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Female-to-male gender reassignment surgery
Female-to-male gender reassignment surgery samer kareem 14,877 Views • 2 years ago

How female-to-male gender reassignment surgery works

Multiple Sclerosis: Signs, Symptoms and Treatments
Multiple Sclerosis: Signs, Symptoms and Treatments samer kareem 1,069 Views • 2 years ago

Multiple sclerosis causes many different symptoms, including vision loss, pain, fatigue, and impaired coordination. The symptoms, severity, and duration can vary from person to person. Some people may be symptom free most of their lives, while others can have severe chronic symptoms that never go away.

Diabetic Foot Examination
Diabetic Foot Examination samer kareem 12,021 Views • 2 years ago

This brief exam will help you to quickly detect major risks and prompt you to refer patients to appropriate specialists.

CT Scan of the Chest
CT Scan of the Chest samer kareem 2,774 Views • 2 years ago

Understand Chest CT (Computed Tomography) scans with this clear explanation

A hysteroscopy showing a case of 2 intramural fibroids
A hysteroscopy showing a case of 2 intramural fibroids Doctor Samir Abdelghaffar 17,831 Views • 2 years ago

A hystroscopy showing a case of 2 intramural fibroids

Female IM Injection
Female IM Injection DrPhil 72,080 Views • 2 years ago

Female IM injection

Can You Get Pregnant From Anal?
Can You Get Pregnant From Anal? samer kareem 7,455 Views • 2 years ago

The anus is close to the vagina and sometimes it’s hard to say what’s going on inside the body. Is it possible to get pregnant from anal sex? The answer is yes and this video explains the circumstances. Please protect yourselves and stay curious.

Best Foods For Blocked Arteries
Best Foods For Blocked Arteries samer kareem 8,118 Views • 2 years ago

Best Foods For Blocked Arteries

Why Should You Prefer Medical Marijuana Card in Los Angeles?
Why Should You Prefer Medical Marijuana Card in Los Angeles? Online MMJ Los Angeles 1,903 Views • 2 years ago

Buy your new Medical Marijuana Card for $59 & renewals for $45. Chat with our licensed doctors from your place and obtain your card by email in less than 10 minutes. Visit https://www.onlinemmjlosangeles.com/

Heart dissection Explaination
Heart dissection Explaination samer kareem 14,610 Views • 2 years ago

Heart dissection Explaination

Hepatitis E
Hepatitis E samer kareem 2,202 Views • 2 years ago

The hepatitis E virus, responsible for major epidemics of viral hepatitis in subtropical and tropical countries, was cloned only 7 years ago.1 Hepatitis E was found to belong to the family of Caliciviridae, which includes the Norwalk virus—a common cause of gastroenteritis in humans—and consists of a single, plus-strand RNA genome of approximately 7.2 kb without an envelope (Fig. 1). The virus contains at least three open reading frames encoding viral proteins against which antibodies are made on exposure. These antibodies, especially those against the capsid protein derived from the second open reading frame2 and a protein of unknown function derived from the third open reading frame, are detected by currently available serologic assays. Retrospective studies on stored sera of past epidemics of viral hepatitis in Mexico, Africa, Afghanistan, Pakistan, India, Bangladesh, Burma, Nepal, and Borneo have revealed that all were caused by strains of hepatitis E. In addition, hepatitis E was found to be responsible for the hepatitis epidemic in the southern part of Xinjiang, China, in which 120,000 persons became infected between September 1986 and April 1988.3 Hepatitis E predominantly affects young adults (15 to 40 years old). The symptoms of hepatitis E are similar to those of hepatitis A. Frequently, a prodrome consisting of anorexia, nausea, low-grade fever, and right upper abdominal pain is present 3 to 7 days before jaundice develops. Aminotransferase levels peak (usually between 1,000 and 2,000 U/L) near the onset of symptoms; bilirubin levels (10 to 20 mg/dL) peak later. Jaundice usually resolves after 1 to 2 weeks. In about 10% of cases, the disease is fulminant—especially in pregnant women, among whom mortality rates as high as 20% due to hemorrhagic and thrombotic complications have been reported. No evidence has suggested that hepatitis E can cause chronic infection. Transmission is by the fecal-oral route, predominantly through fecally contaminated drinking water supplies. In addition, however, preliminary reports have suggested transmission of the hepatitis E virus through blood transfusions. Volunteer studies confirmed the presence of the virus in serum and feces before and during clinical disease.4 The virus is shed into feces approximately 1 week before symptoms develop. The incubation period varies from 2 to 9 weeks (mean duration, approximately 45 days). Until now, a few reports had described symptomatic hepatitis E acquired in Europe;5, 6 all patients with symptomatic hepatitis E in the United States were travelers returning from Mexico, Africa, or the Far East, in whom hepatitis E developed after their return home.7 In this issue of the Mayo Clinic Proceedings (pages 1133 to 1136), Kwo and associates describe a case of hepatitis E in a man who had not left the United States during the previous 10 years. Specific serologic tests for hepatitis E virus IgG (enzyme immunoassays and a fluorescent antibody blocking assay) and IgM8 (US strain-specific enzyme-linked immunosorbent assay with use of synthetic polypeptides deduced from the viral genome, as shown in Figure 1), developed at Abbott Laboratories (IgG and IgM) as well as at the Centers for Disease Control and Prevention (IgG), were used to prove that the patient indeed had acute hepatitis E. Researchers at Abbott Laboratories have prepared a report that describes most of the viral genome in this patient (Fig. I).8 Their results are interesting because this strain from the United States differs considerably from hepatitis E strains isolated in Mexico, Burma, Pakistan, or China. Furthermore, the sequence of the US strain is highly homologous (98% and 94% homology at the amino acid level to the second and third open reading frames, respectively) to a recently isolated hepatitis E strain from American swine.9 This finding suggests that, in the United States, hepatitis E is a zoonosis with the swine population as one of its hosts. This relationship would confirm earlier studies in Asia, where swine were also found to carry variants of the hepatitis E virus.10 Why are these two recent discoveries important for medicine in the United States? First, other sporadic, locally acquired cases of acute hepatitis may be caused by hepatitis E. Second, these back-to-back discoveries strongly suggest that a common natural host for hepatitis E is present in countries with more moderate climates. Because swine do not seem to experience any symptoms associated with infection and because symptoms in humans can be minor or absent, we now may also have an explanation for the 1 to 2% of positive hepatitis E serologic results in blood donors in the United States,11 Netherlands,12 and Italy,6 countries with large swine staples. Clearly, more research needs to be done to confirm this hypothesis. Third, in countries with more moderate climates, hepatitis E may often result in a subclinical infection. Is this variation in manifestation due to less virulent strains, and do sequence variations determine virulence? Fourth, swine may be used as an animal model for study of the disease as well as vaccine development.

PrepLadder Clinical Essentials | Incisional Hernia: Clinical Examination | Dr. Pritesh Singh
PrepLadder Clinical Essentials | Incisional Hernia: Clinical Examination | Dr. Pritesh Singh DrPhil 175 Views • 2 years ago

Step in the Clinic with Dr. Pritesh Singh and get a practical insight into the Clinical Examination of Incisional Hernia.

Now Save Time with these Exam Relevant Clinical Videos & Waste None Studying Rare Cases.

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How Do Blood Transfusions Work?
How Do Blood Transfusions Work? samer kareem 1,660 Views • 2 years ago

Dialysis Access and Fistula Procedure
Dialysis Access and Fistula Procedure Scott 409 Views • 2 years ago

Full Obstetric Examination and Normal Delivery
Full Obstetric Examination and Normal Delivery Mohamed 54,389 Views • 2 years ago

Full Obstetric Examination and Normal Delivery medical video

Emergency Physical Examination Lecture
Emergency Physical Examination Lecture Medical_Videos 12,762 Views • 2 years ago

Emergency Physical Examination Lecture

Small Cell Lung Cancer
Small Cell Lung Cancer samer kareem 1,154 Views • 2 years ago

Lung cancer starts when cells of the lung become abnormal and begin to grow out of control. As more cancer cells develop, they can form into a tumor and spread to other areas of the body. To learn more about how cancers start and spread

Lateral internal sphincterotomy Closed
Lateral internal sphincterotomy Closed kushal mital 32,193 Views • 2 years ago

LIS Closed done at 5 O clock position, using Scalpel blade 15. After feeling the groove between internal and external anal sphincter, the blade is passed in and the lower 1/2 of Internal anal sphincter is cut. Remain below dentate line. If anal mucosa is accidently cut suture with 4-0 rapid vicryl. In event of bleeding, pinchcock for 5 minutes.

Generic Minoxidil 5mg for Hair Problems
Generic Minoxidil 5mg for Hair Problems Jose Bell 2,058 Views • 2 years ago

Generic minoxidil is known to treat hair-fall issues in men and women, it is best for hair growth, hair re-development, etc. it is available in the strength of 5mg and easily available at online pharmacy store. For more information visit to http://www.medstorerx.com/generic-minoxidil.aspx

How Removing Breast Implants Works
How Removing Breast Implants Works Stuart Linder 5,363 Views • 2 years ago

Breast implants do not last forever, and during its lifetime, it may rupture. Dr. Linder, Beverly Hills breast surgeon specialist, breaks down how removing breast implants works. To learn more about Dr. Stuart Linder and his expertise, Visit: www.drlinder.com

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