Video showing normal vagina delivery and child birth

It is very important to instruct your patients about how to self exam their breasts for any abnormalities or masses for early detection of any changes

A breech birth is the birth of a baby from a breech presentation. In the breech presentation the baby enters the birth canal with the buttocks or feet first as opposed to the normal head first presentation.

There are either three or four main categories of breech births, depending upon the source:

* Frank breech - the baby's bottom comes first, and his or her legs are flexed at the hip and extended at the knees (with feet near the ears). 65-70% of breech babies are in the frank breech position.

* Complete breech - the baby's hips and knees are flexed so that the baby is sitting crosslegged, with feet beside the bottom.

* Footling breech - one or both feet come first, with the bottom at a higher position. This is rare at term but relatively common with premature fetuses.

* Kneeling breech - the baby is in a kneeling position, with one or both legs extended at the hips and flexed at the knees. This is extremely rare, and is excluded from many classifications.

As in labour with a baby in a normal head-down position, uterine contractions typically occur at regular intervals and gradually cause the cervix to become thinner and to open. In the more common breech presentations, the baby’s bottom (rather than feet or knees) is what is first to descend through the maternal pelvis and emerge from the vagina.

At the beginning of labour, the baby is generally in an oblique position, facing either the right or left side of the mother's back. As the baby's bottom is the same size in the term baby as the baby's head. Descent is thus as for the presenting fetal head and delay in descent is a cardinal sign of possible problems with the delivery of the head.

In order to begin the birth, internal rotation needs to occur. This happens when the mother's pelvic floor muscles cause the baby to turn so that it can be born with one hip directly in front of the other. At this point the baby is facing one of the mother's inner thighs. Then, the shoulders follow the same path as the hips did. At this time the baby usually turns to face the mother's back. Next occurs external rotation, which is when the shoulders emerge as the baby’s head enters the maternal pelvis. The combination of maternal muscle tone and uterine contractions cause the baby’s head to flex, chin to chest. Then the back of the baby's head emerges and finally the face.

Due to the increased pressure during labour and birth, it is normal for the baby's leading hip to be bruised and genitalia to be swollen. Babies who assumed the frank breech position in utero may continue to hold their legs in this position for some days after birth.

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An AV fistula is a connection, made by a vascular surgeon, of an artery to a vein.Vascular surgeons specialize in blood vessel surgery. The surgeon usually places an AV fistula in the forearm or upper arm. An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong.

Bimanual Hip Examination of the Female genitalia

Internal hemorrhoids and loose rectal mucosa may block the exposure during the purse string suturing in stapled hemorrhooidopexy, and this may cause some complications. To retract the prolapsing rectal mucosa we modified the purse string anoscope of the PPH01 kit (Ethicon-Endosurgery, Cincinnati, O...H, USA) and produced a special anoscope. The open part of the purse string suture anoscope is covered by transparent acrylic (Orthoacryl�, Dentaurum, Pforzheim, Germany). The covering material had complete cylindrical outer and inner surfaces and was thin enough to let the anoscope easily rotate in the anal dilator and to let the 26 mm curved, round bodied needle of the 2/0 polypropilene suture move in the anoscope. A window, 3 cm long and 3-4 mm wide, was opened at the angled part of the anoscope 2 cm to the tip of the anoscope. This special anoscope was used for the purse string suture during stapled hemorrhoidopexy procedure in five patients. No postoperative complications, early or late, were encountered, and we propose that stapled hemorrhoidopexy procedure can be applied more easily by using this special anoscope.

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

Bate's Visual Guide Pediatric Head-to-Toe Assessment

Twin Childbirth Video

In patients age ;::25, HPV DNA testing is the preferred next step in management if the initial cytology shows ASC-US. In this method, samples are collected for both cytology and reflex HPV DNA. If cytology results are positive, HPV DNA testing is performed. If cytology results are negative, the sample for HPV DNA is discarded. HPV DNA testing along with Pap smear at 3 years is recommended if initial cytology shows ASC-US but HPV DNA testing is negative

Possible complications could include: Difficulty healing. Infection. Stump pain (severe pain in the remaining tissue) Phantom limb pain (a painful sensation that the foot or toe is still there) Continued spread of gangrene, requiring amputation of more areas of your foot, toes or leg. Bleeding. Nerve damage.

Resection of sigmoid colostomy prolapse

Watch that Full Human Dead Body Decomposing Video

Protopic Vitiligo, Weiße Flecken Am Rücken, Pigmentflecken Im Gesicht Entfernen, Flecken Haut--- http://vitiligo-heilung.info-pro.co --- Weiße Flecken auf der Haut: Vitiligo, Die Entwicklung weißer Flecken auf der Haut ist ist ein Symptom einer Hautstörung, die Vitiligo genannt, im deutschen Sprachgebrauch aber auch häufig als "Weißfleckenkrankheit" bezeichnet wird. Man bringt den Zustand mit der Zerstörung oder Fuktionsstörung der Hautzellen in Verbindung, die für die Herstelleung des Hautpigmentes (Melanin) zuständig sind, welches dem Menschen seine Hautfarbe verleiht. Meistens entwickeln sich die Flecken dabei an Stellen, die oft der Sonne ausgesetzt sind, also z.B. die Hände, Arme, Füße, Beine und das Gesicht. Bisweilen treten die Flecken aber auch in den Achselhöhlen, im Genitalbereich und um den Bauchnabel herum auf. Von Vitiligo betroffene erleben häufig auch ein vorzeitiges Ergrauen der Haare. Es wird geschätzt, dass mindestens 1 % der Bevölkerung der Vereinigten Staaten an Vitiligo leidet; in Europe sind die Zahlen ähnlich. Weltweit leiden gegenwärtig mehr als 100 Millionen Menschen an der Hauterkrankung. Die Ursache von Vitiligo Die genaue Ursache der Erkrankung ist noch immer unbekannt. Eine der populärsten Theorien ist jedoch, dass es sich bei Vitiligo um eine Autoimmunstörung handelt. Sie veranlasst das Immunsystem, die Melanozyten (die Hautpigmente produzierenden Hautzellen) anzugreifen. In der Tat haben Menschen, die an einer anderen Autoimmunstörung, wie adrenocorticaler Unterfunktion or Schilddrüsenüberfunktion leiden, ein weitaus höheres Risiko, auch an Vitiligo zu erkranken. Manche Mediziner sind auch der Auffassung, dass Sonnenbrände, emotionaler Stress und bestimte Medikamente die weißen hautflecken hervorrufen könnten. Es wird außerdem geglaubt, dass Vitiligo is also believed eine genetisch vererbte Erkrankung darstellt. Behandlungsoptionen für Vitiligo Für Vitiligo gibt es unterschiedliche Behandlungsmöglichkeiten. Allerdings sind sie allesamt praktisch wirkungslos und beinhalten dazu noch das Risiko, ernsthafte Nebenwirkungen hervorzurufen. Krankenversicherer übernehmen zudem die vollen Behandlungskosten. Das allein macht eine Vitiligo-Behandlung bereits zu teuer für die meisten Patienten, denn es sind üblichwerweise zwei bis drei Besuche wöchentlich in ener Spezialklinik nötig. Ein Paradebeispiel für eine solche Behandlung ist die sogenannte PUVA-Therapie, die ausgesprochen häufig eingesetzt wird. "Gratis-Präsentation enthüllt einen ziemlich ungewöhnlichen Tipp zur Beseitigung von Vitiligo für alle Zeiten und in nur 45-60 Tagen - Garantiert!" http://vitiligo-heilung.info-pro.co Erfahren Sie mehr darüber, indem Sie diese Webseite besuchen: http://vitiligo-heilung.info-pro.co

Watch that video to know What is Vaginal Discharge and How To Get Rid Of It?

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This 3D medical animation depicts the surgical removal of the appendix (appendectomy) using laparoscopic instruments. The surgery animation begins by showing an inflamed appendix (appendicitis), followed by the placement of the laparoscope. Afterward, one can see the surgical device staple, cut and remove the inflamed appendix. Following the removal of the appendix the abdomen is flushed with a sterile saline solution to ensure all traces of infection have been removed.
#laparoscopy #appendix #appendicitis
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