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Cervical Disc Surgical Technique
Cervical Disc Surgical Technique samer kareem 1,311 Views • 2 years ago

Patients are generally placed in a supine position with the head in an extended position. As noted above, Gardner-Wells tongs can be used for additional cervical traction. The hands can also be tied downward to increase the operative exposure. Once the surgical site is properly prepared with cleansing material, the appropriate surgical level is identified with intraoperative radiographs. A scalpel is used to make a linear longitudinal incision just medial to the body of the sternocleidomastoid muscle. The incision is made long enough to include at least 2 vertebral levels if a 1-level discectomy is being performed. Alternatively, transverse skin incisions over the targeted vertebral level can also be performed. The platysmal muscle is identified and incised. The platysmal incision can be extended if a multilevel decompression is the surgical aim. Extensive subplatysmal dissection is performed to reduce retraction injury.

Rhode Island Hospital's Outpatient Dialysis Program
Rhode Island Hospital's Outpatient Dialysis Program Scott 145 Views • 2 years ago

Rhode Island Hospital's outpatient dialysis program cares for patients with chronic kidney disease. Learn more about the program, which includes a new, state of the art dialysis center in East Providence. http://www.rhodeislandhospital.....org/outpatient-dial

Ganglion Cyst
Ganglion Cyst samer kareem 2,143 Views • 2 years ago

Ganglion cysts are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. They also may occur in the ankles and feet. Ganglion cysts are typically round or oval and are filled with a jellylike fluid. Small ganglion cysts can be pea-sized, while larger ones can be around an inch (2.5 centimeters) in diameter. Ganglion cysts can be painful if they press on a nearby nerve. Their location can sometimes interfere with joint movement. If your ganglion cyst is causing you problems, your doctor may suggest trying to drain the cyst with a needle. Removing the cyst surgically also is an option. But if you have no symptoms, no treatment is necessary. In many cases, the cysts go away on their own.

Foley Catheter Insertion Men and Women
Foley Catheter Insertion Men and Women Medical_Videos 69,984 Views • 2 years ago

Foley Catheter Insertion Men and Women

Vacuum Extraction Birth video
Vacuum Extraction Birth video Medical_Videos 12,347 Views • 2 years ago

Vacuum Extraction Birth video

Dr Omid Liaghat Replantation Case 04
Dr Omid Liaghat Replantation Case 04 Dr Omid Liaghat 1,143 Views • 2 years ago

This 35 years old man lost his right wrist in metal lathe cut machine. the video is taken about 2 years after replantation. You can see another videos in my site: https://drliaghatclinic.com, https://instagram.com/liaghatclinic, https://t.me/liaghatclinic

Spider Veins and VeinWave, VeinGogh, & Laser Therapy
Spider Veins and VeinWave, VeinGogh, & Laser Therapy samer kareem 2,408 Views • 2 years ago

Systemic Lupus Erythematosus (SLE)
Systemic Lupus Erythematosus (SLE) Scott Stevens 16,391 Views • 2 years ago

Systemic Lupus Erythematosus (SLE)information

Worlds Most Amazing Medical Case
Worlds Most Amazing Medical Case samer kareem 5,660 Views • 2 years ago

Worlds Most Amazing Medical Case

Clinical Abdominal Exam
Clinical Abdominal Exam Doctor 30,695 Views • 2 years ago

A detailed video showing how to clinically exam the abdomen

Epiglottitis
Epiglottitis Mohamed Ibrahim 18,449 Views • 2 years ago

Endoscopic picture of turban epiglottis in patient of epiglottitis

Histology of Dorsal Root Ganglion
Histology of Dorsal Root Ganglion Histology 6,838 Views • 2 years ago

Histology of Dorsal Root Ganglion

Scoliosis Fusion  Surgery
Scoliosis Fusion Surgery samer kareem 25,039 Views • 2 years ago

In as many as 80% of cases, doctors don’t find the exact reason for a curved spine. Scoliosis without a known cause is what doctors call “idiopathic.” Some kinds of scoliosis do have clear causes. Doctors divide those curves into two types -- structural and nonstructural. In nonstructural scoliosis, the spine works normally, but looks curved. Why does this happen? There are a number of reasons, such as one leg’s being longer than the other, muscle spasms, and inflammations like appendicitis. When these problems are treated, this type of scoliosis often goes away.

Head to Toe Assesment
Head to Toe Assesment samer kareem 28,660 Views • 2 years ago

Head to Toe Assesment

Closed Reduction of a Distal Radius Fracture
Closed Reduction of a Distal Radius Fracture samer kareem 18,547 Views • 2 years ago

Closed Reduction of Distal Radius Fractures - Discussion: (distal radius fracture menu) - closed reduction & immobilization in plaster cast remains accepted method of treatment for majority of stable distal radius frx; - unstable fractures will often lose reduction in the cast and will slip back to the pre-reduction position; - patients should be examined for carpal tunnel symptoms before and after reduction; - carpal tunnel symptoms that do not resolve following reduction will require carpal tunnel release; - cautions: - The efficacy of closed reduction in displaced distal radius fractures. - Technique: - anesthesia: (see: anesthesia menu) - hematoma block w/ lidocaine; - w/ hematoma block surgeon should look for "flash back" of blood from hematoma, prior to injection; - references: - Regional anesthesia preferable for Colles' fracture. Controlled comparison with local anesthesia. - Neurological complications of dynamic reduction of Colles' fractures without anesthesia compared with traditional manipulation after local infiltration anesthesia. - methods of reduction: - Jones method: involves increasing deformity, applying traction, and immobilizing hand & wrist in reduced position; - placing hand & wrist in too much flexion (Cotton-Loder position) leads to median nerve compression & stiff fingers; - Bohler advocated longitudinal traction followed by extension and realignment; - consider hyper-extending the distal fragment, and then translating it distally (while in extended position) until it can be "hooked over" proximal fragment; - subsequently, the distal fragment can be flexed (or hinged) over the proximal shaft fragment; - closed reduction of distal radius fractures is facilitated by having an assistant provide counter traction (above the elbow) while the surgeon controls the distal fragment w/ both hands (both thumbs over the dorsal surface of the distal fragment); - flouroscopy: - it allows a quick, gentle, and complete reduction; - prepare are by prewrapping the arm w/ sheet cotton and have the plaster or fibroglass ready; - if flouroscopy is not available, then do not pre-wrap the extremity w/ cotton; - it will be necessary to palpate the landmarks (outer shaped of radius, radial styloid, and Lister's tubercle, in order to judge success of reduction; - casting: - generally, the surgeon will use a pre-measured double sugar sugar tong splint, which is 6-8 layers in thickness; - more than 8 layers of plaster can cause full thickness burns: - reference: Setting temperatures of synthetic casts. - position of immobilization - follow up: - radiographs: - repeat radiographs are required weekly for 2-3 weeks to ensure that there is maintenance of the reduction; - a fracture reduction that slips should be considered to be unstable and probably require fixation with (pins, or ex fix ect.) - there is some evidence that remanipulation following fracture displacement in cast is not effective for these fractures; - ultimately, whether or not a patient is satisfied with the results of non operative treatment depends heavily on th

digital ulcer examination
digital ulcer examination rzahora 6,777 Views • 2 years ago

How to diagnose digital ulceration in out patient clinic.

Pivot Shift test to confirm ACL Injury
Pivot Shift test to confirm ACL Injury Mohamed 13,944 Views • 2 years ago

Pivot Shift test to confirm ACL Injury

Occupational Respiratory Disease
Occupational Respiratory Disease samer kareem 1,208 Views • 2 years ago

Occupational respiratory disease is any lung condition you get at work. Certain workplaces lend themselves to disease. The most common are coalmines and factories or areas with high amounts of toxins. These include asbestos and silica dust, as well as smoke, fumes, gases, and other particles. Types of occupational respiratory disease include: coal workers’ pneumoconiosis, also known as Black Lung Disease asbestosis silicosis farmers’ lung, also known as allergic alveolitis. It also includes forms of asthma, bronchitis, or emphysema.

Post-Menopausal Bleeding
Post-Menopausal Bleeding samer kareem 15,679 Views • 2 years ago

Menopause is the end of menstruation. In clinical terms, you reach menopause when you haven't had a period for 12 months. Vaginal bleeding after menopause isn't normal and should be evaluated by your doctor. For instance, postmenopausal vaginal bleeding can be caused by: Cancer of the uterus, including endometrial cancer and uterine sarcoma Cancer of the cervix or vagina Thinning of the tissues lining the uterus (endometrial atrophy) or vagina (vaginal atrophy) Uterine fibroids Uterine polyps Infection of the uterine lining (endometritis) Medications such as hormone therapy and tamoxifen Pelvic trauma Bleeding from the urinary tract or rectum Excessive overgrowth of the cells that make up the lining of the uterus (endometrial hyperplasia) The cause of your bleeding may be entirely harmless. However, postmenopausal bleeding could result from something serious, so it's important to see your doctor promptly.

4-Point Gait Crutches Walking Pattern Demonstration Nursing Skill
4-Point Gait Crutches Walking Pattern Demonstration Nursing Skill nurse 97 Views • 2 years ago

Four-point gait crutches walking pattern demonstration review for
NCLEX assistive devices and nurses.

One of the gaits that you'll have to learn for crutches is the 4-point gait. An example of a four point gait crutch pattern would be the patient moving the right crutch first (on the injured side), followed by the left foot, then the left crutch, and then the right foot. Then, you'll repeat this pattern.

In addition to this video, we have an entire compilation that features the various crutch gait patterns, as well as walkers and canes:

https://www.youtube.com/watch?v=k2-w3LZlCVk

#crutches
#nclex
#nursing
#nurse

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