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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.

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Pectus excavatum repair is surgery to correct pectus excavatum. This is a congenital (present at birth) deformity of the front of the chest wall that causes a sunken breastbone (sternum) and ribs. Pectus excavatum is also called funnel or sunken chest. It may worsen during the teen years.

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This video “Respiratory Histology” is part of the Lecturio course “Histology” ► WATCH the complete course on http://lectur.io/respiratoryhistology

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- Structure and function of the conchae
- The cellular components of olfactory epithelium
- Components of the true vocal cord
- Function of the epiglottis
- The difference between bronchus, bronchiole, respiratory bronchiole
- Alveolar duct and Alveolar sac
- Components that make up the interalveolar septum
- Type I and Type II of alveolar cells, macrophages and endothelium
- Two separate blood supplies to the lungs and their functions
- Summary of the functions and the system of the respiratory system

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0:00 Introduction
2:00 Respiratory system Summary of structure and function
3:32 Conducting portion
7:49 The Nasal cavities
11:27 The nasal cavity
13:06 Respiratory mucosa
15:26 Olfactory mucosa
17:13 Olfactory receptor
21:16 The larynx (and the epiglottis)
25:44 The trachea
29:16 The bronchi
31:35 Bronchiole
38:50 Alveolus
40:45 Air blood barrier
43:36 Alveolar macrophages
45:35 Blood supply and lymphatic drainage of the pulmonary lobule

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After pregnancy, there are a lot of women who need Tummy Tuck Surgery or Abdominoplasty. Likewise, there are also many men who need this surgery who have lost weight and have saggy skin. These men and women may be very apprehensive about the recovery after the surgery. In this video, Dr. Rajat Gupta (Cosmetic plastic surgeon) will guide us about this topic.

Abdominoplasty or Tummy Tuck Surgery Time -
The most important concern of the people who are considering this surgery is about recovery. Tummy Tuck Surgery or Abdominoplasty needs 2-3 hours for the surgery depending upon the extent of your fat. It is preferred usually to do a 360 liposuction.

Abdominoplasty or Tummy Tuck Surgery Recovery Time -
After the surgery, the patient stays 1 night or sometimes 2 nights in the hospital, but they start walking the same way. For the first 10-12 days walk with a slight bend so that your scar near to your bikini doesn't stretch. From the very next day, you can do your basic things at home like walking around, having food on your own, etc.
First 3-4 days there is a little pain and tightness in the patient. After 3-4 days, they start recovering well and the discomfort is much lesser. Every individual recovers differently as their pain threshold is different. Everyone has a different strength.

You can resume your job in 7-10 days. However, if your job has more physical work then they can resume in 15 days. You can resume your cardio exercises like running, jogging after 3-4 weeks. This is the basic timeline for recovery.

Antibiotics are given for the first 7 days. The dressing is removed after 3 days. After 7 days you are allowed to apply scar creams so that the scar becomes light enough.

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If you have any regarding this topic you can ask us in the comment section.

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