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Female Pelvic Floor Part 1
Female Pelvic Floor Part 1 Mohamed 71,593 Views • 2 years ago

The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.

The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.

The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.

Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch. However, other sources include the fascia as part of the diaphragm. In practice, the two terms are often used interchangeably.

Inferiorly, the pelvic floor extends into the anal triangle.

Debridement of an Infected Diabetic Foot Wound
Debridement of an Infected Diabetic Foot Wound drpvmayer 14,927 Views • 2 years ago

Debridement of an Infected Diabetic Wound on the patients foot. The first is a series of online diabetic foot care videos by The Mayer Institute. Themayerinstitute.ca

Vaginal Ultrasound
Vaginal Ultrasound Dr Albert Fish 87,142 Views • 2 years ago

http://www.vaginal-ultrasound.com A demonstration of a vaginal ultrasound.

Skin diseases and colors
Skin diseases and colors Mohamed Ibrahim 32,903 Views • 2 years ago

If your body makes too little melanin, your skin gets lighter. Vitiligo is a condition that causes patches of light skin. Albinism is a genetic condition affecting a person's skin. A person with albinism may have no color, lighter than normal skin color, or patchy missing skin color.

Pediatric sensations,gait and meningeal signs
Pediatric sensations,gait and meningeal signs Mohamed Ibrahim 49,647 Views • 2 years ago

Meningitis is a common life-threatening medical emergency caused by infectious and non-infectious agents. Rapid and accurate evaluation by history and clinical examination is helpful to guide further specific investigation and treatment. Kernig's sign, Brudzinski's sign, and nuchal rigidity are bedside diagnostic signs used to evaluate suspected cases of meningitis. The presence of meningeal irritation, however, is not pathognomonic for meningitis.

Internal jugular vein puncture
Internal jugular vein puncture Mohamed Ibrahim 50,946 Views • 2 years ago

Central venous access is essential in providing quality medical care to many patients for whom intensive therapy is required. In many situations, a semipermanent tunneled central line is preferred (see Indications). An anterior approach to the internal jugular vein (IJV) is the best option in this situation because it offers the easiest route with a low risk of complications. In this procedure, a tunneled catheter is surgically inserted into a vein in the neck or chest and passed under the skin. Only the end of the catheter is brought through the skin; medicines and intravenous (IV) fluid can be administered through this catheter; other tasks, such as blood sampling, can also be performed. The fact that the catheter is passed under the skin helps secure the catheter, reduces the rate of infection, and permits free movement of the catheter port. The placement of a tunneled catheter should be carried out by practitioners with specific experience in the procedure.

Fundoplication in Russia
Fundoplication in Russia Dr.Elia 16,557 Views • 2 years ago

operation on the stomach

Male Urethral Catheterization
Male Urethral Catheterization Mohamed Ibrahim 133,516 Views • 2 years ago

A video showing how to catheter the male urethra

Domestic Violence Healthcare Response
Domestic Violence Healthcare Response drjeanneking 13,405 Views • 2 years ago

Healthcare providers are in the best position to assess for domestic violence, yet have obstacles to doing so. See the benefits to moving beyond these obstacles for those you serve. And discover an accurate, convenient and confidential way to assess for domestic abuse.

Cesarean Section Delivery
Cesarean Section Delivery DrHouse 235,681 Views • 2 years ago

A video showing the steps of cesarean section surgery

Aspiration of the Knee
Aspiration of the Knee DrPhil 25,467 Views • 2 years ago

Using models and actual patient video, the aspiration of a traumatically injured knee joint is demonstrated.

demonstration of proper CPR for a child
demonstration of proper CPR for a child Doctor 10,580 Views • 2 years ago

Video demonstration of proper CPR for a child

Otitis Media Animation
Otitis Media Animation Mohamed Ibrahim 18,467 Views • 2 years ago

Animated video on otitis media, infection of the middle ear, which is common in children.

Breast Exam Tutorial Videos
Breast Exam Tutorial Videos Scott 457,990 Views • 2 years ago

Female breast exam video

Testicular biopsy
Testicular biopsy Scott 33,758 Views • 2 years ago

open multi puncture testicular biopsy to retrieve sperm for ICSI (IntaCytoplasmic Sperm Injection)

Precision Brain Surgery Video – Brigham and Women’s Hospital
Precision Brain Surgery Video – Brigham and Women’s Hospital Scott 355 Views • 2 years ago

Alexandra J. Golby, MD, Director, Image-guided Neurosurgery at Brigham and Women’s Hospital, discusses technological advancements to improve the precision of surgery to remove brain tumors.

It’s estimated that each year nearly 80,000 people are diagnosed with primary brain tumors and 100,000 with metastatic brain tumors. Nearly everybody is at risk for developing a brain tumor. Brain tumors can affect people from childhood to the last years of their lives. Men are slightly more affected than women and the causes of most brain tumors are not known.

There are a number of unique challenges in treating brain tumors. One challenge is that primary tumors can have indistinct margins that are difficult to see. Another challenge is that the tissue around a brain tumor is uniquely important and may impact things like language, visual and motor function.

The AMIGO Suite, opened in 2011 at Brigham and Women’s Hospital, is the Advanced Multimodality Image Guided Operating Suite. It's an NIH-funded national center which was developed with the goal of translating technological advances into improvements in surgical and interventional care for patients. In the AMIGO Suite, there is an intraoperative MRI scanner which can be brought in and out of the operating room during surgery to help surgeons visualize a patient’s tumor better.

Image-guided surgery uses the information obtained from advanced imaging and translates that into the planning and execution of surgery by acquiring high resolution and specialty structural images of the brain and also functional images of the brain. These images can be registered to one another and then to the patient's head during surgery. This allows surgeons to pinpoint the location of the tumor as well as the areas that we would like to preserve, areas that serve critical brain functions are located.

One of the big challenges, even with image-guided surgery, is that as we perform the surgery, the configuration of the brain is changing, and we call that brain shift. And it's due to changes in the brain itself and also as we remove tissue, things are constantly shifting and moving. When we're talking about doing brain tumor surgery, a few millimeters of movement can be a big difference. How to measure and track brain shift is an important area of research and a number of technologies are being studied to understand how to measure brain shift during surgery.

The development of various intraoperative imaging technologies allows surgeons to provide the most accurate surgical treatment for each individual patient.

Learn more about precision brain surgery at Brigham and Women’s Hospital:
https://www.brighamandwomens.o....rg/neurosurgery/brai

Male Urological Examination
Male Urological Examination Surgeon 522,576 Views • 2 years ago

Physical exam by a urologist including kidney, testicular and prostate exam.

Open Rhinoplasty without oseotomies
Open Rhinoplasty without oseotomies DrHouse 24,200 Views • 2 years ago

Open rhinoplasty without oseotomies. Basic steps for rasping of dorsal hump and cephalic trim with septoplasty and tip strut.

CVA Tenderness USMLE
CVA Tenderness USMLE USMLE 50,276 Views • 2 years ago

Costo Vertebral Angle tenderness exam from the USMLE collection

Gynecomastia (ARABIC) د. محمد الروبى تصغير الثدى للرجال
Gynecomastia (ARABIC) د. محمد الروبى تصغير الثدى للرجال Mohamed El-Rouby 21,615 Views • 2 years ago

تضخم الثدى عند الرجال من المشاكل المنشرة جدا بين الشباب و تسبب الكثير من المشاكل النفسية و الصحية
د. محمد الروبى
استشارى جراحات التجميل - جامعة عين شمس

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