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Examination of the Thyroid - Clinical Examination DrPhil 93 Views • 2 years ago

The thyroid gland lies in the midline of the anterior neck, just caudal to the thyroid cartilage. To inspect the thyroid gland, the examiner stands in front of the patient. The examiner asks the seated patient to dorsiflex (extend) the neck and swallow a sip of water. Minor enlargement of the gland may only become apparent on inspection in this position. Palpation of the thyroid gland is typically performed with the examiner standing behind the patient. Both lobes and the isthmus of the thyroid gland should be palpated for any nodules or diffuse enlargement. Mobility of the thyroid gland with swallowing should be assessed with palpation. Nodules arising from the thyroid gland typically move with swallowing. A hard, fixed thyroid gland could indicate malignancy. If a central nodule is identified, the patient is asked to protrude the tongue. Upward movement of the central nodule on protrusion of the tongue indicates a thyroglossal cyst. Auscultation is performed at the superior poles of bilateral lobes as this is where the superior thyroid artery is most superficial and bifurcates into its terminal branches. A bilateral bruit over the superior poles suggests Graves disease. Examination of the thyroid gland is completed by palpating the regional cervical lymph nodes for any enlargement.

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Acute respiratory distress syndrome: definition, diagnosis and management samer kareem 1,544 Views • 2 years ago

Acute respiratory distress syndrome is characterised by rapid onset dyspnea, bilateral infiltrates on chest x-ray and respiratory failure. This may be due to conditions which directly affect the lung such as pneumonia, aspiration and near drowning. It may also be due to indirect lung injury, as in conditions like sepsis, pancreatitis, trauma and poisoning. The diagnostic criteria of ARDS, often described as the Berlin criteria is discussed in this presentation along with various management aspects of ARDS including ventilation strategies and use of antibiotics and diuretics. Finally prognostic features and alternative strategies are also discussed.

Cranial Nerves Anatomy samer kareem 40,689 Views • 2 years ago

There are twelve cranial nerves in total. The olfactory nerve (CN I) and optic nerve (CN II) originate from the cerebrum. Cranial nerves III – XII arise from the brain stem (Figure 1). They can arise from a specific part of the brain stem (midbrain, pons or medulla), or from a junction between two parts: Midbrain – the trochlear nerve (IV) comes from the posterior side of the midbrain. It has the longest intracranial length of all the cranial nerves. Midbrain-pontine junction – oculomotor (III). Pons – trigeminal (V). Pontine-medulla junction – abducens, facial, vestibulocochlear (VI-VIII). Medulla Oblongata – posterior to the olive: glossopharyngeal, vagus, accessory (IX-XI). Anterior to the olive: hypoglossal (XII). The cranial nerves are numbered by their loca

Penile Lengthening and Girth Enhancement Plastic Surgery hooda 42,708 Views • 2 years ago

Watch that video of Penile Lengthening and Girth Enhancement Plastic Surgery

Medical Videos - What is Female G Spot? hooda 48,436 Views • 2 years ago

Watch that video to know What is Female G Spot?

Early Warning Signs of Skin Cancer (Melanoma) samer kareem 1,827 Views • 2 years ago

Skin cancer is the most common type of cancer. There are three major types of skin cancer — Basal Cell Carcinoma, Squamous Cell Carcinoma and melanoma. Out of these, Melanoma is the deadliest form of skin cancer. Melanoma appears on the skin as a new spot or growth or a change in an already existing mole. It is often fast growing and can spread to other parts of your body, including your bones, liver, and lungs to form a new cancer.

Physical Assessment samer kareem 19,210 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.

ventouse delivery M_Nabil 206,929 Views • 2 years ago

A video showing ventouse delivery or child birth

Parts of Dialysis machine #nephrologist #dialysis #dialysisstudy #viralshorts #kidney Scott 151 Views • 2 years ago

Cracked Corners Of Mouth, Cheilitis, Angular Cheilitis Remedy, Angular Cheilitis Medicine, Cheilitis marin vinasco 3,064 Views • 2 years ago

Cracked Corners Of Mouth, Cheilitis, Angular Cheilitis Remedy, Angular Cheilitis Medicine, Cheilitis--- http://angularcheilitis-end.cbwin1.com --- Foods Which Can Limit the Occurrence of Angular Cheilitis. People suffering from Angular Cheilitis know that this is one of the most troubling and annoying skin condition one can experience. It prevents you from eating, drinking and speaking normally. Many people even refuse to go out of the house when suffering from this condition, thus becoming isolated from the rest of the world. This is why it is better to prevent it then having to treat it. If you have had it long time ago and are afraid that will come back, if you have it and want to treat it faster or if you do not want to have this terrible experience ever, you should start by eating the foods listed below. They will provide your body with all the vitamins and nutrients necessary to effectively fight this disease and prevent it from appearing ever again. Most of the times, Angular Cheilitis appears as a result of a weak immune system. Thus, you will need to have a balanced diet, filled with fruits and vegetables that will supply you with all the things you need to remain healthy and have a strong immune system. The first thing that you will need to have in your body to fight Angular Cheilitis is iron. If you no longer want to have those anesthetic and painful cracks around your mouth, if you want to eat, drink and speak normally without experiencing any pain when opening your mouth, then check out this new and revolutionary treatment! It will get you rid of Angular Cheilitis in just a few days and you will be able to enjoy life to its fullest again, without worrying about those otiose cracks! Click Here. http://angularcheilitis-end.cbwin1.com

Palpation for Abdominal Masses M_Nabil 43,456 Views • 2 years ago

Palpation for Abdominal Masses

Histology of Aorta Histology 5,898 Views • 2 years ago

Histology of Aorta

Liver anatomy and function! samer kareem 3,074 Views • 2 years ago

The liver regulates most chemical levels in the blood and excretes a product called bile. ... Production of bile, which helps carry away waste and break down fats in the small intestine during digestion. Production of certain proteins for blood plasma.

Full Obstetric Examination and Normal Delivery Mohamed 54,341 Views • 2 years ago

Full Obstetric Examination and Normal Delivery medical video

Hidradenitis Suppurativa Cure, How To Treat Hidradenitis Suppurativa, Axillary Hidradenitis Suppurat Marky123 1,798 Views • 2 years ago

http://hidradenitis-suppurativa-cure.good-info.co/ Hidradenitis Suppurativa Cure, How To Treat Hidradenitis Suppurativa, Axillary Hidradenitis Suppurat Free From Hidradenitis Suppurativa Today If you are frustrated and embarrassed by constant Hidradenitis Suppurativa, no matter what you've tried, and if you’re fed up with Drugs, Creams, And Herbs, then you need to see this. You are about to discover the most effective 100% natural and safe solution that has been proven to make you live a free life. This is not like anything you've seen before. This is the same effective formula that helped me end my Hidradenitis Suppurativa in just few days. Too many health products have existed – and still do – and although many sound sweet, they end up wasting your precious time. And the result? About 95% of people who tried to put an end to their Hidradenitis Suppurativa crashed and burned big time! They either experience dangerous side effects, or they don’t actually achieve their desired results. But because you are ready to take action now and try this method, you’re on your way to saying goodbye to Hidradenitis Suppurativa which has only made your life nothing but miserable! reserve the right to take away this incredible secret at any moment. So you need to act fast now if you don’t want to be left out. click here. http://hidradenitis-suppurativa-cure.good-info.co/

Stitching a forehead cut samer kareem 1,474 Views • 2 years ago

Warning! Do not watch if you are squeamish! SHOW MORE

Fibula flap harvest from the posterior approach samer kareem 2,074 Views • 2 years ago

Both lower extremities must be evaluated to determine the presence or extent of any disease and to ascertain the pulse status of the patient. The feet are examined for signs of peripheral vascular disease and the anterior and posterior tibial pulses are palpated. Because an intact arch can supply retrograde flow to the major vessels of the foot, it can be helpful to put pressure on the anterior tibial artery when detecting the presence of a posterior tibial pulse and visa-versa. This "modified Allen's test" may detect proximal vessel obstruction masked by an intact foot arch. The need for preoperative angiography in young, healthy patients with a normal physical examination has been hotly debated. Our tendency has been to obtain preoperative angiograms as a guide. Although rare, we have seen lower extremities with a dominant peroneal artery nourishing the foot and distal anterior and posterior vessels, contraindicating sacrifice of the peroneal artery. MRI or CT angiography can also be used in many circumstances.

Central Venous Catheter samer kareem 11,082 Views • 2 years ago

A central venous catheter, also called a central line, is a long, thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. A catheter is often inserted in the arm or chest through the skin into a large vein.

Polymyalgia Rheumatica samer kareem 6,686 Views • 2 years ago

Polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders. Symptoms of polymyalgia rheumatica (pol-e-my-AL-juh rue-MAT-ih-kuh) usually begin quickly and are worse in the morning. Most people who develop polymyalgia rheumatica are older than 65. It rarely affects people under 50. You may receive symptom relief by taking anti-inflammatory drugs called corticosteroids. But relapses are common, and you'll need to visit your doctor regularly to watch for serious side effects of these drugs. Polymyalgia rheumatica is related to another inflammatory disorder called giant cell arteritis, which can cause headaches, vision difficulties, jaw pain and scalp tenderness. It's possible to have both of these conditions together.

Importance of Exercise with Respiratory illness samer kareem 916 Views • 2 years ago

The Irish Thoracic Society speak about the importance of Exercise with Chronic or Acute Respiratory illnesses/ Diseases and respiratory distress

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