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About Us Contact Disclaimer Get Published! Follow Us Epomedicine Medical Students Clinical Discussion Cases Emergencies Blog Medical Mnemonics Clinical Skills Search Subjects Clinical examination Gastrointestinal system Internal medicine Updated on January 31, 2017 Percussion of Spleen Traube’s semilunar space Borders: Superiorly: Left 6th rib superiorly Laterally: Left midaxillary line or Left anterior axillary line Inferiorly: Left costal margin Method: Patient’s position: supine with left arm slightly abducted. Percuss: from medial to lateral Interpretation: Resonance (Normal) and Dullness (Splenomegaly) Also: Pleural effusion or mass in stomach may cause dullness in Traube’s space.
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If you suffer a knee injury, what do you do about it? Should you be concerned? On one hand, you could give it a few days to see if it gets better on its own. How can you know if you risk making the problem worse? In this Ask Dr. Geier video, I offer four signs you have a serious knee injury that could require surgery.
Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/
The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK.
SWELLING
If you have a knee that is much more swollen than the opposite knee, especially if the swelling developed soon after you got hurt, then it could be a sign of structural damage. While a small amount of swelling could be normal or a sign of inflammation in the knee, a knee that is really swollen and much larger than the other knee could represent a fracture, torn ACL or other ligament or some other damaged structure.
INABILITY TO FULLY STRAIGHTEN YOUR KNEE
Pain can make it difficult for you to straighten your knee. But being unable to get your knee completely flat can be a sign of an injury like an ACL tear or meniscus tear.
LOCKING OF THE KNEE
Locking is a term orthopedic surgeons use to describe a knee that gets stuck in a certain position. Maybe you can straighten it to a certain point, but it gets stuck around 30 degrees short of fully straight. Or you can’t bend it past a certain point because something inside the knee is blocking it. Catching is a milder form of the same problem, where you can get to the point that the motion stops, but you can twist or rotate your knee past that point.
BUCKLING OR GIVING WAY
Having the tibia (shin bone) shift out from under the femur (thigh bone) usually represents an ACL injury. If your knee buckled during the traumatic injury and keeps happening in the days after the injury, you risk doing more damage to the other structures inside the knee.
This list is not comprehensive, so if you are concerned about your knee injury or knee pain, it never hurts to see your doctor or an orthopedic surgeon.
Knee pain location can often tell you what type of knee pain you have. If you confirm that with common symptoms and what aggravates it… you can get a pretty good idea of ‘why my knee hurts’. So, here’s a quick look at the most common type of knee problems.
‘The 3 Essential Exercises EVERYONE Should Do’ … Watch this EXCLUSIVE video, only here: https://stefan-becker.mykajabi.com/3-essentials
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0:00 Intro
0:11 Pain at the front of the knee (Pain in kneecap)
0:42 Pain below kneecap
1:40 Pain on inside of knee
3:05 Pain below knee on inside
3:29 Pain on outside of knee
3:28 Pain above knee
3:28 Pain behind knee
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Mentioned in this video...
How To Fix Pain In The Front Of The Knee… (Runner's Knee) https://youtu.be/g0qmx_0enAA
Looking to stop your knee problems? Do this...
Knee Strengthening Exercises To Prevent Knee Pain
https://youtu.be/Pk-ae_lyx7M
How To Treat Patellar Tendinopathy (Jumper’s Knee) & Quadriceps Tendinopathy
https://youtu.be/MkPwsb-rQwU
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If you’re asking yourself ‘what’s the cause of my knee pain?’ or ‘what kind of knee pain do I have?’ (so that you can look up solutions to your knee pain on YouTube) the position of your knee pain will tell you a lot.
THE MOST COMMON KNEE PAIN TYPES?
Knee pain during running (or actually kneecap pain while running) is usually just that… Runner’s Knee (PATELLOFEMORAL PAIN SYNDROME, or it’s old name: Chondromalacia Patella) If you get knee pain while cycling it will often be the same thing. Same with knee pain with stairs.
Knee pain while squatting could be Runner’s Knee, but if you get pain in the tendon below the kneecap, it’s more likely to be Patellar Tendonitis or Jumper’s Knee.
Meniscus Tears will give you pain on the inside of the knee that is a localised pain, can feel as if it gets stuck, or feel like it’s going to give way, and often it’s hard to fully straighten or fully bend your knee.
Knee pain on the outside of the knee is usually Iliotibial Band Syndrome
ALSO COVERED:
Infrapatellar Fat Pad Syndrome (Hoffa's Syndrome)
Osgood-Schlatter Disease
Medial Collateral Ligament Tear
Iliotibial Band Syndrome
Osteoarthritic Knee Pain
Pes Anserine Bursitis.
Quadriceps Tendinopathy
Popliteus Strain
Baker’s Cyst
ACL Or PCL Tear/Rupture
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#bodyfixexercises #kneepainrelief #kneepain
If you’ve suffered a sporting knee injury, how do you know when it’s serious? In this short video, Yorkshire Knee Clinic’s Dave Duffy reveals the two key tests that tell you whether your knee needs urgent, specialist attention.
𝗡𝗼𝘁𝗲𝘀 𝗳𝗼𝗿 𝘁𝗵𝗲 𝘀𝗾𝘂𝗲𝗮𝗺𝗶𝘀𝗵: This video features only features a model of the knee. There is no live footage from operations.
Discover more about sports knee injuries: https://yorkshirekneeclinic.com/sports-injuries/
Discover more about Dave Duffy: https://yorkshirekneeclinic.com/about/dave-duffy/
https://bit.ly/3HIStRc #shorts
Tracheotomy and tracheostomy are surgical procedures that create an opening in the trachea (windpipe) to help patients breathe when they have difficulty doing so through the nose or mouth. Though they are similar in purpose, there are some key differences between them.
Tracheotomy is a temporary procedure that involves creating a small incision in the trachea to insert a breathing tube. The tube is typically removed once the patient no longer requires it, and the incision heals on its own. Tracheostomy, on the other hand, is a more permanent solution that involves creating a hole in the trachea and inserting a tracheostomy tube, which remains in place for an extended period.
Indications for these procedures include:
Airway obstruction due to trauma, tumors, or infection
Severe respiratory distress or failure
Prolonged mechanical ventilation
Inability to protect the airway due to neurological disorders or impaired consciousness
Steps for performing a tracheotomy and tracheostomy:
Preparation: The patient is positioned, and the neck area is cleaned and draped. Local anesthesia is often administered, although general anesthesia may be used in some cases.
Incision: A small incision is made in the neck, and the muscles and tissues are carefully separated to expose the trachea.
Tracheal opening: A small opening is made in the trachea, typically between the second and third tracheal rings.
Tube insertion: A tracheotomy tube is inserted through the incision and into the trachea for a tracheotomy, while a tracheostomy tube is inserted for a tracheostomy. Both tubes are secured in place.
Confirmation: Proper placement of the tube is confirmed by listening for breath sounds and checking for adequate ventilation.
Pre-operative care typically involves a thorough assessment of the patient's medical history, as well as any necessary imaging studies or lab tests to ensure the procedure is appropriate and safe. Informed consent should be obtained from the patient or their legal representative.
Post-operative care includes monitoring the patient's vital signs, ensuring the tube remains secure and patent, and managing any pain or discomfort. For tracheostomy patients, regular cleaning and maintenance of the stoma (the opening in the trachea) and the tracheostomy tube are essential to prevent infection and other complications. Long-term care may involve speech therapy, respiratory therapy, and support from a multidisciplinary team to address any ongoing needs.
It's crucial to remember that these procedures should only be performed by trained medical professionals in a clinical setting.
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Massive bone defects (>8 cm) will not unite without an additional intervention. They require a predictable, durable, and efficient method to regrow bone. The Ilizarov method of tension stress, or distraction osteogenesis, first involves a low-energy osteotomy1 - 5. The bone segments are then pulled apart, most often using an external device at a specific rate and rhythm (distraction phase), after which the newly formed bone (the regenerate) requires time for consolidation. The consolidation phase is variable and usually requires a substantially greater amount of time before the external device can be removed. Our technique of tibial bone transport over an intramedullary nail using cable and pulleys combines internal and external fixation, allowing the external fixator to be removed at the end of the distraction phase. This increases the efficiency of limb reconstruction and decreases the external-fixator-associated complications.
In developing countries, domestic animals (eg, dogs) are common sources of infection. In the United States, bats and wild animals (eg, raccoons) are the most common reservoirs of infection. The acquisition of rabies from bats can occur from an unrecognized bite or a scratch, and possibly by inhalation of aerosolized viral particles. Bats are found in all states except Hawaii, and spelunking (cave exploration) is a risk factor for rabies acquisition from bats.
Duke Sports Medicine Specialists Jocelyn Wittstein, MD, Janna Fonseca, ATC, and Michael Messer ,PT, present on Soccer Injury Prevention including Concussion Management and the 11+ program that significantly reduces ACL tear rates in soccer.
A displaced fibular head can create tightness, pain, and even numbness or tingling along the outside of your knee and down your leg. This most often occurs after a modest hyperextension knee injury, such as landing on one leg after jumping. If you have lingering knee pain and are searching for an answer, try this move
Dr. Nick demonstrates how to numb a toe for a patient who had a subungual hematoma “collection of blood under the nail”. This patient stubbed his toe and needed to have the nail removed.
#satisfying #reaction #amazing
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Dr. Nick Campitelli is a podiatrist who specializes in foot and ankle surgery in the Akron and Cleveland Ohio area. He is the Residency Director of the Western Reserve Hospital / University Hospital Podiatric Medicine and Surgery Residency Program.
*** All content found on the this YouTube video including: text, images, audio, or other formats were created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you heard on this video. ***
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Prenatal repair of myelomeningocele (MMC), the most common and severe form of spina bifida, is a delicate surgical procedure where fetal surgeons open the uterus and close the opening in the baby's back while they are still in the womb.
What is an ingrown hair cyst? An ingrown hair cyst refers to an ingrown hair that turns into a cyst — a large bump that extends between the skin’s surface and deep underneath it. The appearance is a cross between a regular ingrown hair and an acne cyst, though this is a different condition. These types of cysts are common among people who shave, wax, or use other methods to remove their hair. Although you may be eager to get rid of these cysts simply because of their appearance, it’s also important to watch for signs of an infection. Keep reading to learn what causes these cysts to form, plus how to treat them and prevent them from returning.
Let's ask this 12 year old kid which tool he prefers to successfully intubate a difficult airway in less than 20 seconds..."
NC EMS Show - Dad gives permission for us to film his son, after seeing how easy the Vie Scope is to use. And he nailed it!