Otto Placik MD. a board certified Chicago Illinois based plastic surgeon presents instructional video on post genital surgery (labia minora reduction aka labiaplasty or labioplasty or clitoral hood reduction) massage exercises for treatment of labum minora psot surgical fibrosis or hypersensitivity. Photos pictures and video of anatomic models are reviewed . Great for patients thinking about or planning labiaplasty or vaginal cosmetic surgery

A great video showing the multiple presentations of the baby which the doctor may encounter while delivery like breech presentation..etc

CORRECTION: After review of this video, it is clear that this video is of a baby who is near full term (40 weeks) based on the size. Late trimester "abortions" are defined only to viability of a baby (24 weeks) A 24 week baby is much smaller than this baby shown and by definition this is not a late "abortion" procedure. The proper labeling of this video should be management of a deceased breech baby with "head entrapment" as this was almost certainly a naturally occuring delivery and an OB nightmare (Reviewed by Dr. Frederick Bright)

Orchidectomy and Orchidopexy in testis Torsion

Open Inguinal Hernia Repair Surgery - German Narration

B-Lynch suture for uterine atony technique described

How ESC therapy treats diseases?

http://www.landging.com/dermatology_animation.html
Dermatology Animation demonstrates structure of skin and soft tissue and clinical pharmacology & therapeutics.

Dermatologist in New Orleans, Dr. Lupo, talks in a television interviews about Dermatology.

Toilet Training Boys, Training Potty, Best Way To Potty Train, What Age Do You Potty Train

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http://vene-varicose-rimedi.good-info.co Vene Varicose, Vene Varicose Gambe, Chiva Varici, Laser Per Vene Varicose, Terapia Vene Varicose. Cosa Sono Le Vene Varicose e Quali Sono I Fattori Che Le Determinano? Le vene varicose si verificano quando il sangue non scorre naturalmente attraverso le vene del corpo verso il cuore. Quando ciò accade il sangue si accumula e ristagna nelle vene, di solito nelle vene delle gambe, dando alla pelle un aspetto davvero brutto e sgradevole. Quali Sono Le Vere Cause Delle Vene Varicose? Se si hanno vene varicose probabilmente ci si è già posti questa domanda più di una volta. Le vene varicose possono essere prodotte da vari fattori, quindi analizzeremo i fattori più importanti che possono produrle. 1. Vene Danneggiate. Molte volte le vene non funzionano correttamente, non permettendo al flusso dell sangue di circolare correttamente. Questo a lungo termine causa l'apparizione delle vene varicose. 2. L'Età. Nel corso degli anni molte parti del nostro corpo non funzionano più correttamente e le vene non sono un'eccezione. Gradualmente perdono la loro elasticità e diventano soggette a tutti i tipi di disturbi vascolari. 3. Il Sesso. Le donne sono più propense degli uomini a sviluppare le vene varicose. Le vene varicose compaiono di solito durante la fase di gravidanza, perché in questa fase si produce una maggiore quantità di estrogeni, un ormone che provoca un effetto rilassante nelle vene impedendo la corretta circolazione del sangue in esse. Altri fattori che possono produrre la comparsa delle vene varicose sono la menopausa femminile e le mestruazioni. 4. Stipsi. Le persone che soffrono di stipsi hanno maggiori probabilità di sviluppare vene varicose poiché al tempo dell'evacuazione lo sforzo è maggiore aumenteranno così le forti pressioni sulle vene. Come risultato di questo sforzo, le vene si danneggiano, si stirano e a lungo termine, si produce la comparsa di varici. 5. La Genetica. Se qualcuno nella vostra famiglia ha le vene varicose, è probabile che si svilupperanno in voi a un certo punto della vita. Questo è il motivo per il quale è molto importante sapere la storia della famiglia in modo che si possa essere in grado di identificare il fattore che ha dato origine alle vene varicose e trovare così il corretto trattamento per combatterle. 6. Il Sovrappeso. L’obesità e il sovrappeso possono portare alla comparsa di vene varicose, l'eccesso di peso esercita tensione in molte aree del corpo, includendo le vene. Inoltre, quando una persona è in sovrappeso viene ostacolata la circolazione del sangue, perché si mettono sotto pressione le vene e questo le danneggia. 7. Lesioni Alle Gambe. Le persone che hanno subito traumi a una o entrambe le gambe sono suscettibili allo sviluppo delle vene varicose. Quando si parla di lesioni queste includono: problemi di circolazione nelle gambe, interventi chirurgici, frattura della tibia e perone, ecc. 8. Stile Di Vita Sedentario. La vita sedentaria e le cattive abitudini alimentari possono favorire la comparsa di vene varicose. Una persona che passa seduta lunghi periodi di tempo, magari aggravando la situazione accavallando le gambe, impedisce al sangue di percorrere la sua strada consueta delle gambe al cuore. Il sangue non riesce quindi a lottare contro la forza di gravità e la mancanza di attività nelle gambe causa l'accumulo del sangue nello stesso luogo, portando alla creazione delle vene varicose. 9. Abbigliamento Stretto. Una certa varietà di capi d'abbigliamento e accessori, come ad esempio le scarpe con i tacchi alti, impediscono il flusso corretto del sangue per il corpo e favoriscono l'emergere della varici. Le scarpe chiuse con tacchi alti stringono il piede e impediscono il naturale flusso del sangue verso l'alto, in direzione del cuore. In questo modo il sangue resta all'interno delle vene nelle gambe e a lungo termine possono apparire le vene varicose. Con l'abbigliamento troppo stretto accade la stessa cosa perché impedisce che il sangue scorra correttamente per il corpo. 10. Attività Fisica Ad Alto Impatto. L’Attività fisica ad alto impatto come il sollevamento di pesi è molto popolare perché contribuisce a tonificare in poco tempo i vari gruppi muscolari. Tuttavia il sollevamento di oggetti pesanti, come i pesi, può favorire la comparsa di varici. Tutto questo è ciò che si può imparare in questa guida, Qui scoprirete i migliori metodi naturali per prevenire e contrastare la comparsa di vene varicose! http://vene-varicose-rimedi.good-info.co

Spina Bifida

Your baby's sex is set at conception. At around 7 weeks, your baby's internal sex organs – such as ovaries and testes – begin to form in the abdomen. Male and female sex organs and genitalia look the same at this stage because they're derived from the same structures. At around 9 weeks, boys and girls begin to develop differently. In girls, a tiny bud emerges between the tissue of the legs. This bud will become the clitoris. The membrane that forms a groove below the bud separates to become the labia minora and the vaginal opening. By 22 weeks, the ovaries are completely formed and move from the abdomen to the pelvis. They already contain a lifetime supply of 6 million eggs. In boys, the bud develops into the penis and starts to elongate at around 12 weeks. The outer membrane grows into the scrotal sac that will later house the testicles. By 22 weeks, the testes have formed in the abdomen. They already contain immature sperm. Soon they'll begin their descent to the scrotum, but it's a long journey. They'll reach their destination late in pregnancy, or for some boys, after birth. If you're eager to find out whether you're having a girl or a boy, you'll have to wait until you're at least 17 weeks pregnant. That's when the genitals have developed enough to be seen on an ultrasound.

Harvesting and prepare fat for grafting

What is Venipuncture? While venipuncture can refer to a variety of procedures, including the insertion of IV tubes into a vein for the direct application of medicine to the blood stream, in phlebotomy venipuncture refers primarily to using a needle to create a blood evacuation point. As a phlebotomist, you must be prepared to perform venipuncture procedures on adults, children, and even infants while maintaining a supportive demeanor and procedural accuracy. Using a variety of blood extraction tools, you must be prepared to respond to numerous complications in order to minimize the risk to the patient while still drawing a clean sample. In its entirety, venipuncture includes every step in a blood draw procedure—from patient identification to puncturing the vein to labeling the sample. Patient information, needle placement, and emotional environment all play a part in the collection of a blood sample, and it's the fine details that can mean the difference between a definite result and a false positive. After placing the tourniquet and finding the vein, it's time for the phlebotomist to make the complex choice on what procedure will best suit the specific situation. Keeping this in mind, it should be noted that the following information is not an instructional guide on how to perform these phlebotomy procedures. Rather, the information below is intended to serve as an educational resource to inform you of the equipment and procedures you will use. Venipuncture Technqiues Venipuncture with an Evacuated or Vacuum Tube: This is the standard procedure for venipuncture testing. Using a needle and sheath system, this procedure allows multiple sample tubes to be filled through a single puncture. This procedure is ideal for reducing trauma to patients. After drawing the blood, the phlebotomist must make sure the test stopper is correctly coded and doesn't contact exposed blood between samples. Venipuncture with a Butterfly Needle : This is a specialized procedure that utilizes a flexible, butterfly needle adaptor. A butterfly needle has two plastic wings (one on either side of the needle) and is connected to a flexible tube, which is then attached to a reservoir for the blood. Due to the small gauge of the needle and the flexibility of the tube, this procedure is used most often in pediatric care, where the patients tend to have smaller veins and are more likely to move around during the procedure. After being inserted into a vein at a shallow angle, the butterfly needle is held in place by the wings, which allow the phlebotomist to grasp the needle very close to the skin. Phlebotomists should be careful to watch for blood clots in the flexible tubing. Venipuncture with a Syringe: This technique is typically only used when there is a supply shortage, or when a technician thinks it is the appropriate method. It uses the classic needle, tube, and plunger system, operating in a similar manner to the vacuum tube but requiring multiple punctures for multiple samples. Additionally, after the blood is drawn it must be transferred to the appropriate vacuum tube for testing purposes. If you choose to use this method, remember to check for a sterile seal, and use a safety device when transferring the sample. Fingerstick (or Fingerprick): This procedure uses a medical lance to make a small incision in the upper capillaries of a patient's finger in order to collect a tiny blood sample. It is typically used to test glucose and insulin levels. When performing a Fingerstick, the phlebotomist should remember to lance the third or fourth finger on the non-dominant arm. Never lance the tip or the center of the finger pad; instead, lance perpendicular to the fingerprint lines. Heelstick (or Heelprick): Similar to the Fingerstick procedure, this process is used on infants under six months of age. A medical lance is used to create a small incision on the side of an infant's heel in order to collect small amounts of blood for screening. As with a Fingerstick, the incision should be made perpendicular to the heel lines, and it should be made far enough to the left or right side of the heel to avoid patient agitation. Before performing a Heelstick, the infant's heel should be warmed to about 42 degrees Celsius in order to stimulate capillary blood and gas flow. Therapeutic Phlebotomy: This involves the actual letting of blood in order to relieve chemical and pressure imbalances within the blood stream. Making use of a butterfly needle, this therapy provides a slow removal of up to one pint of blood. Though the blood removed is not used for blood transfusions, the procedure and concerns are the same as with routine blood donation. As with any phlebotomy procedure, one should pay close attention to the patient in order to prevent a blood overdraw. Bleeding Time: A simple diagnostic test that is used to determine abnormalities in blood clotting and platelet production. A shallow laceration is made, followed by sterile swabbing of the wound every 30 seconds until the bleeding stops. Average bleed times range between one and nine minutes. As a phlebotomist, you should familiarize yourself with the application and cross-application of these procedures in order to recognize when a procedure is necessary, and what the risks are for each.

Medial medullary syndrome, also known as Dejerine syndrome, represents less than 1% of brainstem stroke syndromes. Thrombotic or embolic occlusion of small perforating branches from vertebral or proximal basilar artery supplying the medial aspect of medulla oblongata cause this rare syndrome. It is characterized by contralateral hemiplegia/hemiparesis as well as hemisensory loss with ipsilateral hypoglossal palsy (ipsilateral tongue weakness and atrophy) from involvement of CN XII nucleus. Other manifestations e.g. vertigo, nausea, ipsilateral limb ataxia are also reported.

A carotid endarterectomy is performed in a sterile surgical suite or standard operating room. You may go home the same day or stay 1–2 nights after the procedure depending on your medical condition. You receive a local anesthetic or general anesthesia. Your vascular surgeon makes an incision at the front of your neck. After removing the plaque from the artery your vascular surgeon repairs the artery by stitching in a natural graft (formed from a piece of vein from elsewhere in your body) or a woven patch. The incision is closed

Severe combined immunodeficiency (SCID) is a life-threatening syndrome of recurrent infections, diarrhea, dermatitis, and failure to thrive. It is the prototype of the primary immunodeficiency diseases and is caused by numerous molecular defects that lead to severe compromise in the number and function of T cells, B cells, and occasionally natural killer (NK) cells. Clinically, most patients present before age 3 months. Without intervention, SCID usually results in severe infection and death in children by age 2 years. A committee of experts, initially sponsored by the World Health Organization (WHO), meets every 2 years with the goal to classify the group of primary immunodeficiency diseases according to current understanding of the pathways that become defective in the immune system.[1] Eight classification groups have been determined, with SCID being one of the best studied. Over the past few decades, the diverse molecular genetic causes of SCID have been identified with progress from studies of the immune system.[2] SCID is considered a pediatric emergency because survival depends on expeditious stem cell reconstitution, usually by bone marrow transplantation (BMT). Appropriate diagnosis is essential because instituting proper treatment is lifesaving. Despite the heterogeneity in the pathogenesis of immune defects, common cutaneous manifestations and typical infections can provide clinical clues in diagnosing this pediatric emergency.[3] Skin manifestations were prevalent in primary immunodeficiency disorders studied in 128 pediatric patients in Kuwait; skin infections were the most prevalent findings, seen in 39 patients (30%), followed by dermatitis in 24 (19%).[4] Skin infections were significantly more prevalent in those with congenital defects in phagocyte number, function, or both, as well as in those with well-defined immunodeficiencies. Dermatitis was evident in all patients with hyper–immunoglobulin (Ig) E syndrome and Wiskott-Aldrich syndrome.[4] Erythroderma of infancy with diffuse alopecia was seen exclusively in patients with SCID disorders, and telangiectasia in patients with ataxia telangiectasia; and partial albinism with silvery gray hair was associated with Chediak-Higashi syndrome. With the advances in BMT and gene therapy, patients now have a better likelihood of developing a functional immune system in a previously lethal genetic disease. However, once an infant develops serious infections, intervention is rarely successful.

The term dermoid cyst does not appear to be restricted to a single kind of lesion nor is it used in only a single medical discipline. The term dermoid cyst can be found in the vocabulary of dermatologists, dermatopathologists, general pathologists, gynecologists, neurosurgeons, or pediatricians. If asked, all of these clinicians would most probably define and describe dermoid cysts differently. For example, gynecologists and general pathologists might say that a dermoid cyst is a cystic tumor of the ovary. In contrast, neurosurgeons tend to view a dermoid cyst is associated with a congenital cyst of the spine or an intracranial congenital cyst. For pediatricians and dermatologists, dermoid cyst means subcutaneous cysts, which are usually congenital.[1]

The big bang is the moment when the uterus, vagina, and anus contract simultaneously at 0.8-second intervals. A small orgasm may consist of three to five contractions; a biggie, 10 to 15. Many women report feeling different kinds of orgasms