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

Rhys Clement

Rhys Clement

Rhys Clement

Core / Specialist / Gp Trainee
New Royal Infirmary Edinburgh
Rhys Clement is a Clinical Lecturer in Orthopaedics and Trauma
793435229c54508eff32a80d40de5648ea6a8e249780856511643278
48
3356

Hernia Examination

In this video Miss Tierney demonstrates how to examine a Hernia.  
Rhys Clement
over 9 years ago
546
33
4206

Abdominal Examination Video

In this video Mr Jon Lund demonstrates how to examine the abdomen.  
Rhys Clement
over 9 years ago
553
14
627

Thyroid Examination

In this video Mr Jon Lund demonstrates how to examine the thyroid gland and function. More content can be found on www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
406
13
182

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
over 9 years ago
Preview 300x365
12
1035

Pleural effusion x-ray (left-sided)

This PA Chest X-Ray demonstrates a left sided pleural effusion. In this condition fluid collects between the parietal and visceral pleura and appears as a shadowy fluid level on the X-Ray with obliteration of the costophrenic angles. If you were to examine this patient they might be in respiratory distress from reduced oxygen uptake (so have low sats, high resp rate, possible cyanosis and accessory muscle useage) - they may have reduced chest expansion on the affected side and it would be stony dull to percussion. Fluid transmits sound poorly so breath sounds would be decreased as would vocal resonance/fremitus. Someone with consolidation may have very similar clinical findings but the underlying area of lung is almost solid due to pus from the infective process - as sounds travel well through solids they would have increased vocal fremitus which is how you can clinically differentiate between the two conditions. Clinical examination and understanding of conditions is paramount to practice effective medicine. Before you recieved this X-Ray you should be able to diagnose the condition and use the X-Ray to confirm your suspicions.  
Rhys Clement
over 9 years ago
490
11
128

Knee Examination

In this video Miss Scammell Demonstrates how to examine the knee joint. More content can be found at www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
Preview 250x249
9
151

Arterial Blood Gas (ABG)

In this examination Dr Rhys Clement shows how to perform an ABG.  
Rhys Clement
over 9 years ago
Preview 300x366
9
617

Abdominal Aortic Aneurysm X-Ray

In this X-Ray you can see the faint outline of a very large AAA. It is important that you specifically look for this feature on an Abdominal X-Ray as this can be a potentially life threatening condition.  
Rhys Clement
over 9 years ago
Preview 300x246
9
434

CXR - left sided pneumothorax and surgical emphysema

In this Chest X-Ray we can identify a left sided pneumothorax - there is absence of lung markings in the periphery and we can also see a shadow which outlines the edge of the lung. A pneumothorax is caused when air enters the potential space between the viceral and parietal pleura and causes the lung to collapse down under the pressure of it's elsatic recoil. In this case it is likely that the pneumothorax has been caused by trauma as we can see air in the soft tissues on the left side (surgical emphysema - clinically feels like bubble wrap). A pneumothorax can be a life threatening condition. The patient presents in respiratory distress with decreased expansion on the affected side. There will be hyperresonance to percussion on that side but absent breath sounds. The emergency treatment is decompression with a large bore cannula in the 2nd intercostal space mid-clavicular line followed by insertion a chest drain in the 5th intercostal space mid-axilllary line  
Rhys Clement
over 9 years ago
548
8
206

Cannulation

In this video Rhys Clement demonstrates how to insert a cannula. More content can be found on www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
551
8
106

Rhys gets an NG Tube!

In this video Rhys Clement gets an NG tube inserted by Charlotte Longman. Although this is an amusing video it demonstrates how to insert an NG tube and also highlights the feelings that the patient will be having! More content can be found on www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
Preview 300x225
8
111

Scaphoid Fracture

This image demonstrates a fracture of the scaphoid bone. Fractures of the scaphoid are clinically important decause the blood supply enters the bone distally and then moves proximally. If the blood supply is distrupted then there is potential for the patient to develop avascular necrosis of the scaphoid.  
Rhys Clement
over 9 years ago
552
7
223

Stomas

Mr Jon Lund talks to Liz Evans a specialist stoma nurse about the different types of abdominal stomas. More content can be found at www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
Preview 300x246
7
355

CXR - perforated viscus

This image shows the cardinal sign of a perforated abdominal viscus. There is air under the diaphragm indicating air within the peritoneal cavity which can occur from a perforated abdominal viscus, following a laparoscopic abdominal procedure (where air is pumped into the peritoneal cavity to improve the views) and after more obscure events such as vigorous waterskiing in a female. When this appearance is seen it should be treated as a surgical emergency until proved otherwise.  
Rhys Clement
over 9 years ago
Preview 250x249
7
85

Hip Examination

In this video Miss Scammell demonstrates an effective technique for hip examination. More content can be found at www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
491
7
123

Shoulder Examination

In this video Mr Alaistair Pace demonstrates an effective technique for examination of the shoulder joint. More content can be found at www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
554
6
82

Venepuncture

In this video Rhys Clement demonstrates how to take blood. More content can be found on www.surgeryandmedicine.com  
Rhys Clement
over 9 years ago
Preview
6
200

Surgical knot tying

This is a really nice demonstration of some of the basic surgical knots. It is slowed down so that it is much easier to follow than the vast majority of videos on YouTube and I think it is a nice video  
Rhys Clement
about 9 years ago
3498f8c1b76bd595801e673af40834725d8bf4e6
6
1402

How to describe fractures

A brief introductory narrated lecture on how to describe fractures using a useful mnemonic "OLD ACIDS." This lecture is aimed at 3rd year University of Edinburgh students and forms part of a series of resources covering the objectives.  
Rhys Clement
almost 5 years ago
Preview 300x246
6
282

Abdominal X-Ray - Small bowel obstruction

Small bowel obstruction can be identified by the dilated loops of centrally placed bowel with the venae commitantes (circular bands of muscle) that span the entire width of the bowel as opposed to tenae coli in the large bowel which only span part of it.  
Rhys Clement
over 9 years ago