INTRODUCTION Despite the fact that we are now approaching the 44th anniversary of the publication of the Glasgow Coma Scale (GCS)1, there is still a debate that exists for the indication and yield of neuroimaging for minor head trauma. Head trauma in children is one of the most common reasons for visiting emergency department with more than 95% of these constitute minor head trauma, defined as Glasgow Coma Scale (GCS) score greater than or equal to 13. Among these patients, less than 10% have traumatic brain injuries (TBI), less than 1% need neurosurgery and approximately 25% of the visits for blunt head trauma are in children younger than 24 months. In the diagnosis of TBI, cranial CT scan is the diagnostic standard for identifying the presence
For ocular symptoms we immediately performed laser photocoagulation to all the heamangioblastomas in four quadrants, and feeder vessels were successfully cauterized. In addition intravitreal bevacizumab was administered and subsequent injections were scheduled, which not only subsided macular edema as shown in fig 3 but also improved her vision to 6/9. Discussion: It is a rare disorder consisting of benign tumors in multi-organ systems which haspotential for malignant transformation. In the presence of a positive family history, VHL disease can be diagnosed clinically in a patient with at least one typical VHL tumor.
The mesiodens was extracted under local anesthesia (Fig 3) along with the extraction of 64 followed by orthodontic space closure by a removable appliance (Fig 4). Fig 3 Fig 4 Fig 3 and 4 showing Extracted specimen mesiodens, removable appliance with 11 and 21. The patient was kept under observation and recalled after 3 weeks. After 3 weeks the labial frenum’s inflammatory enlargement was recorded (Fig 5); so it was planned to perform a frenectomy procedure (Fig 6) followed by continuation of the removable orthodontic appliance (Fig
Abstract — Brain magnetic resonance (MR) segmentation algorithms are critical to analyze tissues and diagnose edema and tumor in a quantitative way. The primary aim of brain image segmentation is to partition a given brain image into different regions representing anatomical structures. In this paper, we present a new effective segmentation algorithm that segments brain MR images into tumor, edema, white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF). The detection of the healthy tissues and the diseased tissues are performed for examining the change caused by the spread of tumor and edema on healthy tissues is very important for treatment planning. We developed an algorithm for skull stripping before the segmentation process.
The patient underwent ERCP under general anesthesia to remove the stent. The fever started to decline 24 hours after ERCP and was completely gone after 48 hours. The patient was kept on antibiotics for 4 more days and was discharged with instructions of eating only boiled food and weekly
Laparoscopic cholecystectomy allows earlier oral intake, shortens hospital stay, enhances earlier return to normal activity , minimal postoperative pain, and improves cosmesis over open cholecystectomy. Thus, Laparoscopic cholecystectomy has continued to gain widespread clinical approval, and it is now the standard procedure for benign diseases of the gallbladder; However, there is still a substantial percent of patients in whom Laparoscopic cholecystectomy cannot be successfully done and for whom conversion to open surgery is required. A previous abdominal surgery has been reported as a relative contraindication to Laparoscopic cholecystectomy.  Previous abdominal surgery particularly is associated with difficult insertion of the initial trocar and obtaining adequate exposure to the gallbladder.
Removing the used solution and adding fresh solution takes about a half hour and is called an exchange. There are two types of peritoneal dialysis which are Continuous Ambulatory Peritoneal Dialysis (the exchange must be done 4-6 times a day) and the second one is Continuous Cycling Peritoneal Dialysis (CCPD). With CCPD, there is a machine called a cycler does the exchanges automatically. Moreover, CCPD can be done while the patient is sleeping. However, if the patient does CCPD, he or she may need to do 1 or 2 exchanges by her/him self during the day to make sure that wastes and extra fluid are being cleared from the blood
This type of complete dentures also act as a protection for the tissues and can reduce bleeding after the extraction of the teeth. However, one drawback is that immediate dentures require frequent adjustments during the healing period when the bones and gums shrink over time from reduced
But make sure to consult your doctor before going for hot stone massage. Here are some of the risks related to Hot Stone Massage: Before going for Hot Stone Massage, you must keep on thing in mind that massage is generally safe when it is done by a trained therapist. If you are suffering from below problems, then first go and ask your doctor: • Open wound • Earlier blood clots • Surgery within last 6 months • Any fracture • Skin
The hospital stay is usually a day or two. After 3 or 4 weeks recover time, the patient can return to light activity, and be fully healed in 3 months. Physical therapy is needed to help the patient retain flexibility in the neck. A cervical discectomy has several advantages over traditional spinal fusion. The patient will heal faster, achieving satisfactory neck motion sooner.
Scenario: A patient has arrived at the Emergency Department, after being asses by the doctor that doctor has learned that Jane Doe, age 47 is experiencing chest pains and shortness of breath, vomiting and coughing. The doctor on shift orders a routine Chest x-ray, after some abnormal findings the doctor has decided to also forgo a routine Chest CT. You are sitting in the tech area when the requisition pops up for a Routine Chest W/O CT. You grab the order and proceed to the CT room to prep and set up for the upcoming ED patient.
Fleming et al. performed an experiement, The Gastrocnemius Muscle is an Antagonist of the Anterior Cruciate Ligament, to determine the relationship between gastrocnemius muscle contraction and ACL strain. The participants were 4 male and 2 female subjects who were scheduled for an arthroscopic menisectomy or chondral debridement but had no current or previous ACL injury. The subjects’ ages ranged from 38-56. On the day of each subject’s surgery, the patient was given a spinal anesthetic to relax the muscles of the legs. After the surgery, a differential variable transducer was inserted arthroscopically to measure displacement of the anteromedial aspect of the ACL.
○ Medicine injected into the lower membrane that surrounds your spinal cord (epidural anesthesia). ○ Medicine that makes you sleep during the procedure (general anesthesia). If you will be given general anesthesia, do not eat or drink anything after midnight on the night before the procedure, or as directed by your health care provider. PROCEDURE • An intravenous line (IV) may be started in your arm or hand.
These medications block the action of the neurotransmitter acetylcholine in the brain. This helps the smooth muscle in the body to stop from tightening up which would make the airway narrower. There are two different types of anticholinergic medications short acting and long acting. The short acting and long acting anticholinergic inhaler or a nebulizer delivers medications. The short acting medications normally work in 15 minutes and can last 6-8 hours.