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Pediatric Neurologic Examination Videos & Descriptions: Newborn > Normal Reflexes - Deep Tendon Reflexes Testing deep tendon reflexes is an important part of the newborn neurological exam. They can be technically difficult to do. The first thing is to use a reflex hammer, not a finger or a stethoscope. Ideally, the baby is in a quiet alert state with the head in the midline. Reposition the leg and try several times if you have trouble getting a knee jerk. Absence of deep tendon reflexes is a much more important finding than hyperreflexia in the newborn. Radiology | Radiology Education | Radiology Teaching Files | Radiology Textbooks | Radiologist - A digital library of radiology education resources Welcome to Best Practice Hi You are already registered. Please log in with your email & password. Congratulations! You have successfully created a personal account and can now track your CME / CPD activities and access the mobile app. Subscription complete Congratulations! Registration complete You have now registered and can access BMJ Best Practice for free at any time by logging in with the email and password you provided. In the spotlight Please log in Or log in via:

Pediatric Intestinal Stomas Radiology Education / Radiology Learning / Radiology Teaching Files - a free web based and interactive radiology teaching file server program Medscape Drugs & Diseases - Medical Students About Medscape Drugs & Diseases Medscape's clinical reference is the most authoritative and accessible point-of-care medical reference for physicians and healthcare professionals, available online and via all major mobile devices. All content is free. The clinical information represents the expertise and practical knowledge of top physicians and pharmacists from leading academic medical centers in the United States and worldwide. The topics provided are comprehensive and span more than 30 medical specialties, covering: Diseases and Conditions More than 6000 evidence-based and physician-reviewed disease and condition articles are organized to rapidly and comprehensively answer clinical questions and to provide in-depth information in support of diagnosis, treatment, and other clinical decision-making. Procedures Anatomy More than 100 anatomy articles feature clinical images and diagrams of the human body's major systems and organs. Drug Monographs Drug Interaction Checker Formulary Information

Chapter 33-Schwartz's Surgery for Pancreatic Surgery Welcome to LearningRadiology by Prof. (Univ. Cairo) Ahmed T Hadidi Onlay Island Flap The Onlay Island Flap is ideal for patients with proximal hypospadias without deep Chordee. According to the author experience, most patients with proximal hypospadias have deep chordee that necessitates excision. However, recently, many surgeons prefer to perform dorsal placation if the chordee is less than 30o after skin degloving and preserve the urethral plate. Operative steps The tip of the neo-meatus is identified. A subcoronal incision is made around the glans. The skin is degloved from distal to proximal close to the Buck's fascia preserving the arteries that constitute the pedicle to the preputial flap. A 1-cm wide onlay flap is prepared from the inner prepuce. The mobilized glans wings are rotated medially around the neo-urethra. Complications Fistula, wound disruption, rotation, recurrent curvature occurs in 10 - 20 % of patients.

Radiology tutorials | Radiology lectures | Multimedia Radiology teaching | Radiology education | Anatomy tutorials NWTS Clinical Trials Aims & Results of the NWTS Clinical Trials The National Wilms Tumor Study (NWTS) was created in 1969 to address the need to study and compare treatments in an efficient period of time. With only 500 cases of Wilms diagnosed annually, a single institution or several combined institutions could not complete an investigation in a relatively short period of time as they would not have enough patients to make significant comparisons. Groups of investigators and institutions interested in improving treatment for Wilms tumor agreed to combine their efforts and contribute data to the newly formed NWTS. In addition to analyzing the results of the initial aims, NWTS researchers identified a variety of elements that at diagnosis would help physicians gauge each patients risk for untoward outcomes. From the beginning the NWTS overriding principle has been “Cure is not enough.” [Back to Top] NWTS-1 Aims Results Radiation therapy will not be given to patient with the low risk Group I diagnosis. Aims