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This video records a childbirth in which the mother describes intense, pleasurable sensations during labor — a phenomenon sometimes called orgasmic or ecstatic birth. It is presented for childbirth education. For learning purposes only — not medical advice.

If you suspect that you have sleep apnea, the usual first step is to discuss your suspicions with your primary care physician. If you don’t have a primary care physician, you can go directly to a clinician who is a sleep specialist. But check your health care insurance coverage first. Some policies require you to see a primary care physician first, and some policies limit the sleep centers and testing facilities whose services they will pay for. Unfortunately, you may discover that your policy offers limited or no coverage for the diagnosis and treatment of sleep apnea, in which case you may wish to switch insurers if and when you can.

This video demonstrates the rectal examination, a clinical assessment used to evaluate the rectum and nearby structures. The recording shows how the examination is performed as part of a complete physical assessment in medical practice. The examination can help assess the prostate and check for abnormalities.

Proctoscope rectal examination

The term chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) has been used to identify patients with a chronically progressive or relapsing symmetric sensorimotor disorder with cytoalbuminologic dissociation and interstitial and perivascular endoneurial infiltration by lymphocytes and macrophages. It can be considered the chronic equivalent of acute inflammatory demyelinating polyradiculoneuropathy, the most common form of Guillain-Barré syndrome. Signs and symptoms CIDP typically starts insidiously and evolves slowly, in either a slowly progressive or a relapsing manner, with partial or complete recovery between recurrences; periods of worsening and improvement usually last weeks or months. Most experts consider the necessary duration of symptoms to be greater than 8 weeks for the diagnosis of CIDP to be made. Symptoms reported include the following: Preceding infection (infrequent) Initial limb weakness, both proximal and distal Sensory symptoms (eg, tingling and numbness of hands and feet) Motor symptoms (usually predominant) In about 16% of patients, a relatively acute or subacute onset of symptoms In children, usually a more precipitous onset of symptoms Symptoms of autonomic system dysfunction (eg, orthostatic dizziness) Pertinent physical findings are limited to the nervous system, except when the condition is associated with other diseases. Such findings may include the following. Signs of cranial nerve (CN) involvement (eg, facial muscle paralysis or diplopia) Gait abnormalities Motor deficits (eg, symmetric weakness of both proximal and distal muscles in upper and lower extremities) Diminished or absent deep tendon reflexes Sensory deficits (typically in stocking-glove distribution) Impaired coordination See Clinical Presentation for more detail. Diagnosis Laboratory studies that may be helpful include the following: Cerebrospinal fluid analysis: Elevated protein levels are common (80% of patients); 10% of patients also have mild lymphocytic pleocytosis and increased gamma globulin Complete blood count (CBC), erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA) level, biochemistry profile, and serum and urine immunoelectrophoresis (to exclude associated systemic disorders) In certain instances, genetic testing Other tests and procedures that may be warranted are as follows: MRI of the spine with gadolinium enhancement Electromyography (EMG) is a critical test to determine whether the disorder is truly a peripheral neuropathy and whether the neuropathy is demyelinating Peripheral (sural) nerve biopsy (see the image below): This is considered when the diagnosis is not completely clear, when other causes cannot be excluded, or when profound axonal involvement is observed on EMG; biopsy was once commonly recommended for most patients before immunosuppressive therapy, but current guidelines no longer recommend it

All you need to know about Puberty In Girls Changes and Stages

Male urethral catheterization with a Foley catheter is demonstrated in this educational video, using sterile technique from preparation through placement. It is a practical clinical-skills resource for nursing and medical students learning urinary catheter care. Procedure education only — not personal medical advice.

Surgical management of an ectopic pregnancy — a pregnancy implanted outside the uterus, most often in a fallopian tube — is documented in this educational video. Ectopic pregnancy is a medical emergency treated surgically or with medication. Procedure education only — not personal medical advice.

Placement of an intrauterine device (IUD) is shown step by step in this gynecology video, from preparing the instruments to positioning the device inside the uterus. The IUD is a long-acting, reversible form of contraception fitted during a short clinic procedure. A learning resource for students and patients. Educational only — not medical advice.

An educational demonstration of a rectovaginal examination and what clinicians assess during it. Educational only — not medical advice.

some knowledge

A new video illustrating the horizontal breast exam technique whihc is performed by doctors for any breast masses or abnormalities.

An educational childbirth video showing the delivery process as it happens. For learning purposes only — not medical advice.

Bimanual pelvic exam of a female, using two fingers inside the vagina and one hand on the outside of the abdomen

This video is a television news report from Hutzel Women's Hospital in Detroit about twin-to-twin transfusion syndrome (TTTS), a placental condition that can affect identical twin pregnancies. It follows one family's care, including a minimally invasive in-utero laser procedure used to treat the condition, and the twins' delivery two months later. Educational only — not medical advice.

Female Reproductive System Anatomy

a video of abdominal physical examination including all the required items:
-Inspection
-Palpation
-Percussion
-Auscultation

An educational clinical case showing the management of a deceased near-term breech baby with head entrapment during delivery. For learning purposes only — not medical advice.

An educational demonstration of a male urological examination, for patients and students who want to know what to expect. Educational only — not medical advice.

Asthma Mechanism 3D