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A flail chest occurs when a segment of the thoracic cage is separated from the rest of the chest wall. This is usually defined as at least two fractures per rib (producing a free segment), in at least two ribs. A segment of the chest wall that is flail is unable to contribute to lung expansion. Large flail segments will involve a much greater proportion of the chest wall and may extend bilaterally or involve the sternum. In these cases the disruption of normal pulmonary mechanics may be large enough to require mechanical ventilation.
The head-to-toe assessment in nursing is an important physical health assessment that you'll be performing as a nursing student and nurse.
Head-to-toe assessments allow nurses to assess the health status of patients by following a checklist of criteria.
On the job, your head-to-toe nursing assessment will be performed much faster, and it may be different or more specialized to accommodate the patients' needs within your nursing specialty.
This assessment represents a general assessment checklist (or cheat sheet) that you might encounter in nursing school. (Note: Always follow your instructor's requirements or your employer's assessment protocols).
This nursing head-to-toe examination video guide will focus on the following areas/skills:
-Vital Signs (pulse rate, respiration rate, temperature, oxygen saturation, blood pressure, pain assessment)
https://www.youtube.com/watch?v=gUWJ-6nL5-8
-Cranial Nerve examination
-Head assessment (hair, cranium, eyes, nose, mouth, ears, sinuses)
-Neck assessment (jugular vein, thyroid, trachea, carotid)
-Heart sounds assessment: https://www.youtube.com/watch?v=H48WsyIjFs0&t=73s
-Lung sounds assessment: https://www.youtube.com/watch?v=KNrcG077brQ
-Abdominal assessment
-Assessing extremities (arms, hands, legs, feet)
-Back assessment
-and more
While performing your comprehensive head-to-toe assessment, you'll want to record your findings in the documentation.
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This poor old lady came with swelling in her left buttock for 10 days.She had history of injection in her buttocks two weeks back. She developed painful swelling and redness in her left gluteal region with difficulty in walking.It was diagnosed as injection abscess left gluteal region which needs incision and drainage under local anesthesia.Patient part painted and drapped.2% Lignocaine with adrenaline was infiltrated around the swelling for proper filed block.I use no-11 blade for stab incision over the swelling at the most fluctuating point of the abscess.You can watch how pus was flowing out from the cavity.The aim is to drain all pus from the abscess cavity.Finger exploration is essential to break all loculi inside the cavity, to know the depth and extend of the cavity and to fascilitate proper drainage of residual pus.after pus evacuation,, the cavity should be irrigated with normal saline and betadine solution.lastly the cavity to be packed with betadine soaked guage pieces.Proper dressing is essential.the dressing to be changed after 24 hours.daily dressing is essential with a good antibiotic coverage.the cavity usually obliterates within a period of seven to ten days.
Given the common presentation of onychodystrophy, physicians should have a firm grasp of common presentations of conditions like onychomycosis, trachyonychia and psoriasis. Accordingly, this author reviews keys to effective diagnosis and pertinent treatment considerations. Nail cosmesis and discomfort are the main motivators for most of our patients to schedule a podiatric consultation. During that patient visit, it is important for the podiatric practitioner to delve into the cause of the problematic nail change, known as onychodystrophy. Onychodystrophy, which is any alteration of nail morphology, encompasses a wide spectrum of nail disorders. Caused by either exogenous or endogenous factors, nail dystrophy may manifest as a misshapen, damaged, infected or discolored nail unit that may affect the toenails, fingernails or both.
HYSTERECTOMY RECOVERY: ALL PROCEDURES ARE NOT CREATED EQUAL Too often, women are only given the option of an open hysterectomy for conditions like large fibroids or an enlarged uterus. Surgical techniques have evolved in the last decade, but across the United States, the number of women still having open hysterectomy procedures is unnecessarily staggering. Robotic procedures are becoming more common as hospitals invest nearly $2 million in the machine. While the robot does allow surgeons who are not necessarily trained in laparoscopic procedures to perform a more minimally invasive surgery, tools cannot replace skill. There is no added benefit to the patient and the surgery can cost on average up to $2,000 more than other laparoscopic options, and in some cases much higher.
Wilms tumor, also known as nephroblastoma, is a cancer of the kidneys that typically occurs in children, rarely in adults. It is named after Dr. Max Wilms, the German surgeon (1867–1918) who first described it. Approximately 500 cases are diagnosed in the U.S. annually.
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Interested in other medical videos? Click the link below to watch a surgery animation!
https://www.youtube.com/watch?v=Cc6-Y_CIHx4&t=53s&ab_channel=CourtroomAnimation
Or, if you want to watch a video about a diskectomy, a common but major surgery, watch this video:
https://www.youtube.com/watch?v=PVoOVUPhdaM&t=8s&ab_channel=CourtroomAnimation
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During the examination, the doctor gently puts a lubricated, gloved finger of one hand into the rectum. He or she may use the other hand to press on the lower belly or pelvic area. A digital rectal exam is done for men as part of a complete physical examination to check the prostate gland .
Childbirth (also called labour, birth, partus or parturition) is the culmination of a human pregnancy or gestation period with the birth of one or more newborn infants from a woman's uterus. The process of normal human childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta. In many cases, with increasing frequency, childbirth is achieved through caesarean section, the removal of the neonate through a surgical incision in the abdomen, rather than through vaginal birth. In the U.S. and Canada it represents nearly 1 in 3 (31.8%) and 1 in 4 (22.5%) of all childbirths, respectively.
It then spreads down the bundle of his and then purkinje fibres to cause ventricular contraction. So when viewing the heart from the front, the direction of depolarisation is 11 o'clock to 5 o'clock. The general direction of depolarisation is known as the cardiac axis.
Your body's immune system protects you from disease and infection. But if you have an autoimmune disease, your immune system attacks healthy cells in your body by mistake. Autoimmune diseases can affect many parts of the body. No one is sure what causes autoimmune diseases. They do tend to run in families. Women - particularly African-American, Hispanic-American, and Native-American women - have a higher risk for some autoimmune diseases. There are more than 80 types of autoimmune diseases, and some have similar symptoms. This makes it hard for your health care provider to know if you really have one of these diseases, and if so, which one. Getting a diagnosis can be frustrating and stressful. Often, the first symptoms are fatigue, muscle aches and a low fever. The classic sign of an autoimmune disease is inflammation, which can cause redness, heat, pain and swelling. The diseases may also have flare-ups, when they get worse, and remissions, when symptoms get better or disappear. Treatment depends on the disease, but in most cases one important goal is to reduce inflammation. Sometimes doctors prescribe corticosteroids or other drugs that reduce your immune response.