Watch that video to know How to Treat Premature Ejaculation Naturally

Vacuum Extraction Birth video

Development and Maintenance of Bone

Transmetatarsal Amputation for Gangrene

The examination room should be quiet, warm and well lit. After you have finished interviewing the patient, provide them with a gown (a.k.a. "Johnny") and leave the room (or draw a separating curtain) while they change. Instruct them to remove all of their clothing (except for briefs) and put on the gown so that the opening is in the rear. Occasionally, patient's will end up using them as ponchos, capes or in other creative ways. While this may make for a more attractive ensemble it will also, unfortunately, interfere with your ability to perform an examination! Prior to measuring vital signs, the patient should have had the opportunity to sit for approximately five minutes so that the values are not affected by the exertion required to walk to the exam room. All measurements are made while the patient is seated. Observation: Before diving in, take a minute or so to look at the patient in their entirety, making your observations, if possible, from an out-of-the way perch. Does the patient seem anxious, in pain, upset? What about their dress and hygiene? Remember, the exam begins as soon as you lay eyes on the patient. Temperature: This is generally obtained using an oral thermometer that provides a digital reading when the sensor is placed under the patient's tongue. As most exam rooms do not have thermometers, it is not necessary to repeat this measurement unless, of course, the recorded value seems discordant with the patient's clinical condition (e.g. they feel hot but reportedly have no fever or vice versa). Depending on the bias of a particular institution, temperature is measured in either Celcius or Farenheit, with a fever defined as greater than 38-38.5 C or 101-101.5 F. Rectal temperatures, which most closely reflect internal or core values, are approximately 1 degree F higher than those obtained orally. Respiratory Rate: Respirations are recorded as breaths per minute. They should be counted for at least 30 seconds as the total number of breaths in a 15 second period is rather small and any miscounting can result in rather large errors when multiplied by 4. Try to do this as surreptitiously as possible so that the patient does not consciously alter their rate of breathing. This can be done by observing the rise and fall of the patient's hospital gown while you appear to be taking their pulse. Normal is between 12 and 20. In general, this measurement offers no relevant information for the routine examination. However, particularly in the setting of cardio-pulmonary illness, it can be a very reliable marker of disease activity. Pulse: This can be measured at any place where there is a large artery (e.g. carotid, femoral, or simply by listening over the heart), though for the sake of convenience it is generally done by palpating the radial impulse. You may find it helpful to feel both radial arteries simultaneously, doubling the sensory input and helping to insure the accuracy of your measurements. Place the tips of your index and middle fingers just proximal to the patients wrist on the thumb side, orienting them so that they are both over the length of the vessel.

Mechanism of action of a novel HIV drug called Tipranavir

Watch that video of A Man Impaled by Shovel in His Butt - Untold Stories of the ER

The Principles of Laparoscopic Suturing

Acute hemothorax due to aortic rupture in aortic dissection with lung collapse and mediastinal shift.

The discussion begins with a basic explanation of Bone biology taking into consideration the osteoblast and osteoclast balance. Concepts of RANK, RANK ligand and Osteoprotegerin are included. Risk factors for Osteoporosis such as Age, alcohol, smoking, sedentary lifestyle are also discussed.

This video describe the clinical managment of a patient with hyperprolactinemia, including the approach to diagnosis, important endocrine testing, and management options.

A detailed discussion of the pathophysiology, diagnostic criteria, clinical features and management of hepatorenal syndrome.

TRANSUMBILICAL SINGLE SITE LAP CHOLYCYSTECTOMY

Endoscopic crushing of a bladder stone very interesting medical video

Verrugas En El Cuello, Como Borrar Lunares De La Cara, Como Quitar Las Verrugas Del Cuello --- http://sinverrugasylunares.plus101.com --- El Ajo Para Eliminar Las Verrugas, PRUEBALO!!! Antes que nada déjame comentarte que el ajo es un poderoso antiséptico, con propiedades fungicidas, bactericidas y también ayudan a depurar nuestro cuerpo. El ajo es rico en un compuesto llamado alicina, este elemento es un poderoso antivirus y anti bacterial natural, eso sin mencionar las propiedades antioxidantes que el ajo posee las cuales son de enorme beneficio para la salud de nuestra piel y por supuesto la salud en general. Es un tratamiento sencillo pero bastante efectivo, te recomiendo que lo comiences a partir de hoy mismo. Por las mañanas en ayunas tomate un ajo crudo, esto con el fin de limpiar nuestro organismo de virus y bacterias. Recuerda que nuestra misión es eliminar la raíz de las verrugas y los lunares tal como lo hablamos anteriormente el responsable de las verrugas es el virus del papiloma humano. El ajo gracias a sus propiedades antivirales nos ayudarán a combatir el virus desde adentro. Haz esto todos los días. Tomándote un ajo diario en ayunas estarás atacando el virus desde adentro, Ahora lo atacaremos desde fuera Para esto necesitarás un ajo, debes partirlo en porciones pequeñas calcula el tamaño de las porciones para cubrir los lunares y/o tus verrugas. Y ahora da a conocer el mismo método que él utilizó para curarse y eliminar las verrugas y lunares para siempre. Te invito a conocerlo a través del siguiente enlace: http://sinverrugasylunares.plus101.com

A video showing the total thyroidectomy operation

A prostate gland biopsy is a test to remove small samples of prostate tissue to be looked at under a microscope. ... For a prostate biopsy, a thin needle is inserted through the rectum (transrectal biopsy), through the urethra, or through the area between the anus and scrotum (perineum).

A brief description of the mechanisms, types and assessment of chromosomal analyses. Techniques such as standard cytogenetic testing, FISH and array methods are discussed. Indications for testing in prenatal, neonatal and adult periods are also discussed. Deletions, translocations, inversions etc are described, as are mosaicism and aneuploidy.

Over 60 million Americans suffer from chronic heartburn. Get the basics on acid reflux