Duke Sports Medicine Specialists Jocelyn Wittstein, MD, Janna Fonseca, ATC, and Michael Messer ,PT, present on Soccer Injury Prevention including Concussion Management and the 11+ program that significantly reduces ACL tear rates in soccer.

9 Months In The Womb: A Remarkable Look At Fetal Development Through Ultrasound

Postpartum endometritis refers to infection of the decidua (ie, pregnancy endometrium). The infection may also extend into the myometrium (called endomyometritis) or involve the parametrium (called parametritis).

In patients age ;::25, HPV DNA testing is the preferred next step in management if the initial cytology shows ASC-US. In this method, samples are collected for both cytology and reflex HPV DNA. If cytology results are positive, HPV DNA testing is performed. If cytology results are negative, the sample for HPV DNA is discarded. HPV DNA testing along with Pap smear at 3 years is recommended if initial cytology shows ASC-US but HPV DNA testing is negative

The liver also detoxifies chemicals and metabolizes drugs. As it does so, the liver secretes bile that ends up back in the intestines. The liver also makes proteins important for blood clotting and other functions. First, for those impatient, short answers to the mini-questions (if you're reading this in the news feed, you may want to click through for the question details): No one knows why we evolved 2 kidneys and one liver.

Papillary fibroelastoma is the third most common primary tumor of the heart and is most likely to involve the cardiac valves. Like myxomas, they arise from the endocardium in most patients and since these tumors are often incidental findings at echocardiography or autopsy, the true incidence is difficult to estimate. Most patients are older than 60 years, which also contrasts with myxomas. Papillary fibroelastomas can embolize, leading to severe neurological complications and therefore, surgical removal is advised, although there is controversy regarding small incidental lesions and the need for surgery.

Colonoscopy is a test that allows your doctor to look at the inner lining of your large intestine (rectum and colon). He or she uses a thin, flexible tube called a colonoscope to look at the colon. A colonoscopy helps find ulcers, colon polyps, tumors, and areas of inflammation or bleeding.

40 years old patient, Parity 3, wanted to have a sterilization. The surgery was perfomed laparoscopically with coagulation technique. This video is not edited and presented in full length.

A successful cardiovascular exam includes visual examination, palpation of the apical impulse, auscultation of Erb's point, auscultation of the carotids, and auscultation over the four different heart valve locations (aortic, pulmonic, tricuspid, and mitral). Additionally, the radial pulse is palpated while auscultating to distinguish whether a murmur is diastolic or systolic.

Video Index:
0:13 - Inspection of the thorax
0:29 - Palpation of the apex heart beat
0:59 - Auscultation of the heart
1:16 - Auscultation of the Erb’s point
1:33 - Using Erb’s point to check the heart rate
1:45 - Systolic and diastolic heart sound identification
2:01 - Ascultating individual valves: aortic, pulmonary, tricuspid, mitral
2:41 - Ascultation of the carotids
2:54 - Ascultating the pulmonary and aortic valves
3:04 - Ascultation of the mitral valve
3:16 - Mitral valve murmurs

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Elbow. In primates, including humans, the elbow joint is the synovial hinge joint between the humerus in the upper arm and the radius and ulna in the forearm which allows the hand to be moved towards and away from the body.

When food is taken, it is broken down into smaller components. Sugars and carbohydrates are thus broken down into glucose for the body to utilize them as an energy source. The liver is also able to manufacture glucose. In normal persons the hormone insulin, which is made by the beta cells of the pancreas, regulates how much glucose is in the blood. When there is excess of glucose in blood, insulin stimulates cells to absorb enough glucose from the blood for the energy that they need. Insulin also stimulates the liver to absorb and store any excess glucose that is in the blood. Insulin release is triggered after a meal when there is a rise in blood glucose. When blood glucose levels fall, during exercise for example, insulin levels fall too. High insulin will promote glucose uptake, glycolysis (break down of glucose), and glycogenesis (formation of storage form of glucose called glycogen), as well as uptake and synthesis of amino acids, proteins, and fat. Low insulin will promote gluconeogenesis (breakdown of various substrates to release glucose), glycogenolysis (breakdown of glycogen to release gluose), lipolysis (breakdown of lipids to release glucose), and proteolysis (breakdown of proteins to release glucose). Insulin acts via insulin receptors.

Disc Disease Videos Watch Disc Disease Videos There are several symptoms that are fairly consistent for people with lower back pain or neck pain from degenerative disc disease, including: Pain that is usually related to activity and will flare up at times but then return to a low-grade pain level, or the pain will go away entirely The amount of chronic pain—referred to as the patient's baseline level of pain—is quite variable between individuals and can range from almost no pain/just a nagging level of irritation, to severe and disabling pain Severe episodes of back or neck pain that will generally last from a few days to a few months before returning to the individual's baseline level of chronic pain Chronic pain that is completely disabling from degenerative disc disease does happen in some cases, but is relatively rare See Treating Chronic Pain and Depression from Degenerative Disc Disease

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Surgery is the only way to treat parathyroid disease (hyperparathyroidism). There are no medications or pills that work to cure or treat parathyroid problems or high calcium. The parathyroid tumor must be removed by a surgeon. As soon as the parathyroid tumor has been removed, you are cured! It is very likely this will change your life. If you have hyperparathyroidism you need to have parathyroid surgery. If you have an expert surgeon this operation should be very easy.

When foreign organisms such as bacteria enter the body, the immune system sends white blood cells to fight the infection. This causes swelling (inflammation) at the site of infection and the death of nearby tissue, creating a hole called a cavity, which fills with pus to form an abscess.

Blackheads, Cysts & Pimples

Genital warts are growths on the skin of the genital area and around the anus. They are caused by certain types of the human papilloma virus (HPV). There are more than 100 types of HPV. Some types of HPV produce warts on different parts of the body, like plantar warts on the feet and common hand warts. There is no specific treatment for HPV, but there are treatments for health problems caused by HPV. Genital warts can be treated by your healthcare provider, or with prescription medication. HPV-related cancers are more treatable when diagnosed and treated promptly. For more information, visit www.cancer.org.

Insertion of a Palindrome TDC in the right internal jugular vein under ultrasound and fluoroscopic guidance at a restructured hospital in Singapore

A tonsillolith lodged in the tonsillar crypt. Specialty. Otorhinolaryngology. Tonsilloliths, also known as tonsil stones, are clusters of calcified material that form in the tonsillar crypts, the crevices of the tonsils. While they occur most commonly in the palatine tonsils, they may also occur in the lingual tonsils.

Removing Blood Clot From the Artery or Veins