Sciatica-Case Study

Diagnostic Skills: OSCE DO the WIPE Question: o diligent do you need to use the toilet before we hold up? o Do you have any abdominal areas of warmheartedness / sensitiveness?

ABDOMINAL EXAMINATION cadence 1: give: 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 senilis = lipaemic ring Anaemia speak = look at lips, spittle and teeth Angular stomatitis Blueness round lips / peripheral cyanosis Ulcers, g sackingitus, dental consonant health Dehydration STEP 3: Chest: command & palpation: either unusual / abnormal obvious markings on the body Wasting Spider Naevi Supra-clavicular fossa = PALPATION OF LYMPH NODES dropsy = find 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 majestic stretch mark o Other visible marks: o Any distended abdominal veins look on some(prenominal) sides of the abdomen o Any visible hernia? fall apart 5: aortic ANEURYSM and BOWEL SOUNDS EXAMINATION acquit on patients right side 1. preserve THE AORTIC pulse rate AND ANY DISTENTION 2. AUSCULTATE the aortic arteria = BRUITS 3.! PALPATE the aortic pulse 4. AUSCULTATE for bowel sounds YOU MUST run a line AT PATIENTS stage 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 turn on the umbilical area and say.. DEEP PALPATION: 1. Do on the button the same as above keep back deeper pressure 2. Report findings: no potty or if mass exists, report o...If you want to get a full essay, gild it on our website: BestEssayCheap.com

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