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Hyponatremia: causes, diagnosis and management
Hyponatremia: causes, diagnosis and management samer kareem 1,444 Views • 2 years ago

Hyponatremia is defined as a serum sodium of less than 135 Meq per litre and occurs in upto 22 % of hospitalised patients. The causes of hyponatremia may be understood based on the pre-existing volume status of the patient which may either be hypovolemic, euvolemic or hypervolemic hyponatremia. This presentation discusses in detail, the causes of these underlying conditions. Also mentioned are the clinical features and management options and therapeutic sodium targets in patients with hyponatremia. Drugs such as demeclocycline and vaptans (Tolvaptan, Conivaptan) are also mentioned as management options which may be used on a case to case basis. Finally, the all important targets of sodium correction over 24 hours are also mentioned, along with a practical formula for calculation of sodium deficit which is explained with an example.

Pediatric 4-Step Basic Technique
Pediatric 4-Step Basic Technique samer kareem 1,502 Views • 2 years ago

Pediatric 4-Step Basic Technique

Nissen Fundoplication
Nissen Fundoplication Mohamed Ibrahim 18,268 Views • 2 years ago

Nissen Fundoplication

Full Obstetric Examination and Normal Delivery
Full Obstetric Examination and Normal Delivery Mohamed 54,345 Views • 2 years ago

Full Obstetric Examination and Normal Delivery medical video

Patent Ductus Arteriosus  PDA
Patent Ductus Arteriosus PDA samer kareem 2,896 Views • 2 years ago

Patent ductus arteriosus (PDA), in which there is a persistent communication between the descending thoracic aorta and the pulmonary artery that results from failure of normal physiologic closure of the fetal ductus (see image below), is one of the more common congenital heart defects.

Medical Videos - Types of Female Genital discharge
Medical Videos - Types of Female Genital discharge hooda 26,933 Views • 2 years ago

Watch that video to know the Types of Female Genital discharge

Stress Ulcer Prophylaxis
Stress Ulcer Prophylaxis samer kareem 4,113 Views • 2 years ago

Stress-related mucosal disease (SRMD) is an acute, erosive gastritis representing conditions ranging from stress-related injury to stress ulcers (1, 2). Stress-related injury is superficial mucosal damage that presents primarily as erosions, whereas stress ulcers are deep, focal mucosal damage penetrating the submucosa with high risk for gastrointestinal bleeding (2, 3). Mucosal damage has been reported to occur during the first 24 hours of hospital admission in 75% to 100% of intensive care unit (ICU) patients (4, 5). Clinically important gastrointestinal bleeding can cause hemodynamic instability and increase the need for red blood cell transfusions (1). Significant bleeding may also increase the length of stay in the ICU and mortality (1).

Sacrococcygeal Teratoma
Sacrococcygeal Teratoma samer kareem 2,178 Views • 2 years ago

Sacrococcygeal teratoma (SCT) is an unusual tumor that, in the newborn, is located at the base of the tailbone (coccyx). This birth defect is more common in female than in male babies. Although the tumors can grow very large, they are usually not malignant (that is, cancerous).

Dr. Shaun Kunisaki | Pediatric Surgery
Dr. Shaun Kunisaki | Pediatric Surgery hooda 75 Views • 2 years ago

Dr. Shaun Kunisaki is an Associate Professor of Surgery at The Johns Hopkins University and Associate Chief of Strategy and Integration in the Division of General Pediatric Surgery at the Johns Hopkins Children's Center. His clinical practice spans the full breadth of pediatric general surgery, but he is recognized both regionally and nationally for this expertise in complex thoracic surgical problems in the fetus and young child. As Director of Pediatric Esophageal Surgery, he specializes in the management of long-gap esophageal atresia. In this role within the Johns Hopkins Children Center Fetal Program, he helps counsel parents with pregnancies complicated by fetal anomalies.

Learn more about Dr. Kunisaki at https://www.hopkinsmedicine.or....g/profiles/results/d

Open Rhinoplasty
Open Rhinoplasty Doctor 23,447 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.

Systemic Inflammatory Response Syndrome (SIRS Criteria) - MEDZCOOL
Systemic Inflammatory Response Syndrome (SIRS Criteria) - MEDZCOOL samer kareem 7,042 Views • 2 years ago

Learn the SIRS Criteria and how to calculate it. Greater than or equal to 2 or more of the following: Temperature Fever of greater than 38°C (100.4°F) or Less than 36°C (96.8°F) Heart Rate Greater than 90 beats per minute Respiratory Rate Greater than 20 breaths per minute or PaCO2 of less than 32mm Hg White Blood Cell Count Greater than 12,000cells/mm³ or Less than 4,000cells/mm³ or Greater than 10% Bands

new sepsis definitions
new sepsis definitions samer kareem 8,368 Views • 2 years ago

new sepsis definitions

Hemodialysis Information
Hemodialysis Information samer kareem 2,340 Views • 2 years ago

Hemodialysis is a process that uses a membrane (dialyzer) to: Remove wastes, such as urea, from the blood. Restore the proper balance of electrolytes in the blood. Eliminate extra fluid from the body.

Emergency Intraosseous Infusion
Emergency Intraosseous Infusion samer kareem 3,517 Views • 2 years ago

For patients in extremis from respiratory failure or shock, securing vascular access is crucial, along with establishing an airway and ensuring adequacy of breathing and ventilation. Peripheral intravenous catheter insertion is often difficult, if not impossible, in infants and young children with circulatory collapse. Intraosseous (IO) needle placement, shown in the images below, provides a route for administering fluid, blood, and medication. An IO line is as efficient as an intravenous route and can be inserted quickly, even in the most poorly perfused patients.

Tracheostomy
Tracheostomy Doctor 41,850 Views • 2 years ago

Tracheostomy

Natural Childbirth
Natural Childbirth samer kareem 4,395 Views • 2 years ago

A natural, unmedicated approach to labor and birth will suit you best if you want to remain in control of your body as much as possible, be an active participant throughout labor, and have minimal routine interventions such as continuous electronic monitoring. If you choose to go this route, you accept the potential for pain and discomfort as part of giving birth. But with the right preparation and support, women often feel empowered and deeply satisfied by natural childbirth.

Narayana Health’s Devi Shetty: Reducing the Cost of Heart Surgery
Narayana Health’s Devi Shetty: Reducing the Cost of Heart Surgery Surgeon 113 Views • 2 years ago

Devi Shetty, founder of Narayana Health in India, reflects on the remarkable fact that, after 26 years of operation, the cost of heart surgery at Narayana Health has come down dramatically, and shares some of the strategies used to maintain high quality with low patient cost.

Learn more about the Creating Emerging Markets Project and explore its many compelling interviews: https://www.hbs.edu/creating-e....merging-markets/Page

Actual Surgical Footage of the BMAC for Knee Osteoarthritis Procedure - Mayo Clinic (GRAPHIC video)
Actual Surgical Footage of the BMAC for Knee Osteoarthritis Procedure - Mayo Clinic (GRAPHIC video) Surgeon 100 Views • 2 years ago

Shane Shapiro, M.D., orthopedic physician at Mayo Clinic in Florida, performs a bone marrow aspiration and concentration for BMAC/stem cell injection into arthritic knees. This procedure is part of a Mayo Clinic IRB approved, FDA monitored clinical research trial which can be searched on at http://ClinicalTrials.gov.

Mayo Clinic and the Mayo Center for Regenerative Biotherapeutics is studying biologically based non-surgical treatments for osteoarthritis. One such treatment is the harvesting of the patient's own stem cells from their bone marrow.

"In our procedure we draw cellular rich bone marrow from both sides of the pelvis. We then filter the resulting product and concentrate the stem cells and their corresponding growth factors. Using an ultrasound to image the knee joint, we are then able to precisely inject the cells into the arthritic knee. We are currently demonstrating that this procedure is safe and can relieve pain. We also hope to be able to slow the progression of the degenerative joint disease and perhaps one day regrow cartilage in the arthritic joint."

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Hear Dr. Shapiro discus this procedure in detail here: http://youtu.be/8Djpsc66hKI

Learn more about the Mayo Clinic Center for Regenerative Biotherapeutics here: http://goo.gl/rnRdtU
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Understanding Cardiac Surgery
Understanding Cardiac Surgery Surgeon 56 Views • 2 years ago

Dr. Matthew Slater talks about why cardiac surgery may be necessary if medications aren't an effective treatment option.

Broken or Dislocated Ankle Joint
Broken or Dislocated Ankle Joint samer kareem 7,436 Views • 2 years ago

Broken or Dislocated Ankle Joint

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