Archive for 'Diagnostic Examination' Category
Consent and Sensitive Physical Examinations Under Anesthesia
AUSTRALIAN medical students are performing intimate examinations on unconscious and anaesthetised patients without their consent. Unauthorised intimate procedures carried out by students included genital, rectal and breast exams. Almost half of patients were under the influence of medication or unconscious, while the remainder were conscious Study author Professor Charlotte Rees – former associate professor in [...]
Nasopharyngeal Specimen Collection – A Guide for Medical Students
The New York City Department of Health has prepared an excellent guide for nasopharyngeal specimen collection that describes both nasopharyngeal aspirate and nasopharyngeal swab methods. This concise review will prove helpful for those medical students beginning outpatient medicine rotations or family medicine. Nasopharyngeal Specimen Collection for Viral Respiratory Pathogens [NYC Dept of Health]
Basic Lung Sound Primer
Stethographics offers a review of commonly encountered lung sounds that includes audio samples and graphical illustrations of the following breath sounds: Bronchial Vesicular Fine Crackles Coarse Crackles Wheezes Rhonchi Don’t forget to check out there brief heart sound primer. Basic Lung Sounds [Stethographics]
How to Approach Adolescent Athletes – Sports Preparticipation Examination
The adolescent athlete frequently appears in clinic for sports preparticipation examination. 3rd & 4th year medical students should be prepared. Important aspects of this assessment include: cardiovascular health (hypertrophic cardiomyopathy) non-cardiac issues (loss of consciousness or concussion, recovery from musculoskeletal injuries) general health assessment counseling assessing fitness level for specific sports Medliorate readers will benefit [...]
CORE – Clinical ORthopaedic Exam for iPhone
This reference database of ~250 clinical tests facilitates diagnosis of musculoskeletal and orthopedic disorders. It offers descriptions on how to perform each test as originally described by its author, video demonstrations (if wifi-connected), diagnostic properties (reliability and validity), and links to supporting medical references via abstracts in PUBMed. Currently retails for $39.99 CORE – Clinical [...]
Forum Filter: Nurse's Chart Notes
Da Goddess Says: I’d often extract major clues from patients on intake forms simply because I wasn’t “The Doctor”. Sadly, many doctors would fail to read my notes and then be surprised later, while they were scratching their heads and digging through books, when I’d point out to them what the patients told me. It [...]
Importance of Physical Exam
A telling vignette from ValJones @ Dr. Val and The Voice of Reason: One intern presented a case of a patient with “fever of unknown origin” (FUO). This particular diagnosis will make any internal medicine specialist delirious with curiosity and excitement, since it means that all the previous attempts at discerning the cause of the [...]
Bipolar Disorder: In-Home Testing
a company is selling a testing kit that you can use yourself, in the privacy of your own home, to see if you have genes that increase the risk of bipolar disorder. Psynome™ – tests for two mutations of the GRK3 gene that are associated with bipolar disorder. Psynome2™ –tests for gene mutations [...]
Diagnosing a Spider Bite
Poisonous spider bites are extraordinarily rare; wounds blamed on spiders are extraordinarily common. I have seen dozens of patients who thought they had been bitten by a spider, and I have never made a diagnosis of an actual spider bite. Spider bites are exceedingly rare. Studies have shown that the number of spider bites attributed [...]
How to Take a Sexual History
#1 Dinosaur hitting it out of the park… Here’s my strategy: All female patients get asked, “What do you use for birth control?”One set of answers is simply the method: the pill, the diaphragm, condoms, etc. The natural next question is, “How is that working for you?” Another answer is, “Nothing.” Although there are [...]