The pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.

The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.

The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.

Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch.

Medical Eye Protection

Réduire La Cellulite, Meilleure Creme Anti Cellulite, Programme Anti Cellulite, Cuisse Cellulite http://perdre-sa-cellulite.plus101.com Une Bonne Alimentation Pour Lutter Contre la Cellulite. Certains aliments ont des composants naturels antioxydants et draineurs qui éliminent naturellement la cellulite. Parmi eux se trouvent le céleri branche. Il s’agit d’un légume un peu amère mais qui aide beaucoup à accélérer le métabolisme des graisses afin de débarrasser la cellulite. Coupé en bâtonnet, il peut être consommé en apéro ou en plat de crudités. Le poireau figure également dans la liste des meilleurs aliments anticellulite. Légume anti-rétention d’eau, il chasse les toxines tout en luttant contre la cellulite. Enfin, n’oubliez pas de consommer de l’ananas si vous voulez combattre votre cellulite. Il a pour principal mission de réduire la rétention d’eau. Selon des experts en physiologie, les femmes ont 90 muscles dans les membres inférieurs et en les stimulant doucement, ces muscles des fesses, jambes, hanches et cuisses, 76,3% des femmes peuvent inverser la cause de la peau d’orange et des capitons pour avoir une peau tonifiée et lisse. CLIQUEZ ICI: http://perdre-sa-cellulite.plus101.com

For more information, visit https://ukhealthcare.uky.edu/doctors.

Children are special patients, and their medical needs are unique, including their surgical needs. At UNC Hospitals, an expert and experienced team of physicians treat children in a kid-friendly and family-centered environment. UNC Pediatric Surgeon Dr. Timothy Weiner explains

Sometimes we live in different worlds...

About 15 minutes of vibration produces similar results to an hour of conventional resistance therapy, and produces less stress on joints, ligaments and tendons. ~ Detroit Medical Center

As one of the first pediatric centers in the United States to use a new state-of-the-art MRI machine designed especially for kids, Children's Hospital of Michigan continues to deliver world-class, patient-friendly health care. ~ Detroit Medical Center

Multiple sclerosis (MS) affects the brain and spinal cord. Early MS symptoms include weakness, tingling, numbness, and blurred vision. Other signs are muscle stiffness, thinking problems, and urinary problems. Treatment can relieve MS symptoms and delay disease progression.

Colon Irritable Tratamiento Natural, Tratamiento Sindrome Intestino Irritable, Colon Irritable Cura--- http://intestino-irritable-tratamiento.plus101.com --- Los Alimentos Desencadenantes De SCI, Esta dolencia gastrointestinal puede ser desencadenada por ciertos alimentos o grupos de alimentos, de los cuales podemos mencionar específicamente seis de ellos. Lo aconsejable es que evite su consumo si usted sufre o es propenso a sufrir SII. 1 - Los alimentos fritos, especialmente los fritos con aceites que contienen ácidos grasos trans hidrogenados. Dentro de este grupo encontramos las llamadas comidas rápidas. 2 - La carne y los productos lácteos: las carnes grasas, especialmente de las granjas industriales, carnes procesadas y la leche pasteurizada. Para reemplazar estos alimentos, se puede utilizar leche de soja o la llamada carne orgánica, proveniente de ganado alimentado a base de pasto, libre de químicos, antibióticos y hormonas de crecimiento. 3 - Los productos horneados procesados incluyendo panes envasados, pasteles y galletas. Contienen azúcar refinada y grasas malas, así como harina blanca refinada. A veces es posible que contengan jarabe de maíz alto en fructosa. Si usted sufre del SII, puede optar por la compra de productos de panadería directamente de una panadería de su confianza o hacer sus propios productos caseros con ingredientes enteros. Trigo germinado, los sustitutos del trigo, como el trigo sarraceno espelta, u otros granos utilizados en productos de panadería (sin aditivos perjudiciales) también pueden ser una opción que no va a afectar a su organismo. Lea atentamente las etiquetas de los productos que consume y ante cualquier duda, debe asesorarse. 4 - El café y el alcohol pueden crear respuestas ácidas del esfínter inferior del esófago y la válvula ileocecal, que es el esfínter entre los intestinos grueso y delgado que se abre brevemente y se cierre la mayor parte del tiempo para evitar que los fluidos intestinales se mezclen. La causa principal de muchos de los problemas del SII y de otras enfermedades digestivas más graves se da cuando la válvula ileocecal permanece abierta demasiado tiempo. Todas las demás recomendaciones relativas a los alimentos y los hábitos alimentarios son relevantes para evitar que esto ocurra. 5 - Los edulcorantes artificiales: El sorbitol puede no ser tan peligroso neurológicamente como el aspartamo y otros edulcorantes artificiales, pero estimula los síntomas del SII. Para obtener más consejos sobre alimentación sana que lo ayude a aliviar sus síntomas del SII, puede dirigirse al sitio http://intestino-irritable-tratamiento.plus101.com

Knee pain can happen at any age, but some doctors say they're seeing more people with osteoarthritis who are still young and active.
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Watch that video to know How to Get Pregnant with Twins

U.S. uterus transplants: experimental surgery could help infertile women get pregnant

This video provides a guide peforming a respiratory examination in an OSCE station, including real-time auscultation sounds of common pathology such as coarse crackles, fine crackles, wheeze and stridor.

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Chapters:
- Introduction 00:00
- General inspection 00:40
- Inspection of the hands 00:50
- Schamroth's window test 01:09
- Heart rate and respiratory rate 01:50
- Jugular venous pressure 02:02
- Face, eyes and mouth 02:13
- Anterior chest inspection 02:36
- Trachea and cricosternal distance 03:01
- Palpation of apex beat 03:16
- Chest expansion 03:28
- Lung percussion 03:50
- Auscultation of lungs 04:21
- Vocal resonance 05:03
- Lymph node palpation 05:32
- Inspection of posterior chest 06:04
- Posterior chest expansion 06:10
- Percussion of posterior chest 06:32
- Auscultation of posterior chest 06:55
- Sacral and pedal oedema 08:04
- Summary of findings 08:39

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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.

Special thanks to www.easyauscultation.com and Andy Howes for providing some of the respiratory sounds.

General Physical Examination

This Is What The SHAPE OF YOUR BUTT Has To Say About Your Health. AMAZING!!

Learn Basic Laparoscopic Surgery, the components of a laparoscopic surgical setup, optimal positioning and ergonomics in laparoscopic surgery, and much more. Check out the full course for free here: https://www.incision.care/free-trial

What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.

Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions

Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula [2]. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.

This Basic Laparoscopic Surgery Course Will Teach You:
- Abdominal access techniques and the different ways of establishing a pneumoperitoneum
- Principles of port placement and organization of the operative field
- Key elements of laparoscopic suturing, basic knotting and clip application

Specific attention is paid to the following hazards you may encounter:
- Fire hazard and thermal injury
- Lens fogging
- Contamination of insufflation system
- Complications from trocar introduction
- Limitations of Veress needle technique
- Limitations of open introduction technique
- Complications of the pneumoperitoneum
- Gas embolism
- Mirroring and scaling of instrument movements
- Firing clip applier without a loaded clip

The following tips are designed to improve your understanding and performance:
- Anatomy of a laparoscope
- Checking for optic fiber damage
- "White balance" of camera
- Checking integrity of electrosurgical insulation
- Access at Palmer's point
- Lifting abdominal wall before introduction
- Confirming position of Veress needle
- Umbilical anatomy
- Identification of inferior epigastric vessels under direct vision
- Translumination of superficial epigastric vessels
- Selection of trocar size
- Aiming of trocar
- Working angles in laparoscopic surgery
- Choice of suture material
- Instruments for suturing
- Optimal ergonomics for suturing
- Extracorporeal needle positioning
- Optimal suture lengths
- "Backloading" needle
- Intracorporeal needle positioning
- Hand movements when suturing
- Optimal positioning of scissors
- Extracorporeal knot tying
- Visualization of clip applier around target structure
- Common clip configurations

UCLA Hand Transplant Procedure

A lot of women want to know what type of vaginal discharge is normal during pregnancy, and when you're not pregnant. So let's start out by talking about what's normal when you're not pregnant. It's normal to have about 1/2 teaspoon to 1 teaspoon of whitish, creamy, tannish discharge on most days of your cycle in between periods, with the exception of the time of ovulation. Actually, around the time of ovulation, it's normal to notice the discharge becoming more slippery and clear, almost like egg whites. And this is actually a sign that you can watch for to know when you're ovulating. And if you're seeing this type of discharge and you're trying to have a baby, then you should start to time intercourse with ovulation to increase your chances of conceiving.