USMLE Step 2 CS - Numbness Weakness Full Video

FemTouch Vaginal Rejuvenation Laser

The lumps may be hard or rubbery and can appear as a single breast lump that may be large or small. Fibrocystic changes also can appear as thickening of the breast tissue. Fibrocystic changes can occur in one or both breasts and are the most common cause of benign breast lumps in women age 35 to 50.

Paracentesis is a procedure to take out fluid that has collected in the belly (peritoneal fluid). This fluid buildup is called ascites camera.gif. Ascites may be caused by infection, inflammation, an injury, or other conditions, such as cirrhosis or cancer. The fluid is taken out using a long, thin needle put through the belly. The fluid is sent to a lab and studied to find the cause of the fluid buildup. Paracentesis also may be done to take the fluid out to relieve belly pressure or pain in people with cancer or cirrhosis.

The spleen, a spongy, soft organ about as big as a person’s fist, is located in the upper left part of the abdomen, just under the rib cage. The splenic artery brings blood to the spleen from the heart. Blood leaves the spleen through the splenic vein, which drains into a larger vein (the portal vein) that carries the blood to the liver. The spleen has a covering of fibrous tissue (the splenic capsule) that supports its blood vessels and lymphatic vessels. The spleen is made up of two basic types of tissue, each with different functions: White pulp Red pulp The white pulp is part of the infection-fighting (immune) system. It produces white blood cells called lymphocytes, which in turn produce antibodies (specialized proteins that protect against invasion by foreign substances). The red pulp filters the blood, removing unwanted material. The red pulp contains other white blood cells called phagocytes that ingest microorganisms, such as bacteria, fungi, and viruses. It also monitors red blood cells, destroying those that are abnormal or too old or damaged to function properly. In addition, the red pulp serves as a reservoir for different elements of the blood, especially white blood cells and platelets (cell-like particles involved in clotting). However, releasing these elements is a minor function of the red pulp.

Neurogenic shock is a distributive type of shock resulting in low blood pressure, occasionally with a slowed heart rate, that is attributed to the disruption of the autonomic pathways within the spinal cord. It can occur after damage to the central nervous system such as spinal cord injury.

With keratoconus, the clear, dome-shaped tissue that covers the eye (cornea) thins and bulges outward into a cone shape. Its cause is unknown. Symptoms first appear during puberty or the late teens and include blurred vision and sensitivity to light and glare. Vision can be corrected with glasses or contact lenses early on. Advanced cases may require a cornea transplant.

Acute kidney injury is common entity in medical practice. The present definition is based on a serum creatinine rise of more 0.3 mg/dl in 48 hours or less, a 50% increase from the baseline over a period of 07 days or a urine output of less than 0.5 ml/kg/hour for more than 06 hours. The main causes of acute kidney injury may be classified into pre renal, intrinsic or post renal causes. Rapid diagnosis and prompt treatment is essential to prevent mortality or morbidity. This presentation discusses in detail the causes of all three mechanisms, pre-renal, post renal and intrinsic.

The placement of a percutaneous expandable biliary endoprosthesis was first reported in 1985 by Carrasco et al. in a canine model,[1] and the endoscopic placement of expandable metal stents to relieve biliary strictures in patients was first described in 1989.[2,3] Over the past two decades, the endoscopic approach to biliary endoprosthesis placement has largely supplanted the percutaneous approach. Self-expanding metal stents (SEMS) have traditionally been used for palliation of obstructive jaundice in patients with unresectable pancreaticobiliary tumors. However, SEMS are increasingly being used in patients with resectable cancers[4] and benign biliary strictures.[5] Uncovered SEMS (uSEMS) have been shown to have longer patency periods than plastic stents when used for malignant biliary obstruction and to be cost effective if the patient's life expectancy is greater than 4–6 months.[6–8] The common causes of malignant biliary obstruction are pancreatic cancer and cholangiocarcinoma.[9–11] Biliary drainage prior to surgical resection is controversial; several investigators have reported it to be beneficial owing to the improved tissue healing with reduced bilirubin levels,[12,13] but others have also reported its deleterious effects secondary to the additional intervention..

Removal of large epidermoid cyst from floor of the mouth

A brief overview of Filarial infection in humans. This presentation includes the etiopathogenesis, clinical manifestations, diagnosis and treatment of this condition.

A brief description of hypertensive emergencies including its definition, risk factors, clinical manifestations and management

A spinal tumor is a growth that develops within your spinal canal or within the bones of your spine. It may be cancerous or noncancerous. Tumors that affect the bones of the spine (vertebrae) are known as vertebral tumors. Tumors that begin within the spinal cord itself are called spinal cord tumors. There are two main types of tumors that may affect the spinal cord: Intramedullary tumors begin in the cells within the spinal cord itself, such as astrocytomas or ependymomas. Extramedullary tumors develop within the supporting network of cells around the spinal cord. Although they don't begin within the spinal cord itself, these types of tumors may affect spinal cord function by causing spinal cord compression and other problems. Examples of extramedullary tumors that can affect the spinal cord include schwannomas, meningiomas and neurofibromas.

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Management of postpartum hemorrhage at vaginal delivery. The approach to treatment of postpartum hemorrhage (PPH) differs somewhat depending on the cause and whether hemorrhage occurs after a vaginal birth or after a cesarean delivery.

Radiosurgery: Radiosurgery devices, such as the CyberKnife Robotic Radiosurgery System, offer patients a new option for the treatment of lung cancer. The CyberKnife® System is used to treat lung cancer patients who cannot tolerate surgery, have an inoperable tumor, or are seeking an alternative to surgery.