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Constitutional Puberty Delay
Constitutional Puberty Delay samer kareem 4,104 Views • 2 years ago

Delayed puberty is defined as the absence of any signs suggestive of puberty by 14 years of age. In this case, the patient's pubertal delay appears to be constitutional because of his positive family history, absence of syndromic features or systemic illness, and bone age of 12 years. Puberty correlates more closely with bone age than chronological age. On follow-up, the patient will most likely demonstrate a similar onset of puberty as his father.

Laparoscopy Gunshot Wound to Abdomen
Laparoscopy Gunshot Wound to Abdomen Surgeon 11,030 Views • 2 years ago

Laparoscopy Gunshot Wound to Abdomen

Adult Choking: First aid
Adult Choking: First aid samer kareem 2,220 Views • 2 years ago

Choking occurs when a foreign object becomes lodged in the throat or windpipe, blocking the flow of air. In adults, a piece of food often is the culprit. Young children often swallow small objects. Because choking cuts off oxygen to the brain, administer first aid as quickly as possible. The universal sign for choking is hands clutched to the throat. If the person doesn't give the signal, look for these indications: Inability to talk Difficulty breathing or noisy breathing Inability to cough forcefully Skin, lips and nails turning blue or dusky Loss of consciousness

Esophageal Manometry
Esophageal Manometry samer kareem 1,957 Views • 2 years ago

Esophageal manometry is a test used to measure the function of the lower esophageal sphincter (the valve that prevents reflux of gastric acid into the esophagus) and the muscles of the esophagus (see diagram). This test will tell your doctor if your esophagus is able to move food to your stomach normally.

Subphrenic abscess CXR
Subphrenic abscess CXR samer kareem 1,602 Views • 2 years ago

Suspect that a patient has a subphrenic abscess if he deteriorates, or recovers and then deteriorates, between the 14th and the 21st day after a laparotomy, with a low, slowly increasing, swinging fever, sweating, and a tachycardia. This, and a leucocytosis, show that he has ''pus somewhere', which is making him anorexic, wasted, and ultimately cachectic. If he has no sign of a wound infection, a rectal examination is negative, and his abdomen is soft and relaxed, the pus is probably under his diaphragm. The pus might be between his diaphragm and his liver, in (1) his right or (2) his left subphrenic space, or under his liver in (3) his right or (4) his left subhepatic space in his lesser sac. He may have pus in more than one of these spaces. Explore him on the suspicion that he might have a subphrenic abscess. Exploration is not a major operation; the difficulty is knowing where to explore, so refer him if you can. If you cannot refer him, explore him yourself. If you fail to find pus, you have done him no harm; missing a subphrenic abscess is far worse. If it is anterior, you can drain it by going under his costal margin anteriorly. If it is posterior, you can go through the bed of his 12th rib posteriorly.

The Worst skin Jiggers Removals
The Worst skin Jiggers Removals hooda 79,582 Views • 2 years ago

Watch that video of The Worst skin Jiggers Removals

Stone Control Catheter
Stone Control Catheter samer kareem 11,067 Views • 2 years ago

Stone Control Catheter

Nasal Polyps
Nasal Polyps samer kareem 2,093 Views • 2 years ago

Nasal polyps are soft, painless, noncancerous growths on the lining of your nasal passages or sinuses. They hang down like teardrops or grapes. They result from chronic inflammation due to asthma, recurring infection, allergies, drug sensitivity or certain immune disorders. Nasal polyps are polypoidal masses arising mainly from the mucous membranes of the nose and paranasal sinuses. They are overgrowths of the mucosa that frequently accompany allergic rhinitis, and are freely movable and nontender.

Ankle Fusion Surgery
Ankle Fusion Surgery samer kareem 4,410 Views • 2 years ago

Ankle fusion (arthrodesis) This is a surgical procedure which joins together the main bones of the ankle joint (the tibia and the talus). However, depending on the technique your surgeon will use, occasionally the fibula will be included in this procedure. The two joint surfaces which generate the pain are removed.

Endometrial Biopsy of Uterus
Endometrial Biopsy of Uterus Scott 16,240 Views • 2 years ago

Endometrial Biopsy of Uterus

Posterior Urethral Strictures Associated with Urinary Incontinence after Prostatectomy Management
Posterior Urethral Strictures Associated with Urinary Incontinence after Prostatectomy Management Scott Stevens 9,924 Views • 2 years ago

Posterior Urethral Strictures Associated with Urinary Incontinence after Prostatectomy Management

What Causes Keratoconus:?
What Causes Keratoconus:? samer kareem 1,635 Views • 2 years ago

Anatomical Surgical Hand Scrub
Anatomical Surgical Hand Scrub Surgeon 140 Views • 2 years ago

Surgical site infections (SSIs) remain a prevalent threat to patient safety. Proper surgical hand scrub or rub techniques are essential to decreasing the incidence of SSIs. This video provides instructions on the anatomical surgical hand scrub procedure using the brushstroke method. Learn more from the Department of Hospital Epidemiology and Infection Control (HEIC) at The Johns Hopkins Hospital: http://www.hopkinsmedicine.org/heic

Partial Seizure in 13 year old boy
Partial Seizure in 13 year old boy samer kareem 10,453 Views • 2 years ago

Focal seizures (also called partial seizures [citation needed] and localized seizures) are seizures which affect initially only one hemisphere of the brain. [citation needed] The brain is divided into two hemispheres, each consisting of four lobes – the frontal, temporal, parietal and occipital lobes.

Introduction to Clinical Medicine
Introduction to Clinical Medicine samer kareem 5,410 Views • 2 years ago

Surgical Approaches for Peripheral Arterial Disease
Surgical Approaches for Peripheral Arterial Disease Scott 4,214 Views • 2 years ago

Roman Nowygrod, MD, a surgeon at NewYork-Presbyterian/Columbia University Medical Center, explains the different surgical approaches to treat Peripheral Arterial Disease (PAD).

What is Breast Reconstruction?
What is Breast Reconstruction? Mohamed Ibrahim 18,236 Views • 2 years ago

Typically, breast reconstruction takes place during or soon after mastectomy, and in some cases, lumpectomy. Breast reconstruction also can be done many months or even years after mastectomy or lumpectomy. During reconstruction, a plastic surgeon creates a breast shape using an artificial implant (implant reconstruction), a flap of tissue from another place on your body (autologous reconstruction), or both.

Myths about Aging Debunked
Myths about Aging Debunked John Snow 2,631 Views • 2 years ago

Like in any other sector of health, aging come with its myths. These myths can be hurtful to senior citizens and their caretakers if mistaken for truths. Here are some common myths about aging that caregivers should be aware of.

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What is Laparoscopic Surgery?
What is Laparoscopic Surgery? Surgeon 86 Views • 2 years ago

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Tibial Bone Transport Over an Intramedullary Nail Using Cable and Pulleys
Tibial Bone Transport Over an Intramedullary Nail Using Cable and Pulleys samer kareem 3,495 Views • 2 years ago

Massive bone defects (>8 cm) will not unite without an additional intervention. They require a predictable, durable, and efficient method to regrow bone. The Ilizarov method of tension stress, or distraction osteogenesis, first involves a low-energy osteotomy1 - 5. The bone segments are then pulled apart, most often using an external device at a specific rate and rhythm (distraction phase), after which the newly formed bone (the regenerate) requires time for consolidation. The consolidation phase is variable and usually requires a substantially greater amount of time before the external device can be removed. Our technique of tibial bone transport over an intramedullary nail using cable and pulleys combines internal and external fixation, allowing the external fixator to be removed at the end of the distraction phase. This increases the efficiency of limb reconstruction and decreases the external-fixator-associated complications.

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