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About Us Contact Disclaimer Get Published! Follow Us Epomedicine Medical Students Clinical Discussion Cases Emergencies Blog Medical Mnemonics Clinical Skills Search Subjects Clinical examination Gastrointestinal system Internal medicine Updated on January 31, 2017 Percussion of Spleen Traube’s semilunar space Borders: Superiorly: Left 6th rib superiorly Laterally: Left midaxillary line or Left anterior axillary line Inferiorly: Left costal margin Method: Patient’s position: supine with left arm slightly abducted. Percuss: from medial to lateral Interpretation: Resonance (Normal) and Dullness (Splenomegaly) Also: Pleural effusion or mass in stomach may cause dullness in Traube’s space.
The peroneal artery is closely positioned to the fibula. The artery arises from the tibioperoneal trunk, distal to the takeoff of the anterior tibial artery (seen in the illustration below perforating the interosseous membrane). The peroneal artery sends perforators laterally to the skin of the lower leg, sometimes in a septocutaneous fashion via the lateral intermuscular septum, but often with muscular perforators. The length of the pedicle is usually short, but can be increased substantially by dissecting the peroneal artery and its venae from the fibula and using the distal bone for reconstruction.
Possible complications could include: Difficulty healing. Infection. Stump pain (severe pain in the remaining tissue) Phantom limb pain (a painful sensation that the foot or toe is still there) Continued spread of gangrene, requiring amputation of more areas of your foot, toes or leg. Bleeding. Nerve damage.
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✍️Dr. Matthew Harb talks about knee replacement surgery
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👨⚕️Orthopedic Hip and Knee Surgeon
📍Located in Washington DC, and Maryland
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🛠Minimally invasive, outpatient, hip and knee replacement surgery
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Dr. Matthew Harb specializes in minimally invasive, muscle sparing, hip and knee replacement surgery. Minimally invasive surgery allows patients to recover faster and have less pain post operatively. Implants are tailored and custom fit to each patient to allow for improved performance. Dr. Harb’s expertise in rapid recovery protocols allow for quick recovery after surgery and excellent outcomes in patients with hip and knee arthritis. With minimally invasive, muscle sparing surgery patients can return to their lifestyles and get back to doing the things they love sooner. Dr. Harb performs outpatient joint replacement surgery with many of his patients walking independently and going home the day of surgery.
“My focus is excellence in patient care, expedited recovery after surgery, and getting people back to the normal activities they love. Our team focused approach is committed to superb outcomes, improving lives, and returning patients to living pain free.”
26 years old man lost his right hand thumb and index fingers with an industrial machine.the thumb amputated part was not found. the thumb is much more important of any other finger in the hand and should be reconstructed by any means. so the index amputated part was filleted and replanted over the thumb stump. the video is taken 1 year after replantation. You can see another videos in my site: https://drliaghatclinic.com, https://instagram.com/liaghatclinic, https://t.me/liaghatclinic
Bartter syndrome is a rare inherited defect in the thick ascending limb of the loop of Henle. It is characterized by low potassium levels (hypokalemia), increased blood pH (alkalosis), and normal to low blood pressure. There are two types of Bartter syndrome: neonatal and classic
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.
The E.coli bacteria has claimed 14 lives and infected more than 300 hundred in the country. It has now spread to other European states.
Facing an increasing number of cases, German health authorities warned people to avoid eating raw cucumber, tomatoes and lettuce.
Reinhard Burger, President of Robert Koch Institute, said, "As for the present situation there is no reason to give the all-clear yet and it is possible the original source of the infection is still active and could lead to further infections."
The first cases of the EHEC outbreak were noticed in Northern Germany, but infections are now spreading across the country.
Cases haves spiked compared to other years, and are still rising.
Daniel Bahr, German Health Minister, said, "The result is that we unfortunately still have to prepare for a rising number of cases. Exercising caution is still recommended and we ask our citizens to be particularly careful. "
But, the German government says it's working around the clock to stop the outbreak and clarify how it arose.
Ilse Aigner, German Agriculture Minister, said, "Together, we face a big challenge to piece together hundreds or thousands of mosaic pieces from Germany and abroad into an overall picture that gives us a clear answer on how this terrible infection arose. "
In the meantime, experts are advising not to eat pre-packaged or prepared salad, which may contain the bacteria.
Electronystagmography (ENG) is a diagnostic test to record involuntary movements of the eye caused by a condition known as nystagmus. It can also be used to diagnose the cause of vertigo, dizziness or balance dysfunction by testing the vestibular system.