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Sex reassignment surgery
Sex reassignment surgery samer kareem 7,426 Views • 3 years ago

Male To Female Gender Reassignment Surgery

Closed Reduction of a Distal Radius Fracture
Closed Reduction of a Distal Radius Fracture samer kareem 18,594 Views • 3 years ago

Closed Reduction of Distal Radius Fractures - Discussion: (distal radius fracture menu) - closed reduction & immobilization in plaster cast remains accepted method of treatment for majority of stable distal radius frx; - unstable fractures will often lose reduction in the cast and will slip back to the pre-reduction position; - patients should be examined for carpal tunnel symptoms before and after reduction; - carpal tunnel symptoms that do not resolve following reduction will require carpal tunnel release; - cautions: - The efficacy of closed reduction in displaced distal radius fractures. - Technique: - anesthesia: (see: anesthesia menu) - hematoma block w/ lidocaine; - w/ hematoma block surgeon should look for "flash back" of blood from hematoma, prior to injection; - references: - Regional anesthesia preferable for Colles' fracture. Controlled comparison with local anesthesia. - Neurological complications of dynamic reduction of Colles' fractures without anesthesia compared with traditional manipulation after local infiltration anesthesia. - methods of reduction: - Jones method: involves increasing deformity, applying traction, and immobilizing hand & wrist in reduced position; - placing hand & wrist in too much flexion (Cotton-Loder position) leads to median nerve compression & stiff fingers; - Bohler advocated longitudinal traction followed by extension and realignment; - consider hyper-extending the distal fragment, and then translating it distally (while in extended position) until it can be "hooked over" proximal fragment; - subsequently, the distal fragment can be flexed (or hinged) over the proximal shaft fragment; - closed reduction of distal radius fractures is facilitated by having an assistant provide counter traction (above the elbow) while the surgeon controls the distal fragment w/ both hands (both thumbs over the dorsal surface of the distal fragment); - flouroscopy: - it allows a quick, gentle, and complete reduction; - prepare are by prewrapping the arm w/ sheet cotton and have the plaster or fibroglass ready; - if flouroscopy is not available, then do not pre-wrap the extremity w/ cotton; - it will be necessary to palpate the landmarks (outer shaped of radius, radial styloid, and Lister's tubercle, in order to judge success of reduction; - casting: - generally, the surgeon will use a pre-measured double sugar sugar tong splint, which is 6-8 layers in thickness; - more than 8 layers of plaster can cause full thickness burns: - reference: Setting temperatures of synthetic casts. - position of immobilization - follow up: - radiographs: - repeat radiographs are required weekly for 2-3 weeks to ensure that there is maintenance of the reduction; - a fracture reduction that slips should be considered to be unstable and probably require fixation with (pins, or ex fix ect.) - there is some evidence that remanipulation following fracture displacement in cast is not effective for these fractures; - ultimately, whether or not a patient is satisfied with the results of non operative treatment depends heavily on th

Medical Videos - Medical Hazards and Risks of Anal Intercourse
Medical Videos - Medical Hazards and Risks of Anal Intercourse hooda 41,605 Views • 3 years ago

Watch that video to know Medical Hazards and Risks of Anal Intercourse

Whipple procedure
Whipple procedure M_Nabil 80,402 Views • 3 years ago

What is a Whipple procedure?
Also called a pancreaticoduodenectomy, the Whipple procedure is performed to address chronic pancreatitis and cancer of the pancreas, ampulla of Vater, duodenum, and the distal bile duct. The Whipple procedure involves removing the cancerous parts of the pancreas, duodenum, common bile duct, and if required, part of the stomach.

Endosocpy of a Deep Gastric Ulcer
Endosocpy of a Deep Gastric Ulcer M_Nabil 40,596 Views • 3 years ago

This video clip shows an upper track endoscopy of A 75 year-old female, presented with severe adominal pain since three days. Endoscopy displays a deep ulcer at the lesser curvature of the stomach. This patient has a klatskin´s tumor (bile duct bifurcation).

Laparoscopic Vaginal Top Closure
Laparoscopic Vaginal Top Closure Mohamed 14,342 Views • 3 years ago

Laparoscopic Vaginal Top Closure

Knife Removal in the Emergency Room!
Knife Removal in the Emergency Room! samer kareem 6,448 Views • 3 years ago

Endovascular Aneurysm Repair
Endovascular Aneurysm Repair samer kareem 6,203 Views • 3 years ago

Endovascular Aneurysm Repair Endovascular aneurysm repair (or endovascular aortic repair) (EVAR) is a type of endovascular surgery used to treat pathology of the aorta, most commonly an abdominal aortic aneurysm (AAA).

Emergency Intraosseous Infusion
Emergency Intraosseous Infusion samer kareem 3,541 Views • 3 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.

Male Foley Catheter Insertion Procedure
Male Foley Catheter Insertion Procedure DrHouse 151,574 Views • 3 years ago

Male Foley Catheter Insertion

Naevus Excision
Naevus Excision samer kareem 1,915 Views • 3 years ago

Most people develop several moles (nevi) throughout adulthood. Moles can be found anywhere on the body, usually in sun-exposed areas, and are usually brown, smooth, and slightly raised. In most cases, a nevus is benign and doesn't require treatment. Rarely, they turn into melanoma or other skin cancers. A nevus that changes shape, grows bigger, or darkens should be evaluated for removal.

Nose Anatomy
Nose Anatomy Anatomist 10,194 Views • 3 years ago

Nose Anatomy

Brain Concussion Accidents Examples
Brain Concussion Accidents Examples Surgeon 6,401 Views • 3 years ago

Brain Concussion Accidents Examples

Removal of blade of Tile cutter inside lung
Removal of blade of Tile cutter inside lung samer kareem 1,139 Views • 3 years ago

Giant Cell Arteritis Biopsy
Giant Cell Arteritis Biopsy samer kareem 2,139 Views • 3 years ago

Giant cell arteritis is an inflammation of the lining of your arteries. Most often, it affects the arteries in your head, especially those in your temples. For this reason, giant cell arteritis is sometimes called temporal arteritis. Giant cell arteritis frequently causes headaches, scalp tenderness, jaw pain and vision problems. If left untreated, it can lead to stroke or blindness. Prompt treatment with corticosteroid medications usually relieves symptoms of giant cell arteritis and may prevent loss of vision. You'll likely begin to feel better within days of starting treatment. But even with treatment, relapses are common. You'll need to visit your doctor regularly for checkups and treatment of any side effects from taking corticosteroids.

Arterial Blood Gase
Arterial Blood Gase samer kareem 8,775 Views • 3 years ago

ABGs Made Easy | Arterial Blood Gas | Acid Base Balance: Everything You Need To Know!

Medical Education video
Medical Education video Scott 395 Views • 3 years ago

At Hologic, we are committed to delivering innovative educational tools and programming that empower you to deliver life-changing care. Learn more about us at Hologic.com.

Tongue Lipoma Removal
Tongue Lipoma Removal Scott 21,390 Views • 3 years ago

Tongue Lipoma Removal

Urinary Tract Infection Treatment
Urinary Tract Infection Treatment samer kareem 2,896 Views • 3 years ago

Urinary tract infections (UTIs) are infections of the urethra, bladder, ureters, or the kidneys, which comprise the urinary tract. E. coli bacteria cause the majority of UTIs, but many other bacteria, fungi, and parasites may also cause UTIs. Females have a higher risk for UTIs than most males, probably because of their anatomy; other risk factors for UTIs include any condition that may impede urine flow (e.g., enlarged prostate, kidney stones, congenital urinary tract abnormalities, and inflammation). Patients with catheters or those who undergo urinary surgery and men with enlarged prostates are at higher risk for UTIs.

Adult tonsillectomy
Adult tonsillectomy samer kareem 57,812 Views • 3 years ago

Tonsillectomy using coblation technique by wand Evac 70

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