Pediatrics abdominal examination

In a normal person, when a muscle tendon is tapped briskly, the muscle immediately contracts due to a two-neuron reflex arc involving the spinal or brainstem segment that innervates the muscle. The afferent neuron whose cell body lies in a dorsal root ganglion innervates the muscle or Golgi tendon organ associated with the muscles; the efferent neuron is an alpha motoneuron in the anterior horn of the cord. The cerebral cortex and a number of brainstem nuclei exert influence over the sensory input of the muscle spindles by means of the gamma motoneurons that are located in the anterior horn; these neurons supply a set of muscle fibers that control the length of the muscle spindle itself. Hyporeflexia is an absent or diminished response to tapping. It usually indicates a disease that involves one or more of the components of the two-neuron reflex arc itself. Hyperreflexia refers to hyperactive or repeating (clonic) reflexes. These usually indicate an interruption of corticospinal and other descending pathways that influence the reflex arc due to a suprasegmental lesion, that is, a lesion above the level of the spinal reflex pathways.

Delivery of the placenta

technique of combined cataract surgery and glaucoma tube shunt using triamcinolone to verify fluid outflow

This video shows a tubal ligation, performed through a laparoscope, to achieve permanent sterility.

A video of examination of peripheral pulsations from the USMLE collection

A video of Carpal Tunnel Syndrome from the USMLE collection

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

Umbilical Hernia Repair using the new device echnique Ventral Patch

Patient Greg Grindley communicates with host Bryant Gumbel and his wife for the first time while undergoing deep brain stimulation surgery at University Hospital's Case Medical Center in Cleveland, Ohio.
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Greg's First In-Surgery Conversation | Brain Surgery Live
https://youtu.be/zvqV_2zncNU

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Medical Examination of the cranial nerves

Robotic-assisted endoscopic thyroid surgery using the daVinci® Surgical System can safely and effectively offer those needing thyroid surgery relief without neck incisions. Dr. Ron Kuppersmith and Dr. Andrew deJong are now performing this procedure at the College Station Medical Center in Texas.

Thoracentesis is used diagnostically to establish the cause of a pleural effusion. It can also be performed to drain large effusions that lead to respiratory compromise

The video will describe air crescent sign on Chest x-rays and CT scans. Please see disclaimer on my website. www.academyofprofessionals.com

This is part 2 Herbal Medicine. Lecture presented to the International Congress of Pediatric Hepatology Sharm 2009. It is one of a series of lectures discussing the Alternative medicine practices with critical appraisal and measure the evidence.

Recto-vaginal medical examination

Midline Episiotomy

see http://nursing-resource.com for more info on the disease

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ACTUAL CATHETERIZATION A clinical view of insertion into the male urethra. A 14 french coude cath was used.