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A detailed description of the approach to a use of bleeding disorders. This presentation includes the causes, history, clinical features and diagnosis of specific bleeding disorders. These include Haemophilia, DIC, Von Willebrand Disease and others. The final differentiation is often made on the basis of the Prothrombin Time, activated Partial thromboplastin time and platelet count.
The HEENT, or Head, Eye, Ear, Nose and Throat Exam is usually the initial part of a general physical exam, after the vital signs. Like other parts of the physical exam, it begins with inspection, and then proceeds to palpation. It requires the use of several special instruments in order to inspect the eyes and ears, and special techniques to assess their special sensory function. This module reviews some of the relevant surface anatomy and describes the basic HEENT exam. The module includes an introduction to use of the ophthalmoscope.
Learn Basic Laparoscopic Surgery, the components of a laparoscopic surgical setup, optimal positioning and ergonomics in laparoscopic surgery, and much more. Check out the full course for free here: https://www.incision.care/free-trial
What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.
Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions
Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.
This Basic Laparoscopic Surgery Course Will Teach You:
- Abdominal access techniques and the different ways of establishing a pneumoperitoneum
- Principles of port placement and organization of the operative field
- Key elements of laparoscopic suturing, basic knotting and clip application
Specific attention is paid to the following hazards you may encounter:
- Fire hazard and thermal injury
- Lens fogging
- Contamination of insufflation system
- Complications from trocar introduction
- Limitations of Veress needle technique
- Limitations of open introduction technique
- Complications of the pneumoperitoneum
- Gas embolism
- Mirroring and scaling of instrument movements
- Firing clip applier without a loaded clip
The following tips are designed to improve your understanding and performance:
- Anatomy of a laparoscope
- Checking for optic fiber damage
- "White balance" of camera
- Checking integrity of electrosurgical insulation
- Access at Palmer's point
- Lifting abdominal wall before introduction
- Confirming position of Veress needle
- Umbilical anatomy
- Identification of inferior epigastric vessels under direct vision
- Translumination of superficial epigastric vessels
- Selection of trocar size
- Aiming of trocar
- Working angles in laparoscopic surgery
- Choice of suture material
- Instruments for suturing
- Optimal ergonomics for suturing
- Extracorporeal needle positioning
- Optimal suture lengths
- "Backloading" needle
- Intracorporeal needle positioning
- Hand movements when suturing
- Optimal positioning of scissors
- Extracorporeal knot tying
- Visualization of clip applier around target structure
- Common clip configurations
Ellis and Cathy demonstrate how to administer blood to a patient.
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.
#NCLEX #ClinicalSkills #Blood #bloodtransfusion #HESI #Kaplan #ATI #NursingSchool #NursingStudent #Nurse #RN #PN #Education #LVN #LPN
00:00 What to expect blood transfusion
00:26 First steps for a blood transfusion
1:03 Priming the tubing for blood transfusion
2:29 Confirming the blood for transfusion
4:36 Hanging the blood for transfusion
5:06 Clamping a Y-tube
5:34 Priming the blood for transfusion
7:00 Responding to a blood transfusion reaction
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🗂️ Our Ultimate Nursing School Survival kit is your number 1 resource to get through nursing school and to pass the NCLEX. Whether you're just starting school or you’re already prepping for the NCLEX, this bundle of flashcards is the best you can buy. It covers all the information you need to know to pass all your exams and it has FREE shipping!
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All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. If you have trigeminal neuralgia, even mild stimulation of your face — such as from brushing your teeth or putting on makeup — may trigger a jolt of excruciating pain. You may initially experience short, mild attacks. But trigeminal neuralgia can progress and cause longer, more-frequent bouts of searing pain. Trigeminal neuralgia affects women more often than men, and it's more likely to occur in people who are older than 50. Because of the variety of treatment options available, having trigeminal neuralgia doesn't necessarily mean you're doomed to a life of pain. Doctors usually can effectively manage trigeminal neuralgia with medications, injections or surgery.
The baby will move head down if there is room or if there is tone in the support to the uterus to direct baby head down. Before 24-26 weeks most babies lie diagonal or sideways in the Transverse Lie position. Between 24-29 weeks most babies turn vertical and some will be breech.
You've come to the perfect YouTube Video if you want to learn hospital and medical English while watching shows of "The Good Doctor." Watch medical English talks from the TV show "the good doctor" to acquire new terminology about ailments that people experience but don't know the names of.
Medical English Lesson 2 with the good doctor - https://youtu.be/gU107Q9Jerw
Hospital English Vocabulary Lesson 3 with Dr. House - https://youtu.be/lE4i1pY53Us
Illness English used in Hospitals Lesson 4 with Chicago Med - https://youtu.be/u3VPRdierKA
So keep learning and watching our video lessons to learn and improve your English to a great level.
Other English lessons through The Big Bang Theory
Learn English through Big Bang Theory Lesson 1 - https://youtu.be/iM-o5EKK5pg
Funny English Lesson through Big Bang Theory Lesson 2 - https://youtu.be/O6CRNi6OJ1k
Enjoy Learning English through Big Bang Theory Lesson 3 - https://youtu.be/-iSDlbReAxk
Want to Learn English through Big Bang Theory Lesson 4 - https://youtu.be/AZSkyjk-Ioo
Learn Romantic English with The Big Bang Theory - Lesson 5 - https://youtu.be/k5EqRArT41w
Visit our Instagram page: https://www.instagram.com/englishfluencymission/
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To be fluent in English, we should have a vocabulary of between 3000 and 4000 important English words. Once we attain this objective, we can be guaranteed to sound like a native speaker.
The links to a few books I've collected for you are listed below; if you truly enjoy, these could be excellent starting points for your quest for greater English fluency.
Oxford Learner's Pocket Word Skills: Pocket-sized, topic-based English vocabulary - https://amzn.to/34LKv7a
Word power made easy - https://amzn.to/38Ht8Fy
Cambridge Grammar for IELTS - https://amzn.to/34OUdWa
Unbroken - The incredible true story of Louis Zamperini, now a major motion picture directed by Angelina Jolie. - https://amzn.to/3rqtyZH
THE INTERNATIONAL NUMBER ONE BESTSELLER -
Other Video Lessons:
Learn English with Wonder Woman - https://youtu.be/6F8oqQWErU0
Learn English with Stuart Little - https://youtu.be/EIeOooR8vas
Learn English with Avengers 2012 - https://youtu.be/u97FZWkd4A8
Learn English with Forrest Gump - https://youtu.be/uH_kTF8QAZc
Learn English with Spider-Man 2 (2004) - https://youtu.be/DHy-2g-N7SQ
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Mini-Laparoscopic Cholecystectomy with Intraoperative Cholangiogram for Symptomatic Cholelithiasis (Gallstones) - Extended
Authors: Brunt LM1, Singh R1, Yee A2
Published: September 26, 2017
AUTHOR INFORMATION
1 Department of Surgery, Washington University, St. Louis, Missouri
2 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri
DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.
ABSTRACT
Minimal invasive laparoscopic cholecystectomy is the typical surgical treatment for cholelithiasis (gallstones), where patients present with a history of upper abdominal pain and episodes of biliary colic. The classic technique for minimal invasive laparoscopic cholecystectomy involves four ports: one umbilicus port, two subcostal ports, and a single epigastric port. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has instituted a six-step strategy to foster a universal culture of safety for cholecystectomy and minimize risk of bile duct injury. The technical steps are documented within the context of the surgical video for (1) achieving a critical view of safety for identification of the cystic duct and artery, (2) intraoperative time-out prior to management of the ductal structures, (3) recognizing the zone of significant risk of injury, and (4) routine intraoperative cholangiography for imaging of the biliary tree. In this case, the patient presented with symptomatic biliary colic due to a gallstone seen on the ultrasound in the gallbladder. The patient was managed a mini-laparoscopic cholecystectomy using 3mm ports for the epigastric and subcostal port sites with intraoperative fluoroscopic cholangiogram. Specifically, the senior author encountered a tight cystic duct preventing the insertion of the cholangiocatheter and the surgical video describes how the author managed the cystic duct for achieving a cholangiogram, in addition to the entire technical details of laparoscopic cholecystectomy.
Ellis demonstrates how to insert and then remove an NG tube. This includes drawing gastric residual and checking the pH. After the demonstration, Ellis provides additional tips about clamping the NG tube and using the blue pigtail.
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.
#NCLEX #HESI #Kaplan #ATI #NursingSchool #NursingStudent #Nurse #RN #PN #Education #LVN #LPN #ClinicalSkills #NGTube #nurseeducator
00:00 What to expect
00:30 Preparing NG tube patient
00:56 Preparing NG tube equipment
1:29 Measuring the NG tube
2:02 Preparing for NG tube insertion
2:28 Inserting the NG tube
3:17 Checking placement with pH
4:23 Anchoring with split-tape
5:32 Connecting to suction
6:05 Disconnecting from suction
6:17 What to do before removal?
7:03 Removing NG tube
7:40 Additional tips on clamping
8:31 The blue pigtail
🚨 Reminder: shipping deadlines are looming 👀
🎁 Regular Shipping: Order by Friday, December 15
🚀 Expedited Shipping: Order by Monday, December 18
🔍 Still searching for last-minute gifts? Consider a Level Up RN Gift Card! 💌 It’s not only a thoughtful present but also the perfect way to share treasures like Pharmacology Flashcards OR digital treasures like Flashables Digital Nursing Flashcards & the Level Up RN membership. Give the gift of knowledge this holiday season! 🧠⚡️💖 bit.ly/LevelUpRNGC
🚪 Access our Cram Courses, Quizzes and Videos all in one ad free space with Level Up RN Membership https://bit.ly/LevelUpRNMembership
Want more ways to MASTER Clinical Skills? Check out our flashcards & videos!
👇👇👇👇👇👇👇👇👇👇
👉 https://bit.ly/clinicalnursingskills 👈
☝️👆☝️👆☝️👆☝️👆☝️👆
This is your one-stop-shop for materials to help you LEARN & REVIEW so you can PASS Nursing School.
🤔🤔🤔 DO YOU WANT TO PASS your classes, proctored exams and the NCLEX? 🤔🤔🤔 Our resources are the best you can buy. They are built with a single goal: help you pass with no fluff. Everything you need, and nothing you don’t. Don’t take our word for it, though! Check out our hundreds of ⭐️⭐️⭐️⭐️⭐️ reviews from nurses who passed their exams and the NCLEX with Level Up RN.
🗂️ Our Ultimate Nursing School Survival kit is your number 1 resource to get through nursing school and to pass the NCLEX. Whether you're just starting school or you’re already prepping for the NCLEX, this bundle of flashcards is the best you can buy. It covers all the information you need to know to pass all your exams and it has FREE shipping!
➡️ https://bit.ly/TUNSSK ⬅️
L👀king for EVEN MORE resources to survive Nursing School? Make your Nursing School experience your own! Life’s difficult enough—learning shouldn’t be.
🪅 Games https://nursesquad.com
💻 Digital resources https://bit.ly/NursingStudyCourses
📅 Organizational tools https://bit.ly/OrganizingSchool
✨Want perks? Join our channel!
https://youtube.com/leveluprn/join
🏷 Head to https://leveluprn.com/specials for all our latest deals!🥳️
📧 LOOKING FOR FREE RESOURCES TO HELP WITH YOUR EXAMS? Get exclusive tips, latest video releases and more delivered to your email!
➡️ https://leveluprn.com/signup ⬅️
⚕ 👩 LEVEL UP NURSE SQUAD 👩⚕️
All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.