Monday, December 20, 2010

Microtia ear reconstruction

This ear reconstruction video shows a surgery to correct microtia by Toronto Plastic surgeon, Leila Kasrai MD. Microtia means small ear, and it is a congenital abnormality which causes problems with the formation of the ear tissue. In some children, a small portion of tissue is seen where the ear would normally be found. In others, the ear lobe or hollow of the ear, may be partially formed with the rest of the ear tissue missing. The most severe form of this condition leaves almost no ear tissue visible.

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Characteristic complaint of de Quervain's tenosynovitis

A 42-year-old carpenter presents with wrist pain and grip weakness. On exam he is found to have pain over the radial aspect of the wrist that is aggravated by flexing the thumb and applying ulner flexion. The most likely diagnosis is
  • A) carpal tunnel syndrome
  • B) scaphoid fracture.................
 Read more...............>>

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Anatomy of aorta and appearance on x-ray

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A case of Giant Left Atrium

An 83-year-old woman with long-standing atrial fibrillation who had previously undergone atrioventricular nodal ablation and pacemaker placement presented with symptoms of progressive heart failure.

Physical examination
was notable for elevated jugular venous pressure, precordial lift, a grade 2/6 holosystolic murmur at the sternal border and apex, hepatomegaly, ascites, and severe lower-extremity edema.

Laboratory evaluation revealed a creatinine level of 1.4 mg per deciliter (124 ┬Ámol per liter), an albumin level of 3.6 g per deciliter, and a brain natriuretic peptide level of 526 pg per milliliter (normal range, 0 to 100 pg per milliliter); liver function was normal.

Chest radiography
(Panel A) revealed cardiomegaly (cardiothoracic ratio, 0.86), splaying of the carina, and an elevated left main bronchus (arrows).
An echocardiogram showed massive biatrial enlargement (left larger than right), normal ventricular size and function, and moderate mitral and tricuspid regurgitation (Panel B; LA denotes left atrium, LV left ventricle, RA right atrium, and RV right ventricle).
An esophagogram (Panel C) obtained to evaluate dysphagia for solid food revealed a prominent impression of the left atrium on the esophagus (E), without evidence of obstruction.
The patient was discharged home on medical management after prolonged diuresis.

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Absess Drainage


Knock-Knee And Bow-Legs

Bowleg (or genu varum) is a condition where the legs are bowed outwards in the standing position. The bowing usually occurs at or around the knee, so that ........

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Flow Cytometry

Student Documentary Film Assignment


Appendicitis Picture

Appendicitis is an inflammation of the appendix, a finger-like glandular piece of tissue that connects to the beginning of the large intestine, usually at the lower right side of the abdomen. In older children, the classic symptoms of appendicitis are abdominal pain, fever, and vomiting. Abdominal pain usually begins in the center of the abdomen, around the area of the navel ("belly button"). Later, the pain may move downward and to the right - to an area called McBurney's point, roughly corresponding to the location of the appendix in the lower right portion of the abdomen.
For appendectomy and some notes in mangement:

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Dental Implant Surgery (lateral incisor)

Full surgery of a zirconia dental implant. Implant type 12. Upper Left Lateral Incisor. 8 min. Very esthetic. 100% biocompatible. Metal Free. High percentage of osseointegration.