" مالتيميديا الأوبســـــــــتاتريك ", . خيارات

[Dr_MuHaMmAd]

السلام عليكم جميعا

ازيكم

كل سنة و انتم طبيبن



بما اننا بدأنا نسا فعلياً

فزى ما فيه توبيك

الجراحة ....الجراحة .....الجراحة

و توبيك

بااااااااااطنة



ده واحد هو كمان للنساء و التوليد

:

سواء بقى عن محاضرات د/محمود سالم .... محاضرات القسم و الراوند لما تبدأ ...... اى حد بدأ دروس


لو عنده معلومة ..... موقع كويس .... تسجيل محاضرة .....

اخبار .... مواعيد .... امتحانات .... كتب نزلت


حد عنده حته مش فاهمها و عايز يسأل

معلموة مش متأكد منها او مش مقتنع بيها

اى طلب

يخش هنا

و ان شاء الله نقدر نفيد بعض

و جزاكم الله خيرا

تم تحرير المشاركة بواسطة SpeedFreak: 10 أكتوبر 2008, 07:56 ص

[DR___RG]

DR\SpeedFreak

changes in pregnancy

skin

choloasma





linea nigra



striae garvidarum



pigmentations




ودى صورة كده تفاريح

كانت خدت جايزة احسن صورة تركيب فى 2006



varicosities





uterus

تم تحرير المشاركة بواسطة DR___RG: 4 ديسمبر 2008, 08:21 م

[DR___RG]

DR\speedfreak

Changes during pregnancy


اتكلمت عنها المرة اللى فاتت

ده ملخص سريع

ده فيديو لواحدة حامل مصورة فيه بطنها
وصور السونار كلها

اسبوع باسبوع

فيديو لطيف مع موسيقى طفولية شوية

لاحظوا وشها
و ووزنها اللى زاد
وحجم بطنها
و صور السونار

و ده فيديو تفاريح كده
فكرته عجبتنى

الحمل كله فى 30 ثانية

الوقت بيجرى بسرعة

طيب نيجى لشوية طب

Diagnosis of pregnancy

كلام عام كده
1st trimester

1- Missed preiod
2- Morning sickness





وده فيديو من لعبه كمبيوتر عن شخصيه فى اللعبة حامل

3- frequency of micturition
4- Breast symptoms

Pigmentation



Montgomery's glands





5-Apetite changes


نيجى بقى لل
signs and investigations


signs
Hegar sign


Palmar sign
Chadwicks
Godells


Investigations

1- pregnancy tests

Urine tests



وده واحد تانى بال يو اس بى
متطور
و بيرسم رسومات لو فيه حمل و لو مفيش يعمل علامة غلط



ده لما يكون فيه حمل
positive




و طبعا فيه تحليل الدم بس ده فى المعمل



2- Ultrasongraphy

abdominal probe

vaginal probe

مش بس بيشخص حمل

ده كمان بيبين اى شئ مش طبيعى
twins



Bicornate uterus pregnancy


Vesicular mole
(snow storm appearance )


Ectopic
e.g.tubal ectopic


و الاروع كمان انه يشوف دقات قلب الطفل عند الاسبوع السادس

روعة

3- Fetal heart sound ( Sonicaid - doptone )




وده واحد بيستخدم بايد واحدة بس


وده بقى تجربة عملية


بصوا هو مش ميكروفون
بيشتغل بنفس فكرة السونار او الدوبلر

ده فيديو لطيف بيبين الصوت لما يشتغل
هيعجبكم

هتلاقوا الرقم مكتوب
140 - 125
which is normal
fetal Heart rate




2nd trimester

Amenorrhea
Morning sickness and urinary ---- disappear

اهم حاجتين

ABDOMINAL ENLARGMENT

شوفوا الفيديوهات اللى فى الاول

QUICKENING

حركة الطفل

فيديو جميل جدا

signs

Ballotement
معدش حد بيعملها قوى اليومين دول





3rd trimester

أكيد واحدة غبية جدا
والدكتور اغبى منها

لو لسه معرفوش انها حامل و قربت تولد اصلا



شوفوا بطنها قد ايه اصلا




ده بقى صور من زيارة ميدانية لزينهم

PHC



مستلفهم من بروفايل شخص ما على الفيس بوك




























شوية كلام حمضان زى بتاع الكميونيتى للستات الحوامل

استخسرت محطوش ... يمكن يفيد


pregnancy and travel

http://www.youtube.com/watch?v=qTi0YlOCvEw

pregnancy and vomiting
http://www.youtube.com/watch?v=zHbmRrqv3wY

nutrition in pregnancy
http://www.youtube.com/watch?v=3KdxFYTgGEg

warning symptoms
http://www.youtube.com/watch?v=xlVWMeivz3I...feature=related




دول شوية فيديوهات

سونار
3D

حاجة جامدة جدا

وده واحد دماغة عالية جدا

[امة الله87]

development of placenta
[

داروي

normal placenta










The placenta. The fetal (umbilical) arteries and their branches are shown white, and the vein and its branches black






anatomy of placenta





url=http://www.0zz0.com][/url]







normal placenta





placentation

placenta formation

what is the placenta</div

>?

تم تحرير المشاركة بواسطة DR___RG: 16 ديسمبر 2008, 02:13 م

[DR___RG]

د المراكبي

دول فيديوهين جامدين

واحد عن 3D Medical Animation of Normal Vaginal Birth

وده عن 3D Medical Animation: Childbirth Stations of Presentation

ENJOY UR STUDY

</div>

[center]د امة الله 87</div>

[center]normal labour

external cephalic version

breech

تم تحرير المشاركة بواسطة DR___RG: 13 ديسمبر 2008, 06:24 م

[zerohour]

بسم الله الرحمن الرحيم

هنشوف مع بعض شوية صور ل

aborted babies

قام بتجميع الصور د / أروى جزاها الله خيرا











abortion_9_weeks









Life size models of babies at 7,8,9,10 and 12 weeks





abortion at 22 weeks









abortion at seven weeks.





abortion at eight weeks





abortion at eleven weeks





a first trimester suction abortion



يتم استكمال ال abortion

غدا إن شاء الله

جزاكم الله خيرا

[zerohour]

استكمال موضوع ال abortion

هنشوف مع بعض ال clinical types

شكر خاص ل د / أروى جزاها الله خيرا



Threatened abortion





Inevitable abortion





Incomplete abortion & its product





complete abortion & its product









complete abortion & its product





Incomplete abortion & its product



Surgical methods of induced abortion


* Vacuum aspiration (manual or electronic - using electronic suction) - for the first twelve weeks of pregnancy

* Dilatation and curettage (D&C) - for 15th to 24th week of pregnancy

* Intact dilatation and extraction (partial-birth abortion) - for advanced, third trimester pregnancy
















انتظروا معنا صور ال Ultrasonography

مجموعة رائعة من الصور

بالتوفيق

[zerohour]

بسم الله الرحمن الرحيم

قبل ما نبدأ صور ال Ultrasonography



ناخد فكرة صغيرة عنه الأول

و نبدأ ب Ultrasound Machine



*************************



*************************



*************************



*************************



*************************



*************************

A basic ultrasound machine has the following parts:






* transducer probe

probe that sends and receives the sound waves
Some probes can be moved across the surface of the body,
Others are designed to be inserted through various openings of the body
(vagina, rectum, esophagus)
so that they can get closer to the organ being examined
(uterus, prostate gland, stomach);
getting closer to the organ can allow for more detailed views.

********************



Transvaginal ultrasound is a method of imaging the genital tract in females.
A hand held probe is inserted directly into the vagina.
The probe is moved within the vaginal cavity to scan the pelvic structures,

********************



The 3.5 MHz convex probe is used for
general abdominal, gynecology and obstetric examinations.

********************



The 7.5 MHz linear probe is used for
examination of more superficial tissues,
such as breast and Color Doppler studies of the carotid vessels in the neck.

********************



The 5.0 MHz Transvaginal probe is used for
Transvaginal Gynecology and Obstetric examinations.





* central processing unit (CPU)

computer that does all of the calculations
and contains the electrical power supplies for itself and the transducer probe
The CPU is the brain of the ultrasound machine





* transducer pulse controls

changes the amplitude, frequency and duration of the pulses emitted from the transducer probe





* display

displays the image from the ultrasound data processed by the CPU
The display is a computer monitor
Displays can be black-and-white or color,
depending upon the model of the ultrasound machine.





* keyboard/cursor

inputs data and takes measurements from the display





* disk storage device (hard, floppy, CD)

stores the acquired images





* printer

prints the image from the displayed data





How Does It Work


1. The ultrasound machine transmits
high-frequency (1 to 5 megahertz) sound pulses
into your body using a probe.

2. The sound waves travel into your body
and hit a boundary between tissues
(e.g. between fluid and soft tissue, soft tissue and bone).

3. Some of the sound waves get reflected back to the probe,
while some travel on further until they reach another boundary and get reflected.

4. The reflected waves are picked up by the probe and relayed to the machine.

5. The machine calculates the distance from the probe to the tissue or organ (boundaries)
using the speed of sound in tissue (5,005 ft/s or1,540 m/s)
and the time of the each echo's return (usually on the order of millionths of a second).

6. The machine displays the distances and intensities of the echoes on the screen,
forming a two dimensional image like the one shown below.



********************



********************







An Ultrasound Examination


For an ultrasound exam, you go into a room with a technician and the ultrasound machine.
The following happens:

1. You remove your clothes (all of your clothes or only those over the area of interest).

2. The ultrasonographer drapes a cloth over any exposed areas that are not needed for the exam.

3. The ultrasonographer applies a mineral oil-based jelly to your skin --
this jelly eliminates air between the probe and your skin to help pass the sound waves into your body.

4. The ultrasonographer covers the probe with a plastic cover.

5. He/she passes the probe over your skin to obtain the required images. Depending upon the type of exam,
the probe may be inserted into you.

6. You may be asked to change positions to get better looks at the area of interest.

7. After the images have been acquired and measurements taken, the data is stored on disk.
You may get a hard copy of the images.

8. You are given a towelette to clean up.

9. You get dressed.



********************



********************







Major Uses of Ultrasound In Obstetrics and Gynecology

Scans may be performed in the first trimester to:


* Confirm a normal intra-uterine pregnancy

* Assess fetal age

* Exclude abnormalities such as ectopic pregnancies or potential for miscarriage

* Assess fetal heart activity

* Determine the presence of multiple pregnancies

* Identify abnormalities of the placenta, uterus, and other pelvic structures

********************

Scans may also be obtained in the second trimester to:


* Confirm pregnancy dates

* Determine the number of fetuses and examine placental structures

* Assist in prenatal tests such as amniocentesis

* Evaluate the fetal anatomy for presence of abnormalities

* Check the amount of amniotic fluid

* Examine blood flow patterns

* Observe fetal behavior and activity

* Examine the placenta

* Measure the length of the cervix

* Monitor fetal growth

********************

Scans in the third trimester may be done to:


Monitor fetal growth

* Check the amount of amniotic fluid

* Be part of other testing such as the biophysical profile

* Determine the position of a fetus

* Assess the placenta




طيب يا شباب

كفاية كده النهارده

عرفنا ما فيه الكفاية عن السونار

بكرة بقى نعرض شوية صور سونار

لل pregnancy

و ال abortion

بالتوفيق للجميع

تم تحرير المشاركة بواسطة zerohour: 5 ديسمبر 2008, 01:33 ص

[DR___RG]

د\اروي

cesarean section


The uterus is exposed through the abdominal wall, and an incision is made in the uterine covering.
The muscles of the uterus are separated, producinga hole for the delivery of the infant.
The infant is delivered throughthe opening in the uterine wall, after which, the uterus is stitched closed.







examples of indication of cs


3D Medical Animation Cesarean Birth (C-section)

[DR___RG]

[center]دول شوية فيديوهات عن عمليات الcs

</div>

[center]
http://www.youtube.com/watch?v=YoCN18ftKzI...feature=related
ده لينك اخر فيديو مش عارفة ليه مش شغال علي المنتدي

وده كمان فيديو

</div>

تم تحرير المشاركة بواسطة DR___RG: 18 ديسمبر 2008, 08:47 م

[DR___RG]

د\ اوري
multifetal pregnancy






Ultrasound of a triplet pregnancy



Multifetal pregnancy



twin pregnancy




Twins pregnancy




Twin Pregnancy 11Wks 4D ultrasound




Twin pregnancy at 10 weeks








Two Examples of Twinning
A. Identical Twins Fetuses are of the same sex and share one placenta. One outer membrane envelops both amniotic sacs.
B. Fraternal Twins Fetuses may be of different sex. There are two placentas and two separate amniotic sacs, each with its own membrane.

[DR___RG]

DR\The Red Rose,د\ اروي

ectopic pregnancy

sites of ectopic pregnancy





ectopic pregnancy in fallopian tube
the commonest site








what is an ectopic pregnancy?
video

http://video.about.com/pregnancy/Ectopic-Pregnancy.htm

ده عنوان الصفحة
فيديو رائع جدا بجد ومبسط

symptoms of ectopic preg

rupture ectopic preg

























Live rupturing ectopic pregnancy

[DR___RG]

DR\The Red Rose,د\ اروي

ectopic pregnancy

sites of ectopic pregnancy





ectopic pregnancy in fallopian tube
the commonest site








what is an ectopic pregnancy?
video

http://video.about.com/pregnancy/Ectopic-Pregnancy.htm

ده عنوان الصفحة
فيديو رائع جدا بجد ومبسط

symptoms of ectopic preg

rupture ectopic preg

























Live rupturing ectopic pregnancy

[DR___RG]

دي شويه صور للسونار ectopic pregnancy

Ectopic Left Tube - The scan then moves to the left uterine tube (LT) where ectopic implantation has occurred. Also visible is the left ovary (L OV) and the uterus (UT)


TRV Pelvis (Transvaginal)
Live Ectopic Pregnancy


a ruptured ectopic pregnancy diagnosed in seconds with transabdominal probe, and in the OR in under 45 minutes


ectopic pregnancy




Cervical Ectopic Pregnancy



Ectopic pregnancy, power doppler. Ultrasound image


Case Twenty Eight - Ectopic Pregnancy







tubal ectopic pregnancy




empty uterus



Empty Uterus with Ectopic Pregnancy





ectopic pregnancy - yolk sac

[DR___RG]

[center]treatment of ectopic pregnancy

1-salpingostomy


A tubal or ectopic pregnancy can be removed in several ways. If the fallopian tube is ruptured (A), the tube is tied off on both sides, and the embryo removed. If the tube is intact, the embryo can be pulled out the end of the tube ©, or tube can be cut open and the contents removed (D)

2-Salpingotomy for unruptured Ectopic pregnancy





3-In a salpingo-oophorectomy, a woman's reproductive organs are accessed through an incision in the lower abdomen, or laparoscopically (A). Once the area is visualized, a diseased fallopian tube can be severed from the uterus and removed (B and C). The ovary can also be removed with the tube (D). The remaining structures are stitched (E), and the wound is closed




laparoscopic salpingectomy for ectopic pregnancy

Simulated Salpingectomy

ectopic pregnancy,laparoscopic salpingectomy

</div>

[center]

salpingostomy

</div>

تم تحرير المشاركة بواسطة DR___RG: 22 ديسمبر 2008, 05:02 م