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umbilical hernia exam - version 2 (edited audio)
umbilical hernia exam - version 2 (edited audio) DrPhil 361 Views • 2 years ago

This patient presented to the ER for umbilical pain and had a history of umbilical hernia. He was concerned about the possibility of incarceration of the hernia.

In this video we explain how the clinical exam helps to differentiate a simple painful hernia from an incarcerated one.

***Thanks to the patient for sharing his history and exam with YouTube world***

Male-to-female gender reassignment surgery
Male-to-female gender reassignment surgery samer kareem 13,460 Views • 2 years ago

Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Prior to any surgeries, patients usually undergo hormone replacement therapy (HRT), and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgery, breast augmentation, and various other procedures.

Huge Sebaceous Cyst Removal Video
Huge Sebaceous Cyst Removal Video Scott 6,057 Views • 2 years ago

Huge Sebaceous Cyst Removal Medical Video procedure

Debridement of Diabetic Foot Ulcer
Debridement of Diabetic Foot Ulcer Scott 8,359 Views • 2 years ago

This is a diabetic foot ulcer. The patient reportedly went on vacation and noticed this ulcer upon their return. Debridement (removal of damaged tissue) to the level of healthy bleeding tissue is medically necessary as damaged tissue acts an impediment to wound healing. Due to their diabetic neuropathy, they did not feel any pain or indication that a wound was forming. This ulcer appeared to have penetrated to the level of subcutaneous tissue or even fascia, but turned out to be much deeper than that. These are serious wounds and are the beginnings of what lead to foot and leg amputations if they are not treated promptly by your healthcare provider, AKA Podiatrist.

Bartholin Cyst Drainage
Bartholin Cyst Drainage DrHouse 121,001 Views • 2 years ago

A video showing drainage of a bartholin cyst

Loyola Full Male Exam Part 3
Loyola Full Male Exam Part 3 Loyola Medicine 55,586 Views • 2 years ago

Loyola Full Male Exam Part 3 A video from Loyola medical school, Chicago showing the full examination of the male

Vaginal Delivery
Vaginal Delivery DrHouse 526,668 Views • 2 years ago

A video showing vaginal delivery

Delivery of Placenta
Delivery of Placenta DrHouse 531,717 Views • 2 years ago

Delivery of the placenta

Ultrasound guided internal jugular vein
Ultrasound guided internal jugular vein samer kareem 8,793 Views • 2 years ago

Wow! Ultrasound guided internal jugular vein cannulation (long axis approach)

K-Wire Fixation (Kirschner wire)
K-Wire Fixation (Kirschner wire) Scott Stevens 13,790 Views • 2 years ago

Kirschner wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins. Introduced in 1909 by Martin Kirschner, the wires are now widely used in orthopaedics and other types of medical and veterinary surgery. They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus.

Water Birth
Water Birth DrPhil 353,620 Views • 2 years ago

Water Birth

Ultrasound of Male Reproductive Organs
Ultrasound of Male Reproductive Organs Colin Cummins-White 62,820 Views • 2 years ago

Identify the anatomy and explain the physiology of the scrotum on diagrams and sonograms.

Describe and demonstrate the protocol for sonographic scanning of the scrotum.

Identify and describe sonographic images of congenital abnormalities of the scrotum.

Identify and describe sonographic images of pathologies of the scrotum.

Identify and describe sonographic images of extratesticular disease processes.

Identify the anatomy and explain the physiology of the prostate on diagrams and sonograms.

Describe and demonstrate the protocol for transabdominal and endorectal sonographic scanning of the prostate.

Identify and describe sonographic images of benign and malignant pathologies of the prostate, including benign hyperplasia, prostatitis, carcinoma, and calculi.

Explain the technique for prostate biopsy.

Define the criteria for an ultrasound appearance of prostate tumor staging.

Explain the technique for radiation seed implantation.

Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference).

Coughing with a giant hernia | UHL NHS Trust
Coughing with a giant hernia | UHL NHS Trust DrPhil 852 Views • 2 years ago

Patient Glenn Williams had a hernia measuring 20cm x 30cm. Consultant Graham Offer has performed ground breaking surgery to help Glenn.

Male Reproductive System of Human
Male Reproductive System of Human samer kareem 4,541 Views • 2 years ago

The purpose of the organs of the male reproductive system is to perform the following functions: To produce, maintain, and transport sperm (the male reproductive cells) and protective fluid (semen) To discharge sperm within the female reproductive tract during sex To produce and secrete male sex hormones responsible for maintaining the male reproductive system

Male Urogenital Examination
Male Urogenital Examination Scott George 59,694 Views • 2 years ago

Basic well-male examination of the genitals and digital rectal exam.

How to put on sterile gloves using aseptic technique.
How to put on sterile gloves using aseptic technique. Anatomist 27,592 Views • 2 years ago

How to put on sterile gloves using aseptic technique.

Cranial nerve VIII
Cranial nerve VIII Surgeon 11,622 Views • 2 years ago

Examination of Cranial nerve VIII: vestibulocochlear

General Assessment and Vital Signs
General Assessment and Vital Signs samer kareem 6,583 Views • 2 years ago

The examination room should be quiet, warm and well lit. After you have finished interviewing the patient, provide them with a gown (a.k.a. "Johnny") and leave the room (or draw a separating curtain) while they change. Instruct them to remove all of their clothing (except for briefs) and put on the gown so that the opening is in the rear. Occasionally, patient's will end up using them as ponchos, capes or in other creative ways. While this may make for a more attractive ensemble it will also, unfortunately, interfere with your ability to perform an examination! Prior to measuring vital signs, the patient should have had the opportunity to sit for approximately five minutes so that the values are not affected by the exertion required to walk to the exam room. All measurements are made while the patient is seated. Observation: Before diving in, take a minute or so to look at the patient in their entirety, making your observations, if possible, from an out-of-the way perch. Does the patient seem anxious, in pain, upset? What about their dress and hygiene? Remember, the exam begins as soon as you lay eyes on the patient. Temperature: This is generally obtained using an oral thermometer that provides a digital reading when the sensor is placed under the patient's tongue. As most exam rooms do not have thermometers, it is not necessary to repeat this measurement unless, of course, the recorded value seems discordant with the patient's clinical condition (e.g. they feel hot but reportedly have no fever or vice versa). Depending on the bias of a particular institution, temperature is measured in either Celcius or Farenheit, with a fever defined as greater than 38-38.5 C or 101-101.5 F. Rectal temperatures, which most closely reflect internal or core values, are approximately 1 degree F higher than those obtained orally. Respiratory Rate: Respirations are recorded as breaths per minute. They should be counted for at least 30 seconds as the total number of breaths in a 15 second period is rather small and any miscounting can result in rather large errors when multiplied by 4. Try to do this as surreptitiously as possible so that the patient does not consciously alter their rate of breathing. This can be done by observing the rise and fall of the patient's hospital gown while you appear to be taking their pulse. Normal is between 12 and 20. In general, this measurement offers no relevant information for the routine examination. However, particularly in the setting of cardio-pulmonary illness, it can be a very reliable marker of disease activity. Pulse: This can be measured at any place where there is a large artery (e.g. carotid, femoral, or simply by listening over the heart), though for the sake of convenience it is generally done by palpating the radial impulse. You may find it helpful to feel both radial arteries simultaneously, doubling the sensory input and helping to insure the accuracy of your measurements. Place the tips of your index and middle fingers just proximal to the patients wrist on the thumb side, orienting them so that they are both over the length of the vessel.

FemTouch Vaginal Rejuvenation Laser
FemTouch Vaginal Rejuvenation Laser samer kareem 11,569 Views • 2 years ago

FemTouch Vaginal Rejuvenation Laser

Replantation after amputation of 5 fingers
Replantation after amputation of 5 fingers samer kareem 18,337 Views • 2 years ago

Since the first replant more than 50 years ago, thousands of severed body parts have been reattached, preserving the quality of life for thousands of patients through improved function and appearance that the void remaining after amputation cannot provide. Ronald Malt performed the first replantation on May 23, 1962 at Massachusetts General Hospital on a 12-year-old boy who had his right arm amputated in a train accident. [1, 2] This amputation occurred at the level of the humeral neck.

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