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Sepsis and septic shock
Sepsis and septic shock samer kareem 3,243 Views • 2 years ago

Sepsis is a potentially life-threatening complication of an infection. Sepsis occurs when chemicals released into the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail. If sepsis progresses to septic shock, blood pressure drops dramatically, which may lead to death. Anyone can develop sepsis, but it's most common and most dangerous in older adults or those with weakened immune systems. Early treatment of sepsis, usually with antibiotics and large amounts of intravenous fluids, improves chances for survival. Symptoms & causes Symptoms Many doctors view sepsis as a three-stage syndrome, starting with sepsis and progressing through severe sepsis to septic shock. The goal is to treat sepsis during its early stage, before it becomes more dangerous. Sepsis To be diagnosed with sepsis, you must exhibit at least two of the following symptoms, plus a probable or confirmed infection: Body temperature above 101 F (38.3 C) or below 96.8 F (36 C) Heart rate higher than 90 beats a minute Respiratory rate higher than 20 breaths a minute Severe sepsis Your diagnosis will be upgraded to severe sepsis if you also exhibit at least one of the following signs and symptoms, which indicate an organ may be failing: Significantly decreased urine output Abrupt change in mental status Decrease in platelet count Difficulty breathing Abnormal heart pumping function Abdominal pain Septic shock To be diagnosed with septic shock, you must have the signs and symptoms of severe sepsis — plus extremely low blood pressure that doesn't adequately respond to simple fluid replacement. When to see a doctor Most often sepsis occurs in people who are hospitalized. People in the intensive care unit are especially vulnerable to developing infections, which can then lead to sepsis. If you get an infection or if you develop signs and symptoms of sepsis after surgery, hospitalization or an infection, seek medical care immediately. Causes While any type of infection — bacterial, viral or fungal — can lead to sepsis, the most likely varieties include: Pneumonia Abdominal infection Kidney infection Bloodstream infection (bacteremia) The incidence of sepsis appears to be increasing in the United States. The causes of this increase may include: Aging population. Americans are living longer, which is swelling the ranks of the highest risk age group — people older than 65. Drug-resistant bacteria. Many types of bacteria can resist the effects of antibiotics that once killed them. These antibiotic-resistant bacteria are often the root cause of the infections that trigger sepsis. Weakened immune systems. More Americans are living with weakened immune systems, caused by HIV, cancer treatments or transplant drugs. Risk factors Sepsis is more common and more dangerous if you: Are very young or very old Have a compromised immune system Are already very sick, often in a hospital's intensive care unit Have wounds or injuries, such as burns Have invasive devices, such as intravenous catheters or breathing tubes Complications Sepsis ranges from less to more severe. As sepsis worsens, blood flow to vital organs, such as your brain, heart and kidneys, becomes impaired. Sepsis can also cause blood clots to form in your organs and in your arms, legs, fingers and toes — leading to varying degrees of organ failure and tissue death (gangrene). Most people recover from mild sepsis, but the mortality rate for septic shock is nearly 50 percent. Also, an episode of severe sepsis may place you at higher risk of future infections.

Schistosomiasis Causes Symptoms and Treatment of
Schistosomiasis Causes Symptoms and Treatment of samer kareem 2,145 Views • 2 years ago

Schistosomiasis is a parasitic disease caused by flukes (trematodes) of the genus Schistosoma. After malaria and intestinal helminthiasis, schistosomiasis is the third most devastating tropical disease in the world, being a major source of morbidity and mortality for developing countries in Africa, South America, the Caribbean, the Middle East, and Asia. (See Epidemiology and Prognosis.) [1] More than 207 million people, 85% of who live in Africa, are infected with schistosomiasis, [1] and an estimated 700 million people are at risk of infection in 76 countries where the disease is considered endemic, as their agricultural work, domestic chores, and recreational activities expose them to infested water. [1, 2] Globally, 200,000 deaths are attributed to schistosomiasis annually. [3] Transmission is interrupted in some countries. [2] (See Etiology and Epidemiology.)

Dr. Samir Abd Elghaffar discussing different options of fibroids treatment
Dr. Samir Abd Elghaffar discussing different options of fibroids treatment Doctor Samir Abdelghaffar 16,448 Views • 2 years ago

أ.د/ سمير عبد الغفار في برنامج الصحة و الجمال يتحدث عن الطرق العلاجية المختلفة لعلاج الأورام الليفية في الرحم و خاصة بالطرق التي تتفادى استئصال الرحم.
أ.د/ سمير عبد الغفار هو استشاري العمليات التداخلية بدون جراحة في كلية الطب بجامعة عين شمس

للمزيد من المعلومات عن الأورام الليفية في الرحم:
http://www.Fibroidstoday.com

Associate Professor Dr. Samir Abd Elghaffar spekaing in the famous TV show "Health and Beauty" discussing various non invasive techniques of curing fibroids and leiomyomas stressing on the interventional radiology techniques.

Dr. Samir Abd Elghaffar is the consultant of interventional radiology and non invasive procedures in Ain Shams Faculty of medicine.

Tessari
Tessari aamato 8,630 Views • 2 years ago

Creating polidocanol foam

Anatomy of The Brain
Anatomy of The Brain Anatomy_Videos 32,435 Views • 2 years ago

Anatomy of The Brain

Doctors Warn Of Complications Surrounding LASIK Eye Surgery
Doctors Warn Of Complications Surrounding LASIK Eye Surgery Mohamed Ibrahim 52 Views • 2 years ago

An estimated 20 million LASIK procedures have been performed since 1998. The FDA website is filled with stories of complications, including pain, dizziness and detached retinas. CBS2's Chris Wragge reports.

Vaginal ChildBirth after Cesarean Section (C-Section)
Vaginal ChildBirth after Cesarean Section (C-Section) Surgeon 123,224 Views • 2 years ago

At one time, women who had delivered by cesarean section in the past would usually have another cesarean section for any future pregnancies. The rationale was that if allowed to labor, many of these women with a scar in their uterus would rupture the uterus along the weakness of the old scar. Over time, a number of observations have become apparent: Most women with a previous cesarean section can labor and deliver vaginally without rupturing their uterus. Some women who try this will, in fact, rupture their uterus. When the uterus ruptures, the rupture may have consequences ranging from near trivial to disastrous. It can be very difficult to diagnose a uterine rupture prior to observing fetal effects (eg, bradycardia). Once fetal effects are demonstrated, even a very fast reaction and nearly immediate delivery may not lead to a good outcome. The more cesarean sections the patient has, the greater the risk of subsequent rupture during labor. The greatest risk occurs following a “classical” cesarean section (in which the uterine incision extends up into the fundus.) The least risk of rupture is among women who had a low cervical transverse incision. Low vertical incisions probably increase the risk of rupture some, but usually not as much as a classical incision. Many studies have found the use of oxytocin to be associated with an increased risk of rupture, either because of the oxytocin itself, or perhaps because of the clinical circumstances under which it would be contemplated. Pain medication, including epidural anesthetic, has not resulted greater adverse outcome because of the theoretical risk of decreasing the attendant’s ability to detect rupture early. The greatest risk of rupture occurs during labor, but some of the ruptures occur prior to the onset of labor. This is particularly true of the classical incisions. Overall successful vaginal delivery rates following previous cesarean section are in the neighborhood of 70 This means that about 30of women undergoing a vaginal trial of labor will end up requiring a cesarean section. Those who undergo cesarean section (failed VBAC) after a lengthy labor will frequently have a longer recovery and greater risk of infection than had they undergone a scheduled cesarean section without labor. Women whose first cesarean was for failure to progress in labor are only somewhat less likely to be succesful in their quest for a VBAC than those with presumably non-recurring reasons for cesarean section. For these reasons, women with a prior cesarean section are counseled about their options for delivery with a subsequent pregnancy: Repeat Cesarean Section, or Vaginal Trial of Labor. They are usually advised of the approximate 70successful VBAC rate (modified for individual risk factors). They are counseled about the risk of uterine rupture (approximately 1in most series), and that while the majority of those ruptures do not lead to bad outcome, some of them do, including fetal brain damage and death, and maternal loss of future childbearing. They are advised of the usual surgical risks of infection, bleeding, anesthesia complications and surgical injury to adjacent structures. After counseling, many obstetricians leave the decision for a repeat cesarean or VBAC to the patient. Both approaches have risks and benefits, but they are different risks and different benefits. Fortunately, most repeat cesarean sections and most vaginal trials of labor go well, without any serious complications. For those choosing a trial of labor, close monitoring of mother and baby, with early detection of labor abnormalities and preparation for

Bone Cancer
Bone Cancer samer kareem 1,874 Views • 2 years ago

Most of the time when someone with cancer is told they have cancer in the bones, the doctor is talking about a cancer that has spread to the bones from somewhere else. This is called metastatic cancer. It can be seen in many different types of advanced cancer, like breast cancer, prostate cancer, and lung cancer. When these cancers in the bone are looked at under a microscope, they look like the tissue they came from. For example, if someone has lung cancer that has spread to bone, the cells of the cancer in the bone still look and act like lung cancer cells. They do not look or act like bone cancer cells, even though they are in the bones. Since these cancer cells still act like lung cancer cells, they still need to be treated with drugs that are used for lung cancer. For more information about metastatic bone cancer, please see our document called Bone Metastasis, as well as the document on the specific place the cancer started (Breast Cancer, Lung Cancer, Prostate Cancer, etc.). Other kinds of cancers that are sometimes called “bone cancers” start in the blood forming cells of the bone marrow − not in the bone itself. The most common cancer that starts in the bone marrow and causes bone tumors is called multiple myeloma. Another cancer that starts in the bone marrow is leukemia, but it is generally considered a blood cancer rather than a bone cancer. Sometimes lymphomas, which more often start in lymph nodes, can start in bone marrow. Multiple myeloma, lymphoma, and leukemia are not discussed in this document. For more information on these cancers, refer to the individual document for each. A primary bone tumor starts in the bone itself. True (or primary) bone cancers are called sarcomas. Sarcomas are cancers that start in bone, muscle, fibrous tissue, blood vessels, fat tissue, as well as some other tissues. They can develop anywhere in the body. There are several different types of bone tumors. Their names are based on the area of bone or surrounding tissue that is affected and the kind of cells forming the tumor. Some primary bone tumors are benign (not cancerous), and others are malignant (cancerous). Most bone cancers are sarcomas.

Breast Exam After Breast implants
Breast Exam After Breast implants Alicia Berger 47,198 Views • 2 years ago

A video showing breast examination after breast implants

Male Urogenital Examination
Male Urogenital Examination Scott George 59,589 Views • 2 years ago

Basic well-male examination of the genitals and digital rectal exam.

Symptoms Of Anxiety, Anxiety Disorder Symptoms, What Is Social Anxiety, Zoloft For Anxiety
Symptoms Of Anxiety, Anxiety Disorder Symptoms, What Is Social Anxiety, Zoloft For Anxiety marin vinasco 1,595 Views • 2 years ago

Symptoms Of Anxiety, Anxiety Disorder Symptoms, What Is Social Anxiety, Zoloft For Anxiety --- http://panic-attacks-anxiety.good-info.co --- Panic attacks and anxiety While there are times for doctors, I want you to consider this: MOST of your anxiety is under the radar… Masquerading as “just feeling a bit nervous”... or “just a tad irritable thanks to this diet plan”... or, “let’s skip the party and just stay home tonight.” And, I’m telling you, that anxiety not only destroys your fat burning power: It often leads to all-out panic disorder, if you just ignore it. Fortunately for you, there’s a 60-Second Solution that restores your calm, removes those anxious feelings, and allows you to keep burning body fat for energy. Now, this exact same technique works for all-out panic and even more serious anxiety issues, too… The man who delivers this presentation had panic attacks in “everyday” situations… and he too had feelings of anxiety whenever he tried to diet-off body fat… This Simple Trick Stops Panic Attacks And Anxiety Click Here: http://panic-attacks-anxiety.good-info.co

Plane Animation
Plane Animation Landging 5,189 Views • 2 years ago

http://www.landging.com/plane-animation.html
420 seconds 3d plane animation, designed for Expo 2010 Shanghai Aviation Pavilion.

New Treatment for sinusitis. Yamik procedure
New Treatment for sinusitis. Yamik procedure Aleksandr Senin 2,861 Views • 2 years ago

New Treatment for sinusitis. Yamik procedure

Hepatic portal system
Hepatic portal system samer kareem 8,599 Views • 2 years ago

The hepatic portal system is the system of veins comprising the hepatic portal vein and its tributaries. It is responsible for directing blood from the region of the gastrointestinal tract between the esophagus and rectum and also includes venous drainage from the supplementary organs such as the spleen and pancreas.

This test is used in the clinic to assess for a knee effusion, or swelling in the knee joint
This test is used in the clinic to assess for a knee effusion, or swelling in the knee joint Scott 88 Views • 2 years ago

Dental Veneers
Dental Veneers samer kareem 5,282 Views • 2 years ago

Water Birth Video HD
Water Birth Video HD Doctor 42,360 Views • 2 years ago

High definition video of a woman giving birth through water vaginal childbirth maneauver.

Boqueras Causas, Como Se Quitan Las Boqueras, Porque Salen Boqueras En La Boca, Queilitis Angular
Boqueras Causas, Como Se Quitan Las Boqueras, Porque Salen Boqueras En La Boca, Queilitis Angular marin vinasco 3,001 Views • 2 years ago

Boqueras Causas, Como Se Quitan Las Boqueras, Porque Salen Boqueras En La Boca, Queilitis Angular --- http://queilitis-angular.good-info.co --- Hay Que Actuar Ante Los Primeros Signos De Queilitis Angular. Las Primeras Manifestaciones De Queilitis Angular Suelen Ser Tenues Y Apenas Molestas. Pero No Por Ello Hay Que Ignorarlas, Porque Pueden Derivar En Problemas Mayores. La Queilitis Angular O Lo Que Comúnmente Se Llaman Boqueras, Comienza Por Grietas Minúsculas En Los Extremos De La Boca. También Se Empieza A Sentir Ardor Y Molestias Al Mover Los Labios O Al Abrir La Boca. ¿Qué Sucede Si No Se Atienden De Inmediato Esas Pequeñas Molestias? Difícilmente Se Irán Por Si Solas Sino Que, Por El Contrario, Comenzarán A Agravarse. Las Minúsculas Grietas Se Harán Cada Vez Más Pronunciadas Por El Continuo Movimiento De La Boca. Al Intensificarse Las Grietas Pueden Llegar A Convertirse En Llagas Y A Sangrar. Y Las Infecciones No Tardarán En Aparecer. La Queilitis Angular Puede Ser En Un Primer Momento Molesta Para Quien La Sufre. A Medida Que Avanza, Las Pequeñas Manifestaciones En La Boca Comienzan A Ser Bien Visibles Y Desagradables. Por Lo Que Al Ardor, Picazón Y Dolor, Se Le Suma El Hecho De Querer Ocultar La Afección Ante Los Demás. Cosa Que No Es Fácil De Lograr. A Pesar De Ser Pequeña, La Boca Es Uno De Los Lugares Más Visible Y Observado. Si Hablamos, Comemos, Bebemos, Nuestra Boca Está En Primer Plano. Ante Los Primeros Signos De Queilitis Se Puede Recurrir A Una Crema O Pomada Adecuada, Antiséptica, Antimicótica O Antifúngica. Si Bien Los Extremos De La Boca Deben Permanecer Libres De Saliva O Transpiración, Deben Estar Bien Hidratados. Cualquier Crema Antiséptica Que Se Utilice Debe Ser Libre De Perfumes Y Colorantes Químicos. Debe Detener La Descamación, A La Vez Que Calmar El Picor. El Área Afectada Tendrá Que Permanecer Bien Aseada, Procediendo A Secarla Sin Frotar, Como Para Que No Se Resienta Aún Más La Piel De Los Labios Y Sus Adyacencias. Para Curar La Queilitis Angular No Alcanza Con Los Tópicos Que Se Puedan Utilizar, Por Más Efectivas Que Sean Sus Fórmulas Desde Las Primeras Aplicaciones. Hay Que Llevar A Cabo Una Nutrición Balanceada, Variada Y Suficiente, Con Vitaminas, Minerales Y Oligoelementos. Un Análisis De Laboratorio Podrá Determinar Si Está Haciendo Falta El Aporte De Alguna Vitamina O Mineral. Asimismo, Conviene Evitar Los Lugares Muy Fríos Y/O Húmedos, Así Como Los Espacios Contaminados Por Polvillos O Cualquier Sustancia Irritante Para La Piel. Recomendamos Siempre Actuar Ante Los Primeros Síntomas De Queilitis. Si Se Frena La Dolencia Antes De Que Prospere Y Haga Eclosión, Se Evitará El Sufrimiento Que Puede Implicar Lidiar Contra Lesiones Serias En La Boca. Y Se Evitarán Las Temibles Huellas De Cicatrices Que Pueda Dejar Una Afección Prolongada. ¿Qué Podemos Hacer Ya Mismo? Hoy Existe Un Novedoso Tratamiento, Totalmente Natural Y Muy Simple, Con El Que Se Puede Eliminar La Queilitis Angular O Boqueras En Tan Solo 7 Días (O Menos). Este Revolucionario Sistema Ataca La Verdadera Causa De La Enfermedad Y No Solo Los Síntomas, Asegurando Resultados A Largo Plazo. Si Usted Desea Eliminar Para Siempre Esas Grietas Dolorosas Y La Vergüenza Que Causa Esta Afección, Puede Conocer Este Método De Resultados Comprobados Haciendo Clic En El Siguiente Enlace http://queilitis-angular.good-info.co

After Diagnosis
After Diagnosis News Canada 6,847 Views • 2 years ago

Patients open up about living with cancer.

Extracorporeal shockwave lithotripsy
Extracorporeal shockwave lithotripsy samer kareem 11,062 Views • 2 years ago

Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract camera.gif and pass from the body. See a picture of ESWL camera.gif. You lie on a water-filled cushion, and the surgeon uses X-rays or ultrasound tests to precisely locate the stone. High-energy sound waves pass through your body without injuring it and break the stone into small pieces. These small pieces move through the urinary tract and out of the body more easily than a large stone. The process takes about an hour. You may receive sedatives or local anesthesia. Your surgeon may use a stent if you have a large stone. A stent is a small, short tube of flexible plastic mesh that holds the ureter open. This helps the small stone pieces to pass without blocking the ureter.

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