A video showing the examination of femoral hernia.

A breech birth is the birth of a baby from a breech presentation. In the breech presentation the baby enters the birth canal with the buttocks or feet first as opposed to the normal head first presentation.

There are either three or four main categories of breech births, depending upon the source:

* Frank breech - the baby's bottom comes first, and his or her legs are flexed at the hip and extended at the knees (with feet near the ears). 65-70% of breech babies are in the frank breech position.

* Complete breech - the baby's hips and knees are flexed so that the baby is sitting crosslegged, with feet beside the bottom.

* Footling breech - one or both feet come first, with the bottom at a higher position. This is rare at term but relatively common with premature fetuses.

* Kneeling breech - the baby is in a kneeling position, with one or both legs extended at the hips and flexed at the knees. This is extremely rare, and is excluded from many classifications.

As in labour with a baby in a normal head-down position, uterine contractions typically occur at regular intervals and gradually cause the cervix to become thinner and to open. In the more common breech presentations, the baby’s bottom (rather than feet or knees) is what is first to descend through the maternal pelvis and emerge from the vagina.

At the beginning of labour, the baby is generally in an oblique position, facing either the right or left side of the mother's back. As the baby's bottom is the same size in the term baby as the baby's head. Descent is thus as for the presenting fetal head and delay in descent is a cardinal sign of possible problems with the delivery of the head.

In order to begin the birth, internal rotation needs to occur. This happens when the mother's pelvic floor muscles cause the baby to turn so that it can be born with one hip directly in front of the other. At this point the baby is facing one of the mother's inner thighs. Then, the shoulders follow the same path as the hips did. At this time the baby usually turns to face the mother's back. Next occurs external rotation, which is when the shoulders emerge as the baby’s head enters the maternal pelvis. The combination of maternal muscle tone and uterine contractions cause the baby’s head to flex, chin to chest. Then the back of the baby's head emerges and finally the face.

Due to the increased pressure during labour and birth, it is normal for the baby's leading hip to be bruised and genitalia to be swollen. Babies who assumed the frank breech position in utero may continue to hold their legs in this position for some days after birth.

Describe pre-procedure considerations for administering a subcutaneous injection.

Describe and demonstrate the preparation for administering a subcutaneous injection.

Describe and demonstrate needle and blood safety.

Describe and demonstrate suitable injection sites for subcutaneous injections.

Discuss the appropriate needle and syringe sizes for subcutaneous injection.

Describe and demonstrate the preparation of the substance to be injected.

Describe and demonstrate safe and correct administration of a subcutaneous injection.

Understand and apply Occupational Safety and Health Administration (OSHA) guidelines.

Understand and apply drug administration safety guidelines (seven rights).

Understand correct post-procedure considerations.

Describe and demonstrate correct documentation.

Define and demonstrate correct recording and reporting procedures.

Define and use related medical terminology.

Explain the Patient Privacy Rule (HIPAA), Patient Safety Act, and Patients' Bill of Rights.

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Anatomy of The Superficial Neck

Surgical abortion using the dilatation and curretage technique.

Drainage of a Submandibular Mouth Abscess

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Proper placement of sutures enhances the precise approximation of the wound edges, which helps minimize and redistribute skin tension. Wound eversion is essential to maximize the likelihood of good epidermal approximation. Eversion is desirable to minimize the risk of scar depression secondary to tissue contraction during healing. Usually, inversion is not desirable, and it probably does not decrease the risk of hypertrophic scarring in an individual with a propensity for hypertrophic scars. The elimination of dead space, the restoration of natural anatomic contours, and the minimization of suture marks are also important to optimize the cosmetic and functional results.

Is your vertigo or dizziness BPPV or autoimmune?

If you have multiple sclerosis (MS), you probably had several tests done before you received your diagnosis. There isn’t one test to diagnosis MS, so testing can vary. Doctors can use neurological exams, information about previous symptoms, blood tests, and spinal fluid tests. A magnetic resonance imaging (MRI) scan isn’t used to diagnose MS but rather to rule out other diseases. A diagnosis of MS requires more information than what a scan alone can give. By looking at more than one test or exam result, doctors can get a clearer picture of what’s going on in your body.

How to pull a wisdom tooth fully impacted

Intestino Irritable Tratamiento, Colon Irritable, Tratamiento Para El Colon Irritable--- http://intestino-irritable-tratamiento.plus101.com --- Si usted está sufriendo de Síndrome del Intestino Irritable SII, aquí hay una serie de técnicas y estrategias que se conocen para aliviar grandemente los síntomas a largo y corto plazo. La alimentación es la fuente de energía primordial que tenemos y es por eso que hay que darle una importancia suprema a la hora de querer atacar los síntomas del SII. Se recomienda el consumo de hierbas, tales como: manzanilla, consuelda, aceite de onagra, bálsamo de limón, hinojo, canela, nuez moscada, cúrcuma, todas las especias y enzimas digestivas. Todas ellas producen grandes beneficios para su organismo, dentro de los cuales destacamos: La manzanilla actúa como carminativo, así como calmante y agente tonificante para el tracto digestivo. Los aceites esenciales de manzanilla también han contribuido a aliviar cólicos intestinales e irritación en los animales. La manzanilla se toma normalmente tres veces al día, entre las comidas, en una forma de té. La consuelda tiene un uso como agente tópico para mejorar la cicatrización de heridas, úlceras en la piel, tromboflebitis y torceduras. También se utiliza para las personas con problemas gastrointestinales, como úlceras de estómago y el síndrome del intestino irritable, y para quienes sufren problemas pulmonares. Una combinación de menta, comino y otras dos hierbas carminativas (para aliviar los gases), semillas de hinojo y ajenjo, han resultado ser un tratamiento eficaz para los dolores abdominales. La acacia tiene un alto contenido de fibra y con frecuencia se recomienda para aliviar la irritabilidad intestinal. Las frutas como la papaya, el plátano, el mango, la piña, las fresas y los arándanos son altamente recomendables. Las verduras como las patatas dulces, la calabaza y las zanahorias no pueden dejar de ser parte de su dieta. Tenga cuidado con algunos de los medicamentos recetados para el SII ya que algunos de ellos han sido retirados del mercado debido a que contenían ingredientes tóxicos. Algunos ingredientes contenidos en medicamentos de venta libre para el resfriado también han demostrado efectos negativos en pacientes con SCI. Recomendamos las gotas de zinc como una alternativa durante un resfriado ya que no irrita el estómago y tiene visibles resultados de estímulo inmunológico. Los alimentos que se deben evitar: lácteos, huevos (especialmente la yema debido al alto contenido de grasa), brócoli, maíz, aceites hidrogenados, jarabe de maíz alto en fructosa, manzanas (debido al alto contenido de fructosa), frijoles, chocolate (debido a la cafeína) , café, té con cafeína. Para obtener más información sobre cómo poder controlar y eliminar los síntomas del SII, puede visitar el sitio http://intestino-irritable-tratamiento.plus101.com

6 months old development

This case study video from www.5thavesurgery.com shows a 19 year old patient getting breast reduction surgery in NYC. This surgery made a tremendous difference in the life of this young woman, see how it can do the same for you.

Most folks remember puberty – and not always in a good way. It can be an awkward stage of budding breasts, unwanted hair, acne and unexpected body odor. Puberty, when a child undergoes physical changes and becomes sexually mature, typically begins around age 8 in girls and age 9 in boys. But imagine, say, a 6- or 7-year-old undergoing such changes? Studies are showing that the onset of puberty for both boys and girls is occurring earlier and earlier, a phenomenon defined as precocious puberty. A study published in Pediatrics in 2010 found that among a population of 1,200 American girls, about 23 percent of African-Americans,15 percent of Latinas and 10 percent of Caucasian girls had begun puberty (marked by breast development) at age 7. In 2012, another study published in Pediatrics found that puberty in American boys – measured by testicular enlargement and pubic hair growth – was beginning six months to two years earlier than what research in previous decades had documented, particularly among African-American children.

An animation showing vaginal childbirth (delivery)

Watch that Ectopic Baby Removal Surgery

http://angularcheilitis-end.cbwin1.com Corner Of Mouth Cracked, Angular Cheilitis, Home Remedies For Angular Cheilitis, Angular Cheilitis How to Treat Angular Cheilitis Effectively Thousands or even millions of people are searching every year for an effective treatment that will get them rid for good of Angular Cheilitis. Some manage to relieve themselves from the pains this skin conditions causes, while others continue to struggle for months with this terrible skin condition. For those who are still trying to get rid of Angular Cheilitis but still have not yet found a good result, here are some tips which may make your fight easier. As you probably know, the first thing you have to do when the first signs of Angular Cheilitis appear is to discover the cause which determined the apparition of this skin condition. You can make an examination of the area and see if there have been folds where moisture could be retained. If you have had some teeth pulled out or if you are wearing dentures, such folds may appear in time. If this is the issue, you should fix that by making an appointment to your dentist. Also, some blood tests will show you if your body has all the nutrients and vitamins it needs to function properly. In most of the cases, the Angular Cheilitis is triggered by malnutrition and anemia, thus making these tests will help you see whether this is your case, too. Once you know the results of the blood tests you should know if you should take vitamin supplements or your Angular Cheilitis was only a surface problem, caused by excessive moisture in the corners of your mouth. Apart from addressing the problem from the interior to the exterior, you will also have to apply some creams or ointments which will alleviate your suffering and at the same time will actively work on the sores. What most Angular Cheilitis treatments do is create a dry environment in which the bacteria cannot develop and trap them between the layer of cream and the layer of skin, thus killing them. Hydrocortisone, Mycolog II cream (which contains triamcinolone acetonide and nystatin) and Miconazole are the most popular medications prescribed by dermatologists in such conditions.

Key facts

Hepatitis B is a viral infection that attacks the liver and can cause both acute and chronic disease.
The virus is transmitted through contact with the blood or other body fluids of an infected person - not through casual contact.
About 2 billion people worldwide have been infected with the virus and about 350 million live with chronic infection. An estimated 600 000 persons die each year due to the acute or chronic consequences of hepatitis B.
About 25% of adults who become chronically infected during childhood later die from liver cancer or cirrhosis (scarring of the liver) caused by the chronic infection.
The hepatitis B virus is 50 to 100 times more infectious than HIV.
Hepatitis B virus is an important occupational hazard for health workers.
Hepatitis B is preventable with a safe and effective vaccine.

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Hepatitis B is a potentially life-threatening liver infection caused by the hepatitis B virus. It is a major global health problem and the most serious type of viral hepatitis. It can cause chronic liver disease and puts people at high risk of death from cirrhosis of the liver and liver cancer.

Worldwide, an estimated two billion people have been infected with the hepatitis B virus (HBV), and more than 350 million have chronic (long-term) liver infections.

A vaccine against hepatitis B has been available since 1982. Hepatitis B vaccine is 95% effective in preventing HBV infection and its chronic consequences, and is the first vaccine against a major human cancer.