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A digital rectal examination (DRE) is a simple procedure doctors use to examine the lower rectum and other internal organs. A DRE is done for a number of reasons. It's a quick, easy way to check the health of a man's prostate gland. It can detect conditions like an enlarged prostate

A testicular examination is mainly performed on male patients who present with testicular pathology e.g. pain, swelling, a lump. Although titled testicular examination it involves the examination of the penis, scrotum and testes. As this is an intimate examination it is pertinent to gain a good rapport with your patient, maintain good communication and ensure the patient’s dignity at all times. Remember to offer a chaperone for this skill. For the purposes of your exam, you will most likely be examining a mannequin.

examination of a case of inguino-scrotal swelling as in cases of oblique inguinal hernia..etc

An animated step-by-step guide to how a normal spontaneous vaginal delivery proceeds, for students and expectant parents learning how birth works. Educational only — not medical advice.

This New England Journal of Medicine teaching video demonstrates placement of a subclavian central venous catheter. It covers sterile precautions, equipment and landmarks, guidewire insertion and catheter advancement, and confirmation by chest X-ray, followed by troubleshooting of complications. It is a detailed resource for central line training.

Urinary catheterization in both male and female patients is demonstrated in this clinical-skills video, with attention to sterile technique and the anatomical differences between the two procedures. It is a foundational nursing and medical skill. Procedure education only — not personal medical advice.

Part 1 of this educational video shows the dilatation and curettage (D&C) procedure, a gynecological operation used to sample or clear the uterine lining. It demonstrates the instruments and steps involved for clinicians and students. Procedure education only — not personal medical advice.

Sensory and reflexes exam of the upper limb from the USMLE collection Sensory and reflexes exam of the lower limb

An educational demonstration of the bimanual examination in gynecology. Educational only — not medical advice.

Insertion and removal of a male urethral stent catheter is demonstrated in this clinical-skills video. Urethral stents are used to keep the urinary channel open, most often in relation to prostate enlargement. A procedure resource for urology and nursing trainees. Procedure education only — not personal medical advice.

This recording follows a cesarean section birth from the operating room, showing how a baby is delivered through an abdominal incision. It gives students and expectant parents a clear view of how a C-section proceeds in practice. For learning purposes only — not medical advice.

A video showing insertion of a percutaneous endoscopic colostomy in a frail patient with recurrent sigmoid volvulus.

Cystoscopy

Common Benign Pain Syndromes--Symptoms and Etiology:
1. Non-specific musculoskeletal pain: This is the most common cause of back pain. Patients present with lumbar area pain that does not radiate, is worse with activity, and improves with rest. There may or may not be a clear history of antecedent over use or increased activity. The pain is presumably caused by irritation of the paraspinal muscles, ligaments or vertebral body articulations. However, a precise etiology is difficulty to identify.
2. Radicular Symptoms: Often referred to as "sciatica," this is a pain syndrome caused by irritation of one of the nerve roots as it exits the spinal column. The root can become inflamed as a result of a compromised neuroforamina (e.g. bony osteophyte that limits size of the opening) or a herniated disc (the fibrosis tears, allowing the propulsus to squeeze out and push on the adjacent root). Sometimes, it's not precisely clear what has lead to the irritation. In any case, patient's report a burning/electric shock type pain that starts in the low back, traveling down the buttocks and along the back of the leg, radiating below the knee. The most commonly affected nerve roots are L5 and S1.
3. Spinal Stenosis: Pain starts in the low back and radiates down the buttocks bilaterally, continuing along the backs of both legs. Symptoms are usually worse with walking and improve when the patient bends forward. Patient's may describe that they relieve symptoms by leaning forward on their shopping carts when walking in a super market. This is caused by spinal stenosis, a narrowing of the central canal that holds the spinal cord. The limited amount of space puts pressure on the nerve roots when the patient walks, causing the symptoms (referred to as neurogenic claudication). Spinal stenosis can be congenital or develop over years as a result of djd of the spine. As opposed to true claudication (pain in calfs/lower legs due to arterial insufficiency), pain resolves very quickly when person stops walking and assumes upright position. Also, peripheral pulses should be normal.
4. Mixed symptoms: In some patients, more then one process may co-exist, causing elements of more then one symptom syndrome to co-exist.

Pediatric Lumbar puncture

Pediatric IV insertion is taught in this narrated training video. The instruction covers recommended vein sites in infants and children, the equipment to prepare, and the catheter sizes used in pediatrics. It is a practical study resource for nursing and clinical skills training.

On Tuesday May 29th at 3:00pm EDT, University Hospitals Case Medical Center Cleveland, Ohio, will host a live webcast to demonstrate the removal of brain tumor and epileptic focus from an awake patient using intra-operative MRI and brain mapping. See this on OR-Live.com

The patient was a middle-aged gentleman with new onset seizures. An MRI showed what appeared to be a low grade glioma near the motor strip on the right. Studies have shown that complete removal can cure the seizures, improve quality of life and survival, but this is difficult to do with conventional technology without harming the surrounding normal brain because its difficult to determine where tumor ends and normal brain begins.

Palpation for abdominal masses is demonstrated in this physical examination video. The examiner shows how the abdomen is felt by hand to detect any masses during assessment. The recording is a training resource for students learning abdominal examination technique. It can support classroom teaching and independent study in this subject area.

⁣*Multi high volume centers experience with 3 years mean follow up ,
*1266cases done in Jordan and 112 cases in Bahrain ,
* No malfunction,
*Mild to moderate pain at the reservoir site reported first few days after surgery specially with movement ,
*No bowl or vascular injury during surgery ,
*palpable or visible reservoir noted in 7% of the patients and become less significant weeks post op,
*safe alternative specially in hostile pelvic patients,

Urological surgeons have become proficient at performing complex pelvic urological procedures, such as radical prostatectomy, using the laparoscopic approach. Declan Murphy and Daniel Moon share their experience of four less common procedures they have performed recently using laparoscopic techniques. These include: excision of a urachal cyst; partial cystectomy for endometriosis (combined endoscopic-laparoscopic approach); repair of an intra-peritoneal bladder rupture; and repair of a ureteric injury (combined endoscopic-laparoscopic approach).