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General Assessment and Vital Signs
General Assessment and Vital Signs samer kareem 6,734 Views • 3 years ago

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.

TALUS FRACTURE
TALUS FRACTURE samer kareem 1,562 Views • 3 years ago

A talus fracture is a break in one of the bones that forms the ankle. This type of fracture often occurs during a high-energy event, such as a car collision or a high-velocity fall. Because the talus is important for ankle movement, a fracture often results in significant loss of motion and function. In addition, a talus fracture that does not heal properly can lead to serious complications, including chronic pain. For this reason, many talus fractures require surgery.

Women Health - What is G Spot ?
Women Health - What is G Spot ? hooda 25,159 Views • 3 years ago

Watch that video to know what G spot is

Loyola Full Male Exam Part 2
Loyola Full Male Exam Part 2 Loyola Medicine 86,174 Views • 3 years ago

Loyola Full Male Exam Part 2 A video from Loyola medical school, Chicago showing the full examination of the male

Frontotemporal Dementia
Frontotemporal Dementia samer kareem 983 Views • 3 years ago

Frontotemporal degeneration (FTD) is a disease process that results in progressive damage to the temporal and/or frontal lobes of the brain. It causes a group of brain disorders that share many clinical features.

Pregnancy first Trimester week by week
Pregnancy first Trimester week by week samer kareem 4,504 Views • 3 years ago

Pregnancy first Trimester

Fingernail Abscess Infection Treatment
Fingernail Abscess Infection Treatment Mohamed Ibrahim 24,890 Views • 3 years ago

Paronychia Fingernail Abscess Infection Treatment

Female to Male Breast Removal Surgery
Female to Male Breast Removal Surgery Scott 13,728 Views • 3 years ago

Female to Male gender confirming top surgery video : "Double Incision" Technique.

Keratoconus Cure
Keratoconus Cure samer kareem 2,150 Views • 3 years ago

Scaphoid Fracture Test (Clinical Exam) and the Anatomic Snuffbox
Scaphoid Fracture Test (Clinical Exam) and the Anatomic Snuffbox DrPhil 460 Views • 3 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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Check out some of my other lessons.

Medical Terminology - The Basics - Lesson 1:
https://www.youtube.com/watch?v=04Wh2E9oNug

Fatty Acid Synthesis Pathway:
https://www.youtube.com/watch?v=WuQS_LpNMzo

Wnt/B Catenin Signaling Pathway:
https://www.youtube.com/watch?v=NGVP4J9jpgs

Upper vs. Lower Motor Neuron Lesions:
https://www.youtube.com/watch?v=itNd74V53ng

Lesson on the Purine Synthesis and Salvage Pathway:
https://www.youtube.com/watch?v=e2KFVvI8Akk

Gastrulation | Formation of Germ Layers:
https://www.youtube.com/watch?v=d6Kkn0SECJ4

Introductory lesson on Autophagy (Macroautophagy):
https://www.youtube.com/watch?v=UmSVKzHc5yA

Infectious Disease Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Dermatology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Pharmacology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Hematology Playlist
https://www.youtube.com/playli....st?list=PLRjNoiRtdFw

Rheumatology Playlist
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Endocrinology Playlist
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Nephrology Playlist
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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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*Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.*

I am always looking for ways to improve my lessons! Please don't hesitate to leave me feedback and comments - all of your feedback is greatly appreciated! :) And please don't hesitate to send me any messages if you need any help - I will try my best to be here to help you guys :)

Thanks for watching! If you found this video helpful, please like and subscribe!
JJ

SPIDER Surgery
SPIDER Surgery samer kareem 3,335 Views • 3 years ago

SPIDER Surgery-- Single Incision Gallbladder Removal

Shoulder Examination OSCE (Old Version) - Dr Gill
Shoulder Examination OSCE (Old Version) - Dr Gill DrPhil 487 Views • 3 years ago

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
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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

CT scan Abdomen
CT scan Abdomen academyo 26,569 Views • 3 years ago

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

Stroke | Nucleus Health
Stroke | Nucleus Health Scott 64 Views • 3 years ago

To learn more about licensing this video for content marketing or patient education purposes, visit: http://www.nucleushealth.com/?utm_source=youtube&utm_medium=video-description&utm_campaign=stroke-071411

This video, created by Nucleus Medical Media, gives a thorough explanation of stroke, covering anatomy and physiology, different types of stroke, and treatment.

ANH11048

Cystic lesion together with impacted wisdom tooth
Cystic lesion together with impacted wisdom tooth samer kareem 19,475 Views • 3 years ago

This pressure can also cause problems with crowding of the other teeth or require orthodontic treatment to straighten other teeth. Cysts. The wisdom tooth develops in a sac within the jawbone. The sac can fill with fluid, forming a cyst that can damage the jawbone, teeth and nerves.

Delivery of the Placenta
Delivery of the Placenta Scott 53,452 Views • 3 years ago

This video shows the delivery of the placenta after delivery of the fetus

Tying The Sperm Canal to Avoid Ejaculation
Tying The Sperm Canal to Avoid Ejaculation hooda 56,082 Views • 3 years ago

Watch that video of Tying The Sperm Canal to Avoid Ejaculation

Testicular Cancer Self Exam
Testicular Cancer Self Exam Surgeon 69,786 Views • 3 years ago

screening and early detection is the key to beating any form of cancer. share this with a friend. you may save a life.

Loyola Female Exam Part 3
Loyola Female Exam Part 3 Loyola Medicine 99,332 Views • 3 years ago

Full examination of the female from head to toe by Loyola Medical School, Chicago. Part 3

Loyola Full Male Exam Part 1
Loyola Full Male Exam Part 1 Loyola Medicine 40,255 Views • 3 years ago

Loyola Full Male Exam Part 1 A video from Loyola medical school, Chicago showing the full examination of the male

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