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#surgery

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Artisan Phakic IOL   #ophthalmology     #ophthalmicphotography     #artisan     #iol     #myopia     #surgery     #surgeon     #medicine     #science     #doctor     #cirugia     #miopia     #oftalmologia  


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ACUTE UPPER GASTROINTESTINAL BLEEDING **causes : 1.peptic ulcer disease 2.gastroduodenal erosion 3.oesophagitis 4.mallory weiss tear 5.varices 6.other, upper GI malignancy, vascular malformation, consider also fascial truma, nose bleed, haemoptysis as cause of swallowed blood. **signs and symptoms : Haematemesis, or melaena, dizziness, postural hypotension, fainting, abdomenal pain, dysphagia, hypotension, tachycardia, decrease JVP low urine out put, cool and clammy, signs of chronic liver disease (telangiectasia, purpura, jaundice,) ask about previous GI problem, drug use, alcohol. **signs of shock : .1.cool and clammy to touch (especially nose, toes, fingers) decrease capillary refill. 2.pulse >100 bpm JVP not visible 3.systolic BP<100mmhg or postural drop >20 mmhg on standing 4.urine out put <30ml/h. Management ***if haemodynamically stable : Insert 2 big cannulae, start slow saline ivi to keep line patent, check blood and monitor vital signs, urine out put, consider transfusion if loss >30%circulation volume ***if shocked : 1.protect airway and keep NBM insert two large bore cannulae 2.urgent blood, FBC, LFT, glucose, clotting screen, cross matched 6 units 3.rapid iv crystalloid infusion up to 1 L 4.if signs of grade 3 or 4 shock give blood group specific or O RH - untill crossmatch done. 5.other wise slow crystalloid infusion to keep line open 6.transfuse as dictated by haemodynamics 7.correct clotting abnormalities, vit K, FFP, Platelet concentration 8.consider referral to ICU or HDU and consider CVP line to guide fluid replacement, aim for >5cnh2o CVP may mislead if there is ascitics or CCF 9.catheterize and monitor urine output aim for >30ml/l 10.monitor vital signs every 15 min until stable then hourly 11.notify surgeons of all severe bleeds 12.urgent endoscopy for diagnosis, control bleeding . Within 4 h if variceal bleeding . Within 12_24 h if patient unstable on admission Source *oxford hand book of clinical medicine   #medical     #medicine     #surgery     #shock     #UGIB     #doctor     #medicalstudent     #health     #ER     #emergancy     #greysanatomy     #criticalminutes     #thegooddoctor   #صحه #طب #جراحه #طوارى #اطباء


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Instagram Bans Plastic Surgery Filters As Part Of New Well-Being Initiative   #Bans  ,   #Filters  ,   #Initiative  ,   #Instagram  ,   #Part  ,   #Plastic  ,   #Surgery  ,   #Trending  ,   #WellBeing  ,   #WhatsHappening  


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  #SURGERY     #visceral     #general   🏪🏪🏪


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  #periodontology     #Congress   Highlights 🔸 📍Olympic Hotel Biogenesis   #implant     #Training     #Course   📁   #live     #surgery   🎥 در حاشيه نوزدهمين #كنگره #انجمن #پريودنتولوژي #ايران 🔻🔻🔻🔻 شركت بن آفرين پيوند نماينده انحصاري شركت Achimhai كره ي جنوبي ✨


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La première vidéo de ma rééducation est en ligne, 6 semaines après ma deuxième opération ! 🤪 Lien dans ma bio, hésitez pas à vous abo🙏🏻   #roadtorecovery     #wednesdaymood     #reeducation     #pau     #paumaville     #kin     #surgery     #bebacksoon  


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.. . . . . #مجانين_طبية . . #بيج_طبي  #تابعوني #تابع #اكسبلور #فلو #علق #طب #طب_اسنان #صيدلة #صيدلانيه #دكتور #دكتوره #منشن #مدينه_الطب #معلومات #يوميات #صور #طب #هل_تعلم #كركوك #بغداد#بصرة#ديالى ‏  #medicine     #surgery     #medical     #pharmacy     #doctor     #doctors  


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I got my cast off and my stitches out!!! For the next 2 weeks, I'll be 50% weight-bearing on lefty and be in a boot with crutches. Also, I must complete dorsiflexion stretching (upward movement extension of the foot and toes) 3 times a day for 10 minutes. ___________ I'm happy to be out of the cast but LEFTY is much weaker than usual, I still have swelling and discomfort. Walking is weird and painful but I’ll get used to it. All to be expected. The doctor was very happy with the results. Now, I just have to repeat heel toe, heel toe to myself 1000 times a day!! ___________ Don’t worry, I WON’T post the pictures of the incisions 🤢🤢🤢🤢(pretty disgusting in my own opinion) but if you want to see them, let me know.😬 •••••••••••••••••••••••••••••••••••••••• ✋🏻💪🏻💚 . . .   #Cast     #Surgery     #Spasticity     #BeBrave     #NeverGiveUp     #CerebralPalsy     #PositiveVibes     #OccupationalTherapy     #CerebralPalsyCan     #KreationsByKittles     #LeftyStrong     #CPStrong     #IAmAdaptive     #ICan     #Realstagram     #Adaptive     #CPAthlete     #AdaptiveAthlete     #Neurological     #Surgery  


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  #periodontology     #Congress   Highlights 🔸 📍Olympic Hotel Biogenesis   #implant     #Training     #Course   📁   #live     #surgery   🎥 در حاشيه نوزدهمين #كنگره #انجمن #پريودنتولوژي #ايران برگزاري #جراحي #زنده توسط جناب آقاي دكتر سيد مهرشاد جعفري   @dr  .s.m.jafari ✔️


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Trattamento filler labbra con acido ialuronico. Trattamento indolore eseguito dalla Dottoressa Marceddu 👩🏻‍⚕️ La foto è stata scattata subito dopo il trattamento, a distanza di una settimana ci sarà il controllo e vedremo il risultato finale. Prenota il tuo programma di bellezza personalizzato   #radiofrequenza     #cagliari     #medicoestetico     #medicoesteticocagliari     #medicinaestetica     #filler     #acidoialuronico     #carbossimetilcellulosa     #bocca     #labbra     #acidoialuronicocagliari     #bellezza     #benessere     #estetica     #lips     #surgery     #hyaluron     #blefaroplastica     #fillerlips  


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After seeing 4 patients in as little as 3 weeks after this injury, it only made sense to share this! 🙈💪🏻 - - A biceps tendon tear at the elbow typically occurs when the elbow is pushed straight against heavy resistance. This stress can tear the tendon from the bone, and normally causes a complete tear. 🤕 - - If you tear your bicep tendon at the elbow, other muscles might compensate, which help to retain full range of motion. However, your arm will most likely lose strength if the tendon is not repaired. 🥴 - - - Pic credit goes to:   @fl  _ortho thanks for sharing!! -   #sportsinjury     #rehab     #physio     #sportsphysio     #fullmotionphysio     #mma     #manchester     #positivemindset     #sportspsychology     #surgery     #tear     #repair     #pt     #manchestermma     #manchesterpredators     #martialarts  


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😉👍¡ADIÓS CACHETES REDONDOS Y GORDOS! 🌈Luce un rostro más afinado gracias a la   #bichectom  a, cirugía rápida y segura que consiste en extraer las bolas de bichat (cúmulo graso) ubicadas en las mejillas mediante una pequeña incisión dentro de la boca, de manera que el aspecto facial sea más esbelto y estilizado. 👨‍⚕Dr. Luis A. Ramirez, Cirujano Plástico y Reconstructivo. 🎓Curriculum Vitae: https://goo.gl/LPPU1A. 🔺Síguenos en Instagram: https://bit.ly/2QxoHmv ▶Visita nuestro canal de Youtube: https://bit.ly/2rmpSd0 🏣 Jr. Teodoro Cárdenas 130, Santa Beatriz. 📞 (01) 455 4836 | 990 907 303.   #surgeon     #plasticsurgery     #lima     #peru     #liposuccion     #surgery     #bichectomy  


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NEVER limit yourself 😱⁣⁠ ⁣⁠ 🔥Many limit their dreams based on other opinions and many times from negative self talk. ⁣⁠ ⁣⁠ 🔥It may take hearing this many many times before it resonates with you but it is important to realize that you are important and very valuable to the world.⁣⁠ ⁣⁠ **Take home point** ⁣⁠ - Think big and make sure your action each and everyday day is aimed at getting you closer to your dreams. The dreams you have should NOT be limited by what your friends/family/brother/sister think. Most cannot imagine, understand, empathize with what you are going through, the context, and more. This is FINE! ⁣⁠ ⁣⁠ 🔥This is not easy. The truth is when you set big goals, it is healthy to have doubt every now and then - but if you let the doubt stop you then you will have lost.⁣⁠ ⁣⁠ ⁣⁠ **Apply this**⁣⁠ - Everyday ask yourself are my actions helping me get towards my goal and ask yourself are my negative self limiting thoughts stopping me from taking actions. Essentially become self aware and audit yourself on a daily/weekly level⁣⁠ ⁣⁠ 🔥You are limitless. Your goals are YOURs do not let others stop you and again do NOT let yourself stop you. Get out of your own way and start crushing life. You got one shot alive - make worth remembering!⁣⁠ ⁣⁠ _____________________⁣⁠⁣⁠   #usmle     #motivate     #motivational     #usmlestep1     #usmlestep2     #nurse     #rn     #physicaltherapy     #premed     #dental     #dentist     #surgery     #plasticsurgery     #medicine     #doctor     #doctorgoals   ⁣  #inspire  ⁠


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𝓟𝓵𝓪𝓼𝓽𝓲𝓬 𝓼𝓾𝓻𝓰𝓮𝓻𝔂 . . .   #halloween  🎃👻   #halloween     #halloweenmakeup     #halloween  🎃   #halloweenmakeupideas     #plasticsurgery     #surgery     #makeup     #makeupideas     #makeupaddicted  ❤️   #makeuphalloween     #makeuplover     #makeuprevolution     #makeupaddiction     #mulaccosmetics     #nablacosmetics     #blood     #bloods     #insta     #instagood     #instaphoto  


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Il percorso è sempre in salita, ma devo ammettere che la vista da qua su è decisamente più bella. 💪   #change     #bypass     #bypassgastrico     #gastricbypass     #happy     #diet     #rome     #italy     #dieta     #skin     #vscogrid     #vscocam     #vsco     #italiangirls     #gym     #gymlife     #train     #trainandtransform     #vscogood     #work     #fit     #fitness     #fitspiration     #sports     #secondyear     #newme     #beforeandafter     #girls     #obesity     #surgery  


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Do you know what makes me smile? Seeing a happy patient feel better post treatment and start to look forward to coming in for dental work. We value creating a positive dental experience and changing the perception of dentistry! I love my career and all of the people that I get to help every day. If you want to get started on improving your health and smile, make an appointment with us!


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  #rhinoplasty     #plasticsurgery     #nosejob     #cosmeticsurgery     #beauty     #plasticsurgeon     #botox     #liposuction     #surgery     #tummytuck     #breastaugmentation     #skincare     #lipo     #beforeandafter     #fillers     #cirugiaplastica     #antiaging     #aesthetics     #surgeon     #doctor     #aesthetic     #facelift     #lipoescultura     #filler   #تجميل #تجميل_الانف #جراحة #جراحة_تجميلية   #medical     #medicine  


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Quando hai fatto nottata in clinica, ma i tuoi occhi rimangono aperti perché la collega, che ti da il cambio, ti vizia con il cornetto al pistacchio 😍   #guardiamedica     #medlife     #medicine     #doctor     #medical     #med     #surgery     #surgeon     #medicina     #hospital     #medico     #md     #health     #doctors     #dr     #anatomy     #premed     #science     #healthcare     #neet     #medicallife     #bhfyp  


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