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Child Unresponsive Airway Obstruction
Child Unresponsive Airway Obstruction DrHouse 19,942 Views • 2 years ago

Child Unresponsive Airway Obstruction

Lower Back Exam
Lower Back Exam Scott 43,515 Views • 2 years ago

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.

Endoscopic fenestration of suprasellar cyst
Endoscopic fenestration of suprasellar cyst Scott 10,212 Views • 2 years ago

Endoscopic fenestration of suprasellar cyst in a 4 years old girl

Anoscopy - Jackknife Position
Anoscopy - Jackknife Position Scott 78,050 Views • 2 years ago

Educational video of male patient receiving an anoscopy.

Loyola Lower Limb Exam
Loyola Lower Limb Exam Loyola Medicine 16,339 Views • 2 years ago

Examination of the lower limbs from Loyola medical school, Chicago

Carotid Endartrectomy
Carotid Endartrectomy Scott 7,005 Views • 2 years ago

Carotid Endartrectomy, large atheroma removed completely, patient well after surgery.

Unweighted Treadmill Therapy
Unweighted Treadmill Therapy Emery King 10,147 Views • 2 years ago

Re-educating the legs to walk again is the ultimate goal of this therapy for those who have suffered a stroke. ~ Detroit Medical Center

Pediatric MRI, Kid-Friendly Service
Pediatric MRI, Kid-Friendly Service Emery King 13,682 Views • 2 years ago

As one of the first pediatric centers in the United States to use a new state-of-the-art MRI machine designed especially for kids, Children's Hospital of Michigan continues to deliver world-class, patient-friendly health care. ~ Detroit Medical Center

Chest X-ray, Mediastinum
Chest X-ray, Mediastinum academyo 16,041 Views • 2 years ago

The video will describe mediastinal structures as they are seen on X-ray. Please see web site for disclaimer.

Drop Arm Test
Drop Arm Test Anatomist 13,716 Views • 2 years ago

Drop Arm Test

Crank Test
Crank Test Anatomist 9,029 Views • 2 years ago

Crank Test

Arterial Blood Gas Sampling ABG
Arterial Blood Gas Sampling ABG Mohamed Ibrahim 14,484 Views • 2 years ago

Arterial Blood Gas Sampling ABG

Stopping Stroke: Less Invasive Artery Repair
Stopping Stroke: Less Invasive Artery Repair Emery King 9,613 Views • 2 years ago

DMC specialist Dr. Andrew Xavier treats a patient's stroke and aneurysm at DMC Detroit Receiving Hospital.. ~ Detroit Medical Center

FGM Female Genital Mutilation
FGM Female Genital Mutilation momoaal 442,660 Views • 2 years ago

Female Circumcision - FGM Female Genital Mutilation - female circumcision ختان الاناث - женское обрезание - circuncisão feminina - 女性割禮 - besnijdenis - babae pagtutuli - l'excision - κλειτοριδεκτομή - הנקבה מולה - sunat perempuan - circoncisione femminile - 女子割礼 - 여성 할례 - la circuncisión femenina - หญิง circumcision - kadın sünnet - жіноче обрізання For More read at World Health Organization web site : http://www.who.int/topics/female_genital_mutilation/en/index.html other sites : http://en.wikipedia.org/wiki/Female_genital_cutting

Pivot Shift test to confirm ACL Injury
Pivot Shift test to confirm ACL Injury Mohamed 13,913 Views • 2 years ago

Pivot Shift test to confirm ACL Injury

B - 12 shot
B - 12 shot yu696969 50,437 Views • 2 years ago

Injection in buttocks

Purse String Suture
Purse String Suture Mohamed Ibrahim 20,519 Views • 2 years ago

Purse String Suture

External Cephalic Versionfor a Breech Baby in the Womb
External Cephalic Versionfor a Breech Baby in the Womb Scott 24,873 Views • 2 years ago

External cephalic version, or version, is a procedure used to turn a fetus from a breech position or side-lying (transverse) position into a head-down (vertex) position before labor begins. When successful, version makes it possible for you to try a vaginal birth.

Incredible: Baby Born Still Inside Amniotic Sac
Incredible: Baby Born Still Inside Amniotic Sac Scott 65,858 Views • 2 years ago

This is the incredible moment a new-born baby arrived still inside its amniotic sac, completely intact. The tiny infant can be seen moving and stretching still inside the sac, as medics prepare to snip the new born free. The amniotic sac is a thin but durable membrane filled with fluid which helps keep a baby warm and safe from bumps during pregnancy. When it breaks, this is typically referred to as a woman's 'waters breaking' shortly before she gives birth. But in rare cases, less than 1-in-80,000 births, the baby is delivered with the membranes still intact and this is known as a 'caul birth'. Some babies are born with part of the membrane still attached to them, but to be born completely encased in the intact membrane is incredibly rare. Many people still believe the phenomenon to be a good omen for the child's infancy and it is has even been suggested, but not proven, that caul babies will always have a natural affinity for water. The video was taken in Spain on Saturday and captures the rare moment the baby was born with the membrane covering its entire body, just minutes after its twin was delivered normally.

Mechanism of a Breech CHildbirth Delivery
Mechanism of a Breech CHildbirth Delivery Scott 14,386 Views • 2 years ago

The majority of fetuses are in a breech presentation early in pregnancy. By week 38th week of gestation, however, the fetus normally turns to a cephalic presentation. Although the fetal head is the widest single diameter, the fetus’s buttocks [ breech], plus the lower extremities, actually takes up more space. The fundus, being the largest part of the uterus, probably accounts for the fact that in approximately 97% of all pregnancies, the fetus turns so that the buttocks and lower extremities are in the fundus. Vaginal delivery of a breech presentation requires great skill if the fetus is not to be damaged. With the low rate of vaginal breech deliveries in the developed world, experience is being lost. 6% of women with breech presentation still have a vaginal breech delivery as they present too late - so units need to retain a high level of preparedness. Types of breech presentation: I. Complete breech [ flexed breech]: The fetal attitude is one of complete flexion, with hips and knees both flexed and the feet tucked in beside the buttocks. The presenting part consists of two buttocks, external genitalia and two feet. It is commonly present in multiparae. II. Incomplete breech: This is due to varying degrees of extension of thighs or legs at podalic pole. Three varieties are possible; - Breech with extended legs [ frank breech ]: The breech presents with the hips flexed and legs extended on the abdomen. 70% of breech presentations are of this type and it is particularly common in primigravidae whose good uterine muscle tone inhibits flexion of the legs and free turning of the fetus. - Footling breech: This is rare. One or both feet present because neither hips nor knees are fully flexed. The feet are lower than the buttocks, which distinguishes it from the complete breech. - Knee presentation: This is very rare. Thighs are extended but the knees are flexed, bringing the knees down to present at the brim.

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