The thyroid gland lies in the midline of the anterior neck, just caudal to the thyroid cartilage. To inspect the thyroid gland, the examiner stands in front of the patient. The examiner asks the seated patient to dorsiflex (extend) the neck and swallow a sip of water. Minor enlargement of the gland may only become apparent on inspection in this position. Palpation of the thyroid gland is typically performed with the examiner standing behind the patient. Both lobes and the isthmus of the thyroid gland should be palpated for any nodules or diffuse enlargement. Mobility of the thyroid gland with swallowing should be assessed with palpation. Nodules arising from the thyroid gland typically move with swallowing. A hard, fixed thyroid gland could indicate malignancy. If a central nodule is identified, the patient is asked to protrude the tongue. Upward movement of the central nodule on protrusion of the tongue indicates a thyroglossal cyst. Auscultation is performed at the superior poles of bilateral lobes as this is where the superior thyroid artery is most superficial and bifurcates into its terminal branches. A bilateral bruit over the superior poles suggests Graves disease. Examination of the thyroid gland is completed by palpating the regional cervical lymph nodes for any enlargement.

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Shoulder Injection

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McMaster University technique of Laparoscopic Radical Nephrectomy

AUTO-HEMOTHERAPY IN HERPES CASES. THE STORY OF A DOCTOR IN FERME-NEUVE. CBC NEWS 1977.

In breech position, the baby's bottom is down. There are a few types of breech: Complete breech means the baby is bottom-first, with knees bent. Frank breech means the baby's legs are stretched up, with feet near the head. Footling breech means one leg is lowered over the mother's cervix. You are more likely to have a breech baby if you: Go into early labor Have an abnormally shaped uterus, fibroids, or too much amniotic fluid Have more than one baby in your womb Have placenta previa (when the placenta is on the lower part of the uterine wall, blocking the cervix)

Nice surgery video

Subcutaneous Injection

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4 mth old child with left incomplete cleft lip repaired with advancement-rotation flap. Markings, steps of procedure recorded

Giant spigelian stranguled hernia with small bowel loop and omental flap inside. The omentum required resection, the bowel appears vital. After the handle of hernia sac and his content has been done, a overlapped prolene repair will be done.

How to give Intramuscular (IM) injection

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This tutorial is an introduction to the histology of the different tissues in the human body and the cells they are made of. Test yourself on our cells and tissue histology quiz at https://khub.me/jnhny

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A tissue is a group of cells that has a similar structure and acts together to perform one or more specific functions. In this tutorial, we will introduce you to the 4 main types of tissues in the human body: epithelial tissue, connective tissue, muscle tissue and nervous tissue. Epithelial tissue creates protective boundaries and is involved in the diffusion of ions and molecules, whereas connective tissue underlies and supports other tissue types.

Muscle tissue contracts to initiate movement in the body and nervous tissue transmits and integrates information through the central and peripheral nervous systems.

In this video tutorial we will take a closer look at the histology of the main cells and tissues under the microscope.

- 0:33 introduction to histology
- 1:22 epithelial tissue histology and types
- 5:45 function of the basement membrane
- 6:20 connective tissue histology and structure
- 10:53 muscle tissue and types of muscle cells
- 13:11 basics of the nervous system

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