USMLE Step 2 CS - Acute Abdomen- This is just preview video. To get full access please visit our website : www.usmletutoring.com

Open Appendectomy Surgery Video

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LIPOSUCTION IN QATAR surgery

Endoscopic resection of a large right concha bullosa.

Examination of the lymph nodes of the head

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Bell's palsy is a form of facial paralysis resulting from damage or trauma to the facial nerves. The facial nerve-also called the 7th cranial nerve-travels through a narrow, bony canal (called the Fallopian canal) in the skull, beneath the ear, to the muscles on each side of the face. For most of its journey, the nerve is encased in this bony shell. Each facial nerve directs the muscles on one side of the face, including those that control eye blinking and closing, and facial expressions such as smiling and frowning. Additionally, the facial nerve carries nerve impulses to the lacrimal or tear glands, the saliva glands, and the muscles of a small bone in the middle of the ear called the stapes. The facial nerve also transmits taste sensations from the tongue. When Bell's palsy occurs, the function of the facial nerve is disrupted, causing an interruption in the messages the brain sends to the facial muscles. This interruption results in facial weakness or paralysis. Bell's palsy is named for Sir Charles Bell, a 19th century Scottish surgeon who described the facial nerve and its connection to the condition. The disorder, which is not related to stroke, is the most common cause of facial paralysis. Generally, Bell's palsy affects only one of the paired facial nerves and one side of the face, however, in rare cases, it can affect both sides.

The Epley Maneuver for Vertigo can be very effective at relieving vertigo symptoms, but it’s a procedure that should be performed by a physical therapist or other health care professional. This video is for demonstration purposes only. See Doctor Jo’s blog post about the Epley

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A small spontaneous pneumothorax may resolve without treatment; a pneumothorax arising as a result of lung disease or injury requires immediate treatment. Treatment may include insertion of a chest tube or aspiration of the free air in the chest cavity.Feb 19, 2016

Health Assessment: Musculoskeletal System- Nursing Skills

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Health Assessment: Musculoskeletal System- Nursing Skills:

In this video we’re going to review a Musculoskeletal Assessment. The Musculoskeletal system involves the muscles, bones, and joints. This means we must assess structure AND function! If the patient cannot stand, assessments should be performed in the bed to the best of your ability. If they cannot perform Active Range of Motion (ROM), use Passive movements to determine ROM.
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Bookmarks:
0.05 Introduction
0:34 Spine assessment
1:02 Range of motion
1:39 Extremity assessment
1:52 Shoulder range of motion
2:10 Elbow & wrist range of motion
2:25 Hand range of motion
2:34 Upper extremity strength
2:54 Lower extremity range of motion
3:02 Hips range of motion
3:20 Knees range of motion
3:30 Ankles range of motion
3:38 Toes range of motion
3:42 Lower extremity strength
4:05 Outro

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Deep Palpation of the Abdomen

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Ellis demonstrates how to administer an intradermal, subcutaneous, and intramuscular injection.

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00:00 What to expect
00:20 Intradermal injections
00:35 Cleaning site
00:54 Explaining bevel up
1:40 Inserting needle
2:00 Injecting medication
2:16 Withdrawing needle
2:29 Subcutaneous Injections
2:39 Selecting site for subcutaneous injections
3:08 Cleaning subcutaneous injections site
3:18 Pinching subcutaneous injections site
3:30 Inserting needle subcutaneous injections
4:13 Injecting medication subcutaneous injections
4:23 Post injection
4:36 Intramuscular injection
4:54 Locating intramuscular injection site
5:18 Cleaning intramuscular injection site
5:38 Inserting needle intramuscular injection
6:28 Anchoring needle intramuscular injection
6:44 Injecting medication intramuscular injection
6:55 Withdrawing needle intramuscular injection
7:05 Disposing of needle
7:43 Cleaning site
8:00 Displacing with Z-track
8:10 Inserting needle
8:23 Releasing tissue

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Acute sinusitis can be triggered by a cold or allergies and may resolve on its own. Chronic sinusitis lasts up to eight weeks and may be caused by an infection or growths. Symptoms include headache, facial pain, runny nose, and nasal congestion. Acute sinusitis usually doesn't require any treatment beyond symptomatic relief with pain medications, nasal decongestants, and nasal saline rinses. Chronic sinusitis may require antibiotics.

Most people develop several moles (nevi) throughout adulthood. Moles can be found anywhere on the body, usually in sun-exposed areas, and are usually brown, smooth, and slightly raised. In most cases, a nevus is benign and doesn't require treatment. Rarely, they turn into melanoma or other skin cancers. A nevus that changes shape, grows bigger, or darkens should be evaluated for removal.

http://www.paruresistreatment.norisk101.com Having trouble urinating in the presence of others? Is a friend or family member struggling with this problem? The following article offers some insight into this social anxiety disorder.
What is Shy Bladder Syndrome?
shy or bashful bladder syndrome, is properly titled Paruresis.It is a phobia that involves fear and avoidance of using public toilets. It should be mentioned that this form of urinary retention is not the result of a physical blockage in the body. People who suffer from paruresis have trouble urinating in the presence of others or put another way paruresis is the fear of not being able to urinate unless one is in absolute privacy.The symptoms can vary in severity . This social anxiety disorder can affect a person's quality of life in many ways. Paruretics are confronted with problems at work with a prime example being when they have to submit a urine sample for drug testing, traveling on long journeys via airplane or train to every day social situations that the rest of us take for granted.
What causes paruresis?
The cause of paruresis is hotly debated and not easily determined in some cases. It could start as a toddler in preschool, in adolescence, or even in adulthood. While not all paruretics can point to an event in their life that could have lit the fuse to their shy bladder syndrome, some look to a traumatic incident in their past including embarrassment by a parent, teasing by schoolmates or freinds and siblings, harassment in public bathrooms or even sexual abuse as the catalyst.
How common is Shy Bladder?
While definitive numbers are hard to find with regard to how many people suffer from shy bladder surveys performed over the last few decades show that the numbers could range from less than one percent to more than 25 percent of Americans. There was a study done in 1994 called the National Comorbidity Surveywhich showed that 6.6 percent (17 million people) of the populationare fearful of using the toilet away from home, although it is uncertain how many of these fears were related to the difficulties initiating urinating in public bathrooms.
Paruresis symptoms?
A common scenario for how shy bladder syndrome evolves in a person's life is as follows: After an initial unpleasant experience, the person anticipates difficulty urinating whenever entering a bathroom. After trying to make themselves overcome this fear and failing, the associated anxiety with performance reduces the individual's chances even further of the possibility of urinating in a public restroom. The sufferer then adjusts to the condition by urinating as much as possible while at home, restricting how much they drink and avoiding social events that will keep them away from home for too long.

How is Shy Bladder Syndrome treated?
It is recommended that a sufferer of paruresis should first visit a urologist to make sure there is nothing physically wrong with them.
The urologist will:
A) make sure there are no underlying physical problems.
B)Let the patient know they are not alone and that any other people suffer with the same problem
C) Offer guidance as to approaches for coping with the condition such as scheduling urination, and, for men making use of an enclosed cubicle as opposed to the urinal.
4) Discuss the possibility of self-catheterization if the patient feels that would work for them. It is a way to offer an instant way to improve their quality of life through being able to be more social.
5) Referring them out to a specialist dealing with anxiety disorders for cognitive and graduated exposure therapy.

There is new hope for sufferers of shy bladder syndrome with the "Paruresis Treatment System" which is helping people lead different and better lives.
To learn more visit:-
https://www.youtube.com/watch?v=j6TpU_0-ufw
~N