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Bartter vs Gitelman syndrome
Bartter vs Gitelman syndrome samer kareem 1,816 Views • 2 years ago

Bartter syndrome has traditionally been classified into three main clinical variants, as follows: Neonatal (or antenatal) Bartter syndrome Classic Bartter syndrome Gitelman syndrome Advances in molecular diagnostics have revealed that Bartter syndrome results from mutations in numerous genes that affect the function of ion channels and transporters that normally mediate transepithelial salt reabsorption in the distal nephron segments. Hundreds of mutations have been identified to date. Such advances may result in the development of new therapies (see the image below). [2] (See Pathophysiology and Etiology.)

Open Heart Surgery | Inside the OR
Open Heart Surgery | Inside the OR Surgeon 127 Views • 2 years ago

Tough to beat! Head #InsideTheOR with S. Christopher Malaisrie, MD, and witness open heart surgery by one of the best cardiology and heart surgery programs in the nation as ranked by US News and World Report.

Diabetic Kidney
Diabetic Kidney samer kareem 8,061 Views • 2 years ago

If they are damaged, waste and fluids build up in your blood instead of leaving your body. Kidney damage from diabetes is called diabetic nephropathy. It begins long before you have symptoms. An early sign of it is small amounts of protein in your urine.

Laparoscopy in Acute Intestinal Obstruction
Laparoscopy in Acute Intestinal Obstruction DrHouse 19,665 Views • 2 years ago

Laparoscopy in acute bowel obstruction following previous surgery is a difficult procedure and avoided by most of the surgeons due to the difficulty in obtaining pneumoperitoneum, port placement, lack of working space, adhesions and risk of bowel injury.
Here is a patient who had a previous laparotomy for trauma with a midline incision from xyphysternum to pubis; after unsuccessful conservative management he underwent a laparoscopy; a prior CT scan showed adhesions in the left side and a distal-mid small bowel obstruction. The pneumoperitoneum was obtained with the Visiport placed in the right lower quadrant; although the abdomen was grossly distended, under significant tension and distended loops of small bowel were occupying most the peritoneal cavity, with muscle relaxation there is usually enough space to perform a thorough inspection of the abdominal cavity. Port placement has to be done with special care as there is no room to push and usually a blunt trocar directed away from the bowel is employed in my practice. The collapsed loops of small bowel point quickly to the site of obstruction -- it is better to avoid manipulating the distended bowel as it is heavy, oedematous and prone to be lacerated with the instruments; once the pathology is identified, in this case the obstructive band, light packing is performed in order to expose the working space and protect the bowel from instruments like scissors or diathermy. In this case the band adhesion was slightly more difficult to separate from the bowel and required a combination of sharp and gentle blunt dissection.
Once the obstruction is release and the transit of contents is confirmed in the collapsed bowel the procedure is terminated. No abdominal drainage is usually necessary.

Arterial LinePlacement
Arterial LinePlacement samer kareem 5,761 Views • 2 years ago

Arterial line placement is a common procedure in various critical care settings. Intra-arterial blood pressure (BP) measurement is more accurate than measurement of BP by noninvasive means, especially in the critically ill. [1] Intra-arterial BP management permits the rapid recognition of BP changes that is vital for patients on continuous infusions of vasoactive drugs. Arterial cannulation also allows repeated arterial blood gas samples to be drawn without injury to the patient.

Deviated nasal septum Surgery
Deviated nasal septum Surgery samer kareem 1,919 Views • 2 years ago

When a deviated septum is severe, it can block one side of your nose and reduce airflow, causing difficulty breathing. The additional exposure of a deviated septum to the drying effect of airflow through the nose may sometimes contribute to crusting or bleeding in certain individuals. Nasal obstruction can occur from a deviated nasal septum, from swelling of the tissues lining the nose, or from both. Treatment of nasal obstruction may include medications to reduce the swelling or nasal dilators that help open the nasal passages. To correct a deviated septum, surgery is necessar

The 3 Stages of Labor
The 3 Stages of Labor samer kareem 2,405 Views • 2 years ago

The first stage of labor is the longest and involves three phases: Early Labor Phase –The time of the onset of labor until the cervix is dilated to 3 cm. Active Labor Phase – Continues from 3 cm. until the cervix is dilated to 7 cm.

Rotator Cuff Repair Surgery
Rotator Cuff Repair Surgery samer kareem 4,116 Views • 2 years ago

Rotator cuff repair is surgery to repair a torn tendon in the shoulder. The procedure can be done with a large (open) incision or with shoulder arthroscopy, which uses small buttonhole-sized incisions.

Birmingham Hip Resurfacing Surgery- Vijay Bose_Part 1
Birmingham Hip Resurfacing Surgery- Vijay Bose_Part 1 Dr. Vijay Bose 11,751 Views • 2 years ago

Dr.Vijay C. Bose from Apollo Speciality Hospital chennai perform Birmingham Hip Resurfacing Surgery procedure for a case of Avascular necrosis.The NCP ( Neck Capsule Preserving) approach is being used. Total hip replacement, hip resurfacing simply shaves and caps a few centimeters of bone within the joint. The bone-conserving approach of the Birmingham Hip Resurfacing System.

Abdominal Examination
Abdominal Examination Doctor 147,390 Views • 2 years ago

inspection, auscultation and palpation

Spider Veins and VeinWave, VeinGogh, & Laser Therapy
Spider Veins and VeinWave, VeinGogh, & Laser Therapy samer kareem 2,441 Views • 2 years ago

Sex After a Spinal Cord Injury
Sex After a Spinal Cord Injury samer kareem 1,477 Views • 2 years ago

In this video I discuss sexual function for people with a spinal cord injury. The amount of feeling and function can vary drastically depending on the level and severity of the injury to the spinal cord.

Combined Penetrating Keratoplasty (PK) and Cataract Surgery ( PK Triple Procedure)
Combined Penetrating Keratoplasty (PK) and Cataract Surgery ( PK Triple Procedure) Surgeon 197 Views • 2 years ago

Christopher J. Rapuano, MD, Director of the Cornea Service at Wills Eye Institute describes his surgical approach of a Combined Penetrating Keratoplasty (PK) and Cataract Surgery

Surgical Procedure for Hypertrophic Cardiomyopathy (HCM)
Surgical Procedure for Hypertrophic Cardiomyopathy (HCM) samer kareem 13,878 Views • 2 years ago

Alcohol septal ablation (ASA, TASH, Sigwart procedure) is a percutaneous, minimally-invasive treatment performed by an interventional cardiologist to relieve symptoms and improve functional status in severely symptomatic patients with hypertrophic cardiomyopathy (HCM) who meet strict clinical, anatomic and physiologic ...

How Does Inversion Therapy or Hanging Upside Down Help Back Pain?
How Does Inversion Therapy or Hanging Upside Down Help Back Pain? samer kareem 2,229 Views • 2 years ago

Many people report that inversion table therapy is a great way to stretch muscles and ligaments, reduce muscle spasms, and improve circulation. Stretching stimulates the lymph glands to increase the flow of lymphatic fluids; part of the body's waste disposal system. Similarly, cellular health depends on good blood circulation to deliver nourishment and remove waste. Inversion table therapy also helps to relieve motion sickness and stress. In addition, the body becomes more aware of its spatial orientation and balance when the inner ear is stimulated during inversion. Plus, it is not necessary for the body to be positioned completely upside down to gain benefits from inversion therapy! Unlike antigravity boots used with an inversion rack, an adjustable inversion table offers the flexibility to choose the most comfortable angle. Dialogue with Your Doctor Like anything that can affect your health, talk to your doctor before you start using an inversion table. This is important because certain medications and health conditions may make using an inversion table unsafe. Your doctor may recommend against inversion table therapy if you have obesity, a detached retina, fracture, glaucoma, heart condition (circulatory problem), hernia, implanted device, middle ear or eye infection, osteoporosis, are pregnant, or have a spinal injury. There may be other medical conditions not listed that your doctor may view as a contraindication.

Pulseless Ventricular Tachycardia  Monitoring
Pulseless Ventricular Tachycardia Monitoring samer kareem 6,379 Views • 2 years ago

On the rhythm strip, the QRS might be somewhat taller or wider. One commonly seen type of polymorphic ventricular tachycardia is torsades de pointes. Torsades and other polymorphic VT are advanced rhythms which require additional expertise and expert consultation is advised.

Thoracic outlet syndrome surgery!
Thoracic outlet syndrome surgery! samer kareem 6,027 Views • 2 years ago

Thoracic outlet syndrome affects the space between the collarbone and first rib (thoracic outlet). Common causes include trauma, repetitive injuries, pregnancy, and anatomical defects, such as having an extra rib. Symptoms include pain in the shoulders and neck and numbness, weakness, and coldness in the fingers. Treatment involves physical therapy and pain relief. In rare cases, surgery may be needed to relieve the compression.

Popping Giant Eye Cyst
Popping Giant Eye Cyst samer kareem 71,753 Views • 2 years ago

A doctor pops a giant cyst on a boy's eye and films the whole thing. As the big cyst pops, puss oozes out.

Large Leg Abscess
Large Leg Abscess Mohamed Ibrahim 7,613 Views • 2 years ago

Large Leg Abscess

What is Pernicious Anemia?
What is Pernicious Anemia? samer kareem 2,155 Views • 2 years ago

Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues. There are many types of anemia. Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12.

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