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Diabetic Ketoacidosis
Diabetic Ketoacidosis samer kareem 1,382 Views • 2 years ago

Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. The condition develops when your body can't produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as fuel. This process produces a buildup of acids in the bloodstream called ketones, eventually leading to diabetic ketoacidosis if untreated. If you have diabetes or you're at risk of diabetes, learn the warning signs of diabetic ketoacidosis — and know when to seek emergency care.

Finger infection Drainage
Finger infection Drainage samer kareem 1,632 Views • 2 years ago

Finger infection Drainage

Patent Ductus Arteriosus
Patent Ductus Arteriosus samer kareem 7,810 Views • 2 years ago

Patent ductus arteriosus (PDA) is a persistent opening between two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby's circulatory system before birth that usually closes shortly after birth. If it remains open, however, it's called a patent ductus arteriosus.

General Assessment and Vital Signs
General Assessment and Vital Signs samer kareem 6,598 Views • 2 years ago

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.

exam
exam timmac7 12,735 Views • 2 years ago

exam

Nasolabial cyst excision
Nasolabial cyst excision Scott 25,509 Views • 2 years ago

This video clip shows nasolabial cyst being excised under local anesthesia

Placenta previa
Placenta previa samer kareem 51,027 Views • 2 years ago

If you have placenta previa, it means that your placenta is lying unusually low in your uterus, next to or covering your cervix. The placenta is the pancake-shaped organ – normally located near the top of the uterus – that supplies your baby with nutrients through the umbilical cord.

What happens during and after a colonoscopy?
What happens during and after a colonoscopy? samer kareem 17,270 Views • 2 years ago

A colonoscope is the special tool used to perform a colonoscopy. It is a thin, flexible, tubular ‘telescope’ with a light and video camera that your doctor carefully guides through your colon in order to see and determine the health of your colon. Watch this animation to learn about the features of the colonoscope, how the colonoscopy procedure is performed and how polyps are removed, and the follow-up care you and your doctor should talk about after your procedure.

Mycotic aneurysms
Mycotic aneurysms samer kareem 5,663 Views • 2 years ago

The headache, lethargy, and neck stiffness suggest subarachnoid hemorrhage secondary to rupture of a mycotic aneurysm. Mycotic or infected arterial aneurysms can develop due to metastatic infection from IE, with septic embolization and localized vessel wall destruction in the cerebral (or systemic) circulation. Intracerebral mycotic aneurysms can present as an expanding mass with focal neurologic findings or may not be apparent until aneurysm rupture with stroke or subarachnoid hemorrhage. The diagnosis of mycotic cerebral aneurysm can usually be confirmed with computed tomography angiography. Management includes broad-spectrum antibiotics (tailored to blood culture results) and surgical intervention (open or endovascular).

Carpal Tunnel Release surgery
Carpal Tunnel Release surgery DrHouse 22,471 Views • 2 years ago

This is a video of a carpal tunnel release surgery

Thoracentesis to remove 1200cc of Pleural Fluid
Thoracentesis to remove 1200cc of Pleural Fluid samer kareem 191,610 Views • 2 years ago

Thoracentesis is a procedure used to obtain a sample of fluid from the space around the lungs. Normally, only a thin layer of fluid is present in the area between the lungs and chest wall. However, some conditions can cause a large amount of fluid to accumulate. This collection of fluid is called a pleural effusion.

Hydatid Cyst Removal (Brain Surgery)
Hydatid Cyst Removal (Brain Surgery) Scott 27,486 Views • 2 years ago

Hydatid Cyst Removal from the brain

testicular pain
testicular pain samer kareem 3,125 Views • 2 years ago

Testicle pain (testicular pain) is pain that occurs in or around one or both testicles. Sometimes testicle pain actually originates from somewhere else in the groin or abdomen, and is felt in one or both testicles (referred pain).

knife and spoon removed from stomach
knife and spoon removed from stomach samer kareem 3,366 Views • 2 years ago

knife spoon and toothbrush removed from stomach

Proper Technique for Internal Jugular Cannulation
Proper Technique for Internal Jugular Cannulation samer kareem 11,321 Views • 2 years ago

Central catheters provide dependable intravenous access and enable hemodynamic monitoring and blood sampling [1-3]. The jugular veins are one of the most popular sites for central venous access due to accessibility and overall low complication rates, and are the preferred site for temporary hemodialysis.

Voice Prothesis.
Voice Prothesis. samer kareem 1,957 Views • 2 years ago

A voice prosthesis (plural prostheses) is an artificial device, usually made of silicone that is used to help laryngectomized patients to speak. During a total laryngectomy, the entire voice box (larynx) is removed and the windpipe (trachea) and food pipe (esophagus) are separated from each other.

Loyola Breast Examination part 1
Loyola Breast Examination part 1 Loyola Medicine 59,142 Views • 2 years ago

Medical breast examination of a female from Loyola University,Chicago

Tick Twister
Tick Twister Isabelle Austral 4,636 Views • 2 years ago

Tick Twister is the best way to remove ticks.

Shoulder Nerve injury
Shoulder Nerve injury samer kareem 2,929 Views • 2 years ago

The shoulder and arm receives its nerve supply through the brachial plexus. The brachial plexus is a complex network of nerves which come out of the neck, passes down to the front of the shoulder and then splits into many separate nerves to travel to different muscles and parts of the skin. Normally an arm movement is produced by initially thinking of the movement, then a message passes from the brain, down through the spinal cord to the appropriate nerve. Then the instruction to move is conveyed along the nerve to the specific arm muscle which then contracts and moves the arm.

Loyola Abdomen exam
Loyola Abdomen exam Loyola Medicine 56,700 Views • 2 years ago

A video from Physical Exam Series of Loyola University Health System, Chicago showing the medical examination of the abdomen

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