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The type of operation performed for removal of pancreatic cancer is based on the location of the tumor. For tumors of the head and neck of the pancreas a Whipple procedure, (also called a pancreaticoduodenectomy) is performed. This is a complex operation perfected at Johns Hopkins. This video will explain the surgery and what patients can expect.
Learn more about the Whipple procedure at Johns Hopkins:
http://www.hopkinsmedicine.org..../pancreatic_cancer_c
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NG (Nasogastric) Tube Insertion Techniques (Nursing Skills)
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NG (Nasogastric) Tube Insertion Techniques (Nursing Skills)
In this video we’re going to show you the correct technique for insertion of an NG tube or Nasogastric tube). We’ll also give you a few tips and tricks we use. Of course, before you get started, make sure you’ve determined which nare is more patent and that the patient doesn’t have a deviated septum. Before you start, lay a towel across the patient’s chest – I’m telling you I’ve had patients throw up on me – this step is WORTH IT!! We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Introduction to NG Tube Insertion techniques
0.25 Towel placement
0.32 Measuring NG tube length
1.04 Tape preparation
1.27 Give patient water
1.34 NG Tube lubrication
1.42 NG Tube insertion technique
2.25 Securing the NG tube
2.36 Checking placement/ aspiration
2.55 Assessing pH
3.08 Confirming placement
3.22 Waiting for abdominal X-ray
3.35 Supply clean-up
3.48 NG Tube insertion outro
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You've come to the perfect YouTube Video if you want to learn hospital and medical English while watching shows of "The Good Doctor." Watch medical English talks from the TV show "the good doctor" to acquire new terminology about ailments that people experience but don't know the names of.
Medical English Lesson 2 with the good doctor - https://youtu.be/gU107Q9Jerw
Hospital English Vocabulary Lesson 3 with Dr. House - https://youtu.be/lE4i1pY53Us
Illness English used in Hospitals Lesson 4 with Chicago Med - https://youtu.be/u3VPRdierKA
So keep learning and watching our video lessons to learn and improve your English to a great level.
Other English lessons through The Big Bang Theory
Learn English through Big Bang Theory Lesson 1 - https://youtu.be/iM-o5EKK5pg
Funny English Lesson through Big Bang Theory Lesson 2 - https://youtu.be/O6CRNi6OJ1k
Enjoy Learning English through Big Bang Theory Lesson 3 - https://youtu.be/-iSDlbReAxk
Want to Learn English through Big Bang Theory Lesson 4 - https://youtu.be/AZSkyjk-Ioo
Learn Romantic English with The Big Bang Theory - Lesson 5 - https://youtu.be/k5EqRArT41w
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To be fluent in English, we should have a vocabulary of between 3000 and 4000 important English words. Once we attain this objective, we can be guaranteed to sound like a native speaker.
The links to a few books I've collected for you are listed below; if you truly enjoy, these could be excellent starting points for your quest for greater English fluency.
Oxford Learner's Pocket Word Skills: Pocket-sized, topic-based English vocabulary - https://amzn.to/34LKv7a
Word power made easy - https://amzn.to/38Ht8Fy
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Unbroken - The incredible true story of Louis Zamperini, now a major motion picture directed by Angelina Jolie. - https://amzn.to/3rqtyZH
THE INTERNATIONAL NUMBER ONE BESTSELLER -
Other Video Lessons:
Learn English with Wonder Woman - https://youtu.be/6F8oqQWErU0
Learn English with Stuart Little - https://youtu.be/EIeOooR8vas
Learn English with Avengers 2012 - https://youtu.be/u97FZWkd4A8
Learn English with Forrest Gump - https://youtu.be/uH_kTF8QAZc
Learn English with Spider-Man 2 (2004) - https://youtu.be/DHy-2g-N7SQ
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A uterine fibroid (also uterine leiomyoma, myoma, fibromyoma, leiofibromyoma, fibroleiomyoma, and fibroma) (plural of ... myoma is ...myomas or ...myomata) is a benign (non-cancerous) tumor that originates from the smooth muscle layer (myometrium) and the accompanying connective tissue of the uterus. Fibroids are the most common benign tumors in females and typically found during the middle and later reproductive years. While most fibroids are asymptomatic, they can grow and cause heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency. Uterine fibroids is the major indication for hysterectomy in the US.[2] Fibroids are often multiple and if the uterus contains too many leiomyomatas to count, it is referred to as uterine leiomyomatosis. The malignant version of a fibroid is uncommon and termed a leiomyosarcoma.
The pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.
The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.
The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.
The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.
Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch.
Thrombosis of the venous channels in the brain is an uncommon cause of cerebral infarction relative to arterial disease, but it is an important consideration because of its potential morbidity. (See Prognosis.) Knowledge of the anatomy of the venous system is essential in evaluating patients with cerebral venous thrombosis (CVT), since symptoms associated with the condition are related to the area of thrombosis. For example, cerebral infarction may occur with cortical vein or sagittal sinus thrombosis secondary to tissue congestion with obstruction. (See Presentation.) Lateral sinus thrombosis may be associated with headache and a pseudotumor cerebri–like picture. Extension into the jugular bulb may cause jugular foramen syndrome, while cranial nerve palsies may be seen in cavernous sinus thrombosis as a compressive phenomenon. Cerebral hemorrhage also may be a presenting feature in patients with venous sinus thrombosis. (See Presentation.) Imaging procedures have led to easier recognition of venous sinus thrombosis (see the images below), offering the opportunity for early therapeutic measures. (See Workup.) Left lateral sinus thrombosis demonstrated on magn Left lateral sinus thrombosis demonstrated on magnetic resonance venography (MRV). This 42-year-old woman presented with sudden onset of headache. Physical examination revealed no neurologic abnormalities. View Media Gallery Axial view of magnetic resonance (MR) venogram dem Axial view of magnetic resonance (MR) venogram demonstrating lack of flow in transverse sinus. View Media Gallery The following guidelines for CVT have been provided by the American Heart Association and the American Stroke Association [1] : In patients with suspected CVT, routine blood studies consisting of a complete blood count, chemistry panel, prothrombin time, and activated partial thromboplastin time should be performed. Screening for potential prothrombotic conditions that may predispose a person to CVT (eg, use of contraceptives, underlying inflammatory disease, infectious process) is recommended in the initial clinical assessment. Testing for prothrombotic conditions (including protein C, protein S, or antithrombin deficiency), antiphospholipid syndrome, prothrombin G20210A mutation, and factor V Leiden can be beneficial for the management of patients with CVT. Testing for protein C, protein S, and antithrombin deficiency is generally indicated 2-4 weeks after completion of anticoagulation. There is a very limited value of testing in the acute setting or in patients taking warfarin. In patients with provoked CVT (associated with a transient risk factor), vitamin K antagonists may be continued for 3-6 months, with a target international normalized ratio of 2.0-3.0. In patients with unprovoked CVT, vitamin K antagonists may be continued for 6-12 months, with a target international normalized ratio of 2.0-3.0. For patients with recurrent CVT, venous thromboembolism (VTE) after CVT, or first CVT with severe thrombophilia (ie, homozygous prothrombin G20210A; homozygous factor V Leiden; deficiencies of protein C, protein S, or antithrombin; combined thrombophilia defects; or antiphospholipid syndrome), indefinite anticoagulation may be considered, with a target international normalized ratio of 2.0-3.0. For women with CVT during pregnancy, low-molecular-weight heparin (LMWH) in full anticoagulant doses should be continued throughout pregnancy, and LMWH or vitamin K antagonist with a target international normalized ratio of 2.0-3.0 should be continued for ≥6 weeks postpartum (for a total minimum duration of therapy of 6 months). It is reasonable to advise women with a history of CVT that future pregnancy is not contraindicated. Further investigations regarding the underlying cause and a formal consultation with a hematologist or maternal fetal medicine specialist are reasonable. It is reasonable to treat acute CVT during pregnancy with full-dose LMWH rather than unfractionated heparin. For women with a history of CVT, prophylaxis with LMWH during future pregnancies and the postpartum period is reasonable. Next: Etiology What to Read Next on Medscape Related Conditions and Diseases Quiz: Do You Know the Complications, Proper Workup, and Best Treatment Practices for Ischemic Stroke? Quiz: How Much Do You Know About Hypothyroidism? Quiz: Do You Know the Risk Factors, Symptoms, and Potential Treatments for Alzheimer Disease? Quiz: How Much Do You Know About Hypertension? Quiz: Test Your Knowledge of Epilepsy and Seizure-related Conditions A 25-Year-Old Man With Painless Diplopia NEWS & PERSPECTIVE Temporal Trends and Factors Associated With Diabetes Mellitus Among Patients Hospitalized With Heart Failure Watchful Waiting Tied to Worse Outcomes in LVAD Patients With Hemolysis Age of Transfused Blood Impacts Perioperative Outcomes Among Patients Who Undergo Major Gastrointestinal Surgery TOOLS Drug Interaction Checker Pill Identifier Calculators Formulary SLIDESHOW Chronic Alcohol Abuse: Complications and Consequences Most Popular Articles According to Neurologists DHA Supplements Linked to Less Progression to Alzheimer's in APOE4 Carriers Heading in Soccer Linked to CNS Symptoms 'Transient Smartphone Blindness' Misdiagnosed as Multiple Sclerosis? New Advances in Traumatic Brain Injury FDA Clears Deflazacort (Emflaza) for DMD View More Overview Background
Dr Sergio Canavero, believes he can successfully perform the world's first human head transplant in 2017. Within the medical establishment there is concern and scepticism—but either way the operation is set to be one of the big talking points of the year ahead.
Before Dr. Benjamin Carson became the first person to successfully separate twins conjoined at the head, before he had a TV movie made about his life, before he became known for his "gifted hands" and before he became head of pediatric neurosurgery at Johns Hopkins, Ben Carson was headed down the wrong path in life.
Stress-relaxation is a well-established mechanism for laboratory skin stretching, with limited clinical application in conventional suturing techniques due to the inherent, concomitant induction of ischemia, necrosis and subsequent suture failure. Skin defects that cannot be primarily closed are a common difficulty during reconstructive surgery. The TopClosure tension-relief system (TRS) is a novel device for wound closure closure, providing secured attachment to the skin through a wide area of attachment, in an adjustable manner, enabling primary closure of medium to large skin defects. The aim of this study was to evaluate the efficiency of the TopClosure TRS as a substitute for skin grafting and flaps for primary closure of large soft tissue defects by stress-relaxation. We present three demonstrative cases requiring resection of large to huge tumors customarily requiring closure by skin graft or flaps. TRS was applied during surgery serving as a tension-relief platform for tension sutures, to enable primary skin-defect closure by cycling of stress-relaxation, and following surgery as skin-secure system until complete wound closure. All skin defects ranging from 7 to 26 cm in width were manipulated by the TRS through stress-relaxation, without undermining of skin, enabling primary skin closure and eliminating the need for skin grafts and flaps. Immediate wound closure ranged 26 to 135 min. TRS was applied for 3 to 4 weeks. Complications were minimal and donor site morbidity was eliminated. Surgical time, hospital stay and costs were reduced and wound aesthetics were improved. In this case series we present a novel technology that enables the utilization of the viscoelastic properties of the skin to an extreme level, extending the limits of primary wound closure by the stress-relaxation principle. This is achieved via a simple device application that may aid immediate primary wound closure and downgrade the complexity of surgical procedures for a wide range of applications on a global scale.
When your child needs surgery, it can be overwhelming and sometimes scary. At Mayo Clinic Children’s Center, our highly skilled surgeons apply deep experience and specialized training to offer individualized care for your child and your family.
Réduire La Cellulite, Meilleure Creme Anti Cellulite, Programme Anti Cellulite, Cuisse Cellulite http://perdre-sa-cellulite.plus101.com Une Bonne Alimentation Pour Lutter Contre la Cellulite. Certains aliments ont des composants naturels antioxydants et draineurs qui éliminent naturellement la cellulite. Parmi eux se trouvent le céleri branche. Il s’agit d’un légume un peu amère mais qui aide beaucoup à accélérer le métabolisme des graisses afin de débarrasser la cellulite. Coupé en bâtonnet, il peut être consommé en apéro ou en plat de crudités. Le poireau figure également dans la liste des meilleurs aliments anticellulite. Légume anti-rétention d’eau, il chasse les toxines tout en luttant contre la cellulite. Enfin, n’oubliez pas de consommer de l’ananas si vous voulez combattre votre cellulite. Il a pour principal mission de réduire la rétention d’eau. Selon des experts en physiologie, les femmes ont 90 muscles dans les membres inférieurs et en les stimulant doucement, ces muscles des fesses, jambes, hanches et cuisses, 76,3% des femmes peuvent inverser la cause de la peau d’orange et des capitons pour avoir une peau tonifiée et lisse. CLIQUEZ ICI: http://perdre-sa-cellulite.plus101.com