:::simple medicine:::

- Criteria of hypersplenism.

2011-10-05T01:39:00.000+02:00

Criteria of hypersplenism.

Splenomegally.
Cytopenias (mono or pan).
Hypercellular bone marrow.
Scanning with Cr51 labelled with RBCs>> reversed liver to spleen ratio.
Splenectomy will improve the condition.

(A huge spleen after splenectomy for female patient with hypersplenism)

Dr Ibrahim samaha

- Heel foreign body X-ray.

2011-10-01T01:18:00.000+02:00

Heel foreign body X-ray.

A child presented to Mansoura Emergency Hospital by a needle in heel which not appear on the skin,An X-ray was made and shown this..

Dr Ibrahim samaha

- Arterial Doppler Examination.

2011-09-27T01:10:00.000+02:00

Arterial Doppler Examination.

An Arterial Doppler evaluates the arterial blood flow of the body. It is used many times to evaluate the arteries of the legs.

It may be ordered when there is suspicion on exam or with symptoms suggestive of blockage of the arteries.

There is no radiation for this test as it uses sound waves and pressure cuffs.

This video shows how to interpret vascular arterial doppler signal wave-forms in a simple and informative fashion.

This is educational especially in teaching how to better utilise a simple hand-held Doppler.

- Acupuncture.

2011-09-21T04:11:00.005+02:00

*Acupuncture is an alternative medicine methodology originating in ancient China that treats patients by manipulating thin, solid needles which have been inserted into acupuncture points in the skin.

*Theory

The general theory of acupuncture is based on the premise that there are patterns of energy flow (Qi) through the body that are essential for health. Disruptions of this flow are believed to be responsible for disease. Acupuncture may correct imbalances of flow at identifiable points close to the skin. (1)

- Sher's grading of abruptio placentae.

2011-09-10T19:01:00.003+02:00

Sher's grading of abruptio placentae.
(according to severity)

Grade I (Retrospective) Not recognized clinically before delivery: small retroplacental Haematoma discovered on maternal surface of placenta after delivery, No APH.
Grade II mild vaginal bleeding,uterine tenderness and tetany, No fetal distress, no maternal shock.
Grade III Severe vaginal bleeding, uterine tenderness and tetany, fetal distress then death, maternal shock, according to DIC:

IIIa:Without DIC
IIIb:With DIC

Dr Ibrahim
Return to list of medical grades (click here)

- Total Thyroidectomy.

2011-09-05T18:14:00.002+02:00

Total Thyroidectomy.

DR. C. ASTINI - DR. S.GUARINO
HOPITAL DE BALBALA - DJIBOUTI

- Thyroidectomy.

2011-09-01T16:58:00.001+02:00

Thyroidectomy

- Laparoscopic Cholecystectomy (video).

2011-08-24T07:52:00.001+02:00

Laparoscopic Cholecystectomy (High definition video).

by George S. Gilliam...MD

- Eye signs of thyrotoxicosis.

2011-08-23T11:50:00.001+02:00

Eye signs of thyrotoxicosis.

"DR Joffroy may validate symptoms"

Dalrymple sign:- rim of sclera is seen all around the cornea, on looking straight forward.
Rosenbach's sign:- fine tremor of the upper eyelids on slight closure of the eye.
Joffroy's sign:-lack of wrinkling of the forehead when a patient looks upward.
Moebius sign:- lack of convergence on looking to near object.
Von Graefe's sign (lid lag sign):-lagging of the upper eyelid on looking downward without movinh the head.
Stellwag's sign:-staring look with infrequent blinking.

Dr Ibrahim,,

- Laparoscopic Cholecystectomy (video).

2011-08-22T08:14:00.001+02:00

Laparoscopic Cholecystectomy.

This video depicts the surgical removal of the gallbladder using laparoscopic methods, by Mr. Michael Bickford.

- Hernia Repair Surgery video.

2011-08-21T00:11:00.000+02:00

Hernia Repair Surgery video.

An educational video account of actual hernia repair surgery with Dr. David Albin, as well as general hernia information and information on our hernia surgeon and facility.

- Causes of gynecomastia.

2011-08-07T11:57:00.000+02:00

Causes of gynecomastia.
Gynecomastia.

Genetic : klinefelter syndrome.
Young boy (puberty): due to transient increase of plasma estradiol.
Neonate: due to persistent maternal or placental lactogens.
Estrogen and estrogen like drugs (e.g. digitalis).
Cirrohosis,Cimetidine,Cytotoxic drugs.
Old age(due to conversion of androgen to estrogen in extra glandular tissue),Overactive thyroid (Hyperthyroidism)
Myxedema,Marijuana.
Acromrgally.
Spironolactone,Steroids.
Tumour (e.g. testis,adrenal,bronchogenic carcinoma).
INH,Iron deposition in testis.
Alcoholism.

- Cesarean Birth (C-section) Delivery & Birth.

2011-08-05T14:43:00.004+02:00

Cesarean Birth (C-section) Delivery and Birth,, animation.

This 3D medical animation shows the common indications for a cesarean delivery, including:

Dystocia
Placenta previa
Fetal distress and multiple births.

- Appendicitis Surgery: Laparoscopic Appendectomy animation.

2011-08-03T14:39:00.000+02:00

Appendicitis Surgery: Laparoscopic Appendectomy animation.

This appendicitis surgery animation shows appendix removal (appendectomy) using laparoscopic instruments.
The animation begins by showing an inflamed appendix (appendicitis), followed by the placement of the laparoscope.
Afterward, one can see the surgical device staple, cut and remove the inflamed appendix.
Following the removal of the appendix the abdomen is flushed with a sterile saline solutionto ensure all traces of infection have been removed.

- Breast Cancer Surgery: Lumpectomy, Mastectomy.

2011-08-01T13:34:00.001+02:00

Breast Cancer Surgery: Lumpectomy, Mastectomy animation.

This 3D patient education medical animation depicts various surgical procedures to remove breast cancer lumps and tumors.

The surgeries include:-

Lumpectomy
Simple mastectomy
Modified radical mastectomy
Radical mastectomy surgery.

- Breast self examination animation.

2011-07-30T16:53:00.000+02:00

Breast self examination animation

- Treatments for Breast Cancer.

2011-07-29T13:32:00.003+02:00

Treatments for Breast Cancer animation.

This 3D medical animation outlines various treatment options for breast cancer, including:-

Surgery
Radiation therapy
Chemotherapy
Hormone therapy

- How to do a self breast examination?

2011-07-28T13:07:00.002+02:00

How to do a self breast examination?

- Laparoscopic Lysis of Abdominal Adhesions animation.

2011-07-27T13:18:00.000+02:00

Laparoscopic Lysis of Abdominal Adhesions animation.

This 3D medical animation depicts how adhesions in the abdomen may cause complications. These problems may include obstruction, twisting, and dislocating areas of the small intestine.

Adhesions can be separated with laparoscopic instruments.

- Breast Cancer Progression and Staging animation.

2011-07-26T13:08:00.001+02:00

Breast Cancer Progression and Staging animation.

This 3D medical animation outlines the progression of breast cancer and describes the stage classifications based on the extent of the disease.

- Breast Cancer Symptoms (animation).

2011-07-25T17:18:00.000+02:00

Breast Cancer Symptoms (animation).

This 3D medical animation outlines various breast cancer symptoms such as:

Change in size or shape of breast
Nipple retraction
Dimpling of the skin of the breast/nipple
Nipple discharge.

- Breast Cancer: Anatomy of the Breast (animation).

2011-07-24T17:03:00.002+02:00

Breast Cancer: Anatomy of the Breast (animation).

Knowing breast anatomy is important for early detection and prevention of breast cancer,,,

- Inguinal Hernia Surgery Repair (animation).

2011-07-23T08:19:00.001+02:00

Inguinal Hernia Surgery Repair (animation).

This 3D medical animation depicts the surgical repair of a direct, strangulated inguinal hernia using a laparoscope.
The animation of the surgery shows the placement of the laparascopic devices, location of the herniated abdominal mass, and placement of mesh graft to strengthen the fascia of the abdominal wall..

- Gallbladder Surgery for Gallstones (animation).

2011-07-21T06:45:00.000+02:00

Gallbladder Surgery for Gallstones.

This 3D medical animation shows minimally invasive gallbladder surgery, or cholecystectomy, using a laparoscope to remove gallstones. The animation begins by showing the normal anatomy of the liver and gallbladder. Over time, gallstones form within the gallbladder, blocking the cystic duct, and causing the gallbladder to become enlarged and inflamed. The procedure, sometimes called a "lap-chole", begins with the insertion of four trocar devices, which allow the physician to see inside the abdomen without making a large incision. Air is added to the abdominal cavity to make it easier to see the gall bladder. Next, we see a view through the laparascope, showing two surgical instruments grasping the gallbladder while a third severs the cystic duct. After the gallbladder is removed, the camera pans around to show that the cystic artery and vein, have already been clipped to prevent bleeding.

- Gallbladder stone and surgery.

2011-07-19T06:39:00.000+02:00

Gallbladder stone and surgery.

video shows normal function of gallbladder and then problems from gallstones and how laparoscopic surgery is done to remove gallbladder.