Ways to help ensure your patients and practice get the most accurate results when measuring blood pressure.

Pregnancy ultrasounds are performed mainly using transabdominal ultrasound. For many women, especially after 8 weeks gestation, sufficient information about the baby may be obtained with transabdominal ultrasound only. However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby. Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. It will not harm you or your baby.

Pulmonary hypertension is a type of high blood pressure that affects the arteries in your lungs and the right side of your heart. In one form of pulmonary hypertension, tiny arteries in your lungs, called pulmonary arterioles, and capillaries become narrowed, blocked or destroyed. This makes it harder for blood to flow through your lungs, and raises pressure within your lungs' arteries. As the pressure builds, your heart's lower right chamber (right ventricle) must work harder to pump blood through your lungs, eventually causing your heart muscle to weaken and fail. Some forms of pulmonary hypertension are serious conditions that become progressively worse and are sometimes fatal. Although some forms of pulmonary hypertension aren't curable, treatment can help lessen symptoms and improve your quality of life. Pulmonary hypertension care at Mayo Clinic

Tetralogy of Fallot (teh-TRAL-uh-jee of fuh-LOW) is a rare condition caused by a combination of four heart defects that are present at birth. These defects, which affect the structure of the heart, cause oxygen-poor blood to flow out of the heart and to the rest of the body. Infants and children with tetralogy of Fallot usually have blue-tinged skin because their blood doesn't carry enough oxygen. Tetralogy of Fallot is often diagnosed during infancy or soon after. However, tetralogy of Fallot might not be detected until later in life, depending on the severity of the defects and symptoms. With early diagnosis followed by appropriate surgical treatment, most children who have tetralogy of Fallot live relatively normal lives, though they'll need regular medical care and might have restrictions on exercise.

Intra-abdominal abscess continues to be an important and serious problem in surgical practice. Appropriate treatment is often delayed because of the obscure nature of many conditions resulting in abscess formation, which can make diagnosis and localization difficult. Associated pathophysiologic effects may become life threatening or lead to extended periods of morbidity with prolonged hospitalization. Delayed diagnosis and treatment can also lead to increased mortality; therefore, the economic impact of delaying treatment is significant.

Minimally invasive parotid surgery techniques are currently utilized here in Atlanta by our practice to allow the same operation to be performed with no permanent visible incision on the face or the neck. In addition to being more cosmetically appealing, this approach is less painful and allows the procedure to be performed as an outpatient. Most patients take pain medication for only a day or two after surgery.

How to Insert a Tampon

This video is intended primarily for mothers in the developing world, but may be helpful to breastfeeding mothers worldwide.

Postmenopausal bleeding (PMB) is defined for practical purposes as vaginal bleeding occurring after twelve months of amenorrhoea, in a woman of the age where the menopause can be expected.[1] Hence it does not apply to a young woman, who has had amenorrhoea from anorexia nervosa, or a pregnancy followed by lactation. However, it can apply to younger women following premature ovarian failure or premature menopause. Unscheduled bleeding in women of menopausal age taking hormone replacement therapy (HRT) should be managed in the same way from a practical perspective.[2] 'Unscheduled bleeding' is defined as non-cyclical bleeding still continuing six months after commencing HRT or after six months of amenorrhoea.

A very funny video

Professional Breast Exam

the elbow is the second most frequently dislocated major joint, after the shoulder. It is the most commonly dislocated joint in children. [1] More than 90% of all elbow dislocations are posterior dislocations. This injury entails disengagement of the coronoid process of the ulna from the trochlea of the humerus with movement posteriorly. [2] The mechanism of injury is typically a fall onto an outstretched hand (FOOSH) with the elbow in extension upon impact.

Barrett's esophagus is a complication of chronic (long lasting) and usually severe gastrointestinal reflux disease (GERD), but occurs in only a small percentage of patients with GERD. Criteria are needed for screening patients with GERD for Barrett's esophagus. Until validated criteria are available, it seems reasonable to do screening endoscopies in GERD patients who cannot be taken off acid suppression therapy after two to three years. The diagnosis of Barrett's esophagus rests upon seeing (at endoscopy) a pink esophageal lining that extends a short distance (usually less than 2.5 inches) up the esophagus from the gastroesophageal junction and finding intestinal type cells (goblet cells) on biopsy of the lining. There is a small but definite increased risk of cancer of the esophagus (adenocarcinoma) in patients with Barrett's esophagus.

Megacolon, as well as megarectum, is a descriptive term. It denotes dilatation of the colon that is not caused by mechanical obstruction.[1, 2] Although the definition of megacolon has varied in the literature, most researchers use the measurement of greater than 12 cm for the cecum as the standard. Because the diameter of the large intestine varies, the following definitions would also be considered: greater than 6.5 cm in the rectosigmoid region and greater than 8 cm for the ascending colon. Megacolon can be divided into the following 3 categories: Acute megacolon ( pseudo-obstruction) Chronic megacolon, which includes congenital, acquired, and idiopathic causes Toxic megacolon

If your ear is leaking pus, you may have a hole in your eardrum.Your eardrum is stretched across the inner end of your ear canal. It vibrates when sound waves reach it, so you can hear. A hole in your eardrum can be caused by an ear infection. Fluid builds up behind the eardrum. The pressure of the fluid can tear the eardrum. Some people get a hole in the eardrum for other reasons, like hearing a very loud noise. If this happens, the ear may get infected because germs (bacteria) get through the hole. Ear infections happen to adults and children, but they're more common in children. Some things can make you more likely to get an ear infection with discharge. They include getting lots of colds and coughs, living in overcrowded housing, and eating a poor-quality diet

Vaginal Hysterectomy Procedure of a 42 years old female patient with a 3 months history of symptomatic vaginal bulge

This is latest technique of removing fibroid by key hole surgery

watch that video of Navel stone removal from a dirty bellybutton

Local anaesthetic injection prior to tumescence ready for varicose vein surgery

A video showing the phases of normal wound healing