demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear. Animation showing what is going on within the inner ear is also shown in the 2nd half of the video.

Olympus has extended the value of its award-winning combined surgical energy device, THUNDERBEAT, to open surgical procedures. Watch Dr. Francois Blaudeau master use of THUNDERBEAT Open Extended Jaw (OEJ) in a total abdominal hysterectomy.
http://medical.olympusamerica.com/products/thunderbeat?utm_source=youtube&utm_campaign=Total%20Abdominal%20Hysterectomy%20Surgery%20-%20THUNDERBEAT&utm_medium=description&utm_term=energy&utm_content=surgical

To record the sequence, Stephan Gordts and Ivo Brosens of the Leuven Institute for Fertility & Embryology in Belgium performed transvaginal laparoscopy, which involves making a small cut in the vaginal wall and observing the ovary with an endoscope.

"This allows us direct access to and observation of the tubo-ovarian structures without manipulation using forceps," says Gordts.

For the photos of ovulation, which only accidentally captured the critical moment, Jacques Donnez at the Catholic University of Louvain (UCL) in Brussels, Belgium, used gas to distend the organs for photography. However, Gordts and Brosens planned the procedure to coincide with ovulation and used saline solution to "float" the structures.
Perfect timing

Observation was timed for the day of the peak of the patient's luteal hormone cycle. Ovulation was predicted to occur on the evening of the day of the LH peak, and the endoscope introduced at 6 pm.

A small amount of saline was used to float the opening of the fallopian tube, its fimbriae (the "fingers" that sweep the egg into the tube) and the ovary itself. This gives a more natural appearance than gas, says Gordts.

In the video, the fimbriae can be seen sweeping in time with the patient's heartbeat. A mucus plug can be seen protruding from the ovary – this contains the egg.

"The ovum is not captured 'naked'," says Gordts. "There is no eruption like a volcano."

Gordts says that in clinical practice it is not easy to organise the observation of ovulation. "We were probably lucky to be successful at our first attempt," he says.

Watch that Female Foley Catheter Insertion Procedure

Watch that video of A Man Impaled by Shovel in His Butt - Untold Stories of the ER

Shoulder Clinical Examination - Medical School Clinical Skills - Dr Gill

Personally, I find the shoulder examination the most complex examination possibly as there are so many variations and special tests. Some of which overlap and some will relate specifically to a patients presentation.

Often in a medical school syllabus, only select special tests will be used. In this shoulder exam demonstration, we include the Hawkins-Kennedy Test looking for impingement. This is dovetailed with examination for bicipital tendonitis as this is another possible cause of impingement type symptoms.

This shoulder upper limb exam follows the standard "Look, Feel, Move" orthopaedic exam approach, and overall order as set out in MacLeods Clinical Examination

Watch further orthopaedic examinations for your OSCE revision:

The Spine Examination:
https://youtu.be/pJxMHa6SCgU

Knee Examination
https://youtu.be/oyKH4EYfJDM

Hip Joint Clinical Examination
https://youtu.be/JC9GKq5nSdQ
________

Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills.


#ShoulderExamination #ClinicalSkills #DrGill

This video is brought to you by the Stanford Medicine 25 to teach you the common causes of shoulder pain and how to diagnose them by the physical exam.

The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.

Visit us:
Website: http://stanfordmedicine25.stanford.edu/
Blog: http://stanfordmedicine25.stanford.edu/blog.html
Facebook: https://www.facebook.com/StanfordMedicine25
Twitter: https://twitter.com/StanfordMed25

Diagnoses covered in this video:
Rotator Cuff Pathology
Impingement Syndrome
Biceps Tendinopathy
Adhesive Capsulitis (Frozen Shoulder)
Acromioclavicular (AC) Joint Disease
Shoulder Instability
Labral Tears (SLAP Lesions)

► Get a free NCLEX NGN sample test today: http://lectur.io/nclexrnsampletestyt
► Create your free account today: http://lectur.io/nurseregisteryt
► If you’re an nursing educator or faculty member, visit: http://lectur.io/nursytb2u

In this video “How To Do An IM (Intramuscular) Injection” you will learn about:
►the steps in the administration of intramuscular medications
►the angle to position the syringe while administering an intramuscular injection
►the landmark to administer an intramuscular injection in the deltoid muscle
►5 tips for the safe administration of an intramuscular medication
►the steps of the Z-track method for intramuscular injections
►the role of aspirating blood during an intramuscular injection and evaluate whether this practice is currently in use

► This video is part of the Lecturio course “Fundamentals of Nursing: Clinical Skills”
► WATCH the complete course on http://lectur.io/njection

► THE PROF: Samantha Rhea MSN, RN has been a nurse since 2008 and a nursing faculty teacher since 2012. She has been recognized for clinical excellence as an interventional cardiology nurse and also led a Joint Commission Accredited Stroke Center. Ms. Rhea is an award-winning expert in clinical teaching and continues to maintain a current clinical practice and teaches at a University nursing program.

► LECTURIO is your smart tutor for nursing school: Learn the toughest NCLEX® topics with high-yield video lectures, integrated quiz questions, and more. Register now to study anytime and anywhere you want to: https://nursing.lecturio.com/#/

► CHECK OUT ALL NURSING COURSES:
Leadership Nursing: http://lectur.io/leadershipnursing
Dosage Calculation Nursing: http://lectur.io/dosagecalcnursing
Physiology Nursing: http://lectur.io/physiologynursing
Medical Surgical Nursing: http://lectur.io/medsurgnursing
Pharmacology Nursing: http://lectur.io/pharmacologynursing
NCLEX® Pharmacology Nursing: http://lectur.io/pharmnclexnursing
Pediatric Nursing: http://lectur.io/pediatricnursing
Study Skills Nursing: http://lectur.io/studyskillsnursing
Fundamentals of Nursing - Theory: http://lectur.io/fundamentalstheory
Fundamentals of Nursing - Clinical Skills: http://lectur.io/fundamentalsclinicalskills
Nursing Prerequisites: http://lectur.io/nursingprerequisites
Mental Health Nursing: http://lectur.io/mentalhealthnursing
Maternal-Newborn Nursing: http://lectur.io/maternalnewbornnursing

► INSTALL the free Lecturio app
iTunes Store: https://app.adjust.com/z21zrf
Play Store: https://app.adjust.com/b01fak

► SUBSCRIBE to our YouTube channel: http://lectur.io/subscribenursing

► WATCH MORE ON YOUTUBE: http://lectur.io/nursingplaylists

► LET’S CONNECT:
Facebook: www.facebook.com/lecturio.nursing
Instagram: www.instagram.com/lecturio_nursing
Join Discord Community: https://discord.gg/Ue95WDxCrp
TikTok: www.tiktok.com/@lecturio_nursing
LinkedIn: https://www.linkedin.com/company/lecturio-medical/

#nursingschool #nursingeducation #nursingclinicalskills #leadershipnursing #nclex #nursingfundamentals #nursingclinical #nursingskills

Care must be taken to prevent stenosis at the anastomotic site. If the diameter of the anastomosis is less than 2 cm, the anastomosis should be taken down and resected. A classic end-to-end anastomosis should be performed to ensure adequate diameter to the intestine. If the posterior wall of the colon has been preserved, care should be taken to close the colostomy prior to opening the peritoneal cavity. This will reduce intraperitoneal contamination from the stoma site. Copious irrigation of the wound should be made prior to primary closure. If gross contamination has occurred, delayed closure of the wound should be considered.

Traumatic penile injury can be due to multiple factors. Penile fracture, penile amputation, penetrating penile injuries, and penile soft tissue injuries are considered urologic emergencies and typically require surgical intervention. The goals of treatment for penile trauma are universal: preservation of penile length, erectile function, and maintenance of the ability to void while standing. Traumatic injury to the penis may concomitantly involve the urethra.[1, 2] Urethral injury and repair is beyond the scope of this article but details can be found in Urethral Trauma. Penile fracture Penile fracture is the traumatic rupture of the corpus cavernosum. Traumatic rupture of the penis is relatively uncommon and is considered a urologic emergency.[3] Sudden blunt trauma or abrupt lateral bending of the penis in an erect state can break the markedly thinned and stiff tunica albuginea, resulting in a fractured penis. One or both corpora may be involved, and concomitant injury to the penile urethra may occur. Urethral trauma is more common when both corpora cavernosa are injured.[4] Penile rupture can usually be diagnosed based solely on history and physical examination findings; however, in equivocal cases, diagnostic cavernosography or MRI should be performed. Concomitant urethral injury must be considered; therefore, preoperative retrograde urethrographic studies should generally be performed. See the images below.

28 years old gentleman presented with huge liver abscess in the right lobe, with repeated attempts of percutaneous aspirations in the past. He was evaluated and subjected to Laparoscopic drainage. This video depicts feasibility of laparoscopy in deep seated liver abscesses. Video created by: Dr. Juneed M. Lanker Fellow Minimal Access Surgery Apollo Hospitals Chennai.

Throughout the body, there are several points at which blood vessels unite. The junctions are termed anastomoses. In the simplest sense, an anastomosis is any connection (made surgically or occurring naturally) between tube-like structures. Naturally occurring arterial anastomoses provide an alternative blood supply to target areas in cases where the primary arterial pathway is obstructed. They are most abundant in regions of the body where the blood supply may can be easily damaged or blocked (such as the joints or intestines). This article focuses on the arterial anastomotic networks of the upper limb.

The video will describe anatomical structures as seen on a CT scan. Please see discalimer on my website.

inspection, auscultation and palpation

A video showing drainage of a bartholin cyst

Transurethral resection of the prostate (also known as TURP, plural TURPs and as a transurethral prostatic resection TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH. This procedure is done with spinal or general anesthetic. A large triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients. Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems. As with all invasive procedures, the patient should first discuss medications they are taking with their doctor, most especially blood thinners or anticoagulants, such as warfarin (Coumadin), or aspirin. These may need to be discontinued prior to surgery. Postop complications include bleeding (most common), clotting and hyponatremia (due to bladder irrigation).

Additionally, transurethral resection of the prostate is associated with low but important morbidity and mortality.

Professional breast exam

Here's how female-to-male gender reassignment surgery works.