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To read about arthopedic examination of children with icluded othyer sneaky assessments, about bent or twisted penis as by peyonies disease, organ donation, please scroll down.

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ORTHOPEDIC EXAMINATIONS IN CHILDREN

By Knut Holt

http://www.abicana.com

An orthopedic examination is an integral part of a well-child periodic assessment, and it is also performed both on children and on adults upon special concerns. The extent of the examination varies however much from setting to setting.

CHECK OF GAIT AND MOVEMENT

Checking gait and other movements is often done first in the examination, but can also be an intergral part of the examinations of the separate body areas. One lets the patiant go from and to the examinator while watching him/her walking in both directions. While the pantient is walking, one plays special attention to the function of the hip area, the knees and simultaneous movement in the spinal column.

One also performs other movement tests of the lower or upper body. One lets the patient kneel down, lift the legs up in foreward and sideways direction, lift the arms up over the head foreward or sidewise, bend and twist the neck.

BACK AND SPINE CHECK

The part which is nearly always present is the back and spine check, with a main purpose of caching a developing scoliosis as early as possible, but also to check flexibility of the spine in all natural directions, or flexibilities in abnormal directions. The scoliosis exam which is typically done after the gait inspection, is usually done like this:

One first checks if one shoulder is higher than the other. Then one checks if one hip crest is higher than the other. One looks and feels along the spine while the patient is standig upright to see and feel the curvature. Often abnormal twistings and bendings can be seen right away. To be more sure one also lets the patient bend foreward. Where the spine is curved towards one side, one will see a bump on that side of the back, because the bent part of the spine will be pressed outward on that side. By letting the patient do other bends and twistes with the torso, arms and legs, a more complete picture can be made.

By a more thorrough scoliosis test, geometric instruments to check the angles of the misalignments, so-called scoliometers, are used.

During this test the patient must be naked on the back and also on the upper parts of the buttocks. The very best for the diagnosis is a totally naked patient, so that on can also see misalignment of the buttocks that are assosiated with scoliosis, but one usually lets the patient wear underpants and pulls these down more or less at some point in the test. It is generally recommended that children and teens are examined by such a simple test each year.

If scoliosis is detected with such simple tests, and it looks severe enough, one will often do more thorrough examinations, especially with x-ray imaging.

CHECK OF THE UPPER LIMBS

In addition to the back and scoliosis check, the checking of limbs, joints and their function is a main topic by the orthopedic examination, and especially at the legs and the pelvic zone. Usually the patient will wear short briefs only during this examination. In certain settings one prefere to examine children totally naked.

The shoulder and elbow joints will typically be tested in the next stage. Typically the examination of the upper extremities are performed like this, but all the following movements do not necessarily occur or may occur in another sequence:

- One feels along the arms of the patient from shoulders to fingers to check muscle tone, consistency and temperature.

- On lets the patient swing the arms from a position pointing downwards to a position 90 degrees to the body and pointing foreward.

- One instructs the patient to bend the hands up and down, to each side, and to rotate the hands in both directions.

- On lets the patient swing the arms further so they are pointing stright upwards.

- The patient is then instructed to swing the arms down to a 90 degree to the body and pointing out to each side.Often

- Often the examinator also will take hold of the straight arms and swing them in all directions and press somewhat at the extreme points to thet the flexibility of the shoulder joint.

- The examinator may also take hold of the underarms of the patient, and bend the arms in all ways to test the elbow joint.

- Then the patient is asked to flex the elows as far inwards as possible, and then to a 90 degree angle, and then swing the lower arms and hands in a circle in both directions.

CHECKING THE LEGS AND PELVIC AREA

Later on one usually checks the hip joints and the legs. The patient will usually be laying on the back on an examination table. One will then do several handlings and bendings of the legs to check range of movement:

- One feels along each legs to test consitency, tone of the muscles and the temperature in the leg.

- With both leg straight out, the examinator swings and stretches the foot outwards and inwards, up and down. One also look under the feet to check for abnormalities.

- The patient lays with straight legs and the examinator spreads the legs as far as possible out to each side.

- One flexes the knees of the patient up in a frog fashion and let hisher soles touch each other. Then the legs are spread down to each side.

- One lets the legs lay straight out on the examination table. With one leg still laying straight, one swings the other straight leg up as far as possible and then down again, and the foot is held so that the calves are maximally stretched.

- While one legs lays straight, one flexes the other leg up and tries to press the knee of that leg as far down towards the chest area as possible, while also trying to press the foot as far as possible down towards the thigh, and the foot is held so that the toes point upwards.

- Whith one leg laying straight, one flexes the other leg up so that the thigh and calve make a 90 degree angle, and then one swings the calve as far as possible inwards and outwards.

- With one leg laying straight, one holds under the foot and over the knee, lets the knee joint be flexed and rotate the leg around.

The same tests are then done with the other leg while the first leg is held straight. Many of these tests are often done in one continuous movement. Often the examinator will repeat each test several times to see if the repetition changes the muscle tone and flexibility.

One also lets the patient lift the straight legs with some downward pressure to test strength.

USE OF INSTRUMENTS

The standard orthopedic exam is traditionally a manual and visual examination, but in some areas technical instruments are used by now. Ultrasound exam of the knees, hip joints and shoulder joints is standard in many places, especially in Eastern Europe.

The feet are often checked by letting the patient stand on a hightened transparent platform with a oblique mirror at the underside, so that the examinator can look under the feet of the patient.

OTHER CONCIDERATIONS DONE REGARDING THE PATIENT

As said one will sometimes prefere to have a child completely naked during these tests. This has the advantage that one can see if the cleft between the buttocks, the natal cleft, and the vulvar cleft in girls, are alligned normally. But the child might, depending much upon its cultural heritage, feel it to be embarressing being totally naked during these hip and leg tests.

Even though these tests are necessary for a thorrough assessment of the joints of the lower extremities, the very nature of the movements will also give a mechanical stimulation upon the genital organs and upon the area around the anus. The examinator possibly also looks for the nature of the reactions caused by this stimulation, but will never mention that he she so does.

Even though it is never said openly, one possibly also prefere the child to be naked to test his her psychological reactions upon being inspected rather intimately this way, or to see if the movements cause leakage from the urinary tract, the vagina or anus.

The pediatric services in most countries have a standing order form the authorities of being on constant allert for signs of sexual abuse of children or for signs that the children themselves have unwanted sexual habits, and suspect every parent of being abusers. Even though it is never said openly, it seems that the reactions of the child during these tests often are registered and used to assess the possibility of the child being a victim of abuse or of "self-abuse", an obsolete concept that has gained a new popularity among some pediatricians and child psychologists.

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Knut Holt is a business consultant and marketer focusing on the health and erotic fields. At his site there is more information about health, fitness and sexuality. You can also find presentation of products to improve health, including sexual health, and of products in the categories hobby, automotive and apparel.

http://www.abicana.com

This article is free to copy as long as the author's name and link is present.

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WHAT IS PEYRONIE'S DISEASE?

By Knut Holt

http://www.abicana.com/shop3.htm

http://www.panteraconsulting.com/peyronies.htm

Peyronie's disease consists of hard, fibrous tissue, called plaques, developing within the penile shaft. The plaques are hard, thickened and stiff areas, actually a kind of internal scarring. In this fibroid tissue also calcium compounds can accumulate, making the plaques even harder.

The Peyronie's disease is also called cavernositis, and also sometimes plastic induration. There is probably a chronic inflammation process that leads to this scarring.

The thickened area has less blood flow than normal penile tissue, and do not fill with blood and swell as the normal spongy areas in the inside of the penis. Therefore the penis swells more at the opposite side, and gets a curvature towards the side containing the plaques when erected.

If the plaques are found at several places, more complex deformations will develop. The abnormal bending, twisting or swelling within the penis, often also lead to painful erections.

Any man from the age of 18 and upwards can develop Peyronie's disease. The average age of men suffering from Peyronie`s disease is 50.

THE SYMPTOMS AND CONSEQUENCES OF THE CONDITION

The three main characteristics of cavernositis are:

- One or more small hard lumps underneath the skin, or a continuous hard, stiff and thickened area.

- Abnormal bent or crooked penis when erect. All penises have some curvature, but by this disease, the penile bend increases, and one may get a very curved penis. The penis may be bent as a banana or in an angular fashion. The penile bending is most often up, but may be down, to the left side, to right or sloping.

-The bending is usually to the same side as that of the hard thickened area when the penis is erected.

-The hard areas in the erected penis may look like bumps, making the penis irregular.

- Sometimes the penis bends greatly enough to make sexual intercourse difficult, or impossible.

- Pain during erections caused by the pressure from the hard areas in the penis, or from the stretched skin at the opposite side of the penis.

- One may not notice the bend immediately, as it tends to develop over one to three months and later than the hardness and stiffness of the indurations.

- The plastic induration may progress and cause impotence. Sometimes the Peyroni's disease will clear up by itself, but this may take several years.

THE CAUSES OF PEYRONIE¨S DISEASE

The exact cause of the induration is unknown. It's not a sign of an underlying serious condition, and it is not a sexually transmitted infection. It is possible that the disease can begin with an inflammation in the penile tissue. An inflammation may be caused by an allergic or auto-immune reaction. Although the Peyronie's disease is not an infection, an initial infection can damage the penile tissue and cause an inflammation that develops into Peyronie's disease. Men having the inflammatory condition called Systemic Lupus Erytematosus more often get Peyronie's disease.

Vitamin E deficiency seems to be a contributing factor in causing the disease. Diabetes may cause damage of blood vessels, and if this damage occurs in the erectile bodies of the penis, Peyronie's disease can develop. Peyronie's disease is sometimes a side effect of the drug Inderal (propanolol) used against high blood pressure.

Sometimes a physical injury to the penis that causes internal bleeding, or a series of such injuries, is the initial cause. A habit of violent sexual activity may cause such injuries. It is thought that some men may have a genetic disposition to the condition.

Plastic induration of the penis is not a cancer, and cannot cause cancer, however a lump or deformation in your genitals that develops, must be examined.

TREATMENT OG PEYRONIE'S DISEASE

Not all men with Payronie's disease require treatment. The disease sometimes go away by itself. If the condition is pronounced, it is also difficult to find a remedy that can cure every sign of the disease, but several methods can take away most penis changes associated with Peyronie's. Here is a survey of treatment methods used today.

Tamoxifen - In its early stages of the disease a medication called Tamoxifen has been shown to prevent the formation of the fibrous plaque by Peyronie's disease. This drug is also used in the treatment of breast cancer, but the two conditions are not related.

Vitamin E and B - Vitamin E and B is sometimes effective in easing the pain and as a treatment for the penile deformity by Peyronie's disease.

Verapamil - Verapamil, often used in the treatment of high blood pressure, has been shown to decrease the size of the plaque and decrease the pain when injected directly into the plaque, and thus also improve the penis shape distortion by peyronie's disease.

Shock wave therapy - Extracorporeal shock wave therapy, or ESWT, a new treatment, is being used in some hospitals for the Peyronie's disease. Although the initial results of this new approach to treat Peyronie's disease have been promising, the long-term outcome is still undetermined.

Surgery - This is sometimes considered if Payroni's disease has lasted for a year or more and it hasn't progressed or regressed for at least three months. By the Nesbitt procedure one removes tissue opposite to the curve to straighten the penis. Another procedure involves putting a graft or part of a vein within the fibrous plaque to lengthen this area. In certain cases of Pyrenees disease, surgical insertion of a penile prosthesis (implant) is recommended.

Radiation therapy - This treatment modality has been tried, but the results are unpredictable and sometimes the opposite of the intended one.
Peyronie's Disease and Abnormally Bent Penis - Causes, Symptoms and Treatment Options

Traction devices - On the market, you can buy mechanical devices to use on the penis some time daily that gently pull upon the penile tissue to straighten out the penis, and thus mending the penis from the curvature caused by Peyronie's disease.

Knut Holt is an internet consultant and marketer focusing on health items. Please visit this web-sites for natural help against common diseases, for example: Genital problems, Peyronie's, over-weight, acne, eczema, hypothyroidism, fatigue, depression, hemorrhoids, joint pain, hypertension, high cholesterol, circulatory problems, digestive ailments, allergies, menstrual problems, respiratory diseases and more:

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http://www.panteraconsulting.com/peyronies.htm

Article Source: http://EzineArticles.com/217881

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Organ Donation Equal to Termination of Patients Life for Theft of Organs

By Knut Holt

http://www.abicana.com

http://www.mydeltapi.com/erotic-products.htm

Organ donation is in most cases equal to organ theft from persons that could be saved

Totally healthy organs and tissue of children and young adults is a highly sought for merchandize in the international medical market.

All countries, including USA, Canada and Western European countries and all principal hospitals participate in this trade, and the coordinators earn money.

Officially much of this activity has got a legal ferniss called "organ donation". The idea behind this, is that persons that have happened to got their brain totally killed in some accident or some accute disease excluisively confined to the brain, are decleared dead, and the healthy organs given as a gift.

But this activity is mostly done under false premisses:

- First of all, it is nearly impossible to wait until you are sure the brain is dead without other organs also being degraded. Also the nummber of thrue braindead patients with other healthy organs is to small to cover the demand in the organ network.

- Practically one therefore declears young people with brain injury as brain dead after a few hours without taking the time to really make sure that the patient is brain dead and without trying to treat the brain injury properly and then distributes the healthy organs through the international organ donation network.

- One also declears young persons with brain injury that one knows are not braindead, but that are inconscious, or are held inconscious by medication, as brain dead. And then they take their healthy organs and sell them through the network.

- Therefore most young people decleared as brain dead, are mostly not so and could be saved by proper treatment of the brain injury.

- Thirdly, there is a lot of money involved, both formally legal and plainly illegal in this trade, even though organ donation is seen oficially as a gift.

Tissue and possibly whole organs are also stolen from children that undergo surgery and sold through this network and through totally illegal networks, and all principal hospitals participate. In Northern America and Western Europe doctors mostly take out tissue in a way that makes it difficult to know if this was a part of the main surgery or not, but the patient will suffer by greater complications after the surgery.

In other countries whole organs are extensively stolen with a pretence that it was necessary to remove the organ.

Knut Holt

http://www.abicana.com/health_information.htm

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Tips for Exciting Navel Masturbation

By Knut Holt

If you stick a finger down into your belly bottom you will find a structure that feels like a button. By stimulating this thing and the area under and around in various way, you get a lot of very special sexual feelings deep inside or around your navel.

You can press your finger down there while also moving your finger tip back and forth in all directions. When doing so you will feel that the button flips back and forth a little as you move your finger.

You can move your finger around in a circle down there while pressing downwards.

You will then get feelings in your navel and the stomach parts around, of a very special extatic kind. And these feelings will persist aldo sfter thst you hsve taken your finger out again.

By doing these movements very gently, you feel a very fine-tuned ecstacy in the area.

By moving while pressing down harder, the feelings get sharper in a very exciting way.

By pressing even harder when tickling down in your nevel, you will get feelings that spread downwards your penis tip.

This kind of navel stimulation is fine to do with one hand while you also masturbate your penis width the other, or you can take some moments during your masturbation to only play with your navel.

And of cource you can find your navel with a finger of one hand and have it cosy with the feelings you can create in that area at any occation when one of your hands is free to do so.

By Knut Holt

More about masturbation here, and also presentation of some exciting sex products:

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