Ultrasound guided Amniocentesis

In this short video, Dr. Hermes Prado Jr, M.D. describes what amniocentesis is and how it can be performed under ultrasound guidance. This medical procedure is very important in the investigation of a series of disorders of the pregnancy and fetus, as genetic problems, congenital malformation, metabolic disfunctions, Rh blood type incompatibility, amog others. The importance of this video is that it has been done by a medical doctor that is also a digital artist.

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Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice

* Provides a comprehensive account of the traditional methods of patient history-taking and examination but updated with a full account of the role of modern investigative techniques.
* A book for students of all ages and all degrees of experience.
* The most comprehensive account of clinical methods on the market.

* Contents re-ordered into five sections: *The approach to the patient * General assessment * Basic systems * Clinical specialties * Ethics
* New editor joins the textbook – Dr Michael Glynn
* Completely new text presentation and page design
* All line drawings redrawn for improved clarity
* New chapters on: * Nutritional assessment * Diabetes and other metabolic disorders * Intensive care unit * Pain * The face, mouth, jaws and neck
http://freakshare.net/files/865zxkyj/HCM22.chm.html

Gastrointestinal Duplications

Gastrointestinal duplications are rare congenital malformations that may vary greatly in presentation, size, location, and symptoms.


Jejunal duplication in a newborn. Intraoperative image demonstrates a cystic structure found on the antimesenterial side of the jejunum. A segmental resection was performed and the jejunum anastomosed.

Anal Fistula

A fistula-in-ano is a hollow tract lined with granulation tissue connecting a primary opening inside the anal canal to a secondary opening in the perianal skin. Secondary tracts may be multiple and from the same primary opening


Fistula-In-Ano: External opening of fistulus tract is apparent in photo above. Proximal opening.................

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"C-AST-Le" sequence of elevated enzymes after MI

"C-AST-Le" (castle):

• CK-MB.... first
• AST......... second
• LDH......... third
• · Also: can use the last 'E' for ESR.

Heart Model II - Surface Anatomy

Good video of Nasogastric Intubation