Stai conducendo una vita perfetta, vai al lavoro e torni a casa ogni giorno, ma improvvisamente incominci a sentire strani rumori all'orecchio. Ovviamente credi che ci sia una sorgente di tali rumori. Stranamente nessun altro sembra sentirli. Puoi spaventarti e pensare che quei rumori provengano dal tuo corpo, così vai dal dottore. Dopo qualche esame il dottore conferma che è tutto a posto. Il problema è che tu i rumori continui a sentirli. Incominciano a darti sui nervi e ti influenzano nel lavoro. E ancora peggio, i rumori sembrano farsi più forti la notte, privandoti del tuo prezioso sonno. Si tratta di acufene. I rumori che senti sono i sintomi principali e possono essere di vario tipo. Puoi sentire strani scricchilii, ronzii, brusii, fischi o sibili all'orecchio. Non è mai lo stesso per tutti. Alcuni li sentono di tanto in tanto, altri per tutto il tempo. alcuni raccontano di forti attacchi. Ed altri sono stremati da trapanamenti costanti. Ma una cosa è certa - molte persone negli USA e altrove hanno gli acufeni. Quindi non sei davvero l'unico in queste condizioni. La maggior parte dei sintomi dell'acufene non sono altro che rumori fantasma Molte persone sono confuse se non riescono ad indivuare la fonte del rumore alle orecchie. Alcuni si spaventano. Spesso queste persone sono messe in ridicolo da chi non sente quei rumori. Ma per chi soffre di acufeni i suoni sono assolutamente reali. Di fatto sono rumori fantasma, una percezione delle orecchie. Vi sono eccezioni. In almeno un caso il rumore può essere reale. In altre parole c'è una effettiva fonte del rumore che senti. Questo è l'acufene pulsatile. In questo caso sei in grado di sentire il battito del tuo cuore e ciò ti può far impazzire perchè lo senti in continuazione. Vi è un'altra differenza. C'è sicuramente più di una persona che sente questi rumori e questo è il tuo dottore. Avrà bisogno di uno strumento di ascolto per sentirli. Prendi nota - non è come sentire il cuore con uno stetoscopio. in questo caso il dottore utilizza uno strumento di ascolto per sentire il rumore all'orecchio, non nel petto. Che cosa causa l'acufene pulsatile? Potresti sentire il tuo cuore in caso di pressione alta, danni alle arterie e anche cambiamenti della circolazione del sangue. A volte, una grande dose di stress, ansia o depressione può causare questa situazione. Non Importa Quale Sia La Causa, Tipo O Gravità Del Tuo Acufene, Puoi Iniziare Ad Utilizzare Questo Efficare Sistema PROPRIO ORA Ed Ottenere Un Sollivo E Una Liberazione Permanente ISTANTANEA Dai Tuoi Acufeni! inserisci ora: http://acufeni-cura.plus101.com/

Otto Placik MD. a board certified Chicago based plastic surgeon presents Vulvar Vaginal Genital anatomy lesson reviewing the Vulva, Mons Pubis, clitoral hood, prepuce, frenulum, labia minora & majora, vagina, urethra and fourchette with surgical implications and techniques. Photos pictures and video of anatomic models are reviewed in detail on different models. Great for patients thinking about or planning before labiaplasty or vaginal cosmetic surgery