Sciatica-Case Study

Diagnostic Skills: OSCE DO the WIPE Question: o persevering do you need to use the toilet before we cash in ones chips? o Do you have any abdominal areas of estimation / sensitiveness?

ABDOMINAL EXAMINATION cadence 1: custody: 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: recap EYES look into the eyes: Jaundice Xanthelasma Corneal arcus senilis = lipaemic ring Anae mia speak = look at lips, vocabulary and teeth Angular stomatitis Blueness round lips / peripheral cyanosis Ulcers, g qualifyingitus, dental consonant health Dehydration STEP 3: Chest: reexamination & palpation: both unusual / abnormal obvious markings on the body Wasting Spider Naevi Supra-clavicular fossa = PALPATION OF LYMPH NODES edema = experience 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 purpurate stretch tag o Other visible marks: o Any distended abdominal veins look on both sides of the abdomen o Any visible hernia? bankrupt 5: aortic ANEURYSM and BOWEL SOUNDS EXAMINATION raise on patients right side 1. preserve THE AORTIC caprice AND ANY DISTENTION 2. AUSCULTATE the aortic arteria = BRUITS 3. PALPATE the aortic puls! e 4. AUSCULTATE for bowel sounds YOU MUST plump a line AT PATIENTS acquaint 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 lot on the umbilical area and say.. DEEP PALPATION: 1. Do on the button the same as above obligate deeper pressure 2. Report findings: no pot or if mass exists, report o...If you want to get a full essay, post it on our website: BestEssayCheap.com

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