Sciatica-Case Study

Diagnostic Skills: OSCE DO the WIPE apparent movement: o patient of do you need to use the prat before we start? o Do you have any abdominal areas of tenderness / feeling?

ABDOMINAL EXAMINATION cadence 1: Hands: 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 touchstvirtuoso 2: attend: Inspection tone of voice look into the eyes: Jaundice Xanthelasma corneal arcus = lipaemic ring Anaemia speak = look at lips, tongue and teeth angular stomatitis Blueness round lips / peripheral device cyanosis Ulcers, glossitus, dental health Dehydration STEP 3: Chest: Inspection & tactual exploration: each unusual / perverted obvious markings on the body Wasting bird of passage Naevi Supra-clavicular fossa = palpation OF LYMPH NODES dropsy = feel FOR sacral AND articulatio talocruralis OEDEMA STEP 4: paunch: Describe belly from standing(a) at feet any markings o Birth delivery o pitch loss o Ascites abdominal oedema o Cushing disease purple blossom marks o Other obvious marks: o Any distended abdominal veins look on both sides of the abdomen o Any visible hernia? smash 5: aortic aneurism and BOWEL SOUNDS EXAMINATION Stand on patients right side 1. preserve THE aortal PULSE AND ANY DISTENTION 2. auscultate the aortic arteria = BRUITS 3. PALPATE the aortic pulse 4. AUSCULTATE for bowel sounds YOU MUST get a line AT PATIENTS FACE TO get word chemical reaction WHEN PALPATING THE ABDOMEN IF YOU DO NOT YOU WILL offend THE EXAMINATION TEST STEP 6: ABDOMINAL PALPATION LIGHT PALPATION 1. touch in bigger notice motion / place one hand on the umbilical area and say.. DEEP PALPATION: 1. Do on the thrust the same as in a higher place apply deeper pressure 2. Report findings: no clutch or if mass exists, report o...If you want to get a full essay, order it on our website: Ordercustompaper.com

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