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This video provides a guide peforming a respiratory examination in an OSCE station, including real-time auscultation sounds of common pathology such as coarse crackles, fine crackles, wheeze and stridor.
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Chapters:
- Introduction 00:00
- General inspection 00:40
- Inspection of the hands 00:50
- Schamroth's window test 01:09
- Heart rate and respiratory rate 01:50
- Jugular venous pressure 02:02
- Face, eyes and mouth 02:13
- Anterior chest inspection 02:36
- Trachea and cricosternal distance 03:01
- Palpation of apex beat 03:16
- Chest expansion 03:28
- Lung percussion 03:50
- Auscultation of lungs 04:21
- Vocal resonance 05:03
- Lymph node palpation 05:32
- Inspection of posterior chest 06:04
- Posterior chest expansion 06:10
- Percussion of posterior chest 06:32
- Auscultation of posterior chest 06:55
- Sacral and pedal oedema 08:04
- Summary of findings 08:39
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Some people have found this video useful for ASMR purposes.
Special thanks to www.easyauscultation.com and Andy Howes for providing some of the respiratory sounds.
COPD, or chronic obstructive pulmonary disease, is a progressive disease that makes it hard to breathe. Progressive means the disease gets worse over time. COPD can cause coughing that produces large amounts of a slimy substance called mucus, wheezing, shortness of breath, chest tightness, and other symptoms. Cigarette smoking is the leading cause of COPD. Most people who have COPD smoke or used to smoke. However, up to 25 percent of people with COPD never smoked. Long-term exposure to other lung irritants—such as air pollution, chemical fumes, or dusts—also may contribute to COPD. A rare genetic condition called alpha-1 antitrypsin (AAT) deficiency can also cause the disease.
What factors should I consider when deciding whether to have surgery? The following factors should be considered when deciding whether to have surgery: Your age—If you have surgery at a young age, there is a chance that prolapse will recur and may possibly require additional treatment. If you have surgery at an older age, general health issues and any prior surgery may affect the type of surgery that you have. Your childbearing plans—Ideally, women who plan to have children (or more children) should postpone surgery until their families are complete to avoid the risk of prolapse happening again after corrective surgery. Health conditions—Any surgical procedure carries some risk, such as infection, bleeding, blood clots in the legs, and problems related to anesthesia. Surgery may carry more risks if you have a medical condition, such as diabetes, heart disease, or breathing problems, or if you smoke or are obese. New problems—Surgery also may cause new problems, such as pain during sex, pelvic pain, or urinary incontinence.
A renal biopsy is a procedure used to extract kidney tissue for laboratory analysis. The word “renal” describes the kidneys. A renal biopsy is also called a kidney biopsy. The test helps your doctor identify the type of kidney disease you have, how severe it is, and the best treatment for it.
http://penilepapules.plus101.com/ ----- White Spots On Shaft, Pearly Penile Papules Treatment Cream, Single Red Bump On Shaft, Ppp Surgery. Common Home Made Remedies for Pearly Penile Papules. When it comes to treating pearly penile papules many people find it very difficult to reach one of the medical treatments. This is mainly because they are highly expensive and not many people can afford spending large amounts of money on surgery and recovery. In addition to that, these procedures have been reported as being quite risky, which make the men suffering from pearly penile papules think twice before going for one of the available surgeries. This is why, along the time, many homemade, natural treatments have been experienced, so that a cheaper and less risky way of curing pearly penile papules would be found. Some of the methods which have been tried proved to be very less effective, while some did not have any effect at all. Yet, there have also been methods which not only proved to be effective, but they were also considered to be much better than the medical treatment. Most of those who have tried the tea tree oil treatment reported significant diminish of the number of the papules from their penises. In addition to the clearing of the skin, they have also noticed that there were no side effects and the skin remained soft after the papules were removed. As the method was quite simple to put in practice (it requires the application of tea tree oil on the affected area with a cotton swab for three or four times per day), many men decided this was indeed a great solution to their problem.
Like in any other sector of health, aging come with its myths. These myths can be hurtful to senior citizens and their caretakers if mistaken for truths. Here are some common myths about aging that caregivers should be aware of.
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It flattens the natural curve of the spine, which can lead to lower back pain. Sleeping all night with the head turned to one side also strains the neck. If this is the preferred position, try using pillows to gradually train the body to sleep on one side
Cluster headaches, which occur in cyclical patterns or clusters, are one of the most painful types of headache. A cluster headache commonly awakens you in the middle of the night with intense pain in or around one eye on one side of your head. Bouts of frequent attacks, known as cluster periods, can last from weeks to months, usually followed by remission periods when the headaches stop. During remission, no headaches occur for months and sometimes even years. Fortunately, cluster headache is rare and not life-threatening. Treatments can make cluster headache attacks shorter and less severe. In addition, medications can reduce the number of cluster headaches.
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.
In this video, Dr Dhaval Patel, the best brain & spine surgeon in Surat South Gujarat, is performing Brain Hemorrhage Surgery. The Brain Hemorrhage Surgery was successfully done by the best neurosurgeon Dr Dhaval Patel in the midnight in Surat, South Gujarat.
Dr Dhaval Patel is the best and experienced brain & spine surgeon in Adajan, Vesu, Parvat Patiya, Surat, South Gujarat. Dr Dhaval is the expert of treatments and surgery for brain problems and spine problems.
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Brain Hemorrhage Surgery, Best Brain & Spine Surgeon, Neurosurgeon, Brain Tumor Surgery, Brain Treatment Expert, Brain Expert, Brain & Spine Surgery, Neurosurgery in Surat, South Gujarat, Ahmedabad, Rajkot, Anand, Porbandar, patan, kutch, jamnagar, bhavnagar, junagadh, mehsana, nadiad, amreli, morbi, gandhinagar, verval, palanpur,godhra, gandhidham, botad, jetpur, kundal, kalol, disha, gondal, himatnagar, bhuj, modasa, lonavala, mandavi, kheda, khambhaliya, khambhat, dwarka, chhota udaipur, ambaji, dhoraji, idar, vallabhipur, una, dhandhuka, bhachau, mundra.
Dr. Dhaval Patel is an excellent neurosurgeon in Surat, South Gujarat. He is a Brain and Spine Surgeon; he is a reputable Neurosurgeon in Surat, South Gujarat. He has been practicing for the past five years. Till now, he has done 2500+ minor and major surgeries.
NEUROSURGEON DR. DHAVAL PATEL
Specialist in Brain & Spine Surgery
M.S.DNB (Neurosurgery - New Delhi)
Consultant Neurosurgeon
Surat Neuro Clinic Majura Gate, Ring Road, Surat.
Unity Hospital Parvat Patiya, Surat
United Green Hospital Adajan, Surat.
For more info. : +91-9687866766
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