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Ankylosing Spondylitis
Ankylosing Spondylitis samer kareem 2,605 Views • 3 years ago

Ankylosing spondylitis is an inflammatory disease that, over time, can cause some of the vertebrae in your spine to fuse. This fusing makes the spine less flexible and can result in a hunched-forward posture. If ribs are affected, it can be difficult to breathe deeply. Ankylosing spondylitis affects men more often than women. Signs and symptoms typically begin in early adulthood. Inflammation also can occur in other parts of your body — most commonly, your eyes. There is no cure for ankylosing spondylitis, but treatments can lessen your symptoms and possibly slow progression of the disease.

Epidermal Cyst
Epidermal Cyst samer kareem 3,128 Views • 3 years ago

Epidermoid cysts, also called sebaceous, keratin, or epithelial cysts, are small, hard lumps that develop under the skin. These cysts are common. They grow slowly. They do not cause other symptoms and are nearly never cancerous. Epidermoid cysts are often found on the face, head, neck, back, or genitals

Symptoms of Multiple Sclerosis
Symptoms of Multiple Sclerosis samer kareem 1,277 Views • 3 years ago

Multiple sclerosis (MS) involves an immune-mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS). The CNS is made up of the brain, spinal cord and optic nerves.

Transcatheter aortic valve replacement (TAVR)
Transcatheter aortic valve replacement (TAVR) samer kareem 4,552 Views • 3 years ago

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

Bowel Obstruction - Causes and Pathophysiology
Bowel Obstruction - Causes and Pathophysiology samer kareem 6,641 Views • 3 years ago

A small-bowel obstruction (SBO) is caused by a variety of pathologic processes. The leading cause of SBO in industrialized countries is postoperative adhesions (60%), followed by malignancy, Crohn disease, and hernias, although some studies have reported Crohn disease as a greater etiologic factor than neoplasia.

Robotic Total Mesorectal Excision for Treatment of Rectal Cancer
Robotic Total Mesorectal Excision for Treatment of Rectal Cancer Mohamed 22,201 Views • 3 years ago

Robotic surgery was developed to facilitate endoscopic surgery and overcome its disadvantage. Thus, we performed robotic Total Mesorectal Excison (TME) in patient with rectal cancer by using the Intuitive Surgical® da Vinci surgicalTM system (Intuitive Surgical®, Sunnyvale, CA). To our knowledge, ...this is the first robotic low anterior resection base on standard TME principle with pelvic autonomic preservation. In conclusion, Robotic system is the best operative instrument for performing the standard TME procedure in rectal cancer patients.

Local anesthesia in big toe for ingrown toenail removal
Local anesthesia in big toe for ingrown toenail removal samer kareem 11,633 Views • 3 years ago

Brain Hematoma Removal
Brain Hematoma Removal Scott 6,497 Views • 3 years ago

Brain Hematoma Removal

Periodontal Disease and Premature Babies
Periodontal Disease and Premature Babies Dentist 11,717 Views • 3 years ago

Recent researches shows that women with periodontal disease are more prone to deliver premature babies

Cranial Nerves Mnemonic
Cranial Nerves Mnemonic samer kareem 18,844 Views • 3 years ago

Cranial Nerves Mnemonic

Post-Menopausal Bleeding
Post-Menopausal Bleeding samer kareem 15,731 Views • 3 years ago

Menopause is the end of menstruation. In clinical terms, you reach menopause when you haven't had a period for 12 months. Vaginal bleeding after menopause isn't normal and should be evaluated by your doctor. For instance, postmenopausal vaginal bleeding can be caused by: Cancer of the uterus, including endometrial cancer and uterine sarcoma Cancer of the cervix or vagina Thinning of the tissues lining the uterus (endometrial atrophy) or vagina (vaginal atrophy) Uterine fibroids Uterine polyps Infection of the uterine lining (endometritis) Medications such as hormone therapy and tamoxifen Pelvic trauma Bleeding from the urinary tract or rectum Excessive overgrowth of the cells that make up the lining of the uterus (endometrial hyperplasia) The cause of your bleeding may be entirely harmless. However, postmenopausal bleeding could result from something serious, so it's important to see your doctor promptly.

Multiple Sclerosis: Signs, Symptoms and Treatments
Multiple Sclerosis: Signs, Symptoms and Treatments samer kareem 1,081 Views • 3 years ago

Multiple sclerosis causes many different symptoms, including vision loss, pain, fatigue, and impaired coordination. The symptoms, severity, and duration can vary from person to person. Some people may be symptom free most of their lives, while others can have severe chronic symptoms that never go away.

Clogged Ear Due to Ear Infection or Eustachian Tube Dysfunction
Clogged Ear Due to Ear Infection or Eustachian Tube Dysfunction samer kareem 1,999 Views • 3 years ago

This video demonstrates why ears become clogged and why ear popping helps. The video also explains why ear popping may become difficult resulting in a persistent clogged or muffled ear especially after an ear infection.

Anatomy of uterus and adnexa
Anatomy of uterus and adnexa samer kareem 17,767 Views • 3 years ago

The most common position of the uterus is anteverted (cervix angles forward) and anteflexed (body is flexed forward). The position of the uterus in the adult is liable to considerable variation, depending chiefly on the condition of the bladder and rectum. Adnexa: In gynecology, the appendages of the uterus, namely the ovaries, the Fallopian tubes, and the ligaments that hold the uterus in place.

Cerebral Venous Sinus Thrombosis
Cerebral Venous Sinus Thrombosis samer kareem 5,846 Views • 3 years ago

Thrombosis of the venous channels in the brain is an uncommon cause of cerebral infarction relative to arterial disease, but it is an important consideration because of its potential morbidity. (See Prognosis.) Knowledge of the anatomy of the venous system is essential in evaluating patients with cerebral venous thrombosis (CVT), since symptoms associated with the condition are related to the area of thrombosis. For example, cerebral infarction may occur with cortical vein or sagittal sinus thrombosis secondary to tissue congestion with obstruction. (See Presentation.) Lateral sinus thrombosis may be associated with headache and a pseudotumor cerebri–like picture. Extension into the jugular bulb may cause jugular foramen syndrome, while cranial nerve palsies may be seen in cavernous sinus thrombosis as a compressive phenomenon. Cerebral hemorrhage also may be a presenting feature in patients with venous sinus thrombosis. (See Presentation.) Imaging procedures have led to easier recognition of venous sinus thrombosis (see the images below), offering the opportunity for early therapeutic measures. (See Workup.) Left lateral sinus thrombosis demonstrated on magn Left lateral sinus thrombosis demonstrated on magnetic resonance venography (MRV). This 42-year-old woman presented with sudden onset of headache. Physical examination revealed no neurologic abnormalities. View Media Gallery Axial view of magnetic resonance (MR) venogram dem Axial view of magnetic resonance (MR) venogram demonstrating lack of flow in transverse sinus. View Media Gallery The following guidelines for CVT have been provided by the American Heart Association and the American Stroke Association [1] : In patients with suspected CVT, routine blood studies consisting of a complete blood count, chemistry panel, prothrombin time, and activated partial thromboplastin time should be performed. Screening for potential prothrombotic conditions that may predispose a person to CVT (eg, use of contraceptives, underlying inflammatory disease, infectious process) is recommended in the initial clinical assessment. Testing for prothrombotic conditions (including protein C, protein S, or antithrombin deficiency), antiphospholipid syndrome, prothrombin G20210A mutation, and factor V Leiden can be beneficial for the management of patients with CVT. Testing for protein C, protein S, and antithrombin deficiency is generally indicated 2-4 weeks after completion of anticoagulation. There is a very limited value of testing in the acute setting or in patients taking warfarin. In patients with provoked CVT (associated with a transient risk factor), vitamin K antagonists may be continued for 3-6 months, with a target international normalized ratio of 2.0-3.0. In patients with unprovoked CVT, vitamin K antagonists may be continued for 6-12 months, with a target international normalized ratio of 2.0-3.0. For patients with recurrent CVT, venous thromboembolism (VTE) after CVT, or first CVT with severe thrombophilia (ie, homozygous prothrombin G20210A; homozygous factor V Leiden; deficiencies of protein C, protein S, or antithrombin; combined thrombophilia defects; or antiphospholipid syndrome), indefinite anticoagulation may be considered, with a target international normalized ratio of 2.0-3.0. For women with CVT during pregnancy, low-molecular-weight heparin (LMWH) in full anticoagulant doses should be continued throughout pregnancy, and LMWH or vitamin K antagonist with a target international normalized ratio of 2.0-3.0 should be continued for ≥6 weeks postpartum (for a total minimum duration of therapy of 6 months). It is reasonable to advise women with a history of CVT that future pregnancy is not contraindicated. Further investigations regarding the underlying cause and a formal consultation with a hematologist or maternal fetal medicine specialist are reasonable. It is reasonable to treat acute CVT during pregnancy with full-dose LMWH rather than unfractionated heparin. For women with a history of CVT, prophylaxis with LMWH during future pregnancies and the postpartum period is reasonable. Next: Etiology What to Read Next on Medscape Related Conditions and Diseases Quiz: Do You Know the Complications, Proper Workup, and Best Treatment Practices for Ischemic Stroke? Quiz: How Much Do You Know About Hypothyroidism? Quiz: Do You Know the Risk Factors, Symptoms, and Potential Treatments for Alzheimer Disease? Quiz: How Much Do You Know About Hypertension? 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Gloving, Gowning and Surgical Scrub
Gloving, Gowning and Surgical Scrub Surgeon 20,488 Views • 3 years ago

A video showing the accurate steps of Gloving, Gowning and Surgical Scrub

Interrupted Sub-Dermal Sutures
Interrupted Sub-Dermal Sutures Mohamed Ibrahim 18,808 Views • 3 years ago

A very good video illustrating the Interrupted Sub-Dermal Sutures

Infertility Treatment For Men
Infertility Treatment For Men samer kareem 22,269 Views • 3 years ago

In some cases, the doctor will recommend that the couple seek assisted reproductive technologies (ART), such as IVF (in vitro fertilisation). ART do not cure or treat the cause of infertility but they can help couples achieve a pregnancy, even if the man's sperm count is very low.

Attention Deficit Hyperactivity Disorder
Attention Deficit Hyperactivity Disorder samer kareem 4,653 Views • 3 years ago

Attention deficit hyperactivity disorder (ADHD) is a mental disorder of the neurodevelopmental type. It is characterized by problems paying attention, excessive activity, or difficulty controlling behavior which is not appropriate for a person's age.

Patent ductus arteriosus (PDA)
Patent ductus arteriosus (PDA) samer kareem 1,908 Views • 3 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. A small patent ductus arteriosus often doesn't cause problems and might never need treatment. However, a large patent ductus arteriosus left untreated can allow poorly oxygenated blood to flow in the wrong direction, weakening the heart muscle and causing heart failure and other complications. Treatment options for a patent ductus arteriosus include monitoring, medications and closure by cardiac catheterization or surgery.

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