see message-info on urologist w/surname Dhanani.

Management of the high intra-abdominal testis is a challenging surgical procedure. Most pediatric urologists today would advocate either a laparoscopic or transabdominal orchiopexy to keep the gonadal vessels intact, but in some patients the testicular artery will be too short and not amenable to a standard orchiopexy. Preservation of these testicles requires either a microvascular procedure, in which the testicular vessels are reanastomosed to larger vessels in the leg, or a staged procedure, in which the vessels are ligated in the first operation, and the testicle is mobilized on a wide strip of peritoneum and moved to the scrotum on the basis of the blood supply of the vas deferens. Recognition of the patients who will require a 2-stage Fowler-Stephens procedure early in the initial exploration is probably one of the most important aspects of achieving a good outcome. Early recognition allows the avoidance of manipulation and possible injury of the collateral blood supply of the vas deferens and peritoneum that is necessary for a successful second-stage procedure. A prior meta-analysis of the previously reported 2-stage Fowler-Stephens procedures found an overall success rate of only 69%. The study authors review their success with a 2-stage Fowler-Stephens procedure.

http://www.medscape.com/viewarticle/501229

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anterior mediastinum

This can be very crippling disease. I have a friend who is only 33 and cannot even scratch her own nose. She cannot turn over in bed or do anything for herself. It is a progressive illness. When she was little, she could walk and do everything a normal child could and by the time she was a teenager she was in a wheelchair. Now she is completely disabled.

May I bring my own reference materials?
Reference materials are not allowed in the testing center, and none will be provided. Electronic aids such as spellcheckers and abbreviation expanders will not be permitted. One of the consequences of using secure testing centers is the elimination of reference materials. However, the exam has been designed so that a level 2 medical transcriptionist (as defined in AAMT�s "MT Job Descriptions") can pass using their critical thinking and problem solving skills and without using any reference materials.

Do I need to find my own proctor?
No. The new exam is being delivered at proctored testing centers.

The patient had lateral split depression fracture of tibial plateau and was diagnosed wtih shatzka type 2 fracture.

BREASTS: Fails to reveal any evidence of cellulitis. Her ______ cath is in place.

(the patient has active airway disease and is in recovery using Albuterol MDI and Z-pack antibiotics. after that statement she moves on to the rest of the review.)

malampoti??? classification III, visualization of the soft palate in the base of the uvula only.

Could maybe be saying CII for continuous insulin infusion? Are they trying to control glucose?

I find that no matter how many times I think I know this, it always gets me sooner or later, usually on the last thing I am typing for the day!!