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Breast Conservation Surgery for Breast Cancer
Breast Conservation Surgery for Breast Cancer Scott 2,076 Views • 3 years ago

Video demonstrating Breast Conservation Surgery with Type 1 Oncoplasty for an Early Breast Cancer.

Safety & Efficacy of A New Ointment (pedyphar)  for Diabetic Foot Ulcers
Safety & Efficacy of A New Ointment (pedyphar) for Diabetic Foot Ulcers Mostafa Yakoot 14,852 Views • 3 years ago

A Lecture Presented by Dr. Mostafa Yakoot to Vascular Surgery Congress. TITLE: SAFETY & EFFICACY OF A NEW HONEY OINTMENT (PEDYPHAR) FOR DIABETIC FOOT ULCERS. Based on the original article in JWC by: Yakoot M, Abdelatif M, Etman M.

Getting to Know Children's: Renal Dialysis 30
Getting to Know Children's: Renal Dialysis 30 Scott 209 Views • 3 years ago

In the Dialysis Unit you have an opportunity to provide Dialysis care for a variety of patients, including those with End-Stage Chronic Kidney disease and acutely ill patients requiring dialysis and plasmapheresis.
The Chronic Dialysis Nurse focuses on patients receiving Hemodialysis, Peritoneal Dialysis, or Home Hemodialysis. Our patients range in age from newborns to young adults. The Hemodialysis patient receives their dialysis treatment in the clinic 3-5 times a week. The Peritoneal Dialysis and Home Hemodialysis treatments are provided in the patient’s home once the parent/caregiver is trained to operate the machine. They are followed monthly in clinic. The patient receiving Chronic Dialysis is supported by a multidisciplinary team that consists of a physician, nurses, social worker, nutritionist, pharmacist, child-life therapist, teacher, and counselor. The group works together to meet the medical and emotional needs of the patient and caregiver. Care is specialized to meet the needs of each individual patient.
The Acute Dialysis Nurse focuses on acute dialysis related therapies such as: Continuous Renal Replacement Therapy (CRRT); therapeutic plasmapheresis; or acute peritoneal dialysis. The acute dialysis team works with the multi-disciplinary inpatient nephrology team to provide acute dialysis services to the critically ill ICU patients. The work environment is highly technical and fast-paced.
The Dialysis Unit operates on 12hr shifts 7a – 7p; 7 days a week. Night call is required and shared by the nurses. We provide a detailed orientation plan to the nurse to become proficient in providing hemodialysis, peritoneal dialysis, continuous renal replacement therapy and plasmapheresis. Previous experience in dialysis or pediatrics is not required.

Ultrasound-guided internal jugular cannulation
Ultrasound-guided internal jugular cannulation samer kareem 21,808 Views • 3 years ago

Ultrasound-guided internal jugular cannulation

Baby Ultrasound early pregnancy
Baby Ultrasound early pregnancy samer kareem 4,039 Views • 3 years ago

Pregnancy ultrasounds are performed mainly using transabdominal ultrasound. For many women, especially after 8 weeks gestation, sufficient information about the baby may be obtained with transabdominal ultrasound only. However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby. Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. It will not harm you or your baby.

Large Pulmonary Clot Removal
Large Pulmonary Clot Removal samer kareem 2,422 Views • 3 years ago

The removal of a clot is called an embolectomy. An embolectomy might be done during a surgery. Or it might be done with a minimally invasive procedure that uses a catheter (a thin tube that is guided through a blood vessel). This type of treatment for pulmonary embolism is used only in rare cases.

Bipolar Disorder Types Overview
Bipolar Disorder Types Overview Scott Stevens 8,478 Views • 3 years ago

Bipolar Disorder Types Overview

Woman shatters glass ceiling of pediatric heart surgery
Woman shatters glass ceiling of pediatric heart surgery Surgeon 132 Views • 3 years ago

Female heart surgeons are rare, but pediatric female surgeons are even more so.

Mammogram Don’t Always Detect A Breast Implant Rupture
Mammogram Don’t Always Detect A Breast Implant Rupture Stuart Linder 5,018 Views • 3 years ago

As you can see I access the left implant from the periareolar incisions which I made at the lower portion of the areola. As I entered the capsule and begin to remove the implant I noticed a lot of fluid surrounding the implant. Right away I know this is a rupture and that the mammogram was incorrect. Mammograms are very helpful in detecting cancer but often not ruptures. When implants rupture, it is important to have them replaced as soon as possible to avoid excessive scarring in the breasts. If too much scar tissue has accumulated around the deflated implant, it becomes difficult to create a normal breast shape in the future. Therefor know the signs of a ruptured implant such as, painful to touch, visible asymmetry or loss of integrity to the bag. For more information please visit: www.drlinder.com

Total Thyroidectomy Surgery Video
Total Thyroidectomy Surgery Video Mohamed 87,625 Views • 3 years ago

Total thyroidectomy is the treatment of choice for all types of thyroid cancer(papillary, follicular, medular and anaplastic).

scissoring gait
scissoring gait samer kareem 6,854 Views • 3 years ago

Scissor gait is a form of gait abnormality primarily associated with spastic cerebral palsy.

How Healthy Heart Works
How Healthy Heart Works samer kareem 9,124 Views • 3 years ago

To understand congenital heart defects, it's helpful to know how a healthy heart works. Your child's heart is a muscle about the size of his or her fist. The heart works like a pump and beats 100,000 times a day. The heart has two sides, separated by an inner wall called the septum. The right side of the heart pumps blood to the lungs to pick up oxygen. The left side of the heart receives the oxygen-rich blood from the lungs and pumps it to the body. The heart has four chambers and four valves and is connected to various blood vessels. Veins are blood vessels that carry blood from the body to the heart. Arteries are blood vessels that carry blood away from the heart to the body.

What is a Female Condom and How Does it Work
What is a Female Condom and How Does it Work samer kareem 24,013 Views • 3 years ago

What is a female condom? How do female condoms work to prevent pregnancy and STDs? Learn all about female condoms — also called internal condoms — in this video.

Disgusting Skin Jiggers Removing
Disgusting Skin Jiggers Removing hooda 19,009 Views • 3 years ago

Watch that Disgusting Skin Jiggers Removing

Vaginoplasty Surgery
Vaginoplasty Surgery samer kareem 8,726 Views • 3 years ago

Vaginoplasty is a surgical procedure designed to rejuvenate and tighten a woman’s vagina, by removing excess lining and repairing the surrounding soft tissues. It is designed to decrease the diameter of the vagina, resulting in increased friction during intercourse to make the experience more pleasurable for both partners.

Diabetic Foot Examination
Diabetic Foot Examination samer kareem 12,038 Views • 3 years ago

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

USMLE Step 2 CS - Erectile Dysfunction Full Video
USMLE Step 2 CS - Erectile Dysfunction Full Video usmle tutoring 20,998 Views • 3 years ago

USMLE Step 2 CS - Erectile Dysfunction Full Video

Pancreas transplant
Pancreas transplant samer kareem 5,454 Views • 3 years ago

A pancreas transplant is a surgical procedure to place a healthy pancreas from a deceased donor into a person whose pancreas no longer functions properly. Your pancreas is an organ that lies behind the lower part of your stomach. One of its main functions is to make insulin, a hormone that regulates the absorption of sugar (glucose) into your cells. If your pancreas doesn't make enough insulin, blood sugar levels can rise to unhealthy levels, resulting in type 1 diabetes. Most pancreas transplants are done to treat type 1 diabetes. A pancreas transplant offers a potential cure for this condition. But it is typically reserved for those with serious diabetes complications, because the side effects of a pancreas transplant are significant. In some cases, pancreas transplants may also treat type 2 diabetes. Rarely, pancreas transplants may be used in the treatment of pancreatic, bile duct or other cancers. A pancreas transplant is often done in conjunction with a kidney transplant in people whose kidneys have been damaged by diabetes.

Closed Reduction of a Distal Radius Fracture
Closed Reduction of a Distal Radius Fracture samer kareem 18,604 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

Male Foley Catheter Insertion Procedure
Male Foley Catheter Insertion Procedure DrHouse 151,584 Views • 3 years ago

Male Foley Catheter Insertion

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