Vaginal delivery is the most common and safest type of childbirth. When necessary in certain circumstances, forceps (instruments resembling large spoons) may be used to cup your baby's head and help guide the baby through the birth canal. Vacuum delivery is another way to assist delivery and is similar to forceps delivery. In vacuum delivery, a plastic cup is applied to the baby's head by suction and the health care provider gently pulls the baby from the birth canal.

Infected Tattoo Abscess

Breast Massage Technique For Good Breast Health

The term subclavian steal describes retrograde blood flow in the vertebral artery associated with proximal ipsilateral subclavian artery stenosis or occlusion, usually in the setting of subclavian artery occlusion or stenosis proximal to the origin of the vertebral artery. Alternatively, innominate artery disease has also been associated with retrograde flow in the ipsilateral vertebral artery, particularly where the subclavian artery origin is involved. Subclavian steal is frequently asymptomatic and may be discovered incidentally on ultrasound or angiographic examination for other indications, or it may be prompted by a clinical examination finding of reduced unilateral upper limb pulse or blood pressure. In some cases, patients may develop upper limb ischemic symptoms due to reduced arterial flow in the setting of subclavian artery occlusion, or they may develop neurologic symptoms due to posterior circulation ischemia associated with exercise of the ipsilateral arm.[1] Treatment has traditionally consisted of open subclavian artery revascularization, typically via carotid-subclavian bypass or subclavian artery transposition, which are generally durable procedures. Newer, less invasive options include endovascular intervention with recanalization as appropriate and angioplasty and stenting if required. The clinical relevance of subclavian steal was described in 1961 by Reivich, Holling and Roberts; however, the recognition of retrograde vertebral artery flow dates back another 100 years to Harrison and Smyth. Some papers, including a previous version of this article, advocate restricting the term subclavian steal to patients with neurologic symptoms only, but this is incorrect in view of the substantial literature using this term to describe the hemodynamic scenario of retrograde vertebral flow and proximal subclavian artery disease.

Laser Circumcision

Whereas it is true that no operation has been profoundly affected by the advent of laparoscopy than cholecystectomy has, it is equally true that no procedure has been more instrumental in ushering in the laparoscopic age than laparoscopic cholecystectomy has. Laparoscopic cholecystectomy has rapidly become the procedure of choice for routine gallbladder removal and is currently the most commonly performed major abdominal procedure in Western countries.[1] A National Institutes of Health consensus statement in 1992 stated that laparoscopic cholecystectomy provides a safe and effective treatment for most patients with symptomatic gallstones and has become the treatment of choice for many patients.[2] This procedure has more or less ended attempts at noninvasive management of gallstones. The initial driving force behind the rapid development of laparoscopic cholecystectomy was patient demand. Prospective randomized trials were late and largely irrelevant because advantages were clear. Hence, laparoscopic cholecystectomy was introduced and gained acceptance not through organized and carefully conceived clinical trials but through acclamation. Laparoscopic cholecystectomy decreases postoperative pain, decreases the need for postoperative analgesia, shortens the hospital stay from 1 week to less than 24 hours, and returns the patient to full activity within 1 week (compared with 1 month after open cholecystectomy).[3, 4] Laparoscopic cholecystectomy also provides improved cosmesis and improved patient satisfaction as compared with open cholecystectomy. Although direct operating room and recovery room costs are higher for laparoscopic cholecystectomy, the shortened length of hospital stay leads to a net savings. More rapid return to normal activity may lead to indirect cost savings.[5] Not all such studies have demonstrated a cost savings, however. In fact, with the higher rate of cholecystectomy in the laparoscopic era, the costs in the United States of treating gallstone disease may actually have increased. Trials have shown that laparoscopic cholecystectomy patients in outpatient settings and those in inpatient settings recover equally well, indicating that a greater proportion of patients should be offered the outpatient modality

Paget's disease of bone disrupts your body's normal bone recycling process, in which old bone tissue is gradually replaced with new bone tissue. Over time, the affected bones may become fragile and misshapen. Paget's disease of bone most commonly occurs in the pelvis, skull, spine and legs.

The dilatation and Curettage procedure that is commonly performed (D and C)Part 2

Simple trapeziectomy performed through the anterior approach for osteoarthritis of the thumb-base (trapezio-metacarpal joint). Performed at the Queen Victoria Hospital, East Grinstead.

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

Watch that video to know How To Increase Your Testosterone Levels, Naturally

"The act of cutting off the prepuce or foreskin of males, or the internal labia of females." Webster's Revised Unabridged Dictionary (1913)

-A finding of ASC on cytology requires further investigation to exclude precancerous lesions. Recommendations differ for women age 21 -24 and those age ;::25. For women age 21 -24 with ASCUS or low-grade squamous intraepitheliallesion (LSIL), current guidelines recommend repeating Pap smear in one year. In this younger patient population, HPV infection is transient and malignant transformation is rare. Therefore, colposcopy is not performed unless the patient demonstrates ASC-US or LSIL on 3

In this video I show the steps to give a woman a full body energy orgasm without even touching her.

Draining HUGE back abscess

Loyola Full Male Exam Part 3 A video from Loyola medical school, Chicago showing the full examination of the male

Demonstration of staple insertion and removal technique for laceration repair or wound closure in the operating room.

This video demonstrates how to perform an abdominal examination in an OSCE station.

You can access our step-by-step OSCE guide to accompany this video here: https://geekymedics.com/abdominal-examination/

Check out our other awesome clinical skills resources including:
• 🔥 Geeky Medics Bundles (discounted products): https://app.geekymedics.com/purchase/bundles/
• ✨ 1000+ OSCE Stations: https://app.geekymedics.com/pu....rchase/osce-stations
• 🏥 Geeky Medics OSCE Revision Book: https://app.geekymedics.com/purchase/book/
• 📝 150+ PDF OSCE Checklists: https://geekymedics.com/pdf-osce-checklists/
• 🗂️ 3000+ OSCE Flashcards: https://app.geekymedics.com/pu....rchase/flashcard-col
• 📱 Geeky Medics OSCE App: https://geekymedics.com/geeky-medics-app/
• 🩺 Medical Finals SBA Question Pack: https://app.geekymedics.com/pu....rchase/medical-stude
• 💊 PSA Question Pack: https://app.geekymedics.com/pu....rchase/prescribing-s

Chapters:
- Introduction 00:00
- General inspection 00:35
- Hands 00:47
- Asterixis 01:20
- Arms and axilla 01:32
- Face, eyes & mouth 01:45
- Lymph node palpation 02:19
- Chest inspection 02:50
- Inspection of abdomen 03:02
- Palpation of abdomen 03:34
- Percussion of abdomen 05:36
- Shifting dullness 06:30
- Auscultation of abdomen 06:55
- Summary 07:29

Subscribe to our newsletter to be the first to know about our latest content: https://geekymedics.com/newsletter/ ✉️

Join the Geeky Medics community: 👩‍👩‍👧‍👧
Twitter: http://www.twitter.com/geekymedics
Instagram: https://instagram.com/geekymedics
Facebook: http://www.facebook.com/geekymedics

Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.

Some people have found this video useful for ASMR purposes.

The products of a surgical abortion.

Bone Marrow Aspiration