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Scaphoid Fracture Test (Clinical Exam) and the Anatomic Snuffbox
Scaphoid Fracture Test (Clinical Exam) and the Anatomic Snuffbox DrPhil 177 Views • 2 years ago

Lesson on clinical examination of a scaphoid fracture and assessment of the anatomic snuffbox. The scaphoid bone is one of the carpal bones of the wrist. A scaphoid fracture is important to rule out due to risk of avascular necrosis, which is a compromise of bone vasculature leading to death of the bone. Scaphoid fractures can occur with a FOOSH injury. In this lesson, we discuss the clinical assessment to rule out a scaphoid fracture, including assessing and localizing the anatomic snuffbox.

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**MEDICAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal.

Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.

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Procedure for Prolapse & Hemorrhoids
Procedure for Prolapse & Hemorrhoids samer kareem 2,727 Views • 2 years ago

A surgeon begins the PPH stapled hemorrhoidectomy by inserting a circular anal dilator and obturator into the anal canal and then securing the dilator in place with four sutures. The surgeon then inserts a PPH anoscope into the obturator. Next, he places a circumferential purse-string suture of 2-0 Monocryl on a UR-6 needle 4 cm proximal to the dentate line. The surgeon opens a PPH stapler and places its anvil across the purse string. The stapler is then closed and fired; it is held closed for two minutes to improve hemostasis. Prior to firing the stapler in a female patient, the surgeon places a gloved finger in the vagina to ensure the vaginal mucosa and rectal-vaginal septum are not trapped within the jaws of the closed stapler. The surgeon then opens and removes the stapler.

How to Tell if Knee Pain is Meniscus or Ligament Injury
How to Tell if Knee Pain is Meniscus or Ligament Injury Scott 35 Views • 2 years ago

How to Tell if Knee Pain is Meniscus or Ligament Injury

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Bob and Brad discuss how to tell if you are having a meniscus or ligament injury. They also include some tests you can try at home to distinguish the two.

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Hernias and Teens
Hernias and Teens DrPhil 307 Views • 2 years ago

Be sure to have your teenager checked for hernias as they may be malevolent, Dr. Honaker gives us some insight as to why this is an important thing to have done.

Peritoneal Dialysis: Is it Right for You?
Peritoneal Dialysis: Is it Right for You? Scott 354 Views • 2 years ago

If you have an active lifestyle or are often on the go with work, travel or family, then peritoneal dialysis at home may be the right choice. Home peritoneal dialysis offers additional freedom and flexibility as a treatment option that’s closest to natural kidney function and may require fewer dietary restrictions and medications. To learn more about Home PD, visit https://www.FreseniusKidneyCar....e.com/ckd-treatment/

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Thyroid Nodule Needle Biopsy
Thyroid Nodule Needle Biopsy samer kareem 9,519 Views • 2 years ago

A thyroid biopsy is a procedure in which a small sample of tissue is removed from the thyroid gland and looked at under a microscope for cancer, infection, or other thyroid problems. The thyroid gland is found in front of the windpipe (trachea), just below the voice box (larynx). A sample of thyroid tissue can be taken by: Fine-needle biopsy. Your doctor puts a thin needle through the skin and into the thyroid gland. Many thyroid specialists like to use a needle biopsy method rather than surgery. Open biopsy. Your doctor makes a cut (incision) through the skin to see the thyroid gland. This method is done when other tests have not found the cause of your symptoms. Core needle biopsy. Your doctor inserts a needle with a special tip and removes a sample of tissue about the size of a grain of rice.

Rectal Examination
Rectal Examination samer kareem 10,279 Views • 2 years ago

Rectal Examination

Deep tendon reflexes
Deep tendon reflexes Mohamed Ibrahim 40,119 Views • 2 years ago

In a normal person, when a muscle tendon is tapped briskly, the muscle immediately contracts due to a two-neuron reflex arc involving the spinal or brainstem segment that innervates the muscle. The afferent neuron whose cell body lies in a dorsal root ganglion innervates the muscle or Golgi tendon organ associated with the muscles; the efferent neuron is an alpha motoneuron in the anterior horn of the cord. The cerebral cortex and a number of brainstem nuclei exert influence over the sensory input of the muscle spindles by means of the gamma motoneurons that are located in the anterior horn; these neurons supply a set of muscle fibers that control the length of the muscle spindle itself. Hyporeflexia is an absent or diminished response to tapping. It usually indicates a disease that involves one or more of the components of the two-neuron reflex arc itself. Hyperreflexia refers to hyperactive or repeating (clonic) reflexes. These usually indicate an interruption of corticospinal and other descending pathways that influence the reflex arc due to a suprasegmental lesion, that is, a lesion above the level of the spinal reflex pathways.

Defecography showing Anterior Rectal Wall Prolapse
Defecography showing Anterior Rectal Wall Prolapse Mohamed 18,211 Views • 2 years ago

Defecography showing Anterior Rectal Wall Prolapse

Technique for Popliteal/Peroneal Nerve Block
Technique for Popliteal/Peroneal Nerve Block M_Nabil 12,561 Views • 2 years ago

Technique for Popliteal/Peroneal Nerve Block

Nerve Monitoring After Transoral Endoscopic Thyroid Resection
Nerve Monitoring After Transoral Endoscopic Thyroid Resection DrHouse 13,288 Views • 2 years ago

Background: The number of patients demanding endoscopic neck surgery is rising. The access trauma of the axillary, breast and chest approaches is bigger than in open or video assisted surgery. We tested the feasibility of he sublingual transoral access which is in our opinion the only real minimally...-invasive extracollar endoscopic access to the thyroid gland Methods: We performed an experimental investigation in a porcine model. In 10 pigs we made 10 endoscopic transoral thyroidectomys with a modified axilloscope with the help of ultrasonic scissors and a neuro-monitoring system for identification of the recurrent laryngeal nerve. Results: The average operation time from the introduction to the removal of the obturator just above the larynx was 57 seconds. The mean operation time was 43 minutes. With the help of the neuro-monitoring system we proved in all cases the function of the recurrent laryngeal nerve on both sides. The pigs were observed for another two hours after operation. During and after the operation no complications appeared. Conclusions: We could show that the endoscopic transoral thyroid resection in pigs is possible and save. Our results might be useful for using this access for endoscopic thyroid resection in humans.

Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy
Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy Mohamed 34,752 Views • 2 years ago

Internal hemorrhoids and loose rectal mucosa may block the exposure during the purse string suturing in stapled hemorrhooidopexy, and this may cause some complications. To retract the prolapsing rectal mucosa we modified the purse string anoscope of the PPH01 kit (Ethicon-Endosurgery, Cincinnati, O...H, USA) and produced a special anoscope. The open part of the purse string suture anoscope is covered by transparent acrylic (Orthoacryl�, Dentaurum, Pforzheim, Germany). The covering material had complete cylindrical outer and inner surfaces and was thin enough to let the anoscope easily rotate in the anal dilator and to let the 26 mm curved, round bodied needle of the 2/0 polypropilene suture move in the anoscope. A window, 3 cm long and 3-4 mm wide, was opened at the angled part of the anoscope 2 cm to the tip of the anoscope. This special anoscope was used for the purse string suture during stapled hemorrhoidopexy procedure in five patients. No postoperative complications, early or late, were encountered, and we propose that stapled hemorrhoidopexy procedure can be applied more easily by using this special anoscope.

Pes      (  Piles Treatment ) Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new
Pes ( Piles Treatment ) Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new drjamil hashmi 20,179 Views • 2 years ago

Piles Treatment
contact : drjamil79@yahoo.com
Rubber band application around the pile is a pain free procedure.Patient is put to sleep for a few minutes and can go home after a few hours.In this procedure anal fissure was also treated with the transparent anoscope that comes with the PPH gun set.
Piles Treatment piles: HAL Hemorrhoidal Artery Ligation new fast and painless treatment of haemorrhoids dr jamil ahmad hashmi -PainlessRubber band application around the pile is pain free procedure.Patient put to sleep for few minutes can go home after hours.In this procedure anal fissure was also treated with transparent anoscope that comes PPH gun set. Category: health

Childbirth Preparation
Childbirth Preparation Medical_Admin 10,176 Views • 2 years ago

In this video, Jenna talks about Braxton Hicks contractions and preparing for labor.

Difficult Airway Intubation
Difficult Airway Intubation Hanu Surgical-Devices 9,470 Views • 2 years ago

ROTIGS medical device by Honolulu inventor Dr. Brad NaPier makes difficult airway intubations easier for medical professionals.

Glabellar Reflex or Myerson's sign
Glabellar Reflex or Myerson's sign Mohamed Ibrahim 11,540 Views • 2 years ago

In this medical video: This 72-year-old patient was unable to resist blinking when we tapped on the glabella. This is the glabellar reflex or Myerson's sign . It is often an early sign of Parkinson's disease, but can also be seen in early dementia as well as other progressive neurologic illness. Note the left (i.e., asymmetrical) hand resting tremor.

K-Wire Fixation (Kirschner wire)
K-Wire Fixation (Kirschner wire) Scott Stevens 13,763 Views • 2 years ago

Kirschner wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins. Introduced in 1909 by Martin Kirschner, the wires are now widely used in orthopaedics and other types of medical and veterinary surgery. They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus.

Laparoscopic Cholecystectomy HD Medical Video
Laparoscopic Cholecystectomy HD Medical Video Anatomist 11,563 Views • 2 years ago

A high definition HD video of Laparoscopic Cholecystectomy surgery

abdomen
abdomen deepak kesarwani 8,093 Views • 2 years ago

abdominal cavity

Safe Sex - So You Have Genital Warts
Safe Sex - So You Have Genital Warts Liz L 24,354 Views • 2 years ago

The only sure way to prevent genital warts is to not have sex. But everyone wants sex, so here is how to have safe sex if you are living with Genital Warts.

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