Attention deficit hyperactivity disorder (ADHD) is a mental disorder of the neurodevelopmental type. It is characterized by problems paying attention, excessive activity, or difficulty controlling behavior which is not appropriate for a person's age.

Dr. Ed Tingstad, Orthopedic Surgeon with Pullman Regional Hospital’s Orthopedic Center of Excellence and Inland Orthopaedic Surgery & Sports Medicine Clinic performs a total knee replacement using orthopedic robotics – VELYS. The VELYS Robotic-Assisted Solution technology makes for a more exact fitting knee replacement and uses intra-operative data to inform the surgeon during surgery. In this full-length total knee replacement video, Dr. Tingstad narrates a procedure from start to finish.
Learn more: pullmanregional.org/orthopedics

Hypertensive urgency must be distinguished from hypertensive emergency. Urgency is defined as severely elevated blood pressure (ie, systolic >220 mm Hg or diastolic >120 mm Hg) with no evidence of target organ damage.

The obstetric examination is distinct from other examinations in that you, the clinician, are trying to assess the health of two individuals – the mother and the fetus – simultaneously. From the initial history, you should be able to judge the health of the pregnancy, any risk factors that need to be addressed, and any concerns from the parents. The history is an opportunity for you to find out how much the parents know about pregnancy, labour and delivery and if they have any preferences to which these events are carried out. A carefully taken history will also direct your attention to specific signs during the examination. As such, it is important that you develop a concise and systematic method of taking the history and carrying out the examination so that you do not miss any important information. This article focuses primarily on the examination. Pregnancy is a sensitive issue, especially for the primigravida’s. Therefore, extra care is needed when you approach a pregnant woman. Always obtain expressed informed consent before examining her and have a chaperone accompany you throughout the examination. A walk-through of what you will be doing is a good way of reassuring the patient and allows the examination to go on smoothly. It is also important to let your patient know that if the examination is too painful, she can stop at any time she wants. Finally, before you begin, you should always wash your hands, especially at an OSCE station.

A meningioma is a tumor that arises from the meninges — the membranes that surround your brain and spinal cord. Most meningiomas are noncancerous (benign), though rarely a meningioma may be cancerous (malignant). Some meningiomas are classified as atypical, meaning they're neither benign nor malignant but, rather, something in between.

An excerpt from the award-winning documentary “Exposure: Environmental Links to Breast Cancer” about the effects of radiation. Featuring Olivia Newton-John, Dr. Rosalie Bertell and Dr. Susan Love.

This video teaches how to give an intramuscular injection shot

Leading cardiologists Valentin Fuster, MD, PhD, Director of Mount Sinai Heart and Herschel Sklaroff, MD, Clinical Professor of Medicine, Cardiology at Mount Sinai Heart were filmed for one-month for the “Making Rounds” documentary film as they cared for critically-ill heart patients in the Cardiac Care Unit at The Mount Sinai Hospital.

Watch Mount Sinai Heart doctors, fellows, residents, and nurses in action and saving lives demonstrating how simply listening to patients at the bedside remains medicine’s most indispensable tool over any technology.

In this film Mount Sinai Heart helps preserve the disappearing art and science of how to examine and diagnose patients at the bedside for future generations of physicians.

**This film was made possible by the generous support
of the McInerney Family.**

Copyright 2015 Middlemarch Films, Inc

This 3D medical animation contains the discharge instructions for removal of a Foley catheter from a man. The step-by-step procedures for emptying the Foley bag and removing the Foley catheter are shown. Symptoms requiring a follow-up call to the surgeon are listed.

The Human Body in Numbers.

Ascites, the collection of fluid within the peritoneal space is caused due to a variety of causes including cirrhosis, cardiac causes, sinusoidal obstruction syndrome, tubercular peritonitis and pancreatitis, amongst others. Most commonly, the cause of ascots may be cirrhosis , which in turn, is most frequently causes by alcohol use, hepatitis C and non-alcoholic steatohepatitis. At the heart of the ascitic fluid analysis is the serum albumin ascitic gradient, the differential diagnosis of which has been discussed in detail in this presentation. Both low SAAG and high SAAG ascites have been dealt with in some depth, with a brief overview of the management of these conditions

Liposuction is a surgical procedure that is done to remove fat deposits from underneath the skin. Common areas that are treated: the abdomen, buttocks, thighs, upper arms, chest and neck. (use medical graphic of body with labeled parts) The procedure is usually done as an outpatient under some combination of local anesthesia and/or sedation:. This means you are awake but relaxed and pain free. Depending on the number of areas to be treated and the specific technique selected, it may take from one to several hours. A small incision (cut) is made through the skin near the area of the fat deposit. Multiple incisions may be needed if a wide area or multiple areas are being done. A long hollow tube called a cannula will be inserted through this incision. Prior to inserting the cannula, the doctor may inject a solution of salt water that contains an anesthetic (numbing) medication and another medication to decrease bleeding. The cannula is then inserted and moved under the skin in a way to loosen the fat deposits so they may be suctioned out. Because a significant amount of body fluid is removed with the fat, an intravenous (through the veins) fluid line will be kept going during the procedure.

A recent technique called “ultrasound-assisted lipoplasty” uses a special cannula that liquefies the fat cells with ultrasonic energy. You should ask your doctor which technique he/she will use and how it will affect the type of anesthesia you will need and the length of the procedure.

Why is this procedure performed?
Liposuction is done to restore a more normal contour to the body. The procedure is sometimes described as body sculpting. It should be limited to fat deposits that are not responsive to diet and exercise. It is suggested that you should be within 20of your ideal body weight at the time of surgery. If you are planning to lose weight you should delay this procedure. This is not obesity surgery. The maximum amount of fat that can be removed is usually less than 10 pounds. The best results are achieved in people who still have firm and elastic skin. Although rare, there are risks and complications that can occur with liposuction. You should be aware that all the complications are increased if you are a smoker. You will need to quit smoking or at least avoid smoking for a month before and after surgery. If you have had prior surgeries near any of the areas to be treated, this may increase the risk of complications and you should discuss this with your doctor. Any history of heart disease, diabetes, bleeding problems or blood clots in your legs may make you more prone to post-operative problems and you should discuss these with your doctor. Finally, as with any cosmetic procedure it is important to have realistic expectations. The goals, limitations, and expectations of the procedure should be discussed openly and in detail with your doctor. Most insurance companies do not cover cosmetic surgery.

What should I expect during the post-operative period?
After surgery you should be able to go home but you will need someone to drive you. In the first few days after surgery it is common for the incisions to drain fluid and you will have to change dressings frequently. Fresh blood is not usual and if you have any bleeding you should call your doctor immediately. In some cases a small tube may have been placed through the skin to allow drainage. You will be limited to sponge baths until the drains and dressings are removed. After that you may take showers but no baths for 2 weeks. You may experience pain, burning, and numbness for a few days. Take pain medicine as prescribed by your doctor. You may notice a certain amount of bruising and swelling. The bruising will disappear gradually over 1 to 2 weeks. Some swelling may last for up to 6 months. If you have skin sutures they will be removed in 7 to 10 days. You should be able to be up and moving around the house the day after surgery but avoid any strenuous activity for about 1

Ovarian pregnancy: an unusual location of ectopic pregnancy

Como Eliminar Verrugas, Tratamiento Para Verrugas Genitales, Como Sacar Verrugas, Verrugas Planas --- http://sinverrugasylunares.plus101.com -- Sabías Que Con Vinagre De Manzana Puedes Eliminas Tus Verrugas? No es un secreto que el uso de vinagre de manzana trae enormes beneficios a la piel, es capaz de activar la regeneración de la piel sin importar la lesión que se haya sufrido. A continuación voy a enseñarte cómo puedes utilizar el vinagre de manzana para eliminar las verrugas y evitar que estas vuelvan a brotar. Voy a enseñarte 2 formas para eliminar las verrugas con vinagre de manzana. Método 1: Lávate las manos (o cualquier otra parte del cuerpo donde las verruga se ha formado). …bien antes de empezar con este tratamiento. Toma una taza de vinagre de manzana y dilúyela con agua. Sumerge el área afectada en esta solución durante 20 minutos todos los días. Usa este tratamiento regularmente. Con el tiempo la verruga se desprenderá sin dejar rastro en tu piel. Método 2: Lávate las manos (o la parte afectada) antes de comenzar. Utiliza una bola de algodón y sumérgela en vinagre de manzana. A continuación, escurre el exceso de vinagre y coloca el algodón sobre la verruga. Conoce el verdadero método natural para eliminar las verrugas y lunares ahora: click aqui: http://sinverrugasylunares.plus101.com

Scleroderma (skleer-oh-DUR-muh) is a group of rare diseases that involve the hardening and tightening of the skin and connective tissues — the fibers that provide the framework and support for your body. In some people, scleroderma affects only the skin. But in many people, scleroderma also harms structures beyond the skin — such as blood vessels, internal organs and the digestive tract. Signs and symptoms vary, depending on which structures are affected. Scleroderma affects women more often than men and most commonly occurs between the ages of 30 and 50. While there is no cure for scleroderma, a variety of treatments can ease symptoms and improve quality of life.

There many concerns and questions about how a breast augmentation procedure works. Dr. Linder a highly qualified plastic surgeon based in Beverly Hills, demystifies those worries. Dr. Stuart Linder is a Beverly Hills board certified plastic surgeon, specializing in body sculpting and reconstructive procedures including breast augmentation, reduction, lift, liposuction and tummy tuck. He is board-certified by the American Board of Plastic Surgery and is affiliated with the American College of Surgeons, the American Society of Plastic and Reconstructive Surgeons and the American Medical Association. Website: www.drlinder.com

this animated surgery showing management of bone defects with the Precice Lengthening-Compression IM nail

Dr. David Sneed of Aesthetica Med Spa in Austin discusses the latest liposuction technique known as Body Jet Water Liposuction - which is quickly gaining popularity due to the procedure being less invasive than traditional liposuction techniques, therefore minimizing recovery time and pain.

What Happens During an Erection?
In order to attain an erection, messages from the brain and other sense organs trigger the arteries of the penis to dilate. This allows an increased amount of blood to flow into three columns of spongy tissue in the penis.

As the arteries supplying blood to the corpus spongiosum and to the two larger columns, the corpus cavernosa, become filled with blood; the penis grows and becomes rigid. Pressure of the engorged tissue against the veins in the penis effectively traps blood within the penis until climax is reached or the sensation wanes.

What Are Penile Implants?
Impotence, or the inability to attain or maintain an erection, can be caused by a disruption at any stage in this process. Several types of penile implants are available that create an artificial erection. Two common types of implants are the semi-rigid malleable rod and the inflatable implant.

•The semirigid malleable rod is usually made of plastic with a core of flexible wire. These rods can be bent down to conceal the penis under clothing or raised to form an artificial erection.


•The inflatable implant is more complex and involves several working parts: a reservoir of fluid that is implanted into the abdomen, a pump system located in the scrotal sac near the testes, and two inflatable cylinders.
How Penile Implants Help Erectile Fuctioning
In order to attain an erection, the scrotal pump must be squeezed repeatedly to propel fluid into the penile cylinders. When an erection is no longer desired, a release valve is pressed on the side of the pump and the cylinders deflate.
Before Having Penile Implant Surgery
Persons considering these types of implants should speak with their physician or healthcare professional about possible risks and complications.