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What is an Intracuticular or Subcuticular Suture?
What is an Intracuticular or Subcuticular Suture? samer kareem 7,137 Views • 2 years ago

Thai Traditional Massage
Thai Traditional Massage ThailandMedical Tourism 18,489 Views • 2 years ago

Thai traditional massage is world renowned to the point of being a global brand

Great Exercises to Improve Your Eyesight
Great Exercises to Improve Your Eyesight samer kareem 1,142 Views • 2 years ago

How to improve your eyesight at home? Exercising your eyes is one of those simple things that very few people do. However, it can help you maintain excellent vision. Here are 10 exercises that will take you no more than ten minutes to do. You can give them a try right now while watching this video – we are going to do all of them with you! Exercise #1. Blink for a minute. Exercise #2. Rotate your head while staring ahead. Exercise #3. Look to your right and left. Exercise #4. Close your eyes and relax. Exercise #5. Move your gaze in different directions. Exercise #6. Close and open your eyes. Exercise #7. Push against your temples with your fingers. Exercise #8. Draw geometric figures with your gaze. Exercise #9. Move your eyeballs up and down. Exercise #10. Strengthen your eyes’ near and far focusing.

Physical Assessment
Physical Assessment samer kareem 19,200 Views • 2 years ago

Physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills and tools of health history and physical exam. To collect data- information about the client’s health, including physiological, psychological, sociocultural and spiritual aspects To establish actual and potential problems To establish the nurse-client relationship Method: The history is done first, then the physical examination focuses on finding data associated with the history. Health History- obtained through interview and record review. Physical exam- accomplished by tools and techniques ** A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. On admission, you will do an admission assessment (not necessarily including everything presented here) and document it on the admission form. You will do a daily shift assessment (patient systems review). And, if client has a specific problem, you may assess only that part of the body (focused). Data Collection: Information is organized into objective and subjective data: Subjective: Apparent only to person affected; includes client’s perceptions, feelings, thoughts, and expectations. It cannot be directly observed and can be discovered only asking questions. Objective: Detectable by an observer or can be tested against an acceptable standard; tangible, observable facts; includes observation of client behavior, medical records, lab and diagnostic tests, data collected by physical exam. ** To obtain data for the nursing health history, you must utilize good interview techniques and communications skills. Record accurately. DO NOT ASSUME. D. Frameworks for Health Assessment There are two main frameworks utilized in health assessment: Head to Toe- systematic collection of data starting with the head and working downward. Functional Health Assessment- Gordon’s 11 functional health patterns that address the behaviors a person uses to maintain health. PERSON is the ACC-ADN framework for assessment. It is similar to Gordon's functional health patterns.

Ovarian pregnancy
Ovarian pregnancy Mohamed 12,678 Views • 2 years ago

Ovarian pregnancy: an unusual location of ectopic pregnancy

Leopold's Maneuvers for Childbirth
Leopold's Maneuvers for Childbirth Mohamed 34,313 Views • 2 years ago

Leopold's Maneuvers are difficult to perform on obese women and women who have hydramnios. The palpation can sometimes be uncomfortable for the woman if care is not taken to ensure she is relaxed and adequately positioned. To aid in this, the health care provider should first ensure that the woman has recently emptied her bladder. If she has not, she may need to have a straight urinary catheter inserted to empy it if she is unable to micturate herself. The woman should lie on her back with her shoulders raised slightly on a pillow and her knees drawn up a little. Her abdomen should be uncovered, and most women appreciate it if the individual performing the maneuver warms their hands prior to palpation. First maneuver: Fundal Grip While facing the woman, palpate the woman's upper abdomen with both hands. A professional can often determine the size, consistency, shape, and mobility of the form that is felt. The fetal head is hard, firm, round, and moves independently of the trunk while the buttocks feel softer, are symmetric, and the shoulders and limbs have small bony processes; unlike the head, they move with the trunk. Second maneuver After the upper abdomen has been palpated and the form that is found is identified, the individual performing the maneuver attempts to determine the location of the fetal back. Still facing the woman, the health care provider palpates the abdomen with gentle but also deep pressure using the palm of the hands. First the right hand remains steady on one side of the abdomen while the left hand explores the right side of the woman's uterus. This is then repeated using the opposite side and hands. The fetal back will feel firm and smooth while fetal extremities (arms, legs, etc.) should feel like small irregularities and protrusions. The fetal back, once determined, should connect with the form found in the upper abdomen and also a mass in the maternal inlet, lower abdomen. Third maneuver: Pawlick's Grip In the third maneuver the health care provider attempts to determine what fetal part is lying above the inlet, or lower abdomen.[2] The individual performing the maneuver first grasps the lower portion of the abdomen just above the symphysis pubis with the thumb and fingers of the right hand. This maneuver should yield the opposite information and validate the findings of the first maneuver. If the woman enters labor, this is the part which will most likely come first in a vaginal birth. If it is the head and is not actively engaged in the birthing process, it may be gently pushed back and forth. The Pawlick's Grip, although still used by some obstetricians, is not recommended as it is more uncomfortable for the woman. Instead, a two-handed approach is favored by placing the fingers of both hands laterally on either side of the presenting part. Fourth maneuver The last maneuver requires that the health care provider face the woman's feet, as he or she will attempt to locate the fetus' brow. The fingers of both hands are moved gently down the sides of the uterus toward the pubis. The side where there is resistance to the descent of the fingers toward the pubis is greatest is where the brow is located. If the head of the fetus is well-flexed, it should be on the opposite side from the fetal back. If the fetal head is extended though, the occiput is instead felt and is located on the same side as the back. Cautions Leopold's maneuvers are intended to be performed by health care professionals, as they have received the training and instruction in how to perform them. That said, as long as care taken not to roughly or excessively disturb the fetus, there is no real reason it cannot be performed at home as an informational exercise. It is important to note that all findings are not truly diagnostic, and as such ultrasound is required to conclusively determine the fetal position.

Patent Ductus Arteriosus Ligation
Patent Ductus Arteriosus Ligation s 24,926 Views • 2 years ago

This video: 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. A small patent ductus arteriosus often doesn't cause problems and might never need treatment. However, a large patent ductus arteriosus left untreated can allow poorly oxygenated blood to flow in the wrong direction, weakening the heart muscle and causing heart failure and other complications. Treatment options for a patent ductus arteriosus include monitoring, medications and closure by cardiac catheterization or surgery.

Inguino-Scrotal swelling
Inguino-Scrotal swelling DrPhil 113,138 Views • 2 years ago

examination of a case of inguino-scrotal swelling as in cases of oblique inguinal hernia..etc

Gamma Nails
Gamma Nails samer kareem 5,919 Views • 2 years ago

This video demonstrates a step-by-step technique for using the TFN-Advanced™ Proximal Femoral Nailing System (TFNA).

Yeast (Candida, Monilia)
Yeast (Candida, Monilia) DrHouse 16,292 Views • 2 years ago

After the cell membranes are dissolved, the typical branching and budding yeast cells can be seen. Sometimes, it has the appearance of a tangled web of threads. At other times, only small branches will be seen.Yeast are normal inhabitants of the vagina, but only in very small numbers. If you visualize any yeast in your sample, it is considered significant.

Fibula flap
Fibula flap samer kareem 21,987 Views • 2 years ago

The peroneal artery is closely positioned to the fibula. The artery arises from the tibioperoneal trunk, distal to the takeoff of the anterior tibial artery (seen in the illustration below perforating the interosseous membrane). The peroneal artery sends perforators laterally to the skin of the lower leg, sometimes in a septocutaneous fashion via the lateral intermuscular septum, but often with muscular perforators. The length of the pedicle is usually short, but can be increased substantially by dissecting the peroneal artery and its venae from the fibula and using the distal bone for reconstruction.

First Aid Treatment for Burn Injuries
First Aid Treatment for Burn Injuries Mohamed Ibrahim 2,713 Views • 2 years ago

Clinical Review First aid and treatment of minor burns BMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7454.1487 (Published 17 June 2004) Cite this as: BMJ 2004;328:1487 Article Related content Metrics Responses Jackie Hudspith, clinical nurse lead, Sukh Rayatt, specialist registrar, plastic and reconstructive surgery Author affiliations Introduction Some 250 000 burns occur annually in the United Kingdom. About 90% of these are minor and can be safely managed in primary care. Most of these will heal regardless of treatment, but the initial care can have a considerable influence on the cosmetic outcome. All burns should be assessed by taking an adequate history and examination.

Severe Combined syndrome
Severe Combined syndrome samer kareem 1,716 Views • 2 years ago

Thyroid
Thyroid samer kareem 18,780 Views • 2 years ago

The thyroid is a butterfly-shaped gland that sits low on the front of the neck. Your thyroid lies below your Adam’s apple, along the front of the windpipe. The thyroid has two side lobes, connected by a bridge (isthmus) in the middle. When the thyroid is its normal size, you can’t feel it.

Why You STILL Have Thyroid Symptoms
Why You STILL Have Thyroid Symptoms samer kareem 3,649 Views • 2 years ago

Learn one of the hidden reasons why you still have a thyroid symptoms. If your lab results are "normal"--then why do you still have thyroid symptoms like: * Tired, sluggish * Can't lose weight even with exercise * Feel cold—hands, feet, or all over * Require excessive amounts of sleep to function properly * Increase in weight gain even with low-calorie diet * Gain weight easily * Difficult, infrequent bowel movements * Depression, lack of motivation * Morning headaches that wear off as the day progresses * Outer third of eyebrow thins * Thinning of hair on scalp, face or genitals or hair loss * Dryness of skin and/or scalp * Mental sluggishness * Nervousness and emotional * Insomnia * Night sweats

Expressing the First Milk
Expressing the First Milk samer kareem 6,401 Views • 2 years ago

Expressing the First Milk

Tummy tuck immediate before & after results
Tummy tuck immediate before & after results Surgeon 58 Views • 2 years ago

TUMMY TUCK 🤩 Immediate OR Results

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Eyeball cyst Removal
Eyeball cyst Removal samer kareem 2,257 Views • 2 years ago

Eyeball cyst Removal

Vaginoplasty !
Vaginoplasty ! samer kareem 8,723 Views • 2 years ago

Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina.

Lower eyelid repair
Lower eyelid repair samer kareem 1,792 Views • 2 years ago

Step by step description of lower eyelid repair via skin flap and wedge resection

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