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Profile of Dr.Laurelee Menzies
Profile of Dr.Ken Sheperd
Examining the abdomen
Operation table: the first drawer
Operation table: the second drawer
Going to the medical school
Meeting a new patient.
In the hallway
In the OR
One of our patients...
Checking our patient
Following the courses
Demonstration of bradycardia on the EKG. Use atropine to correct.
Appendectomy 101. Scrub up, disinfect and drape the patient's skin.
Make a McBurney's incision with the scalpel. Clamp and cauterize any bleeders.
Use the spreader to get to the underlying layer of fat. Repeat the above for the fat and muscle layers.
There's the appendix, under the peritoneum.
Scrape the peritoneum, clamp that spot, use the scalpel to start a hole. Cut diagonally with the scissors.
Get a sample of the black (infected) fluid, then suction it out.
Flip the cecum out with your gloves, pack it with gauze, lift the appendix with a clamp.
Med school again... cut here with the scalpel to reveal the mesoappendix artery.
Suture that artery, then cut away the mesoappendix membrane.
Clamp the appendix high and low. Tie it off with a purse string suture.
Cut the appendix. It's outta there, and it didn't rupture. (Phew!)
Put a Z-string suture on the remaining hole in the cecum. Remove the gauze.
Remove the spreader and suture the peritoneum.
Suture the transversus muscle layer, then the oblique, then the subcutaneous fat.
Use skin clips on the outer layer. Stick in fork in this patient - he's done!
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