Surgical Procedure18 Videos

Rhinophyma

Pathogenesis, clinical features, and diagnosis   Rosacea is a common skin disorder that typically occurs in adults. Rarely, rosacea occurs in children. Pathogenesis  The pathogenesis of rosacea is poorly understood. Factors such as abnormalities in the innate immune system, inflammatory reactions to cutaneous microorganisms, ultraviolet radiation exposure, vascular hyperreactivity, and genetics have been identified as […]

Thoracentesis

Ultrasound-guided thoracentesis   ●Thoracentesis is a percutaneous procedure where pleural fluid is removed from the pleural space. It should only be performed by clinicians with experience and who demonstrate competency with the procedure.    ●Most patients who have a newly detected pleural effusion should undergo diagnostic thoracentesis. Patients with symptomatic effusions, large effusions, or conditions […]

Pleural puncture (Thoracocentesis)

thoracentesis: Procedure and complications   ●Large volume thoracentesis is a therapeutic procedure that removes 1 liter or more of pleural fluid.  ●The indication for large volume thoracentesis is dyspnea due to a moderate to large pleural effusion confirmed by physical examination and chest radiography. Transudative pleural effusions due to liver failure and effusions associated with […]

Paracentesis #Ascitic tap

Evaluation of adults with ascites   ●Etiology There are numerous causes of ascites, but the most common cause of ascites in the United States is cirrhosis. Other common causes of ascites include malignancy-related ascites and ascites due to heart failure. Approximately 5 percent of patients will have two or even three causes for ascites formation.  […]

Paracentesis Procedure- Ascites

Diagnostic and therapeutic abdominal paracentesis   ●Background Abdominal paracentesis is a simple bedside or clinic procedure in which a needle is inserted into the peritoneal cavity and ascitic fluid is removed. Diagnostic paracentesis refers to the removal of a small quantity of fluid for testing. Therapeutic paracentesis refers to the removal of 5 liters or […]