Neck Examination - Cervical Spine Assessment - Clinical Skills - Dr Gill

Compose a new pain within athletes is cervical spine discomfort, thankfully in the vast majority of cases when the neck is examined the cause of the neck pain is found to be muscular.

However, pain can also refer from the neck to the arm, in which case it is important to be able to assess for cervical radiculopathy prior to gaining more information which may indicate an MRI is needed

We assess for radiculopathy by doing Spurling's test, an often overlooked part of the neck examination, but it should be included for completeness and reassurance of the patient - not forgetting the athlete or not, neck pain can be a considerable source of distress, so it's vital to be able to get information from the neck examination which allows you to safely reassure a patient when appropriate, or comment that neck exam found evidence that needs further investigation

#DRGill #neck #asmr

Soon enough, a robot will be doing surgeries on you!

Gunshot wounds have become increasing common in urban cities and many such cases can lead to undesirable outcomes. While gunshot wounds to the head are considered most lethal, gunshot wounds to the chest too may be dangerous. Gunshot wound to the chest is challenging owing to the presence of vital organs like lungs, heart and their surrounding structures including major blood vessels. Gunshot wound is caused by penetration of the bullet, which travels through a projectile path after being shot from a firearm. The bullet, on hitting the chest, punctures the tissue it first encounters with, the bones or the muscular chest wall. The extent and severity of the injury depends on the characteristics of the bullet and the firearm, the position and the distance of the victim, the projectile path and the nature of the tissue penetrated.

Lipomas are slow-growing soft tissue tumours that rarely reach a size larger than 2 cm. Lesions larger than 5 cm, so-called giant lipomas, can occur anywhere in the body but are seldom found in the upper extremities. The authors present their experiences with eight patients having giant lipomas of the upper extremity. In addition, a review of the literature, and a discussion of the appropriate evaluation and management are included.

Women's College Hospital is revolutionizing the way knee-replacement surgery is done. It is starting to provide the procedure as an ambulatory service. Patients can go home from hospital four hours after having the surgery. In some other hospitals knee replacement surgery patients have to stay as long as 4 days.

Read an excerpt from Theresa Boyle's story:
It’s been less than four hours since Greg Nemez underwent knee-replacement surgery and the 56-year-old Mississauga man is already on his way home from hospital.

This past Monday, he became the fifth patient at Toronto’s Women’s College Hospital to undergo the outpatient procedure, which normally requires a hospital stay of two or three days.

“I’m happy ... You have that freedom of movement from before. It’s like wow,” he said on the elevator as he was leaving the hospital.

After years of being unable to hold his leg straight, the real-estate agent can finally do so. A 20-year-old football injury had left him with severe arthritis and pain.

Read the full story:
https://www.thestar.com/news/g....ta/2018/04/11/he-got

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First aid - Shock and bleeding

Choking Infant

Wolff-Parkinson-White (WPW) syndrome, an extra electrical pathway between your heart's upper and lower chambers causes a rapid heartbeat. The extra pathway is present at birth and fairly rare. The episodes of fast heartbeats usually aren't life-threatening, but serious heart problems can occur. Treatment can stop or prevent episodes of fast heartbeats. A catheter-based procedure (ablation) can permanently correct the heart rhythm problems. Most people with an extra electrical pathway experience no fast heartbeat. This condition, called Wolff-Parkinson-White pattern, is discovered only by chance during a heart exam. Although WPW pattern is often harmless, doctors might recommend further evaluation before children with WPW pattern participate in high-intensity sports.

With the help of vitamin K, the liver produces proteins that are important in blood clotting. It is also one of the organs that break down old or damaged blood cells. The liver plays a central role in all metabolic processes in the body. In fat metabolism the liver cells break down fats and produce energy.

How are seizures and epilepsy treated? What should I do if someone has a seizure? When seizure medications don't work, what else can be tried? These are just a few of the questions that you'll find answered here. Some treatment goals are common to everyone. Everyone should know what to do when a person is having a seizure. All people with seizures and their families should know that the real goal of treating epilepsy is to stop seizures or control them as best as possible. But you are more than just a seizure and how epilepsy affects you and your family may be different from someone else. Don't forget the most important goal of the Epilepsy Foundation - helping people with seizures and their families lead full and unrestricted lives according to their own wishes. Patient and doctor discussing treatment options"No seizures, no side effects" is the motto for epilepsy treatment. Not every person will reach that goal right now, but research and getting the "right care at the right time" can help more people achieve it each year. You may learn things here that can help you right away or later on. While seizure medicines are the mainstay of epilepsy treatment, there are other approaches to think about too. We hope these sections will help you learn about different treatments and get the help you need. Learn about the basics of Treatment 101 to help you get started. Look at Receiving Quality Care to see what to expect when you have just been diagnosed or after you have already started treatment. Then learn about specific treatments, what to do if seizures don't stop, and how to develop your health care team. You'll also find tools to help you manage your epilepsy or learn about research studies in other sections, so don't stop here!

stop gunshot wound bleeding in 15 seconds

Insulin is a hormone made by the pancreas that allows your body to use sugar (glucose) from carbohydrates in the food that you eat for energy or to store glucose for future use. Insulin helps keeps your blood sugar level from getting too high (hyperglycemia) or too low (hypoglycemia). The cells in your body need sugar for energy. However, sugar cannot go into most of your cells directly. After you eat food and your blood sugar level rises, cells in your pancreas (known as beta cells) are signaled to release insulin into your bloodstream. Insulin then attaches to and signals cells to absorb sugar from the bloodstream. Insulin is often described as a “key,” which unlocks the cell to allow sugar to enter the cell and be used for energy.

Ventricular tachycardia is a type of heart rhythm disorder (arrhythmia) in which the lower chambers of your heart (ventricles) beat very quickly because of a problem in your heart's electrical system. In ventricular tachycardia, your heart may not be able to pump enough blood to your body and lungs because the chambers are beating so fast that they don't have time to properly fill. Ventricular tachycardia may be brief — lasting for just seconds and often not causing symptoms — or it can last for much longer, and you can develop symptoms such as dizziness or lightheadedness, or you can even pass out. This condition usually occurs in people with other heart conditions, such as coronary artery disease, cardiomyopathy and some types of valvular heart disease. Ventricular tachycardia may lead to a condition in which your lower heart chambers quiver (ventricular fibrillation), which may cause your heart to stop (sudden cardiac arrest) and lead to death if not treated immediately. Ventricular tachycardia can also cause your heart to stop, especially if the heart is beating very quickly, if it's lasting for a long period, and if you have an underlying heart condition.

20 Reasons to Drink Lemon Water

The uterus, or womb, is an important female reproductive organ. It is the place where a baby grows when a women is pregnant. There are different types of uterine cancer. The most common type starts in the endometrium, the lining of the uterus. This type of cancer is sometimes called endometrial cancer. The symptoms of uterine cancer include Unusual vaginal bleeding or discharge Trouble urinating Pelvic pain Pain during intercourse Uterine cancer usually occurs after menopause. Being obese and taking estrogen-alone hormone replacement therapy (also called menopausal hormone therapy) also increase your risk. Treatment varies depending on your overall health, how advanced the cancer is and whether hormones affect its growth. Treatment is usually a hysterectomy, which is surgery to remove the uterus. The ovaries and fallopian tubes are also removed. Other options include hormone therapy and radiation.

procedure is usually done in the hospital or outpatient surgical center under general anesthesia (while you are asleep and pain-free). The procedure is performed in the following way: The surgeon makes a small cut (incision) below the belly button (navel). A needle or tube is inserted into the incision. Carbon dioxide gas is passed into the abdomen through the needle or tube. The gas helps expand the area, giving the surgeon more room to work, and helping the surgeon see the organs more clearly. A tube is placed through the cut in your abdomen. A tiny video camera (laparoscope) goes through this tube and is used to see the inside of your pelvis and abdomen. More small cuts may be made if other instruments are needed to get a better view of certain organs. If you are having gynecologic laparoscopy, dye may be injected into your cervix area so the surgeon can view your fallopian tubes. After the exam, the gas, laparoscope, and instruments are removed, and the cuts are closed. You will have bandages over those areas.

Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a category of cancer treatment that uses chemical substances, especially one or more anti-cancer drugs (chemotherapeutic agents) that are given as part of a standardized chemotherapy regimen.

Boqueras Causas, Como Se Quitan Las Boqueras, Porque Salen Boqueras En La Boca, Queilitis Angular --- http://queilitis-angular.good-info.co --- Hay Que Actuar Ante Los Primeros Signos De Queilitis Angular. Las Primeras Manifestaciones De Queilitis Angular Suelen Ser Tenues Y Apenas Molestas. Pero No Por Ello Hay Que Ignorarlas, Porque Pueden Derivar En Problemas Mayores. La Queilitis Angular O Lo Que Comúnmente Se Llaman Boqueras, Comienza Por Grietas Minúsculas En Los Extremos De La Boca. También Se Empieza A Sentir Ardor Y Molestias Al Mover Los Labios O Al Abrir La Boca. ¿Qué Sucede Si No Se Atienden De Inmediato Esas Pequeñas Molestias? Difícilmente Se Irán Por Si Solas Sino Que, Por El Contrario, Comenzarán A Agravarse. Las Minúsculas Grietas Se Harán Cada Vez Más Pronunciadas Por El Continuo Movimiento De La Boca. Al Intensificarse Las Grietas Pueden Llegar A Convertirse En Llagas Y A Sangrar. Y Las Infecciones No Tardarán En Aparecer. La Queilitis Angular Puede Ser En Un Primer Momento Molesta Para Quien La Sufre. A Medida Que Avanza, Las Pequeñas Manifestaciones En La Boca Comienzan A Ser Bien Visibles Y Desagradables. Por Lo Que Al Ardor, Picazón Y Dolor, Se Le Suma El Hecho De Querer Ocultar La Afección Ante Los Demás. Cosa Que No Es Fácil De Lograr. A Pesar De Ser Pequeña, La Boca Es Uno De Los Lugares Más Visible Y Observado. Si Hablamos, Comemos, Bebemos, Nuestra Boca Está En Primer Plano. Ante Los Primeros Signos De Queilitis Se Puede Recurrir A Una Crema O Pomada Adecuada, Antiséptica, Antimicótica O Antifúngica. Si Bien Los Extremos De La Boca Deben Permanecer Libres De Saliva O Transpiración, Deben Estar Bien Hidratados. Cualquier Crema Antiséptica Que Se Utilice Debe Ser Libre De Perfumes Y Colorantes Químicos. Debe Detener La Descamación, A La Vez Que Calmar El Picor. El Área Afectada Tendrá Que Permanecer Bien Aseada, Procediendo A Secarla Sin Frotar, Como Para Que No Se Resienta Aún Más La Piel De Los Labios Y Sus Adyacencias. Para Curar La Queilitis Angular No Alcanza Con Los Tópicos Que Se Puedan Utilizar, Por Más Efectivas Que Sean Sus Fórmulas Desde Las Primeras Aplicaciones. Hay Que Llevar A Cabo Una Nutrición Balanceada, Variada Y Suficiente, Con Vitaminas, Minerales Y Oligoelementos. Un Análisis De Laboratorio Podrá Determinar Si Está Haciendo Falta El Aporte De Alguna Vitamina O Mineral. Asimismo, Conviene Evitar Los Lugares Muy Fríos Y/O Húmedos, Así Como Los Espacios Contaminados Por Polvillos O Cualquier Sustancia Irritante Para La Piel. Recomendamos Siempre Actuar Ante Los Primeros Síntomas De Queilitis. Si Se Frena La Dolencia Antes De Que Prospere Y Haga Eclosión, Se Evitará El Sufrimiento Que Puede Implicar Lidiar Contra Lesiones Serias En La Boca. Y Se Evitarán Las Temibles Huellas De Cicatrices Que Pueda Dejar Una Afección Prolongada. ¿Qué Podemos Hacer Ya Mismo? Hoy Existe Un Novedoso Tratamiento, Totalmente Natural Y Muy Simple, Con El Que Se Puede Eliminar La Queilitis Angular O Boqueras En Tan Solo 7 Días (O Menos). Este Revolucionario Sistema Ataca La Verdadera Causa De La Enfermedad Y No Solo Los Síntomas, Asegurando Resultados A Largo Plazo. Si Usted Desea Eliminar Para Siempre Esas Grietas Dolorosas Y La Vergüenza Que Causa Esta Afección, Puede Conocer Este Método De Resultados Comprobados Haciendo Clic En El Siguiente Enlace http://queilitis-angular.good-info.co

Many people don't know that they have hepatitis C until they already have some liver damage. This can take many years. Some people who get hepatitis C have it for a short time and then get better. This is called acute hepatitis C. But most people who are infected with the virus go on to develop long-term, or chronic, hepatitis C. Although hepatitis C can be very serious, most people can manage the disease and lead active, full lives.

Doctors trying to reanimate a newborn after delivery.Watch till the end to see what happened..