Image result for Stop Arterial Bleeding The Femoral Artery is located in the crease of the groin area. Pressure placed here will stop bleeding in leg wounds. Direct Pressure and Elevation should be continued while applying pressure to pressure points. Finally, A pressure bandage should be placed over the dressing and wound

General Considerations Because a discussion of reproductive issues may be difficult for some women, it is important to obtain the history in a relaxed and private setting. The patient should be clothed, particularly if she is meeting the provider for the first time. Ordinarily, the patient should be interviewed alone. Exceptions may be made for children, adolescents, and mentally impaired women, or if the patient specifically requests the presence of a caretaker, friend, or family member. However, even in these circumstances, it is desirable for the patient to have some time to speak with the clinician privately. The manner of address should be formal using the title Mrs., Ms., Miss, or Dr. with the patient’s surname, unless the patient requests otherwise. In some settings, it may be appropriate for nursing staff to be involved with history taking. A nurse may be perceived as less threatening, and may be able to take the history in a less hurried manner.1 The provider can verify the history and focus on areas of concern. Alternatively, it may be helpful to ask the patient to complete a self-history form on paper or by computer prior to speaking with the provider. This allows the provider to devote time to addressing positive responses, and ensures that important questions are not missed. Hasley2 showed that responses to a computer-based questionnaire designed to update a patient’s gynecologic history were equivalent to those obtained during a personal interview. Several studies involving patients in non-gynecologic settings have shown that patients are more likely to provide sensitive information when responding to a computer-based questionnaire as opposed to a personal interview or even a paper questionnaire.3 In order to increase a patient’s level of comfort during the interview, questions should be asked in an open-ended and nonjudgmental way. Assumptions should not be made about aspects of the patient’s background such as sexual orientation. At the conclusion of the interview, patients should be asked whether there are concerns that they would like to discuss that were not addressed previously in the interview.

Watch that video to know the Premature Ejaculation Causes and Cures

"Laparoscopic Placement of a
Peritoneal Dialysis Catheter"

Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Eric K. Peden, MD, Shri Timbalia, MD, and Kenneth Livingston as they demonstrate “Laparoscopic Placement of a
Peritoneal Dialysis Catheter".

Surgery: Eric K. Peden, MD, Shri Timbalia, MD, and Kenneth Livingston
Narration: Kenneth Livingston

** This medical education program may contain graphic content. **
_________________________________

A DeBakey CV Education event

Presented by Houston Methodist DeBakey Heart & Vascular Center.

Building on Dr. Michael E. DeBakey’s commitment to excellence in education, Houston Methodist DeBakey CV Education is an epicenter for cardiovascular academic and clinical educational programs that support the provision of optimal care to patients suffering from cardiovascular conditions and diseases.

FOR MORE INFORMATION
DeBakey CV Education:
https://www.houstonmethodist.o....rg/education/medical

For the latest education and training opportunities from DeBakey CV Education: http://bit.ly/HMdebakeyemail

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Open heart (coronary artery bypass, or CABG) surgery is performed in order to reroute, or "bypass," blood around blocked arteries, thereby improving the supply of oxygen-rich blood to the heart. Surgeons usually use an artery from the chest wall to construct the "detour" around the blocked part of the artery. Veins from the legs are also used.

There are twelve cranial nerves in total. The olfactory nerve (CN I) and optic nerve (CN II) originate from the cerebrum. Cranial nerves III – XII arise from the brain stem (Figure 1). They can arise from a specific part of the brain stem (midbrain, pons or medulla), or from a junction between two parts: Midbrain – the trochlear nerve (IV) comes from the posterior side of the midbrain. It has the longest intracranial length of all the cranial nerves. Midbrain-pontine junction – oculomotor (III). Pons – trigeminal (V). Pontine-medulla junction – abducens, facial, vestibulocochlear (VI-VIII). Medulla Oblongata – posterior to the olive: glossopharyngeal, vagus, accessory (IX-XI). Anterior to the olive: hypoglossal (XII). The cranial nerves are numbered by their loca

Minimally Invasive treatment of Ureteral stones after failed Extracorporeal Shockwave Lithotripsy

Splenectomy is a surgical procedure that partially or completely removes the spleen.

Tracheostomy

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laparoscopic left adrenalectomy in 150kg patient with Cushings

BACKGROUND: Clubfoot occurs in approximately one in 1000 live births and is one of the most common congenital birth defects. Although there have been several reports of successful treatment of idiopathic clubfoot with the Ponseti method, the use of this method for the treatment of other forms of clubfoot has not been reported. The purpose of the present study was to evaluate the early results of the Ponseti method when used for the treatment of clubfoot associated with distal arthrogryposis. METHODS: Twelve consecutive infants (twenty-four feet) with clubfoot deformity associated with distal arthrogryposis were managed with the Ponseti method and were retrospectively reviewed at a minimum of two years. The severity of the foot deformity was classified according to the grading system of Diméglio et al. The number of casts required to achieve correction was compared with published data for the treatment of idiopathic clubfoot. Recurrent clubfoot deformities or complications during treatment were recorded. RESULTS: Twenty-two clubfeet in eleven patients were classified as Diméglio grade IV, and two clubfeet in one patient were classified as Diméglio grade II. Initial correction was achieved in all clubfeet with a mean of 6.9 +/- 2.1 casts (95% confidence interval, 5.6 to 8.3 casts), which was significantly greater than the mean of 4.5 +/- 1.2 casts (95% confidence interval, 4.3 to 4.7 casts) needed in a cohort of 219 idiopathic clubfeet that were treated during the same time period by the senior author with use of the Ponseti method (p = 0.002). Six feet in three patients had a relapse after initial successful treatment. All relapses were related to noncompliance with prescribed brace wear. Four relapsed clubfeet in two patients were successfully treated with repeat casting and/or tenotomy; the remaining two relapsed clubfeet in one patient were treated with extensive soft-tissue-release operations.

An enlarged spleen may cause: No symptoms in some cases. Pain or fullness in the left upper abdomen that may spread to the left shoulder. Feeling full without eating or after eating only a small amount from the enlarged spleen pressing on your stomach. Anemia. Fatigue. Frequent infections. Easy bleeding.

Schwannomas are usually located in the angle between the cerebellum and the pons, in the back of the skull (the posterior fossa). Description Schwannomas are usually very slow-growing. Symptoms Common symptoms of Schwannoma are one-sided hearing loss and buzzing or ringing in the ear. Dizziness may also occur, although it is less common. If the tumor affects the facial nerve (the 7th cranial nerve, which is located next to the 8th cranial nerve), facial paralysis may occur. Other symptoms include difficulty in swallowing, impaired eye movement, taste disturbances, and unsteadiness. Incidence Schwannomas account for about 8% of all primary brain tumors. They typically occur in middle-aged adults, and females are twice as likely as males to have this tumor. Cause Like many tumor types, the exact cause of Schwannoma is not known. However, it is believed to occur when there is a defect in a gene that normally prevents tumors from forming. Treatment Total removal using microsurgical techniques is often possible. Stereotactic radiosurgery may be used as an alternative to surgery in some patients.

Laparoscopic Liver Surgery 3D Animation

Dieta Alcalina, Lista Alimentos Alcalinos, Agua Alcalina Beneficios, Consejos Para Adelgazar---- http://dieta-alcalina-alimentos.good-info.co --- Entendiendo Como Funciona Una Dieta. Alcalina Las dietas Alcalinas son una forma popular para las personas que quieren logran una salud óptima. Sin embargo, muchas personas en verdad no entienden como esta dieta funciona. El concepto es realmente muy simple – la dieta se centra en volver a ganar el equilibrio que se perdió cuando el hombre empezó a tener una alimentación más "domesticada" en la revolución industrial y grandes almacenamientos de alimentos. Cuando comenzó a primar el beneficios económico a la salud de las personas. En vez de centrarse en la comida alta en azúcar, grasa y colesterol, una dieta alcalina consiste principalmente en frutas y vegetales frescos, cereales integrales, fuentes de proteínas saludables, como soya, frijoles, legumbres y aceites saludables como la canola, oliva y la semilla de lino. Estos alimentos pueden ser alcalinos o ácidos en su estado natural, pero todos ellos producen lo que se denomina “cenizas alcalinas” una vez que son digeridos y metabolizados por el cuerpo. Cuando el pH del cuerpo se mantiene a un nivel bajo de alcalinidad, todo el sistema puede trabajar más eficientemente. Descubre como la dieta alcalina funciona & por qué los alimentos alcalinos son altamente recomendados para tu salud. Haz clic aquí http://dieta-alcalina-alimentos.good-info.co

As a pediatric surgeon at NewYork-Presbyterian/Weill Cornell Medical Center, Dr. Nitsana Spigland treats newborns, children, teens, and young adults requiring surgical interventions. She specializes in antenatal counseling and newborn congenital malformations.

Learn more about Dr. Spigland at: https://www.nyp.org/physician/nspigland.