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Various laparoscopic techniques have been described for the insertion of peritoneal dialysis catheters. However, most use 3 to 4 ports, thus multiplying the potential risk for abdominal wall complications (hemorrhage, hernia, leaking). With the technique presented herein a Tenckhoff catheter is plac...ed laparoscopically, using just 1 port, in 13 consecutive patients with end-stage renal failure. The catheter is fixed in the abdominal cavity with no additional ports for this purpose. The simplicity and the rapidity of the method justifies serious consideration for its use as the standard Tenckhoff catheter placement.
Benefits of Breast Feeding
Robot-Assisted Laparoscopic Rectal Resection for Endometriosis
SCOOP transtracheal oxygen is indicated for patients with chronic hypoxemia which persists in spite of optimal medical therapy. Arterial blood gases obtained while breathing room air should show a PaO2< 55 mm Hg. SCOOP transtracheal oxygen is also indicated for patients with a PaO2 of 56-59 mm Hg ...
if they also have: 1) dependent edema suggesting congestive heart failure, 2) "P" pulmonale on EKG (P wave greater than 3mm in standard leads II, III or AVF), or 3) erythrocythemia with a hematocrit of >55%.
Triplet C-section
Buccal fat removal, or Cheek Fat Reduction or buccal lipectomy may be performed to create a slimmer and more sculpted appearance to the cheeks and lower third of the face. Patients who are worried about full or chubby cheeks generally undergo Buccal fat removal surgery. Cheek reduction surgery helps an individual improve not only the appearance of the cheeks but brings harmony to the overall facial shape. For patients with overly full, round or chubby cheeks, removing the buccal fat pads results in a more sculpted and symmetrical facial appearance.
What is Buccal Fat?
The buccal fat pad is a rounded mass of fat in the middle of your cheek which makes the face look broad. This is a deep layer of fat and many people think that weight loss might help in reducing the buccal fat which is not true. This fat can only be removed by Buccal fat removal surgery. Buccal fat can also be transferred in cheeks as it gives desired V-shape to your face which looks aesthetically pleasing. The results of undergoing the buccal fat procedure are your cheeks gradually contour to their new appearance. The cheeks appear less full or chubby in post-op results. Also, this surgery helps in achieving the desired V-shape face which makes your face look aesthetically pleasing and also your face looks slimmer and chiselled. Your buccal fat removal surgery will result in a slimmer, more contoured cheek, specifically in the cheek hollow area.
Buccal Fat Removal Surgery
Buccal Fat Removal Procedure is a simple surgery.
1. The patients are given local anaesthesia in order to numb the area of surgery.
2. An incision of 3mm is made, in the inside of the mouth, on the inner portion of your cheek
(just before the wisdom teeth).
3. With the help of artery forceps the surgeon removes the buccal fat.
4. The incision is closed by absorbable sutures.
The patients are discharged after 10-15 minutes of surgery. The patient can perform his/her daily activities. It may take 5-6 weeks for you to see the final results, as your cheeks gradually contour to their new appearance. This surgery is the easiest technique to get the slim face you desire as well as the buccal fat removal surgery results are permanent.
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Watch that Large Jelly Like Hematoma Extraction
โข Define and use related medical terminology.
โข Describe and demonstrate techniques for imaging the thyroid gland.
โข Discuss functional abnormalities of the thyroid gland.
โข Correlate laboratory data relevant to the thyroid and parathyroid glands.
โข Describe, and recognize on images, pathologies of the thyroid gland.
โข Identify the anatomy of the parathyroid glands on diagrams and sonograms.
โข Describe and demonstrate techniques for imaging the parathyroid glands.
โข Describe, and recognize on images, pathologies of the parathyroid glands.
โข List and describe other neck masses.
โข Follow relevant protocols when scanning.
โข Differentiate the sonographic appearances of the female reproductive organs in relation to the menstrual cycle, the use of contraceptives and hormone replacement, and following chemotherapy.
โข Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference).
A ureteroscopy is an examination or procedure using a ureteroscope. A ureteroscope, like a cystoscope, is an instrument for examining the inside of the urinary tract. The urologist can insert small instruments through the cystoscope to treat problems in the urethra and bladder or perform a biopsy. For a ureteroscopy, the urologist passes the ureteroscope through the bladder and into a ureter.
Watch that video of Bodybuilder's Colon Contains 10 lbs of Meat Worms
The thyroid gland lies in the midline of the anterior neck, just caudal to the thyroid cartilage. To inspect the thyroid gland, the examiner stands in front of the patient. The examiner asks the seated patient to dorsiflex (extend) the neck and swallow a sip of water. Minor enlargement of the gland may only become apparent on inspection in this position. Palpation of the thyroid gland is typically performed with the examiner standing behind the patient. Both lobes and the isthmus of the thyroid gland should be palpated for any nodules or diffuse enlargement. Mobility of the thyroid gland with swallowing should be assessed with palpation. Nodules arising from the thyroid gland typically move with swallowing. A hard, fixed thyroid gland could indicate malignancy. If a central nodule is identified, the patient is asked to protrude the tongue. Upward movement of the central nodule on protrusion of the tongue indicates a thyroglossal cyst. Auscultation is performed at the superior poles of bilateral lobes as this is where the superior thyroid artery is most superficial and bifurcates into its terminal branches. A bilateral bruit over the superior poles suggests Graves disease. Examination of the thyroid gland is completed by palpating the regional cervical lymph nodes for any enlargement.
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Glass ampules are often used to store medication, and as a nurse, you'll need to know how to use them.
In this video, I demonstrate how to clean an ampule using alcohol prep, how to open (or break) an ampule, as well as how to dispose of the ampule.
In addition, I show how to use an ample filter straw while drawing up (withdrawing) medication, how to use the syringe, and how to remove the air bubbles in the syringe.
This is another video in our series on clinical nursing skills.
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This gentleman has a significant lumbar herniated disc with a positive well straight leg raise test. In this evaluation I test his deep tendon reflexes, sensation, muscle strength, and perform a straight leg raise test, Braggards's test and Well straight leg raise test.
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Baby Delivery
Anatomy of The Upper Limb Joints
This is the postmortem of a male who died of due to a blunt injury to abdomen n thus the ruptue of the spleen. there was no any scra or wond on epidermis. but the 4th rib was fractured. all the above mentioned conditions are clearly seen in this video.
Acute sinusitis can be triggered by a cold or allergies and may resolve on its own. Chronic sinusitis lasts up to eight weeks and may be caused by an infection or growths. Symptoms include headache, facial pain, runny nose, and nasal congestion. Acute sinusitis usually doesn't require any treatment beyond symptomatic relief with pain medications, nasal decongestants, and nasal saline rinses. Chronic sinusitis may require antibiotics.
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