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Minimally Invasive Parotidectomy
Minimally Invasive Parotidectomy samer kareem 2,000 Views • 2 years ago

Minimally invasive parotid surgery techniques are currently utilized here in Atlanta by our practice to allow the same operation to be performed with no permanent visible incision on the face or the neck. In addition to being more cosmetically appealing, this approach is less painful and allows the procedure to be performed as an outpatient. Most patients take pain medication for only a day or two after surgery.

Bronchiectasis
Bronchiectasis samer kareem 17,823 Views • 2 years ago

Bronchiectasis is an abnormal dilation of the proximal and medium-sized bronchi (>2 mm in diameter) caused by weakening or destruction of the muscular and elastic components of the bronchial walls. Affected areas may show a variety of changes, including transmural inflammation, edema, scarring, and ulceration, among other findings. Distal lung parenchyma may also be damaged secondary to persistent microbial infection and frequent postobstructive pneumonia. Bronchiectasis can be congenital but is most often acquired.[9] Congenital bronchiectasis usually affects infants and children. These cases result from developmental arrest of the bronchial tree. Acquired forms occur in adults and older children and require an infectious insult, impairment of drainage, airway obstruction, and/or a defect in host defense. The tissue is also damaged in part by the host response of neutrophilic proteases, inflammatory cytokines, nitric oxide, and oxygen radicals. This results in damage to the muscular and elastic components of the bronchial wall. Additionally, peribronchial alveolar tissue may be damaged, resulting in diffuse peribronchial fibrosis.[12] The result is abnormal bronchial dilatation with bronchial wall destruction and transmural inflammation. The most important functional finding of altered airway anatomy is severely impaired clearance of secretions from the bronchial tree. Impaired clearance of secretions causes colonization and infection with pathogenic organisms, contributing to the purulent expectoration commonly observed in patients with bronchiectasis. The result is further bronchial damage and a vicious cycle of bronchial damage, bronchial dilation, impaired clearance of secretions, recurrent infection, and more bronchial damage

Testicular Self Exam
Testicular Self Exam samer kareem 5,120 Views • 2 years ago

Testicular Self Exam

A V FISTULA GRAFT
A V FISTULA GRAFT samer kareem 1,877 Views • 2 years ago

arteriovenous hemodialysis access has been the "gold standard" for patients needing hemodialysis for the past 30 years. Despite the reported advantages of autologous access, the availability of prosthetic graft material, coupled with the challenging dialysis candidate, has led to a trend of primary prosthetic graft dialysis access in the 1980s and 1990s. In recognition of this unfortunate trend, the National Kidney Foundation Dialysis Outcomes Quality Initiative (DOQI) used evidence from published studies and summary articles to generate clinical practice guidelines, emphasizing a shift back to autologous arteriovenous fistula (AVF) as the key to long-term successful hemodialysis.[1,2] These initial guidelines proposed a goal of 50% autologous AVF as the initial access, with a 40% prevalence of autologous access for a given practice or unit.

Patent Ductus Arteriosus
Patent Ductus Arteriosus samer kareem 7,812 Views • 2 years ago

Patent ductus arteriosus (PDA) is a persistent opening between two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby's circulatory system before birth that usually closes shortly after birth. If it remains open, however, it's called a patent ductus arteriosus.

Vaginal Child Birth
Vaginal Child Birth samer kareem 47,274 Views • 2 years ago

Labor And Delivery During Vaginal Child Birth

childbirth twin baby
childbirth twin baby samer kareem 234,237 Views • 2 years ago

childbirth twin baby

Conductive Keratoplasty
Conductive Keratoplasty samer kareem 3,418 Views • 2 years ago

Keratoplasty is the procedure whereby abnormal corneal tissue is replaced by a healthy donor cornea.

Physical Assessment of a Child
Physical Assessment of a Child samer kareem 8,323 Views • 2 years ago

Physical Assessment of a Child

Vaginal prolapse Surgery
Vaginal prolapse Surgery samer kareem 183,196 Views • 2 years ago

What factors should I consider when deciding whether to have surgery? The following factors should be considered when deciding whether to have surgery: Your age—If you have surgery at a young age, there is a chance that prolapse will recur and may possibly require additional treatment. If you have surgery at an older age, general health issues and any prior surgery may affect the type of surgery that you have. Your childbearing plans—Ideally, women who plan to have children (or more children) should postpone surgery until their families are complete to avoid the risk of prolapse happening again after corrective surgery. Health conditions—Any surgical procedure carries some risk, such as infection, bleeding, blood clots in the legs, and problems related to anesthesia. Surgery may carry more risks if you have a medical condition, such as diabetes, heart disease, or breathing problems, or if you smoke or are obese. New problems—Surgery also may cause new problems, such as pain during sex, pelvic pain, or urinary incontinence.

Stapled Hemorrhoidectomy
Stapled Hemorrhoidectomy samer kareem 2,148 Views • 2 years ago

Haemorrhoids is one of the most common problems seen in surgical OPD. Open haemorrhoidectomy has remained the gold standard for a long time with a high post-operative morbidity. The quest for a better understanding of the pathology of haemorrhoids resulted in the evolvement of stapler haemorrhoidopexy. Our aim is to study the efficacy of stapler haemorrhoidopexy with regards to role of immediate post-operative morbidity. A prospective study of 50 patients (n = 50) with the second- and third-degree symptomatic haemorrhoids was done. The mean age of the patients was 44.1 years. Fourteen patients had co-morbid conditions. The average duration of the operation was 29 min. Patients with the second-degree haemorrhoids had higher rate of complication. The complication rate was 32%. Three patients had urinary retention. Two patients had minor bleeding, and one patient experienced transient discharge. The mean analgesic requirement was 2.4 tramadol, 50 mg injections. Ten patients had significant post-operative pain. Average length of hospital stay was 2.7 days. There were no symptomatic recurrences till date.

Tummy Tuck Muscle Repair with 3D CAT scan
Tummy Tuck Muscle Repair with 3D CAT scan samer kareem 7,321 Views • 2 years ago

plastic surgeon demonstrates the results of a muscle separation(rectus diastasis) repair using 3 dimesional CAT scan and photographic images

Acute Myocardial Infarction - Heart Attack
Acute Myocardial Infarction - Heart Attack Dr.Neelesh Bhandari 30,233 Views • 2 years ago

Acute Myocardial Infarction - Heart Attack

Transcatheter aortic valve replacement (TAVR)
Transcatheter aortic valve replacement (TAVR) samer kareem 4,491 Views • 2 years ago

Transcatheter aortic valve replacement (TAVR) has recently emerged as a therapeutic option for patients with severe aortic stenosis

Purse String Suture
Purse String Suture Mohamed Ibrahim 20,559 Views • 2 years ago

Purse String Suture

Complete Blood Count
Complete Blood Count samer kareem 1,757 Views • 2 years ago

Learn the CBC once and for all!

Forehead wound repaired
Forehead wound repaired samer kareem 2,434 Views • 2 years ago

Forehead wound repaired with "Liquiband" glue

Motor Development in Baby
Motor Development in Baby samer kareem 1,621 Views • 2 years ago

the motor milestones expected in typically developing babies, from head control to walking and what pediatricians look for during a well-baby visit. She also explains the specific types of motor control a baby must master before the next milestone can be achieved

Kidney Transplant & Dialysis
Kidney Transplant & Dialysis samer kareem 6,942 Views • 2 years ago

Dialysis and kidney transplantation are treatments for severe kidney failure, also called kidney (or renal) failure, stage 5 chronic kidney disease, and end-stage kidney (or renal) disease. There are two types of dialysis: hemodialysis and peritoneal dialysis. When the kidneys are no longer working effectively, waste products, electrolytes, and fluid build up in the blood. Dialysis takes over a portion of the function of the failing kidneys to remove the fluid and waste products. Kidney transplantation can more completely take over the function of the failing kidneys.

Breast Examination
Breast Examination Doctor 56,026 Views • 2 years ago

A new video illustrating the horizontal breast exam technique whihc is performed by doctors for any breast masses or abnormalities.

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