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Occiput or cephalic — the baby's head is down, and the baby is facing the mother's abdomen. This position results in back pain and a prolonged labor. Transverse — the baby is lying crosswise in the uterus, side-to-side over the mother's pelvis, in a horizontal position rather than vertical.

some knowledge

Otto Placik MD. a board certified Chicago based plastic surgeon presents Vulvar Vaginal Genital anatomy lesson reviewing the Vulva, Mons Pubis, clitoral hood, prepuce, frenulum, labia minora & majora, vagina, urethra and fourchette with surgical implications and techniques. Photos pictures and video of anatomic models are reviewed in detail on different models. Great for patients thinking about or planning before labiaplasty or vaginal cosmetic surgery

An educational video of circumcision performed by the dissection/sleeve method. Procedure education only — not personal medical advice.

This surgical video shows a procedure performed for erectile dysfunction attributed to deep dorsal venous leakage, in which the deep dorsal vein is embedded. It is presented as a record of one surgical approach for specialist education. Educational only — not medical advice, and not a recommendation of this procedure.

An educational video of transurethral resection of the prostate (TURP) for enlarged prostate. Procedure education only — not personal medical advice.

Examination of a femoral hernia is shown in this brief surgical examination clip. The recording presents how the groin area is assessed when a femoral hernia is suspected. It is an educational example for students learning hernia examination technique. It can support classroom teaching and independent study in this subject area.

A report of Female Genital Mutilationn FGM (female circucision) in Menya In Egypt تقرير من مدينة المنيا في صعيد مصر عن ختان لاناث

Loyola Full Male Exam Part 2 A video from Loyola medical school, Chicago showing the full examination of the male

Loyola Full Male Exam Part 4 A video from Loyola medical school, Chicago showing the full examination of the male

What are the earliest signs of pregnancy? This educational video reviews the symptoms that can suggest pregnancy — such as a missed period, nausea, and breast tenderness — and explains why a pregnancy test is the reliable way to confirm it. General information only, presented for learning. Educational only — not medical advice.

Woman Giving Birth

A breast examination performed after breast implant surgery is shown in this clinical video. The recording demonstrates how the breasts are assessed during follow-up examination after augmentation. It is an educational resource for clinicians and students interested in plastic surgery follow-up care.

An educational video of a twin childbirth and how twin deliveries are managed. Educational only — not medical advice.

An educational demonstration of Foley catheter insertion into the bladder for male and female patients. Procedure education for students and clinicians — not personal medical advice.

This short clinical-skills video demonstrates an intramuscular injection being given to a female patient. Intramuscular injections deliver medication deep into the muscle tissue, and correct site selection and technique are essential parts of everyday nursing and clinical practice.

Urogenital neoplasms spreading to the inguinal lymph nodes are penile carcinoma (the most frequent), urethral and scrotum cancers, tumors of the testis with scrotal violation. Penile carcinoma is an uncommon malignant disease and accounts for as many 0.4-0.6% of male cancers. Most patients are elder...ly. It rarely occurs in men under age 60 and its incidence increases progressively until it reaches a peak in the eighth decade 1. The risk of a lymph node invasion is greater with high grade and high stage tumors 2. Some investigators have reported the inaccuracy of the sentinel node biopsy 3, 4, described by Cabanas 5. Patients with metastatic lymph node penis cancer have a very poor prognosis if penectomy only is performed. Ilioinguinal lymphadenectomy is basically carried out as a treatment modality and not only as a staging act. Patients with lymph node invasion have a 30-40% cure rate. Ilioinguinal lymphadenectomy should be also performed in patients with disseminated neoplasms for the local control of the disease. The 5 years survival rate of patients with clinically negative lymph nodes treated with a modified inguinal lymphadenectomy is 88% versus 38% in patients not initially treated with lymphadenectomy 6. This video-tape clearly shows a therapeutic algorithm, the anatomy of the inguinal lymph nodes, according to Rouviere 7 and Daseler 8, the radical ilioinguinal node dissection with transposition of the sartorius muscle and the modified inguinal lymphadenectomy proposed by Catalona 9. References: 1. Lynch D.F. and Schellhammer P: Tumors of the penis. In Campbell’s Urology Seventh Edition, edited by Walsh P.C., Retik A.B., Darracott Vaughan E. and Wein A.J. W.B. Saunders Company, Vol. 3, chapt. 79, p. 2458, 1998. 2. Pizzocaro G., Piva L., Bandieramonte G., Tana S. Up-to-date management of carcinoma of the penis. Eur. Urol. 32: 5-15, 1997 3. Perinetti E., Crane D.B. and Catalona W.J. Unreliability of sentinel lymph node biopsy for staging penile carcinoma. J. Urol. 124: 734, 1980 4. Fowler J.E. Jr. Sentinel lymph node biopsy for staging penile cancer. Urology 23: 352, 1984 5. Cabanas R.M. An approach for the treatment of penile carcinoma. Cancer 39: 456, 1977 6. Russo P. and Gaudin P. Management strategies for carcinoma of the penis. Contemporary Urology;5:48-66, 2000 7. Rouviere H. Anatomy of the human lymphatic system. Edwards Brothers, p. 218, 1938 8. Daseler E.H., Anson B.J., Reimann A.F. Radical excision of the inguinal and iliac lymph glands: a study based on 450 anatomical dissections and upon supportive clinical observations. Surg. Gynecol. Obstet. 87: 679, 1948 9. Catalona W.J. Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results. J. Urol. 140: 306-310, 1988

This surgical video shows an open appendectomy, the operation to remove the appendix through an abdominal incision. The recording follows the procedure in the operating room, showing the main steps of one of the most common emergency operations. Appendectomy is the standard treatment for appendicitis.

A short news report summarises research on preferred breast shape. The study surveyed more than 1,300 men, women and plastic surgeons, who favoured a natural shape over a rounded artificial look, with the aim of informing implant choice and reconstruction. It is shared as a news summary of the published findings.

This clinical-skills demonstration shows the male genitourinary examination. The examiner inspects and palpates the penis and scrotum, assesses the testes and epididymis, and finishes with the inguinal hernia check as the patient coughs, while the narrator emphasises putting the patient at ease. It is a study resource for clinical examination training.