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The patient has spasticity in the lower extremities greater than the upper extremities. The hips and knees are flexed and adducted with the ankles extended and internally rotated. When the patient walks both lower extremities are circumducted and the upper extremities are held in a mid or low guard position. This type of gait is usually seen with bilateral periventricular lesions. The legs are more affected than the arms because the corticospinal tract axons that are going to the legs are closest to the ventricles.

This type of gait is most often seen in peripheral nerve disease where the distal lower extremity is most affected. Because the foot dorsiflexors are weak, the patient has a high stepping gait in an attempt to avoid dragging the toe on the ground.

Holter monitoring, electrocardiogram or echocardiogram are only recommended if a cardiac cause (e.g., arrhythmias, possible cardiac syncope, myocardial ischemia) is suspected.

patient has fever, hypotension, swelling, and erythema of his left leg. Notably, his leg is more painful to palpation than might be expected after visual inspection. These symptoms are very concerning for necrotizing fasciitis. Necrotizing fasciitis is a fulminant infection of the subcutaneous tissue that spreads rapidly along the fascial planes and leads to extensive tissue necrosis and shock. Treatment • Requires surgical debridement & broad-spectrum antibiotics

This cardiology video compares atrial fibrillation and atrial flutter, two common disorders of the heart's rhythm. The recording explains how the two conditions differ in the heart's electrical activity and in the patterns they produce on monitoring. Both conditions are frequently encountered in cardiology practice.

Encopresis is a problem that children age four or older can develop due to chronic (long-term) constipation. With constipation, children have fewer bowel movements than normal, and the bowel movements they do have can be hard, dry, and difficult to pass. The child may avoid using the bathroom to avoid discomfort.

The word enuresis is derived from a Greek word (enourein) that means “to void urine.” It can occur either during the day or at night (though some restrict the term to bedwetting that occurs at night). Enuresis can be divided into primary and secondary forms.

Sexual Desire & our Eating

Delayed puberty is defined as the absence of any signs suggestive of puberty by 14 years of age. In this case, the patient's pubertal delay appears to be constitutional because of his positive family history, absence of syndromic features or systemic illness, and bone age of 12 years. Puberty correlates more closely with bone age than chronological age. On follow-up, the patient will most likely demonstrate a similar onset of puberty as his father.

-The management of diaper rash includes frequent changing of diapers, avoiding tight-fitting diapers, exposing the skin to air, using diapers with super absorbent surfaces, and applying barrier creams such as zinc oxide or petrolatum.

Presented without narration, this video introduces an internal bleeding detection device. The subject is shown in Health and Fitness over about a minute and a half, described by its title alone as a device for detecting internal bleeding. It is shared as a brief visual reference for this detection technology.

This video documents a complication of cosmetic implants: the rupture of leg and buttock implants and the medical response that followed. Implant rupture is a recognized risk of augmentation surgery and usually requires surgical removal of the implant material. Presented for medical education. Educational only — not medical advice.

Weight loss and body image in severe obesity are explored in this compilation about a man who slimmed down from extreme obesity. The program brings together material on obesity, weight change, and related body issues. It is shared as general health interest viewing. The recording is intended for education only and not as guidance for any individual case.

This is a complete video of breast augmentation procedure with implants also includes some before after photographs of breast augmentation surgery by Dr. Ajaya Kashyap at MedSpa Clinic, Delhi, India. source: https://www.youtube.com/watch?v=tRg3RkvCvOE Get more information: www.bestbreastsurgeryindia.com Get more information: www.themedspa.us Email at: [email protected] Call/WhatsApp on:+91-9818369662, 9958221983/82/81

This emergency case video shows the treatment of a hand trapped in a meat grinder, including how the hand was freed and the injuries assessed by the treating team. Presented as a trauma-care case record for clinical education. Educational only — not medical advice.

An educational explainer on timing, cycle tracking, and the factors that affect how quickly pregnancy happens. Educational only — not medical or fertility advice.

Normal discharge changes across the menstrual cycle; this educational explainer covers those patterns, the warning signs that can point to infection, and the symptoms that should prompt a doctor's visit. It also explains how discharge differs from other gynecological symptoms. Educational only — not medical advice.

Documentary narration follows removal of a 132-pound scrotal swelling. The surgical team dissects through lymphoedema tissue to locate the penis and testicles in good condition, then reconstructs them, and the removed tissue is weighed on camera. Despite the title, the condition shown is scrotal lymphoedema, in Urology.

This emergency-room case recounts the treatment of a patient impaled by a shovel, including how the object was assessed and removed by the treating team. Presented as a trauma-care case record for clinical education. Educational only — not medical advice.

This educational video discusses sexual activity during pregnancy — when it is generally considered safe and when medical advice should be sought first. Educational only — not medical advice.