Carefully select the site for injection so major blood vessels and nerves are avoided. Buttock (Gluteus Medius)- Hip (Ventrogluteal) - Leg (Vastus Lateralis) - Arm (Deltoid)

In neonates, hypocalcemia is more likely to occur in infants born of diabetic or preeclamptic mothers. Hypocalcemia also may occur in infants born to mothers with hyperparathyroidism. Clinically evident hypocalcemia generally presents in milder forms and is usually the result of a chronic disease state. In emergency department patients, chronic or subacute complaints secondary to mild or moderate hypocalcemia are more likely to be a chief complaint than severe symptomatic hypocalcemia. Once laboratory results demonstrate hypocalcemia, the first question is whether the hypocalcemia is true—that is, whether it is representative of a decrease in ionized calcium. The presence of chronic diarrhea or intestinal disease (eg, Crohn disease, sprue, chronic pancreatitis) suggests the possibility of hypocalcemia due to malabsorption of calcium and/or vitamin D. The patient's past medical history should be explored for pancreatitis, anxiety disorders, renal or liver failure, gastrointestinal disorders, and hyperthyroidism or hyperparathyroidism. Previous neck surgery suggests hypoparathyroidism; a history of seizures suggests hypocalcemia secondary to anticonvulsants. The patient may have a recent history of thyroid, parathyroid, or bowel surgeries or recent neck trauma. The length of time that a disorder is present is an important clue. Hypoparathyroidism and pseudohypoparathyroidism are lifelong disorders. Instead, acute transient hypocalcemia may be associated with acute gastrointestinal illness, nutritional deficiency, or acute or chronic renal failure. In an elderly patient, a nutritional deficiency may be associated with a low intake of vitamin D. A history of alcoholism can help diagnose hypocalcemia due to magnesium deficiency, malabsorption, or chronic pancreatitis. Inquire about recent use of drugs associated with hypocalcemia, including the following: Radiocontrast Estrogen Loop diuretics Bisphosphonates Calcium supplements Antibiotics Antiepileptic drugs Cinacalcet Other considerations in the history include the following: Family history of hypocalcemia Low-calcium diet Lack of sun exposure

Stop suffering alone and get relief from vaginal atrophy symptoms

Right indirect (Gilbert II)inguinal hernia has been repared using PHSe prosthetic device

very funny medical video..DO NOT TRY AT CLINIC

Juvenile polyposis syndrome (JPS) is a hereditary condition that is characterized by the presence of hamartomatous polyps in the digestive tract. Hamartomas are noncancerous (benign) masses of normal tissue that build up in the intestines or other places. These masses are called polyps if they develop inside a body structure, such as the intestines. The term “juvenile polyposis” refers to the type of polyp (juvenile polyp) that is found after examination of the polyp under a microscope, not the age at which people are diagnosed with JPS.

When you’re trying to conceive a baby it is worth giving anything a go which you think will boost your chances. This includes considering that there may be better positions for getting pregnant. But it pays to bear in mind that the human race has been around for over 200,000 years and most of us were probably conceived without our ancestors investing too much thought into the mechanics. Science has proven that successful conception isn’t so much about sexual position as the frequency of sex between a fertile couple. Basically, if you want to fall pregnant, don’t use contraception and have frequent, active and enjoyable sex. Importantly, don’t stress too much about whether you’re doing it the right way. Women can, and do, conceive in any position. Nature has a way of making sure of that.

Shingles is a painful skin rash camera.gif. It is caused by the varicella zoster virus. Shingles usually appears in a band, a strip, or a small area on one side of the face or body. It is also called herpes zoster. Shingles is most common in older adults and people who have weak immune systems because of stress, injury, certain medicines, or other reasons. Most people who get shingles will get better and will not get it again. But it is possible to get shingles more than once.

Plastic Eyelid Beauty surgery

Try these tips from top fertility experts to increase the odds you'll be prego ASAP…that is, if you want to be. Take Prenatal Vitamins. ... Try to Time It. ... Skip the Lube. ... Cut Back on Caffeine. ... Don't Increase Your Exercise Routine. ... Go Easy on the Alcohol. ... Try to Chill Out.

As a doctor many people ask me about masturbation and if it is harmful or not. As a doctor you have already been asked this and this video will give you some hints

Watch that video of an Ingrown hair turned into 140-pound tumor in man’s stomach

Ellis demonstrates how to clean a reusable inner cannula, care for a tracheostomy site, and suction a tracheostomy.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#ClinicalSkills #NCLEX #tracheostomy #patientcare #ATI #Kaplan #LVN #PN #RN #nurseeducator #nurse #nursingstudent #murse #clinicals #clinicalnursingskills

00:00 What to expect Tracheostomy Care and Suctioning
0:33 Explaining the process Tracheostomy Care and Suctioning
1:10 Positioning patient for a Tracheostomy Care and Suctioning
1:33 Opening tray
1:46 Pouring saline
1:58 Removing inner cannula
2:14 Removing clean gloves
2:25 Donning sterile gloves
3:16 Showing tray contents
3:53 Removing previous dressing
4:06 Pouring saline
4:27 Cleaning stoma
5:10 Cleaning faceplate
5:20 Drying site
5:30 Cleaning inner cannula
6:00 Drying inner cannula
6:20 Reinserting inner cannula
6:40 Placing new gauze
7:00 Replacing ties
8:00 Replacing oxygen
8:13 Preparing for suction
8:58 Checking suction
9:30 Opening saline
9:42 Opening kit
9:58 Donning sterile gloves
11:04 Setting up saline container
11:20 Pouring saline
11:52 Connecting catheter to suction
12:46 Inserting catheter
13:10 Removing catheter
13:24 Rinsing catheter
13:40 Reoxyginating
14:05 Reinserting catheter
14:17 Removing catheter
14:29 Rinsing catheter
14:44 Reoxyginating
14:55 Cleaning up
15:09 Chatting about sterility
17:00 Checking a tie

🚨 Reminder: shipping deadlines are looming 👀
🎁 Regular Shipping: Order by Friday, December 15
🚀 Expedited Shipping: Order by Monday, December 18
🔍 Still searching for last-minute gifts? Consider a Level Up RN Gift Card! 💌 It’s not only a thoughtful present but also the perfect way to share treasures like Pharmacology Flashcards OR digital treasures like Flashables Digital Nursing Flashcards & the Level Up RN membership. Give the gift of knowledge this holiday season! 🧠⚡️💖 bit.ly/LevelUpRNGC

🚪 Access our Cram Courses, Quizzes and Videos all in one ad free space with Level Up RN Membership https://bit.ly/LevelUpRNMembership

Want more ways to MASTER Clinical Skills? Check out our flashcards & videos!

👇👇👇👇👇👇👇👇👇👇
👉 https://bit.ly/clinicalnursingskills 👈
☝️👆☝️👆☝️👆☝️👆☝️👆

This is your one-stop-shop for materials to help you LEARN & REVIEW so you can PASS Nursing School.

🤔🤔🤔 DO YOU WANT TO PASS your classes, proctored exams and the NCLEX? 🤔🤔🤔 Our resources are the best you can buy. They are built with a single goal: help you pass with no fluff. Everything you need, and nothing you don’t. Don’t take our word for it, though! Check out our hundreds of ⭐️⭐️⭐️⭐️⭐️ reviews from nurses who passed their exams and the NCLEX with Level Up RN.

🗂️ Our Ultimate Nursing School Survival kit is your number 1 resource to get through nursing school and to pass the NCLEX. Whether you're just starting school or you’re already prepping for the NCLEX, this bundle of flashcards is the best you can buy. It covers all the information you need to know to pass all your exams and it has FREE shipping!
➡️ https://bit.ly/TUNSSK ⬅️

L👀king for EVEN MORE resources to survive Nursing School? Make your Nursing School experience your own! Life’s difficult enough—learning shouldn’t be.
🪅 Games https://nursesquad.com
💻 Digital resources https://bit.ly/NursingStudyCourses
📅 Organizational tools https://bit.ly/OrganizingSchool

✨Want perks? Join our channel!
https://youtube.com/leveluprn/join

🏷 Head to https://leveluprn.com/specials for all our latest deals!🥳️

📧 LOOKING FOR FREE RESOURCES TO HELP WITH YOUR EXAMS? Get exclusive tips, latest video releases and more delivered to your email!
➡️ https://leveluprn.com/signup ⬅️

⚕ 👩 LEVEL UP NURSE SQUAD 👩⚕️
All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

Intramedullary nailing of the tibia with suprapatellar entry and semi-extended positioning makes it technically easier to nail the proximal and distal fractures. The purpose of this article was to describe a simple method for suprapatellar nailing (SPN). A step-by-step run through of the surgical technique is described, including positioning of the patient. There are as yet only a few clinical studies that illustrate the complications with this method, and there has been no increased frequency of intraarticular damage. Within the body of the manuscript, information is included about intraarticular damage and comments with references about anterior knee pain.

A torn meniscus is one of the most common knee injuries. Any activity that causes you to forcefully twist or rotate your knee, especially when putting the pressure of your full weight on it, can lead to a torn meniscus. Each of your knees has two menisci — C-shaped pieces of cartilage that act like a cushion between your shinbone and your thighbone. A torn meniscus causes pain, swelling and stiffness. You also might have trouble extending your knee fully. Conservative treatment — such as rest, ice and medication — is sometimes enough to relieve the pain of a torn meniscus and give the injury time to heal on its own. In other cases, however, a torn meniscus requires surgical repair.

Dysentery is an infection of the intestines causing diarrhoea that contains blood or mucus. There are two main types of dysentery: Shigellosis, or bacillary dysentery, is the most common type experienced in the UK, caused by the shigella bacteria. Amoebic dysentery, also called amoebiasis, is caused by a single-celled parasite called Entamoeba histolytica. This form of dysentery is more common abroad in tropical countries. This article focuses on amoebic dysentery, This is usually caused by poor hygiene or contaminated food or water. Amoebic dysentery is a notifiable disease, so your GP must let the local health authority know if you have contracted it. Causes of amoebic dysentery Once inside the body, amoeba clump together to form a cyst that is protected by the stomach’s digestive acid. When the cyst passes through the intestines it breaks open infecting the body. The amoebae burrow into the intestinal wall and cause small ulcers or abscesses. Cysts exit the body via faeces but are still able to live outside, which is how many people become infected. Severe dysentery is more common in developing countries due to compromised hygiene. You can get sick in a number of ways including: Eating contaminated food Drinking contaminated water Contracting dysentery from another infected person. Symptoms of amoebic dysentery Symptoms can appear as many as 10 days after exposure and infection by the parasite. Signs of infection include: Watery diarrhoea with blood or pus in it Nausea or vomiting Stomach pain High temperature Chills Bleeding from back passage (rectum) Weight loss Loss of appetite. Complications of amoebic dysentery If the parasite gets into your bloodstream it can spread to other parts of your body, including the liver. When this happens you run the risk of developing a liver abscess. Symptoms include: High temperature Weakness Cough Jaundice Nausea Loss of appetite Weight loss

Ovarian teratoma is a type of germ cell tumour. Germ cell tumours are cancers that begin in egg cells in women or sperm cells in men. There are 2 main types of ovarian teratoma. Mature teratoma, which is benign. Immature teratoma, which is cancerous.

#final #fumc #mbbs #medicalstudents #mbbsabroad #doctor #fcps #fcpspart #surgeryeducation #surgeryreview #trainee #exampreparation

Dr. Thomas Haas, MD, Board Certified plastic surgeon, performed breast augmentation on his patient in November, 2007. The surgery was performed in his JCAHO accredited in-office Surgery Suite (Imaage) located in Louisville, Kentucky. With so many women interested in this surgery, this video can answer many of their questions. Dr. Haas specializes in cosmetic and aesthetic surgery and has been in practice over 15 years

Squamous cell carcinomas typically appear as persistent, thick, rough, scaly patches that can bleed if bumped, scratched or scraped. They often look like warts and sometimes appear as open sores with a raised border and a crusted surface. In addition to the signs of SCC shown here, any change in a preexisting skin growth, such as an open sore that fails to heal, or the development of a new growth, should prompt an immediate visit to a physician.