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This document provides information on different types of surgical specialties including plastic surgery, cardiac surgery, neurosurgery, otolaryngology (ENT), pediatric surgery, and their average salaries. It discusses that plastic surgery includes procedures like reconstruction, hand, and microsurgery. Neurosurgeons perform brain, spinal cord, and central nervous system surgeries in addition to tumor removal. ENT surgeons treat the head, neck, face, and 70% of their practice is outpatient. The document also provides links to additional resources on surgeon careers and salaries.
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Role of Cisternostomy in (Severe) Head Injury
Cisternostomy is a surgical procedure for managing severe traumatic brain injury by opening the basal cisterns to atmospheric pressure, allowing cerebrospinal fluid to drain from the ventricles and cisterns. This helps reduce intracranial pressure and cerebral edema. Cisternostomy may be an option for severe TBI patients with mass effect from acute subdural hematomas or multiple contusions, or for pediatric brain injuries with severe swelling. While it provides internal cerebrospinal fluid diversion without external ventricular drains, cisternostomy has a learning curve and risks injuring neurovascular structures during the technically difficult skull base exposure. Further research is needed to determine appropriate patient selection and timing for
FTP Decompressive Craniotomy: How I do it?
Decompressive craniectomy is described as a surgical technique to treat malignant cerebral edema and refractory intracranial hypertension. It involves removing part of the skull bone and dura to allow the brain room to swell externally rather than being compressed. The key steps include identifying anatomical landmarks, making burr holes connected by bone removal to create a bone flap, opening and closing the dura, and standard scalp closure. Post-operative care focuses on managing complications like hydrocephalus or seizures. While early decompressive craniectomy can improve outcomes for conditions like severe traumatic brain injury, further research is still needed to fully understand its long-term costs and benefits.
Pediatric c-spine injuries
- Pediatric cervical spine injuries are most commonly caused by motor vehicle crashes, falls, and sports. Children under 8 have an increased risk due to anatomical factors.
- Evaluation involves assessing symptoms, neuro exam, and applying criteria like NEXUS. However, these criteria have limitations for younger children.
- Radiologic clearance requires cross-table lateral, AP, and open-mouth odontoid views. CT or MRI may be needed if injuries are suspected despite normal x-rays.
- Efforts to reduce radiation include using clinical prediction rules to determine who needs imaging. Overall the goal is safely clearing the cervical spine while minimizing unnecessary imaging.
Pediatric cervical spine clearance: A review and understanding of the concepts
Cervical spine injuries are uncommon in pediatric trauma
patients. Delayed or missed diagnosis is usually attributed to failure to suspect an injury to the cervical spine, or to inadequate cervical spine radiology and incorrect interpretation of radiographs. New imaging techniques have become available, but did not solve the problem, adding their own ‘baggage’, such as cost, availability, logistic difficulties, radiation dosage, lack of specificity and evidence of effectiveness or safety.
classification and managenement of paediatric craniocervical junction injuries
The document discusses injuries to the pediatric spine. It notes that the pediatric spine is more mobile than the adult spine, particularly in the occipitoatlantoaxial region, making it more prone to injury. Common injuries include atlantooccipital dislocation, Jefferson fractures, and atlantoaxial subluxations. Imaging like CT and MRI are important for diagnosis but should be used judiciously due to radiation exposure risks. External immobilization methods like halo rings or Minerva braces are often used initially to treat injuries before considering surgery.
Ogungbo Neurosurgeon
The document discusses cervical spine injuries and cervical spondylotic myelopathy. It presents early experience with anterior decompression, fusion and plating for cervical spine injuries in Abuja, Nigeria. It describes surgical techniques used including anterior cervical discectomy and fusion. It highlights the importance of early referral for surgery and discusses challenges including lack of intensive care and rehabilitation facilities.
Safe surgical dislocation[ssd] for avascular necrosis hip[ avn]
presenting a novel technic to treat avascular necrosis of hip.AVN hip is a challenge for any orthopaedic surgeon especially in precollapse stage. here dr mohamed ashraf and dr jyothis george from govt TD medical college alleppey kerala india demonstrate a novel and effective method to arrest the progression of disease to collapse.instead of performing a conventional core decompression they do multiple micro core decompression through safe surgical dislocation of GANTZ .in addition they are supplementing the procedure with intralesional infiltration of zolidronic acid to prevent structural collapse.
Safe surgical dislocation for femoral head fractures.dr mohamed ashraf,dr rah...
This study evaluates the outcomes of 18 patients who underwent surgical dislocation of the hip using Ganz's technique to treat Pipkin fractures of the femoral head. Pipkin fractures are rare fractures that occur when the femoral head fractures as a result of a posterior hip dislocation. Traditional approaches provide limited exposure, while Ganz's technique allows 360 degree visualization through an anterior dislocation of the femoral head. The study found statistically significant improvements in functional scores at 1 year follow up, with no cases of avascular necrosis, demonstrating that Ganz's technique is an effective and safe method for treating these complex fractures.
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Role of Cisternostomy in (Severe) Head Injury
Cisternostomy is a surgical procedure for managing severe traumatic brain injury by opening the basal cisterns to atmospheric pressure, allowing cerebrospinal fluid to drain from the ventricles and cisterns. This helps reduce intracranial pressure and cerebral edema. Cisternostomy may be an option for severe TBI patients with mass effect from acute subdural hematomas or multiple contusions, or for pediatric brain injuries with severe swelling. While it provides internal cerebrospinal fluid diversion without external ventricular drains, cisternostomy has a learning curve and risks injuring neurovascular structures during the technically difficult skull base exposure. Further research is needed to determine appropriate patient selection and timing for
FTP Decompressive Craniotomy: How I do it?
Decompressive craniectomy is described as a surgical technique to treat malignant cerebral edema and refractory intracranial hypertension. It involves removing part of the skull bone and dura to allow the brain room to swell externally rather than being compressed. The key steps include identifying anatomical landmarks, making burr holes connected by bone removal to create a bone flap, opening and closing the dura, and standard scalp closure. Post-operative care focuses on managing complications like hydrocephalus or seizures. While early decompressive craniectomy can improve outcomes for conditions like severe traumatic brain injury, further research is still needed to fully understand its long-term costs and benefits.
Pediatric c-spine injuries
- Pediatric cervical spine injuries are most commonly caused by motor vehicle crashes, falls, and sports. Children under 8 have an increased risk due to anatomical factors.
- Evaluation involves assessing symptoms, neuro exam, and applying criteria like NEXUS. However, these criteria have limitations for younger children.
- Radiologic clearance requires cross-table lateral, AP, and open-mouth odontoid views. CT or MRI may be needed if injuries are suspected despite normal x-rays.
- Efforts to reduce radiation include using clinical prediction rules to determine who needs imaging. Overall the goal is safely clearing the cervical spine while minimizing unnecessary imaging.
Pediatric cervical spine clearance: A review and understanding of the concepts
Cervical spine injuries are uncommon in pediatric trauma
patients. Delayed or missed diagnosis is usually attributed to failure to suspect an injury to the cervical spine, or to inadequate cervical spine radiology and incorrect interpretation of radiographs. New imaging techniques have become available, but did not solve the problem, adding their own ‘baggage’, such as cost, availability, logistic difficulties, radiation dosage, lack of specificity and evidence of effectiveness or safety.
classification and managenement of paediatric craniocervical junction injuries
The document discusses injuries to the pediatric spine. It notes that the pediatric spine is more mobile than the adult spine, particularly in the occipitoatlantoaxial region, making it more prone to injury. Common injuries include atlantooccipital dislocation, Jefferson fractures, and atlantoaxial subluxations. Imaging like CT and MRI are important for diagnosis but should be used judiciously due to radiation exposure risks. External immobilization methods like halo rings or Minerva braces are often used initially to treat injuries before considering surgery.
Ogungbo Neurosurgeon
The document discusses cervical spine injuries and cervical spondylotic myelopathy. It presents early experience with anterior decompression, fusion and plating for cervical spine injuries in Abuja, Nigeria. It describes surgical techniques used including anterior cervical discectomy and fusion. It highlights the importance of early referral for surgery and discusses challenges including lack of intensive care and rehabilitation facilities.
Safe surgical dislocation[ssd] for avascular necrosis hip[ avn]
presenting a novel technic to treat avascular necrosis of hip.AVN hip is a challenge for any orthopaedic surgeon especially in precollapse stage. here dr mohamed ashraf and dr jyothis george from govt TD medical college alleppey kerala india demonstrate a novel and effective method to arrest the progression of disease to collapse.instead of performing a conventional core decompression they do multiple micro core decompression through safe surgical dislocation of GANTZ .in addition they are supplementing the procedure with intralesional infiltration of zolidronic acid to prevent structural collapse.
Safe surgical dislocation for femoral head fractures.dr mohamed ashraf,dr rah...
This study evaluates the outcomes of 18 patients who underwent surgical dislocation of the hip using Ganz's technique to treat Pipkin fractures of the femoral head. Pipkin fractures are rare fractures that occur when the femoral head fractures as a result of a posterior hip dislocation. Traditional approaches provide limited exposure, while Ganz's technique allows 360 degree visualization through an anterior dislocation of the femoral head. The study found statistically significant improvements in functional scores at 1 year follow up, with no cases of avascular necrosis, demonstrating that Ganz's technique is an effective and safe method for treating these complex fractures.
Case Review #8: 62 year old female with cervical spinal stenosis
62 year old female with neck pain and left arm weakness. On MRI, the patient was found to have spinal stenosis. Dr. Pashman treated the patient with an Anterior Cervical Discecomy and fusion C4-/7.
Transcranial stab wounds morbidity and medicolegal awareness.
This document summarizes a study of 8 cases of transcranial stab wounds. Frontal stab wounds had the lowest morbidity and mortality, with patients usually recovering fully. Temporal stab wounds were often fatal. Two cases of trans-orbital stabs resulted in carotid-cavernous fistulas. The mechanisms of injury differ from other head injuries due to the focal damage along the tract. Early recognition is important for treatment. However, recognition can be difficult if the weapon is withdrawn, highlighting the medicolegal importance of distinguishing these types of wounds.
Case Review #3: 53 year old male with severe spinal cord compression
A 53-year-old male presented with severe cervical kyphosis centered at C4-5, C5-6, and C6-7, causing spinal cord compression and myeloradiculopathy. Pre-op x-rays showed 78 degrees of kyphosis. The surgical strategy involved segmental spinal instrumentation from C4 to C7, radical diskectomies and deformity correction through osteotomies and vertebrectomies at C4-5, C5-6, and C6-7. Post-op x-rays showed successful reconstruction of natural cervical alignment and removal of 78 degrees of kyphosis.
Case Review #6: 57 year old female with severe spinal cord compression
A 57 year old female presented to Dr. Pashman with severe spinal cord compression cervical kyphosis, and degenerative disc disease. Dr. Pashman treated the patient with an anterior cervical discectomy and fusion C4-C7.
Abeera fyp poster (1)
This study examined the relationship between upper limb deformities and functional ability in 139 children with spastic cerebral palsy between the ages of 2-18. The most common deformities were wrist flexion and forearm pronation, which were found to greatly impair functional level as measured by the Jebsen and MACS questionnaires. Results showed that upper limb deformities were a major factor in reducing functional ability. The study concluded that wrist flexion and forearm pronation deformities commonly found in spastic cerebral palsy significantly impair functional level.
Case Review #6: 62 year old male presented with C5/6 Disc Herniation
A 62-year-old male presented with a herniated disc at C5-C6 causing right arm weakness and numbness. He underwent a radical discectomy and bilateral neural foraminotomy to remove the herniated disc and decompress the spinal stenosis. An artificial disc was implanted at C5-C6. Post-operatively, the patient's symptoms resolved and he had regained strength and mobility.
IGSinOtology-NeurotologyVancouverSeptember28,2013
This document summarizes an image guided surgery panel discussion on the use of IGS in otology/neurotology. The panelists were from several leading medical centers. Accurate registration is key for IGS and the target registration error reflects clinical accuracy. Studies show IGS can localize probes to within 1-2mm in cadaver and live surgeries for conditions like cholesteatoma, tumors and atresia repair. Case examples demonstrated using IGS to navigate in complex cases involving the facial nerve or carotid artery. Potential benefits of IGS include providing real-time pathology localization, aiding in distorted anatomy cases, and improving outcomes.
Central cord syndrome
Central cord syndrome is an acute spinal cord injury caused by trauma, most commonly from hyperextension injuries in individuals with cervical spondylosis. It is characterized by disproportionate weakness in the upper extremities compared to the lower extremities, along with bladder dysfunction and sensory loss below the injury level. Rehabilitation focuses on physical, occupational, speech, and recreational therapies to preserve mobility and range of motion, restore activities of daily living, and help patients return to pre-injury activities through adapted devices and techniques.
Prehospital Care of the Pediatric Trauma Patient
An evidence based review of prehospital care of the pediatric trauma patient. This lecture was given to EMS personnel at the Medical University of South Carolina on 12/3/14.
Ortho copy
Orthodontic diagnosis involves collecting comprehensive patient data through case history, clinical examination, and diagnostic aids like study casts, radiographs, and photographs. Essential diagnostic aids include study casts and radiographs, while supplemental aids require specialized equipment and include cephalometric radiographs, electromyography, hand-wrist radiographs, and occlusograms. Supplemental aids provide additional information to aid in orthodontic diagnosis and treatment planning.
Case Review #1: 38 year old female with a single level cervical disc herniation
A 38 year old female, presented with a one level disc herniation. Dr. Pashman treated her with an Anterior Cervical Discectomy and Fusion.
Application of PET/CT in breast cacner
In this presentation, application of PET/CT (F18-Flouride and F18 FDG) is discussed in an evidence based approach with several cases.
Spinal cord injury without radiographic abnormalities (SCIWORA)
- SCIWORA refers to spinal cord injury without radiographic abnormality. It commonly occurs in children and involves the cervical spine.
- MRI is now considered the gold standard for diagnosis as it can detect abnormalities not seen on plain radiographs or CT scans like edema, hemorrhage or cord transection.
- Treatment involves immobilization, IV steroids may help, and surgery is indicated if MRI shows instability, compression or worsening neurological status. Prognosis depends on initial neurological status and MRI findings, with most patients showing improvement but some facing permanent impairments.
Case Review #5: 46 year old female treated with a Prestige Disc
This document summarizes a case review of a 46-year old female patient who underwent a Prestige Artificial Disc replacement at the C5-C6 level. She presented with neck pain and numbness in both hands due to a C5-C6 disc herniation causing cord compression. Surgery included a discectomy, vertebrectomy, and replacement of the disc with a 7x16mm Prestige disc. Post-operatively, the patient's cervical lordosis was restored and she was doing well.
Deveoping a Spinal Clearance Guideline for picu
1) The document discusses developing a spinal clearance guideline for pediatric intensive care patients. It notes that while spinal injuries are rare in pediatrics, missed injuries or prolonged immobilization can lead to complications.
2) Current evidence and practice is variable, so the authors propose a multidisciplinary guideline for clearing the spine within 72 hours for sedated and ventilated children using clinical assessment, CT, and possibly MRI imaging.
3) The proposed guideline would require consultant-led review of imaging and ongoing audit, but could help standardize practice while balancing risks of missed injuries versus complications of immobilization. Limitations including resource needs and patients unsuitable for MRI would require clinical judgment in individual cases.
Precision and follow up scans in bone densitometry
The current presentation is a brief overview of precision and follow up scans in BMD with especial attention to least significant change and Z-score changes in children
anaesthetic management of Meningomyelocele and its Surgical excision
This document discusses the anaesthetic management of patients with meningomyelocele. Key points include:
- Meningomyelocele is a complex birth defect involving protrusion of the meninges and spinal cord through the vertebrae.
- Patients often have other associated anomalies and hydrocephalus.
- Anaesthetic challenges include airway management, physiological immaturity of organ systems, fluid management due to third spacing and blood loss.
- Careful pre-operative evaluation, positioning to protect the meningocele, and meticulous intraoperative fluid management are important to optimize outcomes.
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This study analyzed the clinical outcomes and financial costs of transferring 438 pediatric patients with isolated linear skull fractures to a Level 1 pediatric trauma center over 9 years. The total estimated cost of transfers was nearly $2 million. All patients recovered with symptomatic treatment, and none required neurosurgical intervention or experienced late neurological decline. The authors conclude that for patients without abuse concerns, most children with isolated linear skull fractures do not require expensive inter-facility transfers and could be safely managed at local hospitals.
The Spine
This document discusses spine trauma, specifically injuries to the cervical (C-spine) and thoracolumbar (T/L) spine. It reviews evidence that C-spine injuries occur in 3.7% of trauma patients overall and are more common in obtunded patients. While cervical collars have long been used, evidence suggests injury occurs on impact and muscle spasm may provide protection. The Canadian C-Spine Rule and NEXUS criteria aim to guide imaging needs but the Canadian Rule has slightly better accuracy. For the T/L spine, a structured clinical exam adding mechanism and age to physical findings achieved high sensitivity and moderate specificity for significant injuries. Normal exams do not rule out injury and evaluation remains important.
Torticollis
Torticollis is an adult onset focal or segmental dystonia that causes stereotypical neck postures combining flexion, extension, rotation, and tilting. It typically affects people between 30-40 years old. Treatment options include medical management with botulinum toxin injections or peripheral denervation surgery. The document provides contact information for Dr. Paresh Doshi, a neurological surgeon who specializes in treating torticollis.
Study of current pattern of Cervical Spondylotic Myelopathy and to evaluate t...
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Explain about neuro oncologist.pdf
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Case Review #8: 62 year old female with cervical spinal stenosis
62 year old female with neck pain and left arm weakness. On MRI, the patient was found to have spinal stenosis. Dr. Pashman treated the patient with an Anterior Cervical Discecomy and fusion C4-/7.
Transcranial stab wounds morbidity and medicolegal awareness.
This document summarizes a study of 8 cases of transcranial stab wounds. Frontal stab wounds had the lowest morbidity and mortality, with patients usually recovering fully. Temporal stab wounds were often fatal. Two cases of trans-orbital stabs resulted in carotid-cavernous fistulas. The mechanisms of injury differ from other head injuries due to the focal damage along the tract. Early recognition is important for treatment. However, recognition can be difficult if the weapon is withdrawn, highlighting the medicolegal importance of distinguishing these types of wounds.
Case Review #3: 53 year old male with severe spinal cord compression
A 53-year-old male presented with severe cervical kyphosis centered at C4-5, C5-6, and C6-7, causing spinal cord compression and myeloradiculopathy. Pre-op x-rays showed 78 degrees of kyphosis. The surgical strategy involved segmental spinal instrumentation from C4 to C7, radical diskectomies and deformity correction through osteotomies and vertebrectomies at C4-5, C5-6, and C6-7. Post-op x-rays showed successful reconstruction of natural cervical alignment and removal of 78 degrees of kyphosis.
Case Review #6: 57 year old female with severe spinal cord compression
A 57 year old female presented to Dr. Pashman with severe spinal cord compression cervical kyphosis, and degenerative disc disease. Dr. Pashman treated the patient with an anterior cervical discectomy and fusion C4-C7.
Abeera fyp poster (1)
This study examined the relationship between upper limb deformities and functional ability in 139 children with spastic cerebral palsy between the ages of 2-18. The most common deformities were wrist flexion and forearm pronation, which were found to greatly impair functional level as measured by the Jebsen and MACS questionnaires. Results showed that upper limb deformities were a major factor in reducing functional ability. The study concluded that wrist flexion and forearm pronation deformities commonly found in spastic cerebral palsy significantly impair functional level.
Case Review #6: 62 year old male presented with C5/6 Disc Herniation
A 62-year-old male presented with a herniated disc at C5-C6 causing right arm weakness and numbness. He underwent a radical discectomy and bilateral neural foraminotomy to remove the herniated disc and decompress the spinal stenosis. An artificial disc was implanted at C5-C6. Post-operatively, the patient's symptoms resolved and he had regained strength and mobility.
IGSinOtology-NeurotologyVancouverSeptember28,2013
This document summarizes an image guided surgery panel discussion on the use of IGS in otology/neurotology. The panelists were from several leading medical centers. Accurate registration is key for IGS and the target registration error reflects clinical accuracy. Studies show IGS can localize probes to within 1-2mm in cadaver and live surgeries for conditions like cholesteatoma, tumors and atresia repair. Case examples demonstrated using IGS to navigate in complex cases involving the facial nerve or carotid artery. Potential benefits of IGS include providing real-time pathology localization, aiding in distorted anatomy cases, and improving outcomes.
Central cord syndrome
Central cord syndrome is an acute spinal cord injury caused by trauma, most commonly from hyperextension injuries in individuals with cervical spondylosis. It is characterized by disproportionate weakness in the upper extremities compared to the lower extremities, along with bladder dysfunction and sensory loss below the injury level. Rehabilitation focuses on physical, occupational, speech, and recreational therapies to preserve mobility and range of motion, restore activities of daily living, and help patients return to pre-injury activities through adapted devices and techniques.
Prehospital Care of the Pediatric Trauma Patient
An evidence based review of prehospital care of the pediatric trauma patient. This lecture was given to EMS personnel at the Medical University of South Carolina on 12/3/14.
Ortho copy
Orthodontic diagnosis involves collecting comprehensive patient data through case history, clinical examination, and diagnostic aids like study casts, radiographs, and photographs. Essential diagnostic aids include study casts and radiographs, while supplemental aids require specialized equipment and include cephalometric radiographs, electromyography, hand-wrist radiographs, and occlusograms. Supplemental aids provide additional information to aid in orthodontic diagnosis and treatment planning.
Case Review #1: 38 year old female with a single level cervical disc herniation
A 38 year old female, presented with a one level disc herniation. Dr. Pashman treated her with an Anterior Cervical Discectomy and Fusion.
Application of PET/CT in breast cacner
In this presentation, application of PET/CT (F18-Flouride and F18 FDG) is discussed in an evidence based approach with several cases.
Spinal cord injury without radiographic abnormalities (SCIWORA)
- SCIWORA refers to spinal cord injury without radiographic abnormality. It commonly occurs in children and involves the cervical spine.
- MRI is now considered the gold standard for diagnosis as it can detect abnormalities not seen on plain radiographs or CT scans like edema, hemorrhage or cord transection.
- Treatment involves immobilization, IV steroids may help, and surgery is indicated if MRI shows instability, compression or worsening neurological status. Prognosis depends on initial neurological status and MRI findings, with most patients showing improvement but some facing permanent impairments.
Case Review #5: 46 year old female treated with a Prestige Disc
This document summarizes a case review of a 46-year old female patient who underwent a Prestige Artificial Disc replacement at the C5-C6 level. She presented with neck pain and numbness in both hands due to a C5-C6 disc herniation causing cord compression. Surgery included a discectomy, vertebrectomy, and replacement of the disc with a 7x16mm Prestige disc. Post-operatively, the patient's cervical lordosis was restored and she was doing well.
Deveoping a Spinal Clearance Guideline for picu
1) The document discusses developing a spinal clearance guideline for pediatric intensive care patients. It notes that while spinal injuries are rare in pediatrics, missed injuries or prolonged immobilization can lead to complications.
2) Current evidence and practice is variable, so the authors propose a multidisciplinary guideline for clearing the spine within 72 hours for sedated and ventilated children using clinical assessment, CT, and possibly MRI imaging.
3) The proposed guideline would require consultant-led review of imaging and ongoing audit, but could help standardize practice while balancing risks of missed injuries versus complications of immobilization. Limitations including resource needs and patients unsuitable for MRI would require clinical judgment in individual cases.
Precision and follow up scans in bone densitometry
The current presentation is a brief overview of precision and follow up scans in BMD with especial attention to least significant change and Z-score changes in children
anaesthetic management of Meningomyelocele and its Surgical excision
This document discusses the anaesthetic management of patients with meningomyelocele. Key points include:
- Meningomyelocele is a complex birth defect involving protrusion of the meninges and spinal cord through the vertebrae.
- Patients often have other associated anomalies and hydrocephalus.
- Anaesthetic challenges include airway management, physiological immaturity of organ systems, fluid management due to third spacing and blood loss.
- Careful pre-operative evaluation, positioning to protect the meningocele, and meticulous intraoperative fluid management are important to optimize outcomes.
article 3
This study analyzed the clinical outcomes and financial costs of transferring 438 pediatric patients with isolated linear skull fractures to a Level 1 pediatric trauma center over 9 years. The total estimated cost of transfers was nearly $2 million. All patients recovered with symptomatic treatment, and none required neurosurgical intervention or experienced late neurological decline. The authors conclude that for patients without abuse concerns, most children with isolated linear skull fractures do not require expensive inter-facility transfers and could be safely managed at local hospitals.
The Spine
This document discusses spine trauma, specifically injuries to the cervical (C-spine) and thoracolumbar (T/L) spine. It reviews evidence that C-spine injuries occur in 3.7% of trauma patients overall and are more common in obtunded patients. While cervical collars have long been used, evidence suggests injury occurs on impact and muscle spasm may provide protection. The Canadian C-Spine Rule and NEXUS criteria aim to guide imaging needs but the Canadian Rule has slightly better accuracy. For the T/L spine, a structured clinical exam adding mechanism and age to physical findings achieved high sensitivity and moderate specificity for significant injuries. Normal exams do not rule out injury and evaluation remains important.
Torticollis
Torticollis is an adult onset focal or segmental dystonia that causes stereotypical neck postures combining flexion, extension, rotation, and tilting. It typically affects people between 30-40 years old. Treatment options include medical management with botulinum toxin injections or peripheral denervation surgery. The document provides contact information for Dr. Paresh Doshi, a neurological surgeon who specializes in treating torticollis.
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Case Review #8: 62 year old female with cervical spinal stenosis
Case Review #8: 62 year old female with cervical spinal stenosis
Transcranial stab wounds morbidity and medicolegal awareness.
Transcranial stab wounds morbidity and medicolegal awareness.
Case Review #3: 53 year old male with severe spinal cord compression
Case Review #3: 53 year old male with severe spinal cord compression
Case Review #6: 57 year old female with severe spinal cord compression
Case Review #6: 57 year old female with severe spinal cord compression
Case Review #6: 62 year old male presented with C5/6 Disc Herniation
Case Review #6: 62 year old male presented with C5/6 Disc Herniation
Case Review #1: 38 year old female with a single level cervical disc herniation
Case Review #1: 38 year old female with a single level cervical disc herniation
Spinal cord injury without radiographic abnormalities (SCIWORA)
Spinal cord injury without radiographic abnormalities (SCIWORA)
Case Review #5: 46 year old female treated with a Prestige Disc
Case Review #5: 46 year old female treated with a Prestige Disc
Precision and follow up scans in bone densitometry
Precision and follow up scans in bone densitometry
anaesthetic management of Meningomyelocele and its Surgical excision
anaesthetic management of Meningomyelocele and its Surgical excision
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Study of current pattern of Cervical Spondylotic Myelopathy and to evaluate t...
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Explain about neuro oncologist.pdf
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Neurosurgery
Neurosurgery is the medical field concerned with the prevention, diagnosis, and treatment of conditions affecting the nervous system. Neurosurgeons treat many conditions including meningitis, spinal disc herniation, cervical and lumbar spinal stenosis, hydrocephalus, head and spinal cord trauma, nerve infections, and tumors of the spine, spinal cord, and nerves. Neurosurgeons undergo four years of undergraduate education, four years of medical school, and six to seven years of residency training including rotations in neurology and at least 42 months of core clinical neurosurgery training. The median neurosurgeon salary in 2010 was $575,477 according to Salary.com.
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The document discusses the roles of surgeons, surgical assistants, and anesthetists. It defines a surgeon as a medical professional who performs operations and oversees patient care before, during and after surgery. A surgical assistant aids the surgeon during procedures by preparing tools and monitoring the patient. An anesthetist, also called an anesthesiologist, is a physician who administers anesthesia, facilitates pain-free operations, and manages patients' vital functions and critical care. There are 14 recognized types of surgeons and skills like dexterity, communication, and problem-solving are important for the job.
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This document discusses traumatic brain injury (TBI) and the neurosurgical response at the Cushing Neuroscience Institute. It describes that TBI affects up to 2% of the population annually and requires specialized care. It outlines the process for evaluating and classifying TBI severity (mild, moderate, severe) upon patient arrival based on Glasgow Coma Scale. For moderate and severe TBI, surgical intervention may be needed and is determined by factors like brain swelling/bleeding seen on CT scan. The neurosurgery team is available 24/7 to treat TBI emergencies.
Microscopic surgery
Microsurgery is surgery performed under an operating microscope that allows surgeons to reconnect small blood vessels, nerves, and tissues less than 1 mm in diameter. It is used in free tissue transfer to move composite tissues from one part of the body to another for reconstruction, in replantation to reattach severed body parts by restoring blood flow and connecting tissues, and in transplantation research. Microsurgery techniques are also used to treat infertility and perform lumbar discectomies to remove herniated discs through small incisions. Kharghar Medicity Multispecialty Hospital in Navi Mumbai offers microsurgery and other super specialty services along with 24/7 emergency care.
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Pott's disease nursing, medical, surgical managements
Pott's disease, also known as tuberculosis of the spine, is caused by Mycobacterium tuberculosis infection of the vertebrae. Non-operative treatment involves antibiotics and immobilization for early or mild cases to halt progression. Surgery is required for abscesses, neurological issues, or cases that fail to improve with antibiotics. Nursing care focuses on immobilization, pain management, infection prevention, and monitoring for complications like neurological changes.
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Dr. Vikas Gupta is one of the top neurosurgeons in Delhi, India, with over 35 years of experience. He specializes in spine and brain surgeries and has trained many other doctors. The document discusses several types of neurosurgeries performed by Dr. Gupta, including brain surgeries, spine surgeries, intervention neurosurgeries, and functional neurology procedures. Specific procedures mentioned include craniotomies, biopsies, deep brain stimulation, neuroendoscopy, and posterior fossa decompression.
DR. Vikas Gupta.pdf
Dr. Vikas Gupta is one of the top neurosurgeons in Delhi, India, with over 35 years of experience. He specializes in spine and brain surgeries and has trained many other doctors. The document discusses several types of neurosurgeries performed by Dr. Gupta, including brain surgeries, spine surgeries, intervention neurosurgeries, and functional neurology procedures. Specific procedures mentioned include craniotomies, biopsies, deep brain stimulation, neuroendoscopy, and posterior fossa decompression.
Presentation1
Surgery involves operations performed by surgeons and physicians to treat diseases, deformities, or injuries. Surgeries typically take place in operating rooms in hospitals with sterile equipment and a surgical team including the surgeon, assistants, an anesthesiologist, and nurses. Common surgical instruments include scissors, scalpels, clamps, and retractors, while some surgeons also use saws and lasers. Major surgeries on the head, chest, or abdomen carry higher risks and longer recovery times. Transplant surgery involves removing an organ or body part from one person and placing it in another.
Medical Career
this presentation is about Medical careers. We focused on a dentistry and Surgeon careers. We show their tools and describe many requirements of those careers.
Dental career (1)
This document summarizes information about different types of surgeons and their specialties. It provides details on dentist salaries and tools. The main types of surgeons discussed are orthopedic surgeons, plastic surgeons, otolaryngology surgeons, cardiothoracic surgeons, and neurosurgeons. Orthopedic surgeons focus on the musculoskeletal system, plastic surgeons do cosmetic and reconstructive surgery, otolaryngology surgeons treat the head and neck area, cardiothoracic surgeons address heart issues, and neurosurgeons treat conditions of the central nervous system. Dentist salaries have increased in recent years and they use tools like probes, retractors, and protective gear in their work.
Christ Hospital Research Document.
This document summarizes research on the effects of COX-2 inhibitors on fracture healing and implications for patient recovery. The main points are:
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This document discusses tumors of the head and neck from a multidisciplinary perspective. It addresses the problems faced by patients with head and neck cancer including diagnosis, comorbidities, pain, procedures, treatments and mortality. It outlines factors related to the patient, the tumor, and treatments. Regarding tumor factors, it discusses biology, site, staging and histopathological characteristics. It provides details on surgical procedures for head and neck cancer. It also briefly discusses radiotherapy and chemotherapy, noting some common side effects of these treatments. The document emphasizes the importance of a multidisciplinary approach and pre-operative nutrition to achieve the best outcomes for patients with head and neck cancer.
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This case report describes the implementation of craniospinal irradiation with a posterior fossa boost using intensity-modulated radiation therapy (IMRT) for a 34-year-old male patient with malignant hemangioblastoma. A treatment plan was designed to deliver 50.4 Gy over 28 fractions to the craniospinal axis and posterior fossa. A three-isocenter overlapping junction field technique was used with IMRT to improve dose conformity. Plan quality assurance showed adequate target coverage and organ at risk sparing within limits. IMRT can improve local tumor control for craniospinal irradiation.
Brain tumor
This document provides an overview of brain tumors including their definition, causes, risk factors, classification, symptoms, diagnostic tests, treatment options and nursing management. Some key points:
- A brain tumor is an abnormal cell growth within the brain that can be benign or malignant. Common types include gliomas, meningiomas, and pituitary tumors.
- Risk factors include age, gender, family history, exposure to radiation or chemicals. Symptoms vary based on tumor location but may include headaches, nausea, vision changes, seizures and neurological deficits.
- Diagnosis involves imaging tests like CT/MRI along with biopsy. Treatment options include surgery, radiation, chemotherapy, and supportive care. Nursing focuses on monitoring for increased
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Medical career
- 1. Medical Career: SurgeonsBlock: 5 Oscar Cabanas Justin Burgos Surgeons1
- 2. Plastic Surgery There are many different types of surgeries in plastic surgery perfection. EX: Reconstruction Surgery, Hand Surgery, and Microsurgery Surgeons 2
- 3. Cardiac Surgery These are surgeries that are performed on the heart. These surgeries are performed to help treat heart disease such as coronary artery bypass grafting. Surgeons 3
- 4. Neurosurgeons Neurosurgeons perform surgeries on the brain, central nervous system and spinal cord. They perform pre-operative imaging for the removal of tumors. The study of treating cancer of the brain is known as Neuro-oncology. Surgeons 4
- 6. Otolaryngology Includes all aspects of the head and neck region, skull base and facial plastic surgery. 70% of otolaryngology practice is outpatient with a day case base. These surgeons are known as Ents Surgeons 6
- 8. Paediatric Surgery Paediatric surgery is the surgical treatment of diseases, trauma and malformations of childhood years. They perform 11% of operations on children. Operations are mainly performed by surgeons from other specialties who have an interest in Paediatric conditions. Surgeons 8
- 10. Average Salary For Surgeons Listed Plastic Surgeon: $238,452 - $500,000 Cardiothoracic Surgeon:$412,537 Neurosurgeons:$527,852 Otolaryngology ENT:$233,511-$424,702 Paediatric Surgeon:$350,215 Surgeons 10
- 11. Working Environment A surgeons facility must be clean at all times. Surgeon work around 16 hours a day doing surgeries. A Surgeons job is very stressful because of the risky and dangerous surgeries. Surgeons 11
- 12. Plastic Surgeon Data chart Surgeons 12
- 13. Link to Surgeon Career Overview http://www.youtube.com/watch?v=v86G nbvryrY Surgeons 13
- 15. Bibliography http://www.bls.gov/oes/current/oes29106 7.htm http://health.usnews.com/doctors/plastic- surgeons/los-angeles-ca http://www1.salary.com/surgeon- Salary.html Surgeons 15