Sciatica-Case Study

Diagnostic Skills: OSCE DO the WIPE Question: o unhurried do you need to use the toilet before we convey? o Do you have any abdominal areas of love / sensitiveness?

ABDOMINAL EXAMINATION cadence 1: transfer: 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: revaluation EYES look into the eyes: Jaundice Xanthelasma Corneal arcus senilis = lipaemic ring Anaemia speak = look at lips, dialect and teeth Angular stomatitis Blueness round lips / peripheral cyanosis Ulcers, g exititus, alveolar health Dehydration STEP 3: Chest: recapitulation & palpation: any(prenominal) unusual / abnormal obvious markings on the body Wasting Spider Naevi Supra-clavicular fossa = PALPATION OF LYMPH NODES hydrops = sense 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 tag o Other visible marks: o Any distended abdominal veins look on twain sides of the abdomen o Any visible hernia? go 5: aortic ANEURYSM and BOWEL SOUNDS EXAMINATION project on patients right side 1. preserve THE AORTIC heart rate AND ANY DISTENTION 2. AUSCULTATE the aorti c arteria = BRUITS 3. PALPATE the aortic p! ulse 4. AUSCULTATE for bowel sounds YOU MUST shit a line AT PATIENTS reflection TO SEE chemical reaction WHEN PALPATING THE ABDOMEN IF YOU DO not YOU WILL FAIL THE EXAMINATION TEST STEP 6: ABDOMINAL PALPATION LIGHT PALPATION 1. Palpate in bigger circular motion / place one get hold of on the umbilical area and say.. DEEP PALPATION: 1. Do on the button the same as above cod deeper pressure 2. Report findings: no chain reactor or if mass exists, report o...If you want to get a full essay, swan it on our website: BestEssayCheap.com

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