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Incontinence Evaluation
Incontinence Evaluation samer kareem 8,052 Views • 3 years ago

Urinary incontinence isn't a disease, it's a symptom. It can be caused by everyday habits, underlying medical conditions or physical problems. A thorough evaluation by your doctor can help determine what's behind your incontinence. Temporary urinary incontinence Certain drinks, foods and medications can act as diuretics — stimulating your bladder and increasing your volume of urine. They include: Alcohol Caffeine Decaffeinated tea and coffee Carbonated drinks Artificial sweeteners Corn syrup Foods that are high in spice, sugar or acid, especially citrus fruits Heart and blood pressure medications, sedatives, and muscle relaxants Large doses of vitamins B or C Urinary incontinence also may be caused by an easily treatable medical condition, such as: Urinary tract infection. Infections can irritate your bladder, causing you to have strong urges to urinate, and sometimes incontinence. Other signs and symptoms of urinary tract infection include a burning sensation when you urinate and foul-smelling urine. Constipation. The rectum is located near the bladder and shares many of the same nerves. Hard, compacted stool in your rectum causes these nerves to be overactive and increase urinary frequency. Persistent urinary incontinence Urinary incontinence can also be a persistent condition caused by underlying physical problems or changes, including: Pregnancy. Hormonal changes and the increased weight of the uterus can lead to stress incontinence. Childbirth. Vaginal delivery can weaken muscles needed for bladder control and also damage bladder nerves and supportive tissue, leading to a dropped (prolapsed) pelvic floor. With prolapse, the bladder, uterus, rectum or small intestine can get pushed down from the usual position and protrude into the vagina. Such protrusions can be associated with incontinence. Changes with age. Aging of the bladder muscle can decrease the bladder's capacity to store urine. Menopause. After menopause women produce less estrogen, a hormone that helps keep the lining of the bladder and urethra healthy. Deterioration of these tissues can aggravate incontinence. Hysterectomy. In women, the bladder and uterus are supported by many of the same muscles and ligaments. Any surgery that involves a woman's reproductive system, including removal of the uterus, may damage the supporting pelvic floor muscles, which can lead to incontinence. Enlarged prostate. Especially in older men, incontinence often stems from enlargement of the prostate gland, a condition known as benign prostatic hyperplasia. Prostate cancer. In men, stress incontinence or urge incontinence can be associated with untreated prostate cancer. But more often, incontinence is a side effect of treatments for prostate cancer. Obstruction. A tumor anywhere along your urinary tract can block the normal flow of urine, leading to overflow incontinence. Urinary stones — hard, stone-like masses that form in the bladder — sometimes cause urine leakage. Neurological disorders. Multiple sclerosis, Parkinson's disease, stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.

The Exam for Shoulder Pain - Stanford Medicine 25
The Exam for Shoulder Pain - Stanford Medicine 25 DrPhil 805 Views • 3 years ago

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)

How Male to Female Sex Change Surgery Really Works
How Male to Female Sex Change Surgery Really Works Scott 2,133 Views • 3 years ago

How Male to Female Sex Gender Reassignment Surgery Really Works

MiniArc MiniSling performed by Dr. Robert Moore and Dr. John Miklos
MiniArc MiniSling performed by Dr. Robert Moore and Dr. John Miklos atlantaua 24,170 Views • 3 years ago

Drs. Moore and Miklos are very excited to be one of the first centers in the US to offer the next step in minimally invasive treatment for Stress Urinary Incontinence, the single incision Mini-sling. The procedure utilizes the same concepts of the tension-free tape mid-urethral slings, however only one incision is needed and the procedure can be completed in as little as 5-10 minutes under local anesthesia.

The procedure was initially released in September of 2006 by Gynecare with a procedure called the TVT-Secure and Dr Miklos and Moore were some of the first surgeons to evaluate and study the procedure. They liked the concept of a single incision sling, however were not enthused by the engineering and design of the Secure sling. In early 2007, with development input from Dr Moore and Miklos, American Medical Systems made several improvements to the procedure and in April, Dr Moore was the first surgeon in the United States to place the Mini-Arc mini-sling. Dr Moore’s and Miklos’s center in Atlanta, because of their reputation of being world leader’s in treatment for Stress Urinary Incontinence, was chosen as the lead center in the USA to evaluate and study the Mini-Arc procedure. Dr Moore was chosen as principal investigator, leading 5 centers in the USA and the world, to study and present the initial results in the USA, which have been excellent and very exciting!

Loyola Breast Examination part 1
Loyola Breast Examination part 1 Loyola Medicine 59,305 Views • 3 years ago

Medical breast examination of a female from Loyola University,Chicago

Amniotomy - Breaking the bag of water prior to childbirth
Amniotomy - Breaking the bag of water prior to childbirth Doctor 285,912 Views • 3 years ago

Amniotomy is the official term for artificially breaking the bag of waters during labor. It is believed that breaking the bag of waters will help to speed up an otherwise slow labor. Amniotomy is part of the Active Management of Labor practiced in some hospitals. Amniotomy is performed by a midwife or doctor. A long, thin instrument with a hook on the end is inserted into the vagina and through the cervix so it can catch and rip the bag of waters. To perform an amniotomy, the cervix must be dilated enough to allow the instrument through the cervix, generally at least a two. Why choose Amniotomy? Unlike other medical methods of starting labor, amniotomy does not add synthetic hormones to your labor. Instead it seems to stimulate your body’s own labor process. Amniotomy allows the use of an internal electronic fetal monitor. How effective is Amniotomy? Amniotomy alone is unpredictable, it may take hours for labor to start with amniotomy. Because amniotomy increases the risk for infection, most caregivers use amniotomy in combination with synthetic oxytocin. Birth does happen faster when amniotomy is combined with synthetic oxytocin than when amniotomy is used alone. Risks of Amniotomy Risks for Mother Increases the risk for infection. This risk is increased with length of time the waters are broken and with vaginal exams. Because of the infection risk, a time limit is given by which the mother must give birth. As the time limit approaches attempts to progress labor will become more aggressive. The fore waters equalize pressure on the cervix so it will open uniformly. When they are broken, the mother increases her chances of having uneven dilation. Risks for Baby Increases the risk of umbilical cord compression. The fore waters equalize pressure on the baby’s head as it presses against the cervix. When they are broken, the pressure on the baby’s head may be uneven causing swelling in some parts.

Pap smear test
Pap smear test samer kareem 33,465 Views • 3 years ago

In patients age ;::25, HPV DNA testing is the preferred next step in management if the initial cytology shows ASC-US. In this method, samples are collected for both cytology and reflex HPV DNA. If cytology results are positive, HPV DNA testing is performed. If cytology results are negative, the sample for HPV DNA is discarded. HPV DNA testing along with Pap smear at 3 years is recommended if initial cytology shows ASC-US but HPV DNA testing is negative

Surgery for Baby Born with Adult Sized Tongue
Surgery for Baby Born with Adult Sized Tongue samer kareem 3,660 Views • 3 years ago

This baby was born with an adult sized tongue - and she just completed a surgery that will change her life.

Omphalocele
Omphalocele samer kareem 8,622 Views • 3 years ago

An omphalocele is a birth defect in which an infant's intestine or other abdominal organs are outside of the body because of a hole in the belly button (navel) area. The intestines are covered only by a thin layer of tissue and can be easily seen.

Lip Laceration repair
Lip Laceration repair samer kareem 3,159 Views • 3 years ago

This video details the layered closure of a through-and-through facial laceration

Osseointegration of the Tibia After Primary Amputation - Live Surgery
Osseointegration of the Tibia After Primary Amputation - Live Surgery Surgeon 521 Views • 3 years ago

In this video, Dr. Robert Rozbruch, chief of Limb Lengthening and Complex Reconstruction at Hospital for Special Surgery performs an osseointegration after a primary amputation. The patient, a 40 year old woman, had chronic nerve pain and compromised function of her residual limb.

For more information, visit: https://www.limblengthening.com/

https://www.hss.edu/limblengthening
https://www.hss.edu/LSARC
https://www.facebook.com/limblengtheningNYC
https://www.instagram.com/limblengthening
https://www.twitter.com/limblengthen
https://www.youtube.com/channe....l/UC-JL_X6ALjZXiXtcP

key words: Osseointegration, Amputee, Amputation, Limb Replacement, Tibia, Osseointegration

End Stage Liver Disease
End Stage Liver Disease samer kareem 1,517 Views • 3 years ago

In the United States, end-stage liver disease (ESLD) is the 12th leading cause of death and the 7th leading cause of death in people between the ages of 25 and 64 years. Complications of ESLD such as ascites, variceal hemorrhage, hepatic encephalopathy, and renal impairment primarily account for these deaths. Patients with ESLD require increasingly complex medical support and manifest a spectrum of complications and symptoms that have significant impact on both survival and quality of life.

Frozen Shoulder
Frozen Shoulder samer kareem 1,648 Views • 3 years ago

The bones, ligaments and tendons that make up your shoulder joint are encased in a capsule of connective tissue. Frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement. Doctors aren't sure why this happens to some people, although it's more likely to occur in people who have diabetes or those who recently had to immobilize their shoulder for a long period, such as after surgery or an arm fracture.

Tummy Tuck Muscle Repair with 3D CAT scan
Tummy Tuck Muscle Repair with 3D CAT scan samer kareem 7,420 Views • 3 years ago

plastic surgeon demonstrates the results of a muscle separation(rectus diastasis) repair using 3 dimesional CAT scan and photographic images

Laparoscopic Liver Surgery | UPMC
Laparoscopic Liver Surgery | UPMC Surgeon 504 Views • 3 years ago

UPMC liver surgeons are among the most experienced in the world in performing minimally invasive liver surgery. Most patients benefit from less trauma and pain, minimal scarring, a shorter hospital stay, and faster recovery than from traditional surgery.
To learn more, please visit https://www.upmc.com/services/....liver-cancer/treatme

Can Oral Sex Cause AIDS
Can Oral Sex Cause AIDS Scott 14,127 Views • 3 years ago

Though the risk of HIV transmission through oral sex is very low, but several factors might increase the risk, including sores in the mouth or vagina or on the penis, bleeding gums, having an oral contact with menstrual blood, and the presence of other sexually transmitted diseases. But still the risk is low. by the way better to think twice before having the Oralsex with strangers. because you are not safe 100%.

Signs & Symptoms of Hernias
Signs & Symptoms of Hernias DrPhil 231 Views • 3 years ago

Our General Surgery team treats hernia patients on a daily basis. In fact, you could consider them to be hernia experts. We sat down with one of those experts, Dr. Heater Dunlap, to talk about the common signs and symptoms of hernias and to answer the question of when to see a doctor.

QuickLift Mini Facelift vs Full Facelift, Boca Raton Florida
QuickLift Mini Facelift vs Full Facelift, Boca Raton Florida Arthur Handal 2,927 Views • 3 years ago

Dr. Arthur Handal explains how and why your surgeon might suggest less or more than the procedure you originally planned for.

Skin Warts Infection
Skin Warts Infection samer kareem 9,462 Views • 3 years ago

A wart is a skin growth caused by some types of the virus called the human papillomavirus (HPV). HPV infects the top layer of skin, usually entering the body in an area of broken skin. The virus causes the top layer of skin to grow rapidly, forming a wart. Most warts go away on their own within months or years.

Female Genital Foley Catheter Insertion Procedure
Female Genital Foley Catheter Insertion Procedure hooda 17,674 Views • 3 years ago

Watch that Female Foley Catheter Insertion Procedure

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