Friday 23 December 2016

Odynophagia

Odynophagia 12 yr old girl with pain during swallowing for last 1 year. O/e bilateral enlarged tonsils with massive enlargement on the left side. The left side had a chalky patch and it... Read more @DailyRounds Clinical Case & News app http://share.dailyrounds.in/PFPb/kwZgZeRmmz

Merry Christmas, Friends

Merry Christmas and happy New year

Best Christmas Animation - Magic Star

Wednesday 21 December 2016

DANGERS OF FIBROID SHRINKERS

DANGEROUS TRADOMEDICAL SUPPLEMENTS.                                                              Of late certain supplements have emerged  as panacea in non operative interventions for the treatment of uterine fibroids. They have gained so much popularity to the extent that affected women see them as only resort for cure. This conclusion is further fanned by the prevalent poor socioeconomic status of the populace. Another factor of note is morbid fear for surgeries and anaesthesia.  These 'cures' usually promise to effect a cure within record time. The uterus is mainly muscular structure. Fibroid is a benign tumour of smooth mucles of which the uterus is made of. There are other structures in the body which are composed of smooth muscles. Of note are the the various sections of the gastroentestinal tract.                                      HOW DRUGS WORK.                                                                      The nature, carriage and functionality of a named drug is governed by its pharmacokynetics and pharmacodynamics. This is a cogent summarization of how drugs work. A medication could exert its action by attacking the membrane of a cell or affecting the active transport through the cell. It could also bypass the membrane or plasmalemma to affect the cytosolic organelles. In.other cases the drug could trangress the membrane and cytoplasm and pierce the nuclear capsule to affect the nuclear crux.                                                           HERBAL SUPPLEMENTS.                                                             Herbs remain the habingers of the pharmacopuar. Prior to the advent laboratory synthetic medicaments herbs held sware in the war against diseases. Herbs form the ingredients found in our soups, stews and even tea. Coffee is a form of herb. Herbs are drugs in raw states. Herbs often lack adequate dosage regimentations.                                FIBROID SHRINKING HERBAL PREPARATIONS.                            The socalled fibroid shrinkers actually have potentials to affect the membranes of the target organs. Since they act on the smooth muscular tumours  of the uterus or fibroid they will also act on other smooth muscles of the uterus.They do this by gradually denaturing  the surfaces of these tumours. However, since they are smooth muscle specific, they do not differentiate between smooth muscles found in the uterus and elsewhere. To this effect they attack the smooth muscles of the uterus.                                             THE REAL DANGER                                                                      The real nightmare in these herbage is the fact that they wind up attacking the weaker and more organized smooth muscles of the uterus more than the fibroid themselves. Most  cases we encountered during myomectomy showed evident and gross uterine architectural denaturation. Though these herbs soften the tumour but we always meet the uterus in a grotesque state. Studies are yet to be done on their effects on other smooth muscular structures but the conclusion is apparent. When the womb is denatured it will lack the capacity to bear pregnancy. Even when pregnancy is achieved,  certain complications like abortion, antepartum haemorrhages, abruptio placenta abound. Should pregnancy be managed till term, premature labours, uterine hypokinesis with prolonged and obstructed labours could superven. Operative procedures might become the resort in such cases. The worse case scenario is the risk of disseminated intravascular coagulation which.caries almost 100% mortality in this country. Herbs are good but they should not be applied in all cases. Fibroid is a hard tumour and trying to whip it with same toxin which affects other delicate structures of the body could be associates with deleterious consequences.

Tuesday 20 December 2016

LUMPECTOMY AND BREAST LIFT

This patient was offered lumpectomy and a breast lift.

Before                    After     




Sunday 11 December 2016

SPINA BIFIDA

The is another congenital abnormality associated with defective development of the nervous system. It affects The spinal cord and can occur any where along the spinal cord column. The one appeared in the lumbosacral area.

CONGENITAL ABNORMALITY

Polydactyle is an abnormal development in the foot.  It usually affects the toes with the latter numbering more than the usual number in normal people.  Polydactyle is a congenital abnormality traceable to dorminantly inherited gene. It affects the tarsal bones as well as the the phalanx.  It is a major cause of limb deformity in a significant but very few people. It can be surgically resected.

SACROCOCCYGEAL TERATOMA

Sacrococcygeal terracotta is a benign tumour occurring in the sacrococcygeal area. It is a rare congenital abnormality. Surgical excision resolves it successfully.

Tuesday 6 December 2016

BREAST LIFT; FREQUENTLY ASKED QUESTIONS

                                    BREAST LIFT; FAQ

                                     BREAST LIFT, FAQ

The breast is a delicate organ in the body and patients are usually concerned about certain issues bordering on a wide range of issues. Patients preparing to undergo mastopexy tend to ask these questions:

A:    WILL I SLEEP OR BE AWAKE DURING THE SURGERY?
      Any patient billed to undergo a surgical operation is usually filled with anxiety and apprehension.
      One of such area of concern is anaesthesia. The anaesthesia will be discussed. The type of anaesthesis and route to be adopted will depend on the size of the breast and the patient`s tolerability. Apprehensive patients often would not want to be aware of the procedure and so they usually opt for general anaesthesia. irrespective of the prevailing factor surrounding anaesthesia, the patient could be offered general, spinal or topical anaesthesia.

B:    HOW LONG WILL THE OPERATION TAKE?
      The length of time it will take to conclude the operation is equally of importance to the patient. Due to the nature of the operation, we ensure the patient is offered the best. The patient needs to know that her/his breast is to undergo sculpting and so appropriate time is usually invested. The operation takes between 2:30 minutes to 3:00 hrs. It must however be pointed out that this time could alter depending on the size of the patient as well as tolerability to anaesthesia. Patients on hard drugs or alcoholics are usually poorly compliant to anaesthesia.

C:    WILL THERE BE SCARS AFTER THE OPERATION?
      Scars exist following surgical operations, however, in the case of breast lift, the scars are hidden from view in the areola close to the nipple. To further ensure minimal scarring, special sutures are used to close the skin. For the breast only one vertically positioned scar exists below the breast and this scar appears as a form of breast beautification. The breast will finally take the shape of a sculpted lollypop.

D:    HOW LONG WILL IT IT TAKE FOR THE WOUND TO HEAL?
      Breast lift surgeries take between 3 to 4 weeks to heal. Towards the end of the lift a drain is inserted to drain out excess fluid that might accumulate. This takes 2 days. Within the expected period of healing, the patient won`t be able to lift things. She won`t be able to carry weights including her children till about 4 to 4 and 1/2 weeks.





E:   WHAT ABOUT COST IMPLICATIONS

     Mastopexy is a cosmetic surgery and so is fairly costly. Depending on the size of the breast, the cost could vary from N150,000 TO N600,000.

Monday 5 December 2016

THE BEAUTY OF THE HAAND

Wow! That`s why the Bible says, we are fearfully and wonderfully made. Our bodies are so complicated yet working seamlessly in harmony.

The hand of beauty.



GENDER SELECTION AND DETERMINATION

You can now actively participate in the determination of your baby`s gender.













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2347031223067, 234813859336

Saturday 3 December 2016

Breast lift reduction Cosmetic surgery sydney





                                     BREAST LIFT, FAQ

The breast is a delicate organ in the body and patients are usually concerned about certain issues bordering on a wide range of issues. Patients preparing to undergo mastopexy tend to ask these questions:

A:    WILL I SLEEP OR BE AWAKE DURING THE SURGERY?
      Any patient billed to undergo a surgical operation is usually filled with anxiety and apprehension.
      One of such area of concern is anaesthesia. The anaesthesia will be discussed. The type of anaesthesis and route to be adopted will depend on the size of the breast and the patient`s tolerability. Apprehensive patients often would not want to be aware of the procedure and so they usually opt for general anaesthesia. irrespective of the prevailing factor surrounding anaesthesia, the patient could be offered general, spinal or topical anaesthesia.

B:    HOW LONG WILL THE OPERATION TAKE?
      The length of time it will take to conclude the operation is equally of importance to the patient. Due to the nature of the operation, we ensure the patient is offered the best. The patient needs to know that her/his breast is to undergo sculpting and so appropriate time is usually invested. The operation takes between 2:30 minutes to 3:00 hrs. It must however be pointed out that this time could alter depending on the size of the patient as well as tolerability to anaesthesia. Patients on hard drugs or alcoholics are usually poorly compliant to anaesthesia.

C:    WILL THERE BE SCARS AFTER THE OPERATION?
      Scars exist following surgical operations, however, in the case of breast lift, the scars are hidden from view in the areola close to the nipple. To further ensure minimal scarring, special sutures are used to close the skin. For the breast only one vertically positioned scar exists below the breast and this scar appears as a form of breast beautification. The breast will finally take the shape of a sculpted lollypop.

D:    HOW LONG WILL IT IT TAKE FOR THE WOUND TO HEAL?
      Breast lift surgeries take between 3 to 4 weeks to heal. Towards the end of the lift a drain is inserted to drain out excess fluid that might accumulate. This takes 2 days. Within the expected period of healing, the patient won`t be able to lift things. She won`t be able to carry weights including her children till about 4 to 4 and 1/2 weeks.






E:   WHAT ABOUT COST IMPLICATIONS

     Mastopexy is a cosmetic surgery and so is fairly costly. Depending on the size of the breast, the cost could vary from N150,000 TO N600,000.
                                                    BREAST LIFT IN ACTION
                            This patient was offered an excision biopsy and a lift.



                                         Appropriate skin incisions were made and deepened to access the delicate                                              tissues of the breast.


                                          Surgery in process.



                                           Excess breast tissues were excised to create a desirable contour.




                                           
                                        An appraisal of pre and post operative assessment of the breasts

HEALTH A DAY: RESCUING HUG

HEALTH A DAY: RESCUING HUG: Rescuing hug, done to assist a challenged twin to recuperate.                                                                  RESCUI...

Friday 2 December 2016

RESCUING HUG

Rescuing hug, done to assist a challenged twin to recuperate.


                                                           RESCUING HUG


Thursday 1 December 2016

Anatomy and physiology revealed

http://www.mhhe.com/sem/apr3/

USEFUL TIPS TO STAY HEALTHY

Health is wealth and it's only when one falls ill or suffers disability that one comes to terms with the benefit of good health. Good health does not imply one might not catch malaria for mosquitoes remain ubiquitous but even that is avoidable by putting in extra effort in keeping our environments clean and clear of bugs. Good health does not come easy yet is possible. Besides prayers, we need to keep tabs on what we eat and when we eat. For and other good health practices, the following attitudes can go a long way to purchase us good health.