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.

Surgical Repair of Pectus Excavatum. Pectus excavatum is a condition in which a person's breastbone is sunken into his or her chest.

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.

• Define and use related medical terminology.
• Describe and demonstrate techniques for imaging the thyroid gland.
• Discuss functional abnormalities of the thyroid gland.
• Correlate laboratory data relevant to the thyroid and parathyroid glands.
• Describe, and recognize on images, pathologies of the thyroid gland.
• Identify the anatomy of the parathyroid glands on diagrams and sonograms.
• Describe and demonstrate techniques for imaging the parathyroid glands.
• Describe, and recognize on images, pathologies of the parathyroid glands.
• List and describe other neck masses.
• Follow relevant protocols when scanning.
• Differentiate the sonographic appearances of the female reproductive organs in relation to the menstrual cycle, the use of contraceptives and hormone replacement, and following chemotherapy.
• Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference).

Vediographic-Electric Beat-Pacemakers and the human heart

Emergency Physical Examination Lecture

Laparotomy (opening and closing)

The cyst was technically 46.5 pounds and her doctors call it the largest in world history. I am not sure if that is true, but it is a massive cyst

Tummy tuck Sydney Dr Barnouti. Call us on 02-9561 0222 or 1300 002 006
Broadway, Chatswood, Burwood NSW Australia
email:drbarnouti@australiaplasticsurgery.com.au
https://www.plasticsurgery-syd....ney.com.au/abdominop
What is a tummy tuck?

A tummy tuck operation is also known as abdominoplasty. It involves removing excess skin and fat from the stomach area, mainly the lower part of the tummy through surgical procedure. A tummy tuck operation is intended to leave the patient with a flatter tummy and to remove any signs of an 'apron' stomach or an overhang which is sometimes visible above underwear. The skin on this area tends to be stretched and of poor quality. A tummy tuck operation will usually focus on the lower part of the stomach, below the belly button and may require the belly button to be repositioned in some cases. The procedure is often carried out on women or men who have suffered from stretched skin in the stomach area after pregnancy, giving birth, excess fat deposition or weight loss.

What happens during a tummy tuck?

During a tummy tuck procedure the aim of the surgeon is to cut away fat and excess skin. To do this Dr Barnouti will make in incision on the lowest part of the stomach, where a fold will be visible above the pubic bone. He will take out as much excess fat as can be removed and will then cut the skin to fit back over the place where the fat has been removed from. It is important to have realistic expectations of a tummy tuck. Taking too much fat and skin away can result in folds at each end of the resulting scar which are sometimes referred to as "dog ears". Dr Barnouti will make sure you will not have this problem.

Who should have a tummy tuck?

Tummy tucks are recommended for either men or women who have an excess of fat and skin around their abdomen which cannot be removed by weight loss, exercise or liposuction. Tummy tuck operations in women are usually reserved for those who are not likely to have children as it is inadvisable to get pregnant again after having skin removed, this can cause the wound to stretch and scar.

The cost of a tummy tuck in Sydney Australia

The total cost is $7,900 if the patient's health fund cover the hospital's fees. In case the health fund does not cover the hospital's fee, the total cost will be around $12,000 inclusive of the Surgeon, assistant surgeon, Anaesthetist, hospital, operating theatre and follow ups visit.

Payment plans are alos available from Dr Barnouti's office in Chatswood, Burwood or Broadway.

A tummy tuck is a cosmetic procedure that removes excess skin and fatty tissue in order to give a flatter appearance to the stomach. Tummy tucks, also known as abdominoplasties, are ideal for patients who are not excessively overweight but suffer from an overhang of skin around the abdomen.

Performed under general anaesthetic, tummy tucks involve a horizontal incision being made just above the pubic area between the hip bones. Skin and fatty tissue is separated from the muscle and the area is tightened, with the excess skin and fatty tissues then being pulled downwards and removed.
Following your tummy tuck, there will be a scar present across the lower abdomen, but this will gradually fade. You may experience moderate tissue swelling for several months, but this will disappear with time. There may also be a sensation reduction just above the pubic area.

Once your tummy tuck recovery is complete however, you'll benefit from a more attractive figure and the ability to wear a wider selection of clothes.

USMLE Step 2 CS - LOC This is just preview video. To get full access please visit our website : www.usmletutoring.com

http://www.bodysculptor.com. Dr. Otto Placik, Board Certified Chicago based plastic surgeon demonstrates the results of a muscle separation(rectus diastasis) repair using 3 dimesional CAT scan and photographic images

Musculoskeletal Physical Examination Lecture

This was a Nasogastric Intubation that went very wrong. The tube went up into the brain, causing severe damage, instead of going down through the throat.

This brief exam will help you to quickly detect major risks and prompt you to refer patients to appropriate specialists.

The oral contraceptive pill, commonly known as "the pill," is a hormone-based method of preventing pregnancy. It can also help resolve irregular menstruation, painful or heavy periods, endometriosis, acne, and premenstrual syndrome (PMS). Birth control pills work by preventing ovulation. No egg is produced, so there is nothing for the sperm to fertilize. Pregnancy cannot occur. "The pill" is used by nearly 16 percent of women aged 15 to 44 years in the United States, and it has both advantages and disadvantages. People with different risk factors may be advised to use a particular kind of pill. There are different types of contraceptive pills. They all contain synthetic forms of the hormones estrogen, progesterone, or both. Synthetic progesterone is called progestin. Combination pills contain progestin and estrogen. The "mini pill," contains only progestin. Monophasic pills all contain the same balance of hormones. With phasic pills, two or three different types of pill are taken each month, each with a different balance of hormones.

Always consult your doctor and seek help early enough to prevent complications

This video documents the experience of one of our Mommy Makeover patients. She is 39 years old, 5’4” tall, and of average weight. Following the birth of her twins, she wanted to improve her abdominal wall contour and correct the lack of shape and firmness in her breasts.

A video showing the procedure of lipoma excision

Upper Limb Examination Video