Splenectomy is a surgical procedure to remove your spleen. The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. It helps fight infection and filters unneeded material, such as old or damaged blood cells. With the da Vinci Surgical System, Dr. Olson operates through just a few small incisions. The da Vinci System features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human hand. As a result, da Vinci enables surgeons to operate with enhanced vision, precision and control.

Paronychias are most often caused by common skin bacteria (most commonly staphylococci bacteria) entering the skin around the nail that has been damaged by trauma, such as nail biting, finger sucking, dishwashing, or chemical irritants. Fungal infection also can be a cause of paronychia formation and should be considered especially in people with recurrent infection. Paronychia should not be confused with herpetic whitlow, which can form tiny pustules on the finger and is caused by a virus but is not typically located at the nail edge. Herpetic whitlow is not treated with an incision and drainage and therefore needs to be distinguished from a paronychia.

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Most condoms are made of latex rubber, but they can also be made from lamb cecum or polyurethane. In addition to their contraceptive value, condom use has been found effective in preventing the spread of sexually transmitted diseases.

As a doctor many people ask me about masturbation and if it is harmful or not. As a doctor you have already been asked this and this video will give you some hints

Laparoscopic Appendectomy Video

Overview
Heart bypass surgery creates a new route, called a bypass, for blood and oxygen to reach the heart.

Heart bypass surgery begins with an incision in the chest, and the breastbone is cut exposing the heart. Next, a portion of the saphenous vein, which is very large, is harvested from the inside of the leg. Pieces of this large vein are used to bypass the blocked coronary arteries, which are arteries that supply blood to the heart. The venous graft is sewn to the aorta, the main artery of the body, and to the affected coronary artery, to bypass the blocked site.

The internal mammary artery from the chest may also be used to bypass a clogged artery.

Several arteries may be bypassed depending on the condition of the heart. After the graft is created, the breastbone and chest are closed.

Liposuction is a surgical procedure that is done to remove fat deposits from underneath the skin. Common areas that are treated: the abdomen, buttocks, thighs, upper arms, chest and neck. (use medical graphic of body with labeled parts) The procedure is usually done as an outpatient under some combination of local anesthesia and/or sedation:. This means you are awake but relaxed and pain free. Depending on the number of areas to be treated and the specific technique selected, it may take from one to several hours. A small incision (cut) is made through the skin near the area of the fat deposit. Multiple incisions may be needed if a wide area or multiple areas are being done. A long hollow tube called a cannula will be inserted through this incision. Prior to inserting the cannula, the doctor may inject a solution of salt water that contains an anesthetic (numbing) medication and another medication to decrease bleeding. The cannula is then inserted and moved under the skin in a way to loosen the fat deposits so they may be suctioned out. Because a significant amount of body fluid is removed with the fat, an intravenous (through the veins) fluid line will be kept going during the procedure.

A recent technique called “ultrasound-assisted lipoplasty” uses a special cannula that liquefies the fat cells with ultrasonic energy. You should ask your doctor which technique he/she will use and how it will affect the type of anesthesia you will need and the length of the procedure.

Why is this procedure performed?
Liposuction is done to restore a more normal contour to the body. The procedure is sometimes described as body sculpting. It should be limited to fat deposits that are not responsive to diet and exercise. It is suggested that you should be within 20of your ideal body weight at the time of surgery. If you are planning to lose weight you should delay this procedure. This is not obesity surgery. The maximum amount of fat that can be removed is usually less than 10 pounds. The best results are achieved in people who still have firm and elastic skin. Although rare, there are risks and complications that can occur with liposuction. You should be aware that all the complications are increased if you are a smoker. You will need to quit smoking or at least avoid smoking for a month before and after surgery. If you have had prior surgeries near any of the areas to be treated, this may increase the risk of complications and you should discuss this with your doctor. Any history of heart disease, diabetes, bleeding problems or blood clots in your legs may make you more prone to post-operative problems and you should discuss these with your doctor. Finally, as with any cosmetic procedure it is important to have realistic expectations. The goals, limitations, and expectations of the procedure should be discussed openly and in detail with your doctor. Most insurance companies do not cover cosmetic surgery.

What should I expect during the post-operative period?
After surgery you should be able to go home but you will need someone to drive you. In the first few days after surgery it is common for the incisions to drain fluid and you will have to change dressings frequently. Fresh blood is not usual and if you have any bleeding you should call your doctor immediately. In some cases a small tube may have been placed through the skin to allow drainage. You will be limited to sponge baths until the drains and dressings are removed. After that you may take showers but no baths for 2 weeks. You may experience pain, burning, and numbness for a few days. Take pain medicine as prescribed by your doctor. You may notice a certain amount of bruising and swelling. The bruising will disappear gradually over 1 to 2 weeks. Some swelling may last for up to 6 months. If you have skin sutures they will be removed in 7 to 10 days. You should be able to be up and moving around the house the day after surgery but avoid any strenuous activity for about 1

A detailed video showing how to clinically exam the abdomen

inspection, auscultation and palpation

Identify the anatomy and explain the physiology of the breast on diagrams and sonograms.

Describe and demonstrate the protocol for sonographic scanning of the breast, including the clock and quadrant methods, and targeted examinations based on mammographic findings.

Describe the various diagnostic pathways that may lead to a sonographic breast examination, and explain how the ultrasound findings are correlated with other imaging modalities.

Identify and describe sonographic images of benign and malignant features and common breast pathologies.

Explain biopsy techniques for breast tumors.

Define and use related medical terminology.

Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference

Total Contact Casting is the gold standard for treating diabetic foot ulcers; it's the most evidence-based treatment available. The Wound Care team at IU Health Methodist Hospital provides custom Total Contact Casting that completely offloads the wound, allowing it to heal in a matter of weeks.

What Really Happens When You Swallow Gum?

Cranial Nerves Mnemonic

Rhinoplasty, sometimes referred to as a "nose job" or "nose reshaping" by patients, enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose. What surgical rhinoplasty can treat Nose size in relation to facial balance Nose width at the bridge or in the size and position of the nostrils Nose profile with visible humps or depressions on the bridge Nasal tip that is enlarged or bulbous, drooping, upturned or hooked Nostrils that are large, wide or upturned Nasal asymmetry If you desire a more symmetrical nose, keep in mind that everyone's face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion. Rhinoplasty to correct a deviated septum Nose surgery that's done to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

The word enuresis is derived from a Greek word (enourein) that means “to void urine.” It can occur either during the day or at night (though some restrict the term to bedwetting that occurs at night). Enuresis can be divided into primary and secondary forms.

Draw Blood Samples

Skin cancer is the most common type of cancer. There are three major types of skin cancer — Basal Cell Carcinoma, Squamous Cell Carcinoma and melanoma. Out of these, Melanoma is the deadliest form of skin cancer. Melanoma appears on the skin as a new spot or growth or a change in an already existing mole. It is often fast growing and can spread to other parts of your body, including your bones, liver, and lungs to form a new cancer.