Histological features and cellular biology of exocrine glands. This video is a part of our Histology Video Course (https://youtube.com/playlist?l....ist=PLnr1l7WuQdDynxT

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The most reliable clinical sign to detect ascites is checking for bilateral flank dullness. If a patient with ascites is lying supine, fluid accumulates in the flank regions, leading to dullness on percussion. At the same time, the air-filled bowel loops are forced upwards by the free fluid due to buoyancy, resulting in tympanitic percussion. To locate specifically where dullness shifts to tympany, or the air-fluid level, percussion should be performed from the sides towards the middle. To confirm that the dullness is caused by ascites, ask the patient to switch to a lateral decubitus position. If ascites is present, the air-filled bowel loops will shift accordingly and remain at the surface of the fluid. As a result, the air-fluid level will shift as well. This is known as shifting dullness.

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To use the diaphragm, first cover the inside of it with spermicide. Then insert it into your vagina so that it covers your cervix. You can insert the diaphragm up to 6 hours before sex. You should leave it in for at least 6 hours after the last time you have sex.

Vatche, Minassian, MD, MPH, Chief of Urogynecology, and Sarah Cohen, MD, MPH, Director of the Minimally Invasive Gynecologic Surgery Fellowship Program at Brigham and Women’s Hospital, perform a laparoscopic burch colposuspension, a procedure used to correct stress urinary incontinence.

Stress urinary incontinence is one of the most common types of incontinence and is characterized by urinary leakage during physical activities including coughing, sneezing, exercising, lifting, and laughing. As the condition progresses, it can become severe enough to happen with simple acts such as bending and walking. This condition is due to an anatomic weakness of the bladder neck which typically maintains the seal of urine during activity. Stress incontinence can result from a variety of conditions including vaginal childbirth, aging, menopause and obesity. As this is an anatomic condition, primary treatment may involve pelvic floor exercises and/or minimally invasive surgery.

Learn more about treatment for stress urinary incontinence:
Division of Urogynecology: http://www.brighamandwomens.or....g/Departments_and_Se

Division of Minimally Invasive Gynecologic Surgery: http://www.brighamandwomens.or....g/Departments_and_Se

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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).

NURSING VIDEO ACTUAL CATHETERIZATION PROCEDURE OF MALE. FULL LENGTH VERSION Clear quality photography. This video provides an excellant clinical view of the entire procedure.

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Foley Catheter Insertion

A patient at a British hospital played Mahler and Gershwin on the violin while surgeons removed a tumor from her brain, so doctors could preserve her ability to play music.

She left the hospital 3 days later and hopes to return to the symphony soon. https://abcn.ws/2SGY9mp

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A video showing the repair of episiotomy

Thoracoscopic Management of Lung Abscess Before Empyema

No two people alike. Here are the 10 most rare and strange medical conditions all expecting parents dread.

This 3D animation of brain surgery, shows how a ventriculostomy is performed, which is a neurosurgical procedure of creating a hole within a cerebral ventricle for drainage. It is most commonly performed on those with hydrocephalus, an abnormal buildup of fluid in the ventricles (cavities) deep within the brain. It's done by surgically penetrating the skull, dura mater, and brain such that the ventricular system ventricle of the brain is accessed.

When catheter drainage is temporary, it is commonly referred to as an external ventricular drain (EVD). When catheter drainage is permanent, it is usually referred to as a shunt.

There are many catheter-based ventricular shunts that are named for where they terminate, for example, a ventriculi-peritoneal shunt terminates in the peritoneal cavity, a ventriculoarterial shunt terminates within the atrium of the heart, etc. The most common entry point on the skull is called Kocher's point. An EVD ventriculostomy is done primarily to monitor the intracranial pressure as well as to drain cerebrospinal fluid (CSF), primarily, or blood to relieve pressure from the central nervous system (CNS).

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Watch additional medical animations:

Craniectomy brain surgery - 3D animation: https://youtu.be/1RkseDeYS9g

Accessing an implantable port training - 3D animation: https://youtu.be/xSTpxjyv4O4

Open Suctioning with a Tracheostomy Tube - 3D animation: https://youtu.be/wamB7jpWCiQ

Suctioning the endotracheal tube - medical animation: https://youtu.be/pN6-EYoeh3g

Functional endoscopic sinus surgery (FESS) - 3D animation: https://youtu.be/qKTRyowwaLA

How to insert a nasogastric tube for NG intubation - 3d animation: https://youtu.be/Abf3Gd6AaZQ

Oral airway insertion - oropharyngeal airway technique - 3D animation: https://youtu.be/caxUdNwjt34

Nasotracheal suctioning (NTS) - 3D animation: https://youtu.be/979jWMsF62c

Learn about hemorrhoids with #3d #animation: https://youtu.be/R6NqlMpsiiY

LASIK eye surgery - 3D animation: https://youtu.be/Bb8bnjnEM00

CPR cardiopulmonary resuscitation - 3D animation: https://youtu.be/G87knTZnhks

What are warts (HPV)? - 3D animation: https://youtu.be/guJ1J7rRs1w

How Macular Degeneration Affects Your Vision - 3D animation: https://youtu.be/ozZQIZ_52YY

NeoGraft hair transplant procedure – animation: https://youtu.be/C-eTdH2UPXI

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.

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