New to Meducation?
Sign up
Already signed up? Log In

Category

406
13
128

Hand Examination

In this video podcast Mr Alaistair Pace demonstrates an effective technique for examination of the hands. Further video podcasts can be found at www.surgeryandmedicine.com  
Rhys Clement
almost 9 years ago
Preview
2
8

i-LIMB Bionic Hand

The i-LIMB Hand™ is the world’s first full articulating bionic hand, delivering compliant grip, wraparound fingers, thumb rotation and full hand palmar grip. It brings a new dimension to upper limb prosthetics, with levels of flexibility, durability, aesthetic presentation an overall functionality that have never been seen before. For the first time, a prosthetic hand delivers grip configurations that behave in almost every respect like its natural counterpart, transforming both the capabilitie and the confidence of users.  
Chris Oliver
over 8 years ago
Preview 300x325
3
30

hand Incision for infection

hand Incision for infection  
Chris Oliver
over 8 years ago
Preview 300x200
3
28

Lobster hand reconstruction

Lobster hand reconstruction  
Chris Oliver
over 8 years ago
Preview 300x206
2
17

A Tularemia lesion on the dorsal skin of the right hand, caused by the bacterium Francisella tularensis.

Tularemia is caused by the bacterium, Francisella tularensis. Symptoms vary depending on how the person was exposed to the disease, and as is shown here, can include skin ulcers.  
Public Health Information Library
about 8 years ago
13
1
19

Zombies and pain - listen to the lecture

<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://farm3.static.flickr.com/2088/1569598816_5cd12917f7_d.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 200px;" src="http://farm3.static.flickr.com/2088/1569598816_5cd12917f7_d.jpg" border="0" alt="" /></a><br /><br />Zombie philosophy - more than a professor with a hangover? How does colourblind Mary know that her lamb is white? And what has this nonsense to do with pain? Dr Tillmann Vierkant of the University of Edinburgh explains to the combined meeting of the East and West of Scotland Pain Groups.<br /><br /><span style="font-style: italic;">Listen again</span>:<br />Download <a href="http://www.archive.org/download/ZombiesAndPain/ZombiesAndPain_64kb.mp3">mp3 of lecture</a> 37.8Mb Duration: 1:18:51<br />Listen to <a href="http://www.archive.org/download/ZombiesAndPain/ZombiesAndPain_64kb.m3u"> lo-fi stream</a><br /><br /><span style="font-style:italic;">Further reading:</span><br /><a href="http://psyche.cs.monash.edu.au/v8/psyche-8-19-vierkant.html">Zombie Mary and the Blue Banana</a><br /><a href="http://www.worldcat.org/oclc/52554152?tab=details">Consciousness: an introduction - Susan J Blackmore</a><br /><a href="http://www.worldcat.org/oclc/33101543?tab=details">The conscious mind : in search of a fundamental theory - David Chalmers</a><br /><br />Photo: CC <a href="http://www.flickr.com/photos/maliciawalls/">maliciawalls</a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/13562045-2802939476208699578?l=wspain.blogspot.com' alt='' /></div>  
West of Scotland Pain Group lectures
about 8 years ago
29746
1
16

Mental Status Abnormal

Orientation, Memor This patient has difficulty with orientation questions. The day of the week is correct but he misses the month and date. He is oriented to place. Orientation mistakes are not localizing but can be due to problems with memory, language, judgement, attention or concentration. The patient has good recent memory (declarative memory) as evidenced by the recall of three objects but has difficulty with long term memory as evidenced by the difficulty recalling the current and past presidents. Attention-working memor The patient has difficulty with digit span backwards, spelling backwards and giving the names of the months in reverse order. This indicates a problem with working memory and maintaining attention, both of which are frontal lobe functions. Judgement-abstract reasoning The patient gives the correct answer for a house on fire and his answers for similarities are also good. He has problems with proverb interpretation. His answers are concrete and consist of rephrasing the proverb or giving a simple consequence of the action in the proverb. Problems with judgement, abstract reasoning, and executive function can be seen in patients with frontal lobe dysfunction. Set generatio Set generation tests word fluency and frontal lobe function. The patient starts well but abruptly stops after only four words. Most individuals can give more then 10 words in one minute. Receptive languag Patients with a receptive aphasia (Wernicke’s) cannot comprehend language. Their speech output is fluent but is devoid of meaning and contains nonsense syllables or words (neologisms). Their sentences are usually lacking nouns and there are paraphasias (one word substituted for another). The patient is usually unaware of their language deficit and prognosis for recovery is poor. This patient’s speech is fluent and some of her sentences even make sense but she also has nonsense sentences, made up of words and parts of words. She can’t name objects (anomia). She doesn’t have a pure or complete receptive aphasia but pure receptive aphasias are rare. Expressive languag This patient with expressive aphasia has normal comprehension but her expression of language is impaired. Her speech output is nonfluent and often limited to just a few words or phases. Grammatical words such as prepositions are left out and her speech is telegraphic. She has trouble saying “no ifs , ands or buts”. Her ability to write is also effected Patients with expressive aphasia are aware of their language deficit and are often frustrated by it. Recovery can occur but is often incomplete with their speech consisting of short phrases or sentences containing mainly nouns and verbs. Praxi The patient does well on most of the tests of praxis. At the very end when he is asked to show how to cut with scissors he uses his fingers as the blades of the scissors instead of acting like he is holding onto the handles of the scissors and cutting. This can be an early finding of inferior parietal lobe dysfunction. Gnosi With his right hand the patient has more difficulty identifying objects then with his left hand. One must be careful in interpreting the results of this test because of the patient’s motor deficits but there does seem to be astereognosis on the right, which would indicate left parietal lobe dysfunction. This is confirmed with graphesthesia where he definitely has more problems identifying numbers written on the right hand then the left (agraphesthesia of the right hand). Dominant parietal lobe functio This patient has right-left confusion and difficulty with simple arithmetic. These are elements of the Gertsmann syndrome, which is seen in lesions of the dominant parietal lobe. The full syndrome consists of right-left confusion, finger agnosia, agraphia and acalculia.  
Neurologic Exam
over 7 years ago
29748
2
46

Cranial Nerves Examination - Normal

Orientation, Memor Asking questions about month, date, day of week and place tests orientation, which involves not only memory but also attention and language. Three-word recall tests recent memory for which the temporal lobe is important. Remote memory tasks such as naming Presidents, tests not only the temporal lobes but also heteromodal association cortices. Attention-working memory Digit span, spelling backwards and naming months of the year backward test attention and working memory which are frontal lobe functions Judgement-abstract reasoning These frontal lobe functions can be tested by using problem solving, verbal similarities and proverbs Set generation This is a test of verbal fluency and the ability to generate a set of items which are frontal lobe functions. Most individuals can give 10 or more words in a minute. Receptive language Asking the patient to follow commands demonstrates that they understand the meaning of what they have heard or read. It is important to test reception of both spoken and written language. Expressive language In assessing expressive language it is important to note fluency and correctness of content and grammar. This can be accomplished by tasks that require spontaneous speech and writing, naming objects, repetition of sentences, and reading comprehension. Praxis The patient is asked to perform skilled motor tasks without any nonverbal prompting. Skills tested for should involve the face then the limbs. In order to test for praxis the patient must have normal comprehension and intact voluntary movement. Apraxia is typically seen in lesions of the dominant inferior parietal lobe. Gnosis Gnosis is the ability to recognize objects perceived by the senses especially somatosensory sensation. Having the patient (with their eyes closed) identify objects placed in their hand (stereognosis) and numbers written on their hand (graphesthesia) tests parietal lobe sensory perception. Dominant parietal lobe function Tests for dominant inferior parietal lobe function includes right-left orientation, naming fingers, and calculations. Non-dominant parietal lobe function The non-dominant parietal lobe is important for visual spatial sensory tasks such as attending to the contralateral side of the body and space as well as constructional tasks such as drawing a face, clock or geometric figures. Visual recognition Recognition of colors and faces tests visual association cortex (inferior occiptotemporal area). Achromatopsia (inability to distinguish colors), visual agnosia (inability to name or point to a color) and prosopagnosia (inability to identify a familiar faces) result from lesions in this area.  
Neurologic Exam
over 7 years ago
Preview 300x425
17
408

Anatomy wikiversity quizzes

This is a link to quizzes made using Wikiversity. During a Student selected component my colleague and I experimented with wikiversity. Although the quizzes made were basic, the concept is that they can be edited and added to by anyone using them to improve them and make them more interactive. The best example are probably the shoulder muscles and lateral aspect of the hand quizzes.  
Daniel Wornham
over 7 years ago
Preview
2
8

No Title

SPIROMETRY • Wash hands • Introduce, identify patient, gain consent • Establish height, sex, age and ethnicity (if African/Asian query whether ‘normal’ values …  
Nick Francis
over 7 years ago
Preview
2
6

No Title

The liver is found just beneath the diaphragm on the right hand side and is under the ribs so is not normally palpable. Horizontally the liver runs from the ed…  
Lucy Faulkner
over 6 years ago
Preview
2
5

No Title

The liver is found just beneath the diaphragm on the right hand side and is under the ribs so is not normally palpable. Horizontally the liver runs from the ed…  
Lucy Faulkner
over 6 years ago
Preview
5
98

Basic Examination of the Hands

Guide to examining hands during inspection, by the clinical skills tutors at the University of Liverpool  
Mary
almost 6 years ago
Preview
5
61

In the Hands

What to look for in the hands when performing a general clinical examination -- perfect for the medical student on their first placement. Far from comprehensive, but an excellent starting point if you're not quite sure what approach to take. Part of our series on basic clinical examination. If you enjoyed this video, why not subscribe for all the latest from HippocraTV? And let us know what you'd like us to cover next -- like all good educationalists, we can't get enough of that sweet, sweet feedback. Now get out there and see some patients! Music: Brittle Raille by Kevin Macleod Cool Vibes by Kevin Macleod Dub Feral by Kevin Macleod Local Forecast by Kevin Macleod Groove Grove by Kevin Macleod (all via the wonderful Incompetech.com) Special thanks to Harrison Ferguson Disclaimer: HippocraTV is not affiliated with any medical school or NHS trust. While we make a great effort to ensure our content is correct and up-to-date, watching YouTube is not a substitute for reading a textbook, attending a lecture or seeing a real-life patient.  
Hippocrates
over 4 years ago
5
0
6

Watch a woman get a 3D-printed skull

Watch a woman get a 3D-printed skull For more latest tech news and product reviews SUBSCRIBE to http://www.youtube.com/user/TechyGUYS When a Dutch woman with a rare condition needed a new skull, surgeons 3D-printed one for her and put it on her brain like a cap. An entire human cranium can now be added to the growing list of 3D-printed body parts that includes a fingertip, a hand, prosthetic eyes, arms, a jaw, and even a new foot for a duck. The plastic skull was made by an Australian firm and placed on the brain of a Dutch woman at Utrecht University's University Medical Center in the Netherlands. The operation, which lasted 23 hours, took place about three months ago, and Dutch News just reported that the patient has returned to work -- plastic noggin and all. "The patient has her sight back entirely, is symptom-free, is back to work, and it is almost impossible to see that she's ever had surgery," lead neurologist Ben Verweij said in a statement. Prior to the procedure, the woman's skull was more than three times thicker than a normal skull due to a rare condition. The increased thickness caused the woman's skull to press on her brain, leading to severe headaches and vision loss. Although the report doesn't name the condition, Camurati-Engelmann disease is among the ailments that can cause skull bones to thicken. "Implants used to be made by hand in the operating theater using a sort of cement which was far from ideal," Verweij said of the procedure, according to Dutch News. "Using 3D printing we can make one to the exact size. This not only has great cosmetic advantages, but patients' brain function often recovers better than using the old method." Verweiji says that although portions of skulls have been swapped out in the past, this is the first time an entire cranium has been replaced in a patient. And I bet this is the first time you've ever seen a plastic skull get attached to a real live brain. Let me know what you think in the comments below. TAGS play station 4, play station, play station 2 emulator, play station emulator, play station 3, free play station emulator, play station network, sony play station, play station 2, xbox one, xbox, xbox 360, xbox live, xbox 360 iso, xbox emulator, xbox 360 game, gta 5 cheat xbox, xbox iso, gta 5 cheat xbox 360, xbox 360 deal, microsoft, microsoft office, microsoft window, microsoft security essentials, microsoft office 2000, 2003 edition microsoft office professional, 2003 microsoft office student, microsoft word, 2007 microsoft office system, microsoft window xp, download microsoft word, microsoft window media center, microsoft internet explorer, 2007 download microsoft word, microsoft excel, microsoft account, microsoft outlook, microsoft corporation, microsoft window 7, microsoft surface, microsoft office word, microsoft download, microsoft online, microsoft office 2010, explorer internet microsoft update, microsoft power point, microsoft update, download microsoft office, microsoft xbox 360, microsoft computer training, apple, apple store, apple itunes music store, apple itunes, apple ipad, apple iphone, apple ipod, apple laptop, apple vacation, apple ipad mini, apple fix, apple logo, apple tv, apple support community, apple software download, apple iphone 5c, apple iphone 5s, apple iphone 4, apple iphone 5, samsung galaxy, samsung, samsung galaxy s4, samsung galaxy s3, viber for samsung, samsung flight, samsung galaxy note, samsung phone, att samsung galaxy, samsung galaxy note 3, samsung kies, samsung galaxy s iii, sprint samsung galaxy, samsung galaxy s2, samsung galaxy tab 3, samsung galaxy s 4, samsung tablet, samsung galaxy tab, samsung galaxy s, att samsung, samsung galaxy note 2, samsung galaxy s5, samsung galaxy tab 2, samsung galaxy mega, samsung galaxy s3 mini, samsung galaxy s4 mini, samsung galaxy s ii, how to screen shot on samsung galaxy s4, mobile samsung, sony, sony video game, sony tv, sony vaio, sony xperia, sony play station, sony ericsson, sony xperia z, sony laptop, sony entertainment network, sony camera, sony xperia z1, sony tv live, sony psp wall, sony vegas, sony vaio laptop, sony computer, sony style, sony mobile,  
Nicole Chalmers
over 4 years ago
Preview
1
11

Medicine Grove: A Shamanic Herbal

Medicine Grove: A Shamanic Herbal - Read book online. Medicine Grove is a comprehensive herbal, with listings for every common herb and many wild plants of North America. It includes descriptions of the part of the plant used, notes on preparation, lists of symptoms alleviated by the herb, and common effects. But Medicine Grove goes further, with chapters on gathering and growing wild herbs, using herbs in shamanic ceremonies or as plant allies in the wilderness, and birth, death, and dreaming herbs. Cruden combines her own first-hand experiences with a profound knowledge of indigenous traditions, enabling the reader to bring herbal lore into his or her own practice. She explains which herbs are best for seasonal ceremonies, smudging, and making offerings, and tells how to purify a sacred space. She covers topics such as vision quests, consciousness-altering, and the special connections between certain herbs and totem animals. Medicine Grove brings the concept of an herbal into sacred territory, offering guidelines for incorporating herbs into one's spiritual life, based on the author's lifetime of work with Native American practices.  
Scribd
over 4 years ago
Preview
4
19

Junior Doctors: Your Life In Their Hands

An episode from BBC series which follows the lives of junior doctors in the UK.  
YouTube
over 4 years ago
Preview
3
13

Vicar or publican - which jobs make you happy? - BBC News

Which would you be happier doing - serving pints or serving God? Helpful advice on how to make those difficult life choices is on hand.  
BBC News
over 4 years ago
Preview
1
9

Clostridium Difficile Infection

Clostridium Difficile is carried in the normal gut fauna of the large intestine in about 5% of the population. It can be spread by the faecal-oral route, and by person-person contact – hence the importance of hand-washing between patients on the ward! It is also present in soil, water and in pets Generally, becomes problematic after taking antibiotics and is a very common hospital acquired infection.  
almostadoctor.com - free medical student revision notes
over 4 years ago