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A detailed description of the Arterial Pulse including its waveform and pathological subtypes. Also discussed are the abnormal rates (tachycardia and bradycardia) and their causes, abnormal rhythm (including regularly regular and irregularly irregular pulses) and abnormal character (including pulses bisferiens, pulses parvus et tarsus, pulsus alternans, pulses paradoxus and others.) Description of pulse in various pathological states including Aortic stenosis and aortic regurgitation is also included. Finally there is also a description of the peripheral signs of aortic regurgitation.
Shoulder Clinical Examination - Medical School Clinical Skills - Dr Gill
Personally, I find the shoulder examination the most complex examination possibly as there are so many variations and special tests. Some of which overlap and some will relate specifically to a patients presentation.
Often in a medical school syllabus, only select special tests will be used. In this shoulder exam demonstration, we include the Hawkins-Kennedy Test looking for impingement. This is dovetailed with examination for bicipital tendonitis as this is another possible cause of impingement type symptoms.
This shoulder upper limb exam follows the standard "Look, Feel, Move" orthopaedic exam approach, and overall order as set out in MacLeods Clinical Examination
Watch further orthopaedic examinations for your OSCE revision:
The Spine Examination:
https://youtu.be/pJxMHa6SCgU
Knee Examination
https://youtu.be/oyKH4EYfJDM
Hip Joint Clinical Examination
https://youtu.be/JC9GKq5nSdQ
________
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills.
#ShoulderExamination #ClinicalSkills #DrGill
If you're pregnant, you're likely paying extra close attention to your body. If you happen to feel a cramp you may worry that it is a sign of a miscarriage. While the first trimester is the most common time for miscarriages, there are other reasons for cramps. Whether it signals a miscarriage depends on when it occurs, the severity of the cramping, and whether you're experiencing other symptoms alongside it.
External cephalic version is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. External cephalic version (ECV) is a manual procedure that is advocated by national guidelines for breech presentation singleton pregnancy, in order to enable vaginal delivery.
The typical radiograph is of a well-defined, rounded, retrocardiac opacity with an air-fluid level. In this image, the radiolucent gas is highlighted in blue, while the gastric contents are highlighted in the green. In many cases of hiatal hernia, there will not be an air bubble below the left hemidiaphragm. This is a relatively expected finding considering that the stomach is no longer in its usual position. The anatomical position of the herniated organ can be further elucidated on the lateral radiograph. Here we can see that the stomach is in the middle mediastinum posterior to the heart and above the diaphragm. Hiatal hernias can look similar to a retrocardiac lung abscess or another cavitary lesion, but it will change in size and shape between radiographs. Large hernias can shift the mediastinum to the right and result in a widening of the carinal angle. They can even give the appearance of cardiomegaly. In this radiograph, the cardiac silhouette is distinctly visible within the confines of the hiatal hernia. To review, a hiatal hernia on an AP chest radiograph typically appears as a round retrocardiac opacity with an air-fluid level.
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#FOAMrad #MedEd #radiology
Disclaimer: All the information provided by Medical Education for Visual Learners and associated videos are strictly for informational purposes only. It is not intended as a substitute for medical advice from your health care provider or physician. It should not be used to overrule the advice of a qualified healthcare provider, nor to provide advice for emergency medical treatment. If you think that you or someone that you know may be suffering from a medical condition, then please consult your physician or seek immediate medical attention.
Bone fractures are generally caused by injury, such as a fall, car accident, or sports injury, however, bone fractures can also be caused by osteoporosis. If you have a bone fracture, you must get immediate medical attention and keep the fracture immobilized until you can get help. After the fracture has been immobilized, you can then begin natural remedies to help heal broken bones fast.
For more information about Mohs surgery, please visit https://cle.clinic/3x7CRTy
Mohs surgery is a highly effective skin cancer removal procedure that takes just a few hours. It is most often used to treat basal cell and squamous cell carcinomas, the two most common skin cancers.
Chapters:
0:00 How effective is Mohs Surgery?
0:23 When is Mohs Surgery used?
0:50 How does Mohs Surgery work?
1:55 Does Mohs Surgery cure skin cancer?
2:06 How long is the recovery period after Mohs Surgery?
Resources:
Skins Cancer: https://cle.clinic/3G2MMM8
How Skin Cancer Is Found and Removed — At the Same Appointment: https://cle.clinic/3r9Wzu6
The Best Strategies To Reduce Your Risk of Skin Cancer: https://cle.clinic/38Bazqn
The information in this video was accurate as of 4.8.2022 and is for information purposes only. Consult your local medical authority or your healthcare practitioner for advice.
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#ClevelandClinic #MohsSurgery #SkinCancer
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This 3D medical animation depicts the surgical removal of the appendix (appendectomy) using laparoscopic instruments. The surgery animation begins by showing an inflamed appendix (appendicitis), followed by the placement of the laparoscope. Afterward, one can see the surgical device staple, cut and remove the inflamed appendix. Following the removal of the appendix the abdomen is flushed with a sterile saline solution to ensure all traces of infection have been removed.
#laparoscopy #appendix #appendicitis
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When diving into a Breast Reduction procedure, there are many things to consider. Even as a patient, being aware of any concerns and how the procedure works is important. Therefore, when a plastic surgeon operates on a patient, the results are clear. Dr. Linder, a Breast surgeon specialist in Beverly Hills, helps explain what goes into a Breast Reduction Procedure.
If you notice a patient beginning to fall, follow these steps to help lower them safely to floor. Always stay with the patient and call for additional help.
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