Top videos

Wernickes Aphasia Interview with a Patient
Wernickes Aphasia Interview with a Patient Alicia Berger 8,411 Views • 2 years ago

Wernicke's aphasia is a neurological disorder typically caused by stroke. It affects the Wernicke's region in the brain's left hemisphere which is reasoned to be responsible for processing of meaning, especially as it relates to verbal communication, hence the problems with speech witnessed in these patients

Stem Cell Therapy
Stem Cell Therapy samer kareem 9,091 Views • 2 years ago

Stem-cell therapy is the use of stem cells to treat or prevent a disease or condition. Bone marrow transplant is the most widely used stem-cell therapy, but some therapies derived from umbilical cord blood are also in use...

Fetal Surgery for CCAM and the EXIT Procedure (6 of 10)
Fetal Surgery for CCAM and the EXIT Procedure (6 of 10) Surgeon 127 Views • 2 years ago

If a fetal lung lesion is causing heart failure, fetal surgery may be performed to remove the CCAM before birth. http://fetalsurgery.chop.edu

N. Scott Adzick, MD, Mark Johnson, MD, and Holly Hedrick, MD, experts from the Center for Fetal Diagnosis and Treatment at Children’s Hospital of Philadelphia, explain when fetal intervention for CCAM is recommended, the various approaches that may be used to treat the most complex fetal lung lesions before birth, and how these procedures are performed.

One concern with fetal lung lesions is that they take up space in the chest. If the lung mass grows and pushes the heart and other organs out of place, it can lead to complications such as fetal hydrops (heart failure in the fetus). If this happens, a fetal surgery procedure may be performed to remove the CCAM before birth.
In other cases, an EXIT procedure may be performed to partially deliver the baby, so the team can remove the mass before the baby is fully delivered.

In this video series, parents, nurses and doctors from Children’s Hospital of Philadelphia’s Center for Fetal Diagnosis and Treatment talk about the different types of fetal lung lesions like congenital cystic adenomatoid malformation (CCAM) and bronchopulmonary sequestration (BPS), the importance of accurate diagnosis and monitoring, and the most advanced treatment options currently available. They also discuss follow-up care and long-term outcomes for babies diagnosed with fetal lung lesions.

What is Major Depressive Disorder?
What is Major Depressive Disorder? samer kareem 2,041 Views • 2 years ago

Possible causes include a combination of biological, psychological, and social sources of distress. Increasingly, research suggests these factors may cause changes in brain function, including altered activity of certain neural circuits in the brain. The persistent feeling of sadness or loss of interest that characterizes major depression can lead to a range of behavioral and physical symptoms. These may include changes in sleep, appetite, energy level, concentration, daily behavior, or self-esteem. Depression can also be associated with thoughts of suicide. The mainstay of treatment is usually medication, talk therapy, or a combination of the two. Increasingly, research suggests these treatments may normalize brain changes associated with depression.

Breastfeeding Mother with 2 and Almost 4 year old
Breastfeeding Mother with 2 and Almost 4 year old samer kareem 4,603 Views • 2 years ago

Attention deficit hyperactivity disorder (ADHD)
Attention deficit hyperactivity disorder (ADHD) samer kareem 6,642 Views • 2 years ago

Attention-deficit/hyperactivity disorder (ADHD) is a chronic condition that affects millions of children and often continues into adulthood. ADHD includes a combination of persistent problems, such as difficulty sustaining attention, hyperactivity and impulsive behavior.

Replacing IV skin & veins procedure
Replacing IV skin & veins procedure samer kareem 2,276 Views • 2 years ago

Chainsaw Accident! Lacerations
Chainsaw Accident! Lacerations samer kareem 2,998 Views • 2 years ago

Chainsaw Accident! Lacerations, Cysts, Blackheads & Surgerys

Open Rhinoplasty
Open Rhinoplasty Doctor 23,449 Views • 2 years ago

Open rhinoplasty without oseotomies peformed by Dr. Robert Dryden and Dr. Brett Kotlus. Basic steps for rasping of dorsal hump and cephalic trim with septoplasty and tip strut.

How to prepare for surgery
How to prepare for surgery Surgeon 325 Views • 2 years ago

Thousands of Canadians undergo surgery every year, so how can you best prepare? The first step is having a dialogue, says Sunnybrook anesthesiologist Dr. Colin McCartney. Read the blog for more: http://sunnyview.sunnybrook.ca

Cervicofacial Advancement Flap for SCC
Cervicofacial Advancement Flap for SCC Doctor 13,264 Views • 2 years ago

This video shows a patient with a large squamous cell carcinoma that has eroded through his external ear. The lesion has also infiltrated the parotid gland. We show the resection of this lesion with associated reconstruction.

Trans thoracic core needle biopsy by chest ct scan guided
Trans thoracic core needle biopsy by chest ct scan guided samer kareem 4,123 Views • 2 years ago

Computed tomography (CT)-guided transthoracic needle biopsy is a well-established, minimally invasive diagnostic tool for pulmonary lesions. Few large studies have been conducted on the diagnostic performance and adequacy for molecular testing of transthoracic core needle biopsy (TCNB) for small pulmonary lesions.

Laparoscopic Suture Repair of Bowel
Laparoscopic Suture Repair of Bowel DrPhil 9,180 Views • 2 years ago

Laparoscopic Suture Repair of Bowel

What is the best sleeping position?
What is the best sleeping position? samer kareem 1,769 Views • 2 years ago

Your sleeping pose can have a major impact on your slumber—as well as your overall health. Poor p.m. posture could potentially cause back and neck pain, fatigue, sleep apnea, muscle cramping, impaired circulation, headaches, heartburn, tummy troubles, and even premature wrinkles

Staples Insertion and Removal
Staples Insertion and Removal DrPhil 12,844 Views • 2 years ago

Demonstration of staple insertion and removal technique for laceration repair or wound closure in the operating room.

Combined Penetrating Keratoplasty (PK) and Cataract Surgery ( PK Triple Procedure)
Combined Penetrating Keratoplasty (PK) and Cataract Surgery ( PK Triple Procedure) Surgeon 158 Views • 2 years ago

Christopher J. Rapuano, MD, Director of the Cornea Service at Wills Eye Institute describes his surgical approach of a Combined Penetrating Keratoplasty (PK) and Cataract Surgery

Homan sign for DVT
Homan sign for DVT Doctor 28,032 Views • 2 years ago

Homan's sign for deep vein thrombosis

Dealing with bleeding
Dealing with bleeding Doctor 9,219 Views • 2 years ago

Dealing with bleeding

Closed Reduction of a Distal Radius Fracture
Closed Reduction of a Distal Radius Fracture samer kareem 18,550 Views • 2 years ago

Closed Reduction of Distal Radius Fractures - Discussion: (distal radius fracture menu) - closed reduction & immobilization in plaster cast remains accepted method of treatment for majority of stable distal radius frx; - unstable fractures will often lose reduction in the cast and will slip back to the pre-reduction position; - patients should be examined for carpal tunnel symptoms before and after reduction; - carpal tunnel symptoms that do not resolve following reduction will require carpal tunnel release; - cautions: - The efficacy of closed reduction in displaced distal radius fractures. - Technique: - anesthesia: (see: anesthesia menu) - hematoma block w/ lidocaine; - w/ hematoma block surgeon should look for "flash back" of blood from hematoma, prior to injection; - references: - Regional anesthesia preferable for Colles' fracture. Controlled comparison with local anesthesia. - Neurological complications of dynamic reduction of Colles' fractures without anesthesia compared with traditional manipulation after local infiltration anesthesia. - methods of reduction: - Jones method: involves increasing deformity, applying traction, and immobilizing hand & wrist in reduced position; - placing hand & wrist in too much flexion (Cotton-Loder position) leads to median nerve compression & stiff fingers; - Bohler advocated longitudinal traction followed by extension and realignment; - consider hyper-extending the distal fragment, and then translating it distally (while in extended position) until it can be "hooked over" proximal fragment; - subsequently, the distal fragment can be flexed (or hinged) over the proximal shaft fragment; - closed reduction of distal radius fractures is facilitated by having an assistant provide counter traction (above the elbow) while the surgeon controls the distal fragment w/ both hands (both thumbs over the dorsal surface of the distal fragment); - flouroscopy: - it allows a quick, gentle, and complete reduction; - prepare are by prewrapping the arm w/ sheet cotton and have the plaster or fibroglass ready; - if flouroscopy is not available, then do not pre-wrap the extremity w/ cotton; - it will be necessary to palpate the landmarks (outer shaped of radius, radial styloid, and Lister's tubercle, in order to judge success of reduction; - casting: - generally, the surgeon will use a pre-measured double sugar sugar tong splint, which is 6-8 layers in thickness; - more than 8 layers of plaster can cause full thickness burns: - reference: Setting temperatures of synthetic casts. - position of immobilization - follow up: - radiographs: - repeat radiographs are required weekly for 2-3 weeks to ensure that there is maintenance of the reduction; - a fracture reduction that slips should be considered to be unstable and probably require fixation with (pins, or ex fix ect.) - there is some evidence that remanipulation following fracture displacement in cast is not effective for these fractures; - ultimately, whether or not a patient is satisfied with the results of non operative treatment depends heavily on th

What is the Difference Between Schizoaffective Disorder and Schizophrenia?
What is the Difference Between Schizoaffective Disorder and Schizophrenia? samer kareem 3,260 Views • 2 years ago

Schizophreniform disorder is a mental disorder diagnosed when symptoms of schizophrenia are present for a significant portion of the time within a one-month period, but signs of disruption are not present for the full six months required for the diagnosis of schizophrenia.

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