Integrative Physical Examination Lecture

Leading cardiologists Valentin Fuster, MD, PhD, Director of Mount Sinai Heart and Herschel Sklaroff, MD, Clinical Professor of Medicine, Cardiology at Mount Sinai Heart were filmed for one-month for the “Making Rounds” documentary film as they cared for critically-ill heart patients in the Cardiac Care Unit at The Mount Sinai Hospital.

Watch Mount Sinai Heart doctors, fellows, residents, and nurses in action and saving lives demonstrating how simply listening to patients at the bedside remains medicine’s most indispensable tool over any technology.

In this film Mount Sinai Heart helps preserve the disappearing art and science of how to examine and diagnose patients at the bedside for future generations of physicians.

**This film was made possible by the generous support
of the McInerney Family.**

Copyright 2015 Middlemarch Films, Inc

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Video of Cholecystectomy with common bile duct Exploration

The most common symptoms noticed by people with haemochromatosis (inherited iron overload disorder) are • Fatigue, weakness and lethargy • Joint pains leading to osteoarthritis * Other symptoms include: • Abdominal pain • Diabetes • Liver disorders; enlarged liver, cirrhosis • Sexual disorders; loss of sex drive in both male and female, impotence in men, absent or scanty menstrual periods and early menopause in women • Decrease in body hair • Discolouration or bronzing of the skin • Cardiomyopathy; disease of the heart muscle • Neurological/psychiatric disorders; impaired memory, mood swings, severe irritability, depression. These symptoms, if present, take time to develop. No two people are alike and symptoms will vary from person to person. Some people never develop any symptoms at all. All of the symptoms of haemochromatosis can also be caused by other medical conditions or even just the stresses of modern life. They develop slowly and people often do not notice what is happening for a long time. This can make haemochromatosis difficult to diagnose. Symptoms are caused by high levels of iron stored in the body. One indicator of the level of iron stored is serum ferritin. If iron stores are high the serum ferritin level will be high, but serum ferritin levels can also be raised by other factors. The normal range is 20 – 300 micrograms per litre (µg/L) for men and 10 – 200 µg/L for women. There is strong medical evidence of a potential for significant organ damage when iron stores cause serum ferritin levels above 1,000 µg/L. However some people seem to experience symptoms with levels between 300 and 1,000 µg/L. Higher levels are more likely to be associated with more severe symptoms. If haemochromatosis is diagnosed and treated before serious iron overload and significant damage occurs, most symptoms will decrease or disappear. However there is evidence that treatment may not alleviate arthritis symptoms.

Symptoms Burning stomach pain Feeling of fullness, bloating or belching Fatty food intolerance Heartburn Nausea The most common peptic ulcer symptom is burning stomach pain. Stomach acid makes the pain worse, as does having an empty stomach. The pain can often be relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication, but then it may come back. The pain may be worse between meals and at night. Nearly three-quarters of people with peptic ulcers don't have symptoms. Less often, ulcers may cause severe signs or symptoms such as: Vomiting or vomiting blood — which may appear red or black Dark blood in stools, or stools that are black or tarry Trouble breathing Feeling faint Nausea or vomiting Unexplained weight loss Appetite changes

Watch that Large Jelly Like Hematoma Extraction

As a doctor many people ask me about masturbation and if it is harmful or not. As a doctor you have already been asked this and this video will give you some hints

Hair Regrowth, Home Remedies For Hair Fall And Regrowth, Hair Regrowth Supplements---- http://hairlossblackbook.plus101.com/ --- Best Hair Loss Treatment for Men , Looking for the best hair loss treatment for men? Then don’t be surprised to find that there are actually not that many. The reason is very simple – each individual will have his own idea on what is considered to be the best treatment due to varying reasons and factors. For some, it might be the use of conventionally developed creams; others find medicated shampoos to be the solution, while others still think that there is no better treatment aside from hair transplant. Sure, hair transplants are indeed effective, but not many can afford the cost and conventional medications might bring about various side effects as well. Men generally play a hit or miss game where hair loss is concerned, heading for the next biggest fad in hair loss prevention and hoping that they themselves will get the solution that they have been hoping for. But what most men tend to miss is the fact that sometimes the best solution for their problem is already within their reach, they only fail to realize it due to the growing concern that they have regarding their problem. One of the most underestimated methods in treating hair would be the natural route. Many men do not even start considering using natural products until they have exhausted what is available in terms of conventional treatments and medications. Hair supplements like Ginseng, Horsetail, Nettle, Valerian, Zinc, Saw Palmetto, Black Currant Oil, Capsicum, Red Sage and others can be effectively used along with natural shampoos, creams, and gels to create an effective and highly individualized treatment that any individual will be able to benefit from. If you however would like to know more about the options available, one site that will be able to give you more facts and useful information would be, http://hairlossblackbook.plus101.com/ , so do check it out and start working on your best hair treatment approach today!

Cardiovascular Examination Clinical skills - Medical School Revision - Dr Gill

The cardiac exam is one of the clinical skills that medical students learn completely, as more often than not, patients will consult regularly about chest pain, and it is important to be able to identify key cardiovascular signs

As a junior doctor, the examination of the cardiovascular system can be almost a dreaded examination, as cardiac murmurs can literally take years of exposure in order to gain confidence with their identification through cardiac auscultation.

This video demonstrates not merely the examination of the heart, but the complete cardiovascular system including its peripheries.

I hope these clinical skill revision videos are helpful, please like and subscribe and join the community so that we can create more effective videos to help with your journey through medical school

#ClinicalExamination #ASMR #drgill
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This video - produced by students at Oxford University Medical School - demonstrates how to perform an examination of the respiratory system. It also indicates common pathologies encountered. It is part of a series of videos covering basic clinical examinations and is linked to Oxford Medical Education (www.oxfordmedicaleducation.com).

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Let's ask this 12 year old kid which tool he prefers to successfully intubate a difficult airway in less than 20 seconds..."

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A clinical examination of the hands using the standard Look, Feel, Move approach. Specific​ examination structure derived from MacLeod's Clinical Examination 14th edition. Performed by Dr James Gill

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