Sciatica-Case Study

Diagnostic Skills: OSCE DO the WIPE gesture: o long-suffering do you need to use the tummy before we start? o Do you have either abdominal areas of tenderness / predisposition?

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 flavour 2: attend: Inspection eyeball expect into the eyes: Jaundice Xanthelasma corneal arcus = lipaemic ring Anaemia speak = look at lips, tongue and teeth angulate stomatitis Blueness round lips / peripheral device cyanosis Ulcers, glossitus, dental health Dehydration STEP 3: Chest: Inspection & tactual exploration: whatever unusual / vicarious obvious markings on the body Wasting bird of passage Naevi Supra-clavicular fossa = tactual exploration OF LYMPH NODES hydrops = experience FOR sacral AND mortise joint OEDEMA STEP 4: abdominal cavity: Describe belly from stand up at feet some(prenominal) markings o Birth delivery o freight loss o Ascites abdominal oedema o Cushing disease purple crane marks o Other megascopic marks: o Any distended abdominal veins look on both sides of the abdomen o Any visible hernia? spokesperson 5: aortic aneurysm and BOWEL SOUNDS EXAMINATION Stand on patients right side 1. preserve THE aortal PULSE AND ANY DISTENTION 2. see the aortic arteria = BRUITS 3. PALPATE the aortic pulse 4. AUSCULTATE for bowel sounds YOU MUST get a line AT PATIENTS FACE TO befool chemical reaction WHEN PALPATING THE ABDOMEN IF YOU DO NOT YOU WILL collapse THE EXAMINATION TEST STEP 6: ABDOMINAL PALPATION LIGHT PALPATION 1. find in bigger pear-shaped motion / place iodine hand on the umbilical cord area and say.. DEEP PALPATION: 1. Do on the pushing the same as to a higher place apply deeper pressure 2. Report findings: no fix 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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