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Ophthalmoscopy - Eye Clinical Examination - OSCE - Dr Gill
Direct Ophthalmoscopy use of the eyes is a very challenging clinical skill, incorporating both the examiner's knowledge of the retina, but also understanding the use of the ophthalmoscope
In this clinical skills tutorial, we look at the use of the direct ophthalmoscope as part of an ophthalmic examination
it should be noted that in the ideal circumstances, the room lights will be dimmed during the examination, and dilating eye drops used to improve the visualisation of the fundus
Some people may notice an ASMR effect from this clinical examination
#DrGill #Ophthalmoscopy #ClinicalSkills #EyeExam
A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a catheter placed into a large vein. Catheters can be placed in veins in the neck (internal jugular vein), chest (subclavian vein or axillary vein), groin (femoral vein), or through veins in the arms (also known as a PICC line, or peripherally inserted central catheters). It is used to administer medication or fluids that are unable to be taken by mouth or would harm a smaller peripheral vein, obtain blood tests (specifically the "central venous oxygen saturation"), and measure central venous pressure.
Multiple studies demonstrate the safety of propofol in pediatric EDPS. Each has identified a drop in blood pressure and transient hypoxemia as the most frequent complications. In all of the studies in which hypotension was identified there was no evidence of poor perfusion. The hypoxemia in all of these studies quickly responded to minimal intervention with no apparent lasting complications. Although these were pediatric studies, the results were very similar to ours in complication rates and sedation times. Our study did not demonstrate the frequency of decreased blood pressure seen in these pediatric studies but had similar hypoxemia rates.
Use warm water and sea salt. Soak the wart for 10 to 15 minutes in warm salt water to moisten the skin. Scrape the dead skin layers off the wart using a nail file, pumice stone or mild sandpaper. You could also use your fingers, but wash them thoroughly before and after, as warts can easily spread.
Detailed examination of the joints is usually not included in the routine medical examination. However, joint related complaints are rather common, and understanding anatomy and physiology of both normal function and pathologic conditions is critically important when evaluating the symptomatic patient. By gaining an appreciation for the basic structures and functioning of the joint, you'll be able to "logic" your way thru the exam, even if you can't remember the eponym attached to each specific test!
Acute mesenteric ischemia (AMI) is a syndrome caused by inadequate blood flow through the mesenteric vessels, resulting in ischemia and eventual gangrene of the bowel wall. Although relatively rare, it is a potentially life-threatening condition. Broadly, AMI may be classified as either arterial or venous. AMI as arterial disease may be subdivided into nonocclusive mesenteric ischemia (NOMI) and occlusive mesenteric arterial ischemia (OMAI); OMAI may be further subdivided into acute mesenteric arterial embolism (AMAE) and acute mesenteric arterial thrombosis (AMAT). AMI as venous disease takes the form of mesenteric venous thrombosis (MVT).
cardiac massage intermittent compression of the heart by pressure applied either over the sternum (closed cardiac massage) or directly to the heart through an opening in the chest wall (open cardiac massage). simple massage in the nursing interventions classification, a nursing intervention defined as stimulation of the skin and underlying tissues with varying degrees of hand pressure to decrease pain, produce relaxation, and/or improve circulation.
Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Prior to any surgeries, patients usually undergo hormone replacement therapy (HRT), and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgery, breast augmentation, and various other procedures.
If you have an upcoming procedure at UC Davis Children’s Surgery Center, this video provides information and details of what you and your family can expect from arrival to check-in through to surgery and after care.
This video is also available in these languages:
Arabic: https://youtu.be/ERPikb0prlI
Dari: https://youtu.be/UW5fT433IGQ
Punjabi: https://youtu.be/Xq6PV2qtOMo
Russian: https://youtu.be/v223nDdN1b4
Spanish: https://youtu.be/4Jr4dkzAaWA
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At UC Davis Children’s Hospital, we put your child at the center of everything that we do. It’s personalized care, uniquely sized for your child. You’ll see it in our child-friendly designs throughout the hospital, our farm-to-fork approach to dining, our playrooms and teen rooms and our team that feels like family. UC Davis Children’s Hospital is Sacramento’s only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care.
UC Davis Children’s Hospital: https://children.ucdavis.edu
Children’s Surgery Center: https://health.ucdavis.edu/chi....ldren/services/child
Child Life and Creative Arts Therapy: https://health.ucdavis.edu/chi....ldren/services/child
Fetal Care and Treatment Center: https://health.ucdavis.edu/chi....ldren/services/fetal
See the latest news from UC Davis Health: https://health.ucdavis.edu/newsroom
Kids Considered podcast: https://www.youtube.com/playli....st?list=PLM7qvIv8N9R
Facebook: https://www.facebook.com/UCDavisChildrensHospital
Instagram: https://www.instagram.com/ucdavischildren
Twitter/X: https://twitter.com/UCDavisChildren
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#surgery #childrenshospital #surgeryrecovery #ucdavis
LIS Closed done at 5 O clock position, using Scalpel blade 15. After feeling the groove between internal and external anal sphincter, the blade is passed in and the lower 1/2 of Internal anal sphincter is cut. Remain below dentate line. If anal mucosa is accidently cut suture with 4-0 rapid vicryl. In event of bleeding, pinchcock for 5 minutes.
This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of the difficulties of doing it. Near-Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation-free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver, and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.
For more information please contact:
World Laparoscopy Hospital
Cyber City, Gurugram, NCR DELHI
INDIA 122002
Phone & WhatsApp: +919811416838, + 91 9999677788
Ellis demonstrates how to clean a reusable inner cannula, care for a tracheostomy site, and suction a tracheostomy.
Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.
#ClinicalSkills #NCLEX #tracheostomy #patientcare #ATI #Kaplan #LVN #PN #RN #nurseeducator #nurse #nursingstudent #murse #clinicals #clinicalnursingskills
00:00 What to expect Tracheostomy Care and Suctioning
0:33 Explaining the process Tracheostomy Care and Suctioning
1:10 Positioning patient for a Tracheostomy Care and Suctioning
1:33 Opening tray
1:46 Pouring saline
1:58 Removing inner cannula
2:14 Removing clean gloves
2:25 Donning sterile gloves
3:16 Showing tray contents
3:53 Removing previous dressing
4:06 Pouring saline
4:27 Cleaning stoma
5:10 Cleaning faceplate
5:20 Drying site
5:30 Cleaning inner cannula
6:00 Drying inner cannula
6:20 Reinserting inner cannula
6:40 Placing new gauze
7:00 Replacing ties
8:00 Replacing oxygen
8:13 Preparing for suction
8:58 Checking suction
9:30 Opening saline
9:42 Opening kit
9:58 Donning sterile gloves
11:04 Setting up saline container
11:20 Pouring saline
11:52 Connecting catheter to suction
12:46 Inserting catheter
13:10 Removing catheter
13:24 Rinsing catheter
13:40 Reoxyginating
14:05 Reinserting catheter
14:17 Removing catheter
14:29 Rinsing catheter
14:44 Reoxyginating
14:55 Cleaning up
15:09 Chatting about sterility
17:00 Checking a tie
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Possible causes are a blocked milk duct or bacteria entering the breast. It usually occurs within the first three months of breast-feeding. Symptoms include breast pain, swelling, warmth, fever, and chills. Antibiotics are required. Mild pain relievers can help with discomfort.