Monday, February 3, 2014

Sciatica-Case Study

Diagnostic Skills: OSCE DO the WIPE Question: o forbearing do you need to use the toilet before we show up? o Do you have any abdominal areas of partiality / sensitiveness? ABDOMINAL EXAMINATION cadence 1: detention: control Temperature Look at the nails o Koilonyichia o Leuconychia) o Anaemia o Peripheral cyanosis Clubbing liver-colored Flap o Palmar erythema o Dupytrens contracture STEP 2: attend: supervision EYES look into the eyes: Jaundice Xanthelasma Corneal arcus = lipaemic ring Anaemia speak = look at lips, play and teeth Angular stomatitis Blueness round lips / peripheral cyanosis Ulcers, g prejudiceitus, alveolar health Dehydration STEP 3: Chest: supervision & palpation: either unusual / abnormal obvious markings on the body Wasting Spider Naevi Supra-clavicular fossa = PALPATION OF LYMPH NODES dropsy = feel FOR sacral AND ANKLE OEDEMA STEP 4: Abdomen: Describe belly from standing at feet Any markings o Birth delivery o Weight loss o Ascites abdominal oedema o Cushing disease colour stretch attach o Other visible marks: o Any distended abdominal veins look on twain sides of the abdomen o Any visible hernia? startle 5: aortic ANEURYSM and BOWEL SOUNDS EXAMINATION bear on patients right side 1. preserve THE AORTIC musical rhythm AND ANY DISTENTION 2. AUSCULTATE the aortic arteria = BRUITS 3. PALPATE the aortic pulse 4. AUSCULTATE for bowel sounds YOU MUST submit a line AT PATIENTS appear TO SEE chemical reaction WHEN PALPATING THE ABDOMEN IF YOU DO non YOU WILL FAIL THE EXAMINATION TEST STEP 6: ABDOMINAL PALPATION LIGHT PALPATION 1. Palpate in bigger circular motion / place one spend on the umbilical area and say.. DEEP PALPATION: 1. Do on the button th! e same as above curb deeper pressure 2. Report findings: no hole or if mass exists, report o...If you want to get a full essay, position it on our website: BestEssayCheap.com

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