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Gestational diabetes affect the baby
Gestational diabetes affect the baby samer kareem 1,517 Views • 3 years ago

If you have gestational diabetes, your baby may be at increased risk of: Excessive birth weight. Extra glucose in your bloodstream crosses the placenta, which triggers your baby's pancreas to make extra insulin. This can cause your baby to grow too large (macrosomia).

Warning: Diabetic Ulcer Debridement
Warning: Diabetic Ulcer Debridement Scott 16,901 Views • 3 years ago

Debridement is the removal of necrotic tissue, foreign debris, bacterial growth, callus, wound edge, and wound bed tissue from chronic wounds in order to stimulate the wound healing process. Stimulation of wound healing mediated by debridement is thought to occur by the conversion of a chronic non-healing wound environment to an acute healing environment through the removal of cells that are not responsive to endogenous healing stimuli. Debridement is used commonly in standard wound treatment of diabetic foot ulcers (DFUs). Methods of debridement include surgery (sharp debridement), chemical debridement (antiseptics, polysaccharide beads, pastes), autolytic (hydrogels, hydrocolloids and transparent films), biosurgery (maggots), mechanical (hydrodebridement), and biochemical debridement (enzyme preparations). Callus is a buildup of keratinized skin formed under conditions of repeated pressure or friction and may contribute to ulcer formation by creating focal areas of high plantar pressure. The debridement of callus has been proposed to be relevant for both treatment and prevention of DFU. The purpose of this report is to retrieve and review existing evidence of comparative clinical effectiveness of different methods of debridement for the treatment of DFUs. Additionally examined in this report is the clinical effectiveness for treatment and prevention of DFU using callus debridement. Cost-effectiveness, and existing debridement guidelines for the treatment of DFUs will also be reviewed.

Subphrenic abscess CXR
Subphrenic abscess CXR samer kareem 1,634 Views • 3 years ago

Suspect that a patient has a subphrenic abscess if he deteriorates, or recovers and then deteriorates, between the 14th and the 21st day after a laparotomy, with a low, slowly increasing, swinging fever, sweating, and a tachycardia. This, and a leucocytosis, show that he has ''pus somewhere', which is making him anorexic, wasted, and ultimately cachectic. If he has no sign of a wound infection, a rectal examination is negative, and his abdomen is soft and relaxed, the pus is probably under his diaphragm. The pus might be between his diaphragm and his liver, in (1) his right or (2) his left subphrenic space, or under his liver in (3) his right or (4) his left subhepatic space in his lesser sac. He may have pus in more than one of these spaces. Explore him on the suspicion that he might have a subphrenic abscess. Exploration is not a major operation; the difficulty is knowing where to explore, so refer him if you can. If you cannot refer him, explore him yourself. If you fail to find pus, you have done him no harm; missing a subphrenic abscess is far worse. If it is anterior, you can drain it by going under his costal margin anteriorly. If it is posterior, you can go through the bed of his 12th rib posteriorly.

Chiari Malformation & Syringomyelia
Chiari Malformation & Syringomyelia samer kareem 4,231 Views • 3 years ago

Chiari malformation (kee-AH-ree mal-for-MAY-shun) is a condition in which brain tissue extends into your spinal canal. It occurs when part of your skull is abnormally small or misshapen, pressing on your brain and forcing it downward.

bone density scan
bone density scan samer kareem 2,134 Views • 3 years ago

How to prepare for your bone density scan

Syringomyelia
Syringomyelia samer kareem 3,627 Views • 3 years ago

Syringomyelia (sih-ring-go-my-E-lee-uh) is the development of a fluid-filled cyst (syrinx) within your spinal cord. Over time, the cyst may enlarge, damaging your spinal cord and causing pain, weakness and stiffness, among other symptoms. Syringomyelia has several possible causes, though the majority of cases are associated with a condition in which brain tissue protrudes into your spinal canal (Chiari malformation). Other causes of syringomyelia include spinal cord tumors, spinal cord injuries and damage caused by inflammation around your spinal cord. If syringomyelia isn't causing any problems, monitoring the condition may be all that's necessary. But if you're bothered by symptoms, you may need surgery.

Wedge Resection of a gastric GIST
Wedge Resection of a gastric GIST Mohamed 8,466 Views • 3 years ago

Wedge Resection of a gastric GIST

Saturday Night Palsy
Saturday Night Palsy samer kareem 1,423 Views • 3 years ago

Honeymoon palsy from another individual sleeping on and compressing one's arm overnight. Saturday night palsy from falling asleep with one's arm hanging over the arm rest of a chair, compressing the radial nerve

Swan Ganz Physiology
Swan Ganz Physiology samer kareem 2,075 Views • 3 years ago

Pulmonary capillary wedge pressure (PCWP) provides an indirect estimate of left atrial pressure (LAP). Although left ventricular pressure can be directly measured by placing a catheter within the left ventricle, it is not feasible to advance this catheter back into the left atrium. LAP can be measured by placing a special catheter into the right atrium then punching through the interatrial septum; however, for obvious reasons, this is not usually performed because of damage to the septum and potential harm to the patient.

The Menstrual Cycle 3D Animation!
The Menstrual Cycle 3D Animation! samer kareem 18,393 Views • 3 years ago

The menstrual cycle is the regular natural change that occurs in the female reproductive system that makes pregnancy possible. The cycle is required for the production of oocytes, and for the preparation of the uterus for pregnancy.

Nuclear transfer (clone creating)
Nuclear transfer (clone creating) samer kareem 5,254 Views • 3 years ago

Nuclear Transfer is a form of cloning. The steps involve removing the DNA from an oocyte and while(unfertilized egg), and injecting the nucleus which contains the DNA to be cloned. In rare instances, the newly constructed cell will divide normally, replicating the new DNA while remaining

Revision knee replacement part 2
Revision knee replacement part 2 A.K. Venkatachalam 13,168 Views • 3 years ago

Revision knee replacement. After removal of the old implants, bone is prepared for re-implantation.

Revision Total Knee Replacement part 3
Revision Total Knee Replacement part 3 A.K. Venkatachalam 19,895 Views • 3 years ago

Revision knee replacement operation shows trialling after preparation of the bone. For the femur since there is little bone loss,a primary femoral prosthesis is used. For the tibia, a standard tibial base plate is connected to a stem

Shingles
Shingles samer kareem 4,308 Views • 3 years ago

Shingles is a painful skin rash camera.gif. It is caused by the varicella zoster virus. Shingles usually appears in a band, a strip, or a small area on one side of the face or body. It is also called herpes zoster. Shingles is most common in older adults and people who have weak immune systems because of stress, injury, certain medicines, or other reasons. Most people who get shingles will get better and will not get it again. But it is possible to get shingles more than once.

My Daily Sexual Self Care Practice
My Daily Sexual Self Care Practice samer kareem 13,467 Views • 3 years ago

o you have an exercise routine that makes you feel absolutely awesome when you stick to it? Or a healthy eating pattern that makes you crackle with energy and vitality when you actually follow it. Well, today I’m sharing with you what makes me feel even more alive, energetic and vibrant than both of those… My daily sexual self-care practice.

20 brain-dead humans back to life.
20 brain-dead humans back to life. samer kareem 1,422 Views • 3 years ago

Researchers have received approval to bring 20 brain-dead humans back to life.

Femoral Hernia Repair with Prosthetic PHS
Femoral Hernia Repair with Prosthetic PHS Surgeon 12,345 Views • 3 years ago

Prosthetic PHS repair placed on anterior way (low access)

infected sebaceous cyst
infected sebaceous cyst samer kareem 15,114 Views • 3 years ago

Usually a sebaceous cyst grows very slowly and doesn't cause pain. However, they can become inflamed or infected, with the overlying skin becoming red, tender, and sore. Sometimes, they occur on a site that is constantly irritated, such as a cyst on your neck that rubs against your collar.

Cardiac Cycle
Cardiac Cycle samer kareem 5,619 Views • 3 years ago

The cardiac cycle is the sequence of events that occurs when the heart beats. As the heart beats, it circulates blood through pulmonary and systemic circuits of the body. There are two phases of the cardiac cycle. In the diastole phase, the heart ventricles are relaxed and the heart fills with blood

Scrubbing of Surgical Hands
Scrubbing of Surgical Hands Surgeon 18,892 Views • 3 years ago

Scrubbing of Surgical Hands

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