Lumpectomy means that a focal area of cancer is going to be removed. A lot of patients with a lumpectomy don’t need any specific breast reconstruction, explains Dr. Miguel Angel Medina, Director of Microsurgery with Miami Cancer Institute.
Al the end of surgical treatment, all those patients go on to need radiation therapy. For patients who have large breasts, physicians have to take a larger lumpectomy than normal.

I talk about 5 Essential Skills you need as a nurse. These skills are timeless in the fat that you will always need to use them at some level. Of course specific skills are good to have as well but these skills are universal and can help you in other areas of life as well.

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UPDATE 1/30/15: Watch the updated version of this animation: https://www.youtube.com/watch?v=LVP6JngpgEE

This 3D medical animation shows how adhesions in the abdomen may cause complications. These problems may include obstruction, twisting, and dislocating areas of the small intestine. Adhesions can be separated with laparoscopic instruments.

ANH00037

Follow along on a typical day with UCSF Medical Center's chief of cardiothoracic surgery Dr. Tom Nguyen. Take a walk on rounds with his team as they check on patients who are recovering or preparing for heart valve surgeries to treat conditions such as mitral valve prolapse and mitral regurgitation. Get a glimpse into the operating room as Dr. Nguyen and his team use the latest non-invasive techniques to help patients achieve the best outcomes.

0:00 Surgeon begins day with morning report
0:53 Meet with fellows and visit patients
1:28 Surgeon thoughts on his practice
Minimally Invasive Surgeries
2:09 Mitral valve replacement for mitral stenosis
3:11 Mitral valve repair for AFib and mitral regurgitation
3:36 Stopping the heart
4:15 Culture 1 - Everyone's voice matters
4:45 Mitral valve repair for heart murmur
5:12 Culture 2 - Patient first

To view more UCSF videos relating to Mitral Regurgitation Treatment and Aortic Stenosis Treatment view:
Mitral Regurgitation Treatment Options https://youtu.be/7nUUOMx4tJ0
Aortic Stenosis Treatment Options https://youtu.be/A2rZK0oFWcc

If you want to learn more about the Cardiac Surgery clinic and to request an appointment visit: https://www.ucsfhealth.org/cli....nics/cardiac-surgery



#dayinthelife #heartsurgeon #heartsurgery #CardiacSurgery #Cardiology #ucsf #drnguyen#ucsfhealth #Cardiothoracic

Watch to learn more about what happens during a stent procedure.
More information about this procedure and other heart care at BJC: https://www.bjc.org/Services/M....edical-Services/angi

#GIT#Abdominalexamination#AETCM

This video shows you how to conduct a clinical examination of the foot and how to identify common causes of foot pain.

This video clip is part of the FIFA Diploma in Football Medicine and the FIFA Medical Network. To enrol or to find our more click on the following link http://www.fifamedicalnetwork.com

The Diploma is a free online course designed to help clinicians learn how to diagnose and manage common football-related injuries and illnesses. There are a total of 42 modules created by football medicine experts. Visit a single page, complete individual modules or finish the entire course.

The network provides the opportunity for clinicians around the world to meet and share ideas relating to football medicine. Ask about an interesting case, debate current practice and discuss treatment strategies. Create a profile and log on to interact with other health professionals from around the globe.

This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional.

http://www.nucleushealth.com/ - This 3D medical animation shows the cause and laparoscopic treatment of a ventral incisional hernia. If you have had abdominal surgery in the past, a ventral incisional hernia may appear at the site of your surgical scar. Your intestine may push through a weakened spot in the tissue between your abdominal muscles creating a bulge beneath your skin. If your hernia is not repaired, complications may occur.
#VentralHernia #VentralIncisionalHernia #IncisionalHernia
ANH11053

Elizabeth Stephens, MD joined the Department of Cardiovascular Surgery at Mayo Clinic Rochester, Minnesota in 2019. To learn more about Dr. Stephens’ practice: https://www.mayoclinic.org/bio....graphies/stephens-el
Elizabeth H. Stephens, M.D., Ph.D., is an Assistant Professor of Surgery in Cardiovascular Surgery specializing in congenital cardiac surgery. She received her medical degree from Baylor College of Medicine and Ph.D in Bioengineering from Rice University focusing on tissue engineering heart valves. Her adult cardiothoracic training was completed at Columbia University and congenital training at Lurie Children's Hospital in Chicago. Her clinical areas of expertise include the treatment of:

• Neonates, infants, and children with complex congenital heart disease
• Adult patients with congenital heart disease, including patients previously repaired
• Valve disease, including Ebstein's anomaly
• Pediatric patients with heart failure, including mechanical circulatory support and heart transplantation
• Patients with vascular rings and tracheal stenosis

In addition to her clinical areas of expertise, Dr. Stephens is active in outcomes research relative to congenital heart disease and is extensively published on various cardiac surgery conditions. She has a particular interest in education, including serving on national committees and mentoring trainees of all levels.

During a standard abdominoplasty, Dr. Sanchez removes the excess skin of the lower abdomen. He repairs separated muscles, and pulls the skin down nice and tight. Lastly, a new hole is cut into the skin for the belly button. Let us know your questions!

To request a consultation with Dr. Sanchez, visit sanchezplasticsurgery.com and click Request a Consultation. Fill out the form and someone will get in touch with you to answer all your questions.

Examination of Peripheral Vascular System - Clinical Skills OSCE Revision - Dr Gill

In this video, we demonstrate the peripheral vascular examination - a less common examination, but still vitally important, particularly amongst the older population

Starting with the examination of the hands looking for clinical signs of vascular compromise, we then check the pulses of the major arteries of the upper body - the radial, brachial and carotid arteries, before moving down to assess for an abdominal aortic aneurysm.

At this point, I feel it's a practical step to check the femoral pulses before doing the overview of the legs.

After visually assessing we must examine the major vascular areas of leg.- namely the popliteal pulses, before wrapping up around the ankle with the posterior tibial and dorsalis pedis pulses

For completeness, the cardiovascular examination is demonstrated here
https://www.youtube.com/watch?v=ECs9O5zl6XQ&t=2s

#PeripheralVascular #ClinicalSkills #DrGill

Vatche, Minassian, MD, MPH, Chief of Urogynecology, and Sarah Cohen, MD, MPH, Director of the Minimally Invasive Gynecologic Surgery Fellowship Program at Brigham and Women’s Hospital, perform a laparoscopic burch colposuspension, a procedure used to correct stress urinary incontinence.

Stress urinary incontinence is one of the most common types of incontinence and is characterized by urinary leakage during physical activities including coughing, sneezing, exercising, lifting, and laughing. As the condition progresses, it can become severe enough to happen with simple acts such as bending and walking. This condition is due to an anatomic weakness of the bladder neck which typically maintains the seal of urine during activity. Stress incontinence can result from a variety of conditions including vaginal childbirth, aging, menopause and obesity. As this is an anatomic condition, primary treatment may involve pelvic floor exercises and/or minimally invasive surgery.

Learn more about treatment for stress urinary incontinence:
Division of Urogynecology: http://www.brighamandwomens.or....g/Departments_and_Se

Division of Minimally Invasive Gynecologic Surgery: http://www.brighamandwomens.or....g/Departments_and_Se

What to expect during the day of a pediatric surgery at Sutter Children's Center Sacramento.

How to perform a parotidectomy gland resection? In this video we take you step by step through the protid gland resection surgical technique. This video is intended for ENT residents and Head and Neck Surgery Surgeons. It is part of the ORL-Information's Head and Neck surgery Masterclass in collaboration with the University Hospital of Nîmes. Surgeons Editors: Pr. Benjamin LALLEMANT, MD, PhD - Dr. Camille GALY, MD Head and and Neck Department, University Hospital of Nîmes, France Official video | www.orl-information.fr

Cette vidéo présentent la technique de la parotidectomie avec dissection du nerf facial. Elle illustre les différents temps de l'intervention notamment le temps de repérage du nerf facial.

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This particular video is intended as a demonstration of Neurologic Examination. This demonstration is intended as an example of a neurologic exam which may be used as part of the initial evaluation of patients with complaints that may have an underlying neurologic origin. This video is solely for educational purposes and intended for use to prepare for OSCEs incorporating standardized patient encounters. It is not intended as a demonstration of a comprehensive neurologic examination and is not intended as medical advice or medical guidelines.

It is not intended as a complete instructional video and should not be considered a source of complete physical examination instruction.

Instead, it should be treated as a supplement to independent learning using primary Osteopathic Clinical Skills instructional resources. Clinical skills are best learned and developed with support from faculty in the context of a complete Osteopathic Medical School Curriculum.

Osteopathic Clinical Skills is a channel dedicated to discussing and exploring Osteopathic Clinical Skills concepts for medical students, residents, and clinicians and presenting them in an easy to understand manner.

Attributions:
Many thanks to the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSC - TCOM) for permitting use of the Simulation facilities and equipment during the production of this video.

Additional thanks to the UNTHSC-TCOM standardized patient and faculty volunteers who participated in this production and provided permission for the use of their image in this video.

Clinical Examination of the respiratory system

Four-point gait crutches walking pattern demonstration review for
NCLEX assistive devices and nurses.

One of the gaits that you'll have to learn for crutches is the 4-point gait. An example of a four point gait crutch pattern would be the patient moving the right crutch first (on the injured side), followed by the left foot, then the left crutch, and then the right foot. Then, you'll repeat this pattern.

In addition to this video, we have an entire compilation that features the various crutch gait patterns, as well as walkers and canes:

https://www.youtube.com/watch?v=k2-w3LZlCVk

#crutches
#nclex
#nursing
#nurse

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This tutorial is an introduction to the histology of the different tissues in the human body and the cells they are made of. Test yourself on our cells and tissue histology quiz at https://khub.me/jnhny

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A tissue is a group of cells that has a similar structure and acts together to perform one or more specific functions. In this tutorial, we will introduce you to the 4 main types of tissues in the human body: epithelial tissue, connective tissue, muscle tissue and nervous tissue. Epithelial tissue creates protective boundaries and is involved in the diffusion of ions and molecules, whereas connective tissue underlies and supports other tissue types.

Muscle tissue contracts to initiate movement in the body and nervous tissue transmits and integrates information through the central and peripheral nervous systems.

In this video tutorial we will take a closer look at the histology of the main cells and tissues under the microscope.

- 0:33 introduction to histology
- 1:22 epithelial tissue histology and types
- 5:45 function of the basement membrane
- 6:20 connective tissue histology and structure
- 10:53 muscle tissue and types of muscle cells
- 13:11 basics of the nervous system

Want to test your knowledge on the cells and tissues of the human body? Take this quiz: https://khub.me/jnhny

Why don't you jump into the introduction of the cell and its components with our free article next? Find it here: https://khub.me/apv1d

For more engaging video tutorials, interactive quizzes, articles and an atlas of Human anatomy and histology, go to https://khub.me/wcyx7

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This video illustrates an IM injection for deltoid muscle.
Note that vaccines and other medications can be administered through the deltoid muscle. I will give you some tips through this video.

It is important to check your client’s details such as their medication, time, dose, and the route to be used. Different research works are subject to change the protocols for insertion thus, it is necessary to be up to date with the current changes.

Assemble all the supplies and conduct hand sanitation. Usually, I wear gloves before giving any injection in as much as the CDC may state it is optional unless the patient has an open lesion and contact of body fluids is likely to happen.

Use the acromion process landmark to locate the deltoid muscle. Move your fingers about two widths below the landmark. The patient’s adipose tissue determines the choice of needle length. Note that the needle gauge is determined by the type of medication you plan to give to the patient.

The Z-track technique is recommended rather than pinching the patient’s skin. Pull the patient’s skin to the side using one hand. Use a 90 degree angle to insert the needle to the patient’s skin. At the rate of 10 seconds per mL gently depress the plunger.

Remove the needle carefully and engage the safety precautions then dispose of the needle appropriately in the sharps container. Gauzing helps to cover the injection site.

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