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Middle-ear inflammation may be classified clinically as either acute otitis media or otitis media with effusion. Mastery of otoscopic examination techniques is necessary for accurately diagnosing otitis media and differentiating its forms. This video demonstrates how to perform an otoscopic examination and how to remove cerumen from the external auditory canal.
Internal jugular vein cannulation is performed to establish central venous access for a variety of purposes, such as monitoring of central venous pressure, inserting pulmonary-artery catheters, administering intravenous therapeutic agents and nutrition, performing hemodialysis, and placing cardiac pacemakers. The increased use of ultrasonography to guide internal jugular vein cannulation has improved success rates and reduced complications. This video demonstrates ultrasound-guided internal jugular vein cannulation.
Endometrial biopsy is an office-based method for evaluating the tissue lining of the uterus. The many indications for endometrial biopsy include abnormal uterine bleeding, postmenopausal bleeding, amenorrhea for a year or longer, evaluation of infertility, evaluation of uterine response to hormone therapy, and follow-up for a Papanicolaou smear that has shown atypical glandular cells. The video demonstrates the technique of endometrial biopsy.
Although other methods exist to assess the peripheral vasculature, measurement of the ankle–brachial index remains a simple, reliable method for diagnosing peripheral arterial disease. This video presents the indications for use of the ankle–brachial index and demonstrates how it is measured.
Many distal-extremity injuries can initially be managed in an outpatient setting with the use of basic splinting techniques. Splinting immobilizes injured extremities, prevents further injury, decreases pain and bleeding, and allows healing to begin. This video demonstrates splinting techniques for common injuries.
Placement of umbilical catheters is an important skill for the treatment of critically ill neonates. Catheters can provide vascular access for resuscitation, monitoring, fluid administration, blood transfusion, and parenteral nutrition. This video demonstrates the placement of both umbilical-artery and umbilical-vein catheters.
A femoral venous catheter may be necessary when peripheral access to the circulatory system is compromised and no other sites for placing a central catheter are available. This video demonstrates the insertion of a femoral venous catheter and explains the indications and potential complications.























