Small cell lung cancer, which occurs almost exclusively in smokers, is a malignancy characterised by rapid doubling time, high growth fraction and widespread metastasis at presentation. In this presentation, we will briefly discuss the classification of pulmonary Neuro-endocrine tumours by the World Health Organisation followed by a detailed discussion of the clinical features, lab evaluation and management of SCLC, both limited and extended stage. The frontline therapy in small cell lung cancer is etoposide and cisplatin along with thoracic radiotherapy and prophylactic cranial irradiation in patients who have a good response to therapy. Hyperfractionation of radiotherapy may provide some benefit but is also associated with increase incidence of complications. Newer agents for SCLC include Vandetanib and immunotherapy molecules, such as Iplimumab and nivolumab.

Shaken baby syndrome symptoms and signs include: Extreme irritability Difficulty staying awake Breathing problems Poor eating Tremors Vomiting Pale or bluish skin Seizures Paralysis Coma Other injuries that may not be initially noticeable include bleeding in the brain and eye, damage to the spinal cord and neck and fractures of the ribs, skull and bones. Evidence of prior child abuse also is common.

If a patient comes to you with a painful, throbbing, swollen, red face (a ''fat face'), perhaps with fever, trismus and lymphadenitis, he is probably suffering from an acute dental or oral infection, most probably an alveolar abscess. He may have: (1) An alveolar abscess begins as an infection in the bone around a non-vital infected tooth. He has severe pain, which becomes less as pus is released into more superficial tissues and his face starts to swell. After 36 hours of cellulitis he usually has a fluctuant abscess which needs draining. If drainage is delayed, the pus in his abscess discharges spontaneously through a sinus (26-8) in his gum or face, which may become chronic. First, control infection with antibiotics, and then drain the abscess, either by incising it where it is pointing, or by removing the infected tooth, which acts as a cork to prevent the pus escaping, or by doing both these things. If you remove a tooth before you have controlled the infection with antibiotics, and while his face is still severely swollen, you may spread the infection; your task will also be more difficult. (2) A periodontal abscess at the side of a tooth, caused by spread from an infected gum. (3) A pericoronal abscess caused by infection of the gum over the crown of an unerupted and impacted tooth, usually a lower third molar (''an infected wisdom tooth'). Often, an abscess does not form, and the gum round the tooth is merely inflamed.

An intrauterine device (IUD), also known as intrauterine contraceptive device (IUCD or ICD) or coil, is a small, often T-shaped birth control device that is inserted into a woman's uterus to prevent pregnancy. IUDs are one form of long-acting reversible birth control (LARC).

Join cardiac surgeon Leonard Y. Lee, MD, Professor of Surgery, James W. Mackenzie, M.D. Endowed Chair; Chair, Department of Surgery, Rutgers Robert Wood Johnson Medical School; Chief, Surgical Service, Robert Wood Johnson University Hospital in New Brunswick, NJ, as he performs minimally-invasive heart valve replacements and a quadruple bypass during a typical day of surgery.

Robert Wood Johnson University Hospital is New Jersey’s largest academic medical center, at the forefront of cardiac innovation. Whoever your heart beats for, our hearts beat for you.

To learn more about Dr. Lee, visit: https://www.rwjbh.org/doctors/leonard-y-lee-md/

To schedule an appointment with one of New Jersey’s top cardiac specialists, visit https://www.rwjbh.org/heart.

#HeartSurgery #CardiacSurgery #Cardiology

Neurological Examination

This video demonstrates the process for preparing and administering an intramuscular injection (IM)

Laparoscopic resection of the right hepatic lobe for a 5 cm hepatoma

finger pulp abscess drainage EXPLOSION of pus

Paronychia Fingernail Abscess Infection Treatment

Subcutaneous Injection

TPE removes large-molecular-weight substances such as harmful antibodies from the plasma. It is usually carried out using an automated blood cell separator to ensure fluid balance and maintain a normal plasma volume. This may require the insertion of a femoral or jugular line to allow adequate blood flow. Typically, 30–40 mL/kg of plasma (1–1.5 plasma volumes) are removed at each procedure and replaced with isotonic 4.5 or 5.0% human albumin solution (some services substitute 25–50% of replacement volume with 0.9% saline). Exchange with fresh frozen plasma (FFP) is reserved for the replacement of ADAMTS13 in thrombotic thrombocytopenic purpura (see below) or to replace clotting factors. A one plasma volume exchange removes about 66% of an intravascular constituent and a two plasma volume exchange approximately 85%. TPE is normally combined with disease modifying treatment, such as immunosuppressive drugs, for the underlying condition.

Treatment of pelvic fractures with a dynamic Ilizarov external fixator

Ergometrine Childbirth Medication

http://natural-breast-increase.plus101.com
---How To Make Bigger Breast. Can You Really Increase You Breast Size Naturally Without Surgery, Pills, Creams Etc Etc

Well a new website call natural-breast-increase.plus101.com says you can and thousands of women have already used there strategies.

And the best part about the this method is that you don't have to go through any expensive and painful surgery.

If you'd like to increase your own cup size then just visit the site below. I recommend the methods 100%

http://natural-breast-increase.plus101.com

How To Make Bigger Breast
http://www.youtube.com/watch?v=0cTQ3SZ4JIk
How To Make Bigger Breast,
can fenugreek increase breast size,
can i increase my breast size,
can i increase my breast size without surgery,
can i naturally increase breast size,
can we increase breast size naturally,
can women increase breast size naturally,
can you increase breast size,
can you increase breast size naturally,
can you make your breasts bigger,
cheap breast augmentation,
cheap breast implants,
cost of breast implants,
cream for breast enlargement,
cream to increase breast size,
curves breast enhancers,

Patent ductus arteriosus (PDA), in which there is a persistent communication between the descending thoracic aorta and the pulmonary artery that results from failure of normal physiologic closure of the fetal ductus (see image below), is one of the more common congenital heart defects.

Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal. When this fails to happen, the baby’s buttocks and/or feet will be positioned to be delivered first. This is referred to as “breech presentation.” Breech births occur in approximately 1 out of 25 full-term births.

Ear Infection Drainage Time Lapse Video

Abnormally Large Knee (part 1) - Bizarre ER

The largest amount of pus I have ever seen!!