Clinical Skills

सवाल 1 of 1

  शेष समय


0 [{"id":448333,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-05-02 12:56:29","updated_at":"2018-05-07 11:37:05","questionName":"Put the steps in order of how you would perform a GI examination","questionTimeSeconds":"0","questionTimeMinutes":"15","questionImagePath":null,"position":0,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":440642,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-04-25 13:38:03","updated_at":"2018-05-07 11:37:05","questionName":"Put the steps in order of what you would do for taking a blood pressure","questionTimeSeconds":"0","questionTimeMinutes":"10","questionImagePath":null,"position":1,"explanation":"After BP has been taken, would then palpate pulses","question_score_id":null,"lang":"","questionAudioPath":null},{"id":440643,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-04-25 13:48:05","updated_at":"2018-05-07 11:37:05","questionName":"Put the steps in order for palpating pulses","questionTimeSeconds":"0","questionTimeMinutes":"10","questionImagePath":null,"position":2,"explanation":"May be done after taking a BP","question_score_id":null,"lang":"","questionAudioPath":null},{"id":452885,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-05-07 11:38:34","updated_at":"2018-05-07 11:38:34","questionName":"Taking a GI History: basic structure","questionTimeSeconds":"0","questionTimeMinutes":"5","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":440668,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-04-25 14:21:11","updated_at":"2018-05-07 11:37:05","questionName":"Put the steps in order for when doing venepuncture ","questionTimeSeconds":"0","questionTimeMinutes":"10","questionImagePath":null,"position":5,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":440649,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-04-25 13:59:03","updated_at":"2018-05-07 11:37:05","questionName":"Put the steps in order for doing a respiratory examination","questionTimeSeconds":"0","questionTimeMinutes":"10","questionImagePath":null,"position":3,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":440657,"quiz_id":"22597","answer_id":null,"answerType_id":"3","created_at":"2018-04-25 14:07:49","updated_at":"2018-05-07 11:37:05","questionName":"Put the steps in order for when doing a CVS examination","questionTimeSeconds":"0","questionTimeMinutes":"10","questionImagePath":null,"position":4,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null}]
448333
0
900
block

Put the steps in order of how you would perform a GI examination

टेक्स्ट से मिलान करें (क्लिक करें और खींचें)   

(0/0)




पाठ से मेल खाते हैं

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

क्लिक करें और खींचें

Listen with diaphragm 2-3 cm above and lateral to the umbilicus for renal bruit. Repeat on other side

Right of umbilicus with diaphragm for 2 minutes. No bowel sounds = paralysis, tinkling = obstruction

Lie patient down

Lymph nodes - sit up and swing lefts round

End of bed inspection: environment (drips, vomit bowl, urine/faeces sample)

Lightly palpate all 9 areas

Ballot both kidneys: left hand on back and right hand on front. Push together on exhalation then ballot

Thank patient and wash hands

Mention BP

Deep palpation: note voluntary (pain) or non-voluntary guarding (peritonitis)

Mentions examination of hernial orifices, external genitalia, digital rectal exam, urinary dipstick, pregnancy test

Radial pulse - rate and rhythm

Palpate for spleen from RIF to left costal margin

End of bed inspection: colour (jaundice, pallor, grey)

Palpate for liver from RIF to costal margin, taking deep breath in and out

Ask if patient has abdominal pain

Wash hands, introduce self, obtain patient's name and DOB

Expose chest: spider naevia, scars, distension, caput medusae, gynaecomastia, masses

Listen with diaphragm above umbilicus for aortic bruit

JVP

End of bed inspection: body habitus (malnourished, overweight, cachexia), gynaecomastia

Inspect face: pallor (conjunctiva, face), jaundice, angular stomatitis (cracked skin at corner of mouth), glossitis (red, enlarged tongue), aphthous ulcers (mouth ulcers)

Percuss spleen: RIF to left costal margin

Percuss liver: RIF and then down from 5th ICS

Pre-warm the patient of possible discomfort

Ankle oedema

Inspect hands: white nails (leukonychia), spoon nails (kolionychia), Dupytren's contracture (thickening of palm), clubbing, palmar erythema (red palms), hepatic flap

Ascites: percuss from midline to left flank (dull for fluid). Ask patient to roll onto right and percuss spot again after 10 seconds

Palpate aorta: halfway between xiphoid and umbilicus. Press fingers posteriorly and medially. Pulsatile/expansile


440642
0
600
none
440643
0
600
none
452885
0
300
none
440668
0
600
none
440649
0
600
none
440657
0
600
none