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82 Years Old Woman Pregnant For 40 Years
82 Years Old Woman Pregnant For 40 Years hooda 19,659 Views • 2 years ago

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Examination of the Thyroid - Clinical Examination
Examination of the Thyroid - Clinical Examination DrPhil 94 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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Comfort on the run
Comfort on the run NewsCanada 3,029 Views • 2 years ago

Stay active and push your body to its limit – tips on how you can mend strained muscles and prevent injury.

First Aid Treatment for Burn Injuries
First Aid Treatment for Burn Injuries Mohamed Ibrahim 2,725 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.

Penile Fracture
Penile Fracture samer kareem 4,485 Views • 2 years ago

Traumatic penile injury can be due to multiple factors. Penile fracture, penile amputation, penetrating penile injuries, and penile soft tissue injuries are considered urologic emergencies and typically require surgical intervention. The goals of treatment for penile trauma are universal: preservation of penile length, erectile function, and maintenance of the ability to void while standing. Traumatic injury to the penis may concomitantly involve the urethra.[1, 2] Urethral injury and repair is beyond the scope of this article but details can be found in Urethral Trauma. Penile fracture Penile fracture is the traumatic rupture of the corpus cavernosum. Traumatic rupture of the penis is relatively uncommon and is considered a urologic emergency.[3] Sudden blunt trauma or abrupt lateral bending of the penis in an erect state can break the markedly thinned and stiff tunica albuginea, resulting in a fractured penis. One or both corpora may be involved, and concomitant injury to the penile urethra may occur. Urethral trauma is more common when both corpora cavernosa are injured.[4] Penile rupture can usually be diagnosed based solely on history and physical examination findings; however, in equivocal cases, diagnostic cavernosography or MRI should be performed. Concomitant urethral injury must be considered; therefore, preoperative retrograde urethrographic studies should generally be performed. See the images below.

What Are the Stages of Liver Damage?
What Are the Stages of Liver Damage? samer kareem 2,614 Views • 2 years ago

Tibial Bone Transport Over an Intramedullary Nail !
Tibial Bone Transport Over an Intramedullary Nail ! samer kareem 1,232 Views • 2 years ago

Figure of Eight 8 Suture
Figure of Eight 8 Suture Mohamed Ibrahim 26,186 Views • 2 years ago

Figure of Eight 8 Suture

endoscopic retrieval of kidney stone in a child
endoscopic retrieval of kidney stone in a child Ahmed Tawfeek 3,147 Views • 2 years ago

large renal stone in a 2 and a half years boy underwent per cutaneous endoscopic stone retrieval in supine position

Can Oral Sex Increase Risk of Cancer?
Can Oral Sex Increase Risk of Cancer? Alicia Berger 19,828 Views • 2 years ago

Oral sex can be an enjoyable, healthy part of an adult relationship. But there are some things that many people don't know about oral sex. Here are four facts that might surprise you. 1. Oral sex is linked to throat cancer. Cancer? Yes, you can get throat cancer from oral sex, says American Cancer Society Chief Medical Officer Otis Brawley, MD. It's not oral sex, per se, that causes cancer, but the human papillomavirus (HPV), which can be passed from person to person during sex, including oral sex.

The Worst Fingers Infections Ever
The Worst Fingers Infections Ever hooda 26,329 Views • 2 years ago

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Classification of Epileptic Seizures
Classification of Epileptic Seizures samer kareem 12,141 Views • 2 years ago

A brief demonstration of the different types of epileptic seizures based on the International Classification of Epileptic Seizures.

Endoscopic Plantar Fascia Release
Endoscopic Plantar Fascia Release Ossama El Shazly 15,062 Views • 2 years ago

plantar fasciitis and calcaneal spur can be treated by EPFR with calcanean drilling - endoscopic plantar fascia release علاج الشوكة العظمية للكعب بالمنظار د. أسامة الشاذلي مدرس جراحة العظام واستشاري جراحات و مناظير القدم والكاحل كلية الطب جامعة عين شمس

Catheter - Associated Bloodstream Infections
Catheter - Associated Bloodstream Infections samer kareem 4,875 Views • 2 years ago

systemic inflammatory response syndrome (SIRS). This is most likely secondary to sepsis from an infection of the patient's Hickman catheter given the associated skin findings, although culture results are needed to confirm this diagnosis. The patient's low blood pressure is likely secondary to developing septic shock, and he has already appropriately been treated with intravenous fluids. Catheter removal is indicated given his hemodynamic instability. Catheter removal is also indicated in patients with severe sepsis with organ hypoperfusion, endocarditis, suppurative thrombophlebitis, or persistent bacteremia after 72 hours of appropriate antibiotic therapy. Long term catheters should also be removed if culture results are positive for S. aureus, P. aeruginosa, fungi, or mycobacteria.

How to Perform Obstetric Palpation
How to Perform Obstetric Palpation samer kareem 24,459 Views • 2 years ago

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.

Vaginal Hysterectomy Procedure
Vaginal Hysterectomy Procedure Mohamed Ibrahim 41,847 Views • 2 years ago

Vaginal Hysterectomy Procedure of a 42 years old female patient with a 3 months history of symptomatic vaginal bulge

Myeloma
Myeloma samer kareem 1,871 Views • 2 years ago

Multiple myeloma is a cancer formed by malignant plasma cells. Normal plasma cells are found in the bone marrow and are an important part of the immune system.

 Your Snoring Cures...How to Cure Snoring Naturally
Your Snoring Cures...How to Cure Snoring Naturally Frank Vela 16,590 Views • 2 years ago


http://yoursnoringcures.plus101.com
--Your Snoring Cures...How to Cure Snoring Naturally without Using Any Medication or Ridiculous Device!
How to Cure Snoring Naturally and Easily without Undertaking any Dangerous Surgery, Nor using any Medication or Ridiculous Device ! Doctors and Pharmaceutical Companies have tried to have my guide BANNED ...

saddle pulmonary embolism
saddle pulmonary embolism samer kareem 2,259 Views • 2 years ago

Saddle pulmonary embolism (PE) is a form of large pulmonary thrombo-embolism that straddles the main pulmonary arterial trunk at its bifurcation. Its incidence among patients diagnosed with PE was found to be approximately 2.6%.

Knee Aspiration
Knee Aspiration samer kareem 1,520 Views • 2 years ago

The clinician performing the procedure should be familiar with the anatomy of the specific joint and cognizant of the relevant landmarks in order to avoid puncture of tendons, blood vessels, and nerves (see the images below).

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