Basic invesstigation slide tiếng anh thực hành

WELCOME TO GROUP TOPIC : BASIC INVESTIGATION AND LAB TESTS REVIEW OPHTHALMOSCOPY A test that allows a health professional to see inside the  fundus of the eye  and other structures by ophthalmoscopy to determind the health of iris, lens, retina and optic disc Review eye anatomy Vocabulary • • • • • • • • • • Iris /ˈaɪrɪs/ Thể mi Lens /lenz/  mống mắt Retina /ˈretɪnə/ võng mạc Optic disc /'ɔptik/ /disk/ đĩa thị giác Pupil /ˈpjuːpl/  đồng tử Dimmed /dɪmd/ tối, mờ Mydriatic /,maiə'laitis/ thuốc giãn đồng tử Fixate /'fɪkseɪt/ tập trung nhìn Dilate  /daɪˈleɪt/ (v) giãn Dilation /daɪ'leɪʃ(ə)n/ (n) giãn Ophthalmoscopy Types Direct ophthalmoscopy Indirect ophthalmoscopy Direct ophthamoscopy • First: the examination is done with dimmed ( will best results) • Then doctor use a topical mydriatic solution to the eye to aid dilation • Lights to allow the pupil to maximally dilate or widen • End, asked patient to fixate on a target for the duration of the test >> the doctor inspection and normal results or abnormal results Normal Results Fundus Abnormal Results Macular degeneration Thối hóa điểm vàng Glaucoma Tăng nhãn áp This video direct ophthalmoscopy Practice • Wash hands Practice • Wear gloves Pratice • Apply tourniquet • Clean the site with an alcohol swab Pratice Inserts a needle into a vein withdraws blood into a specimen tube Practice • • • • To complete the procedure… Thank patient Wash hands Fill out patient details on the sample bottles at the bedside • Send the blood samples to the lab for testing NOTE Preventing a bruise Specimen tube are labelled correctly Laboratory tests Terms used to describe lab results high up + raised elevated unremarkable Normal Normal within normal limits A microbiology request form  Abbreviations for specimen types: o MSU : mid-stream urine o CSU : catheter specimen of urine o NP : nasal passage o BAL : blood alcohol level o Sw : swab o TM: transport medium o EDTA : ethylene diamin tetraacetic acid o CSF: cerebrospinal fluid Vocaburary             MSU : nước tiểu dòng CSU : nước tiểu qua ống dẫn Urine first voided- for chlamydia : nước tiểu đầu dòng- với nhiễm khuẩn Faeces : phân Sputum : đờm NP secretions : chất tiết qua mũi BAL : nồng độ cồn máu Induced sputum : đờm kích ứng Sw in virus TM : gạc bệnh phẩm virus chất vận chuyển trung gian Blood Culture : cấy máu EDTA blood : chất chống đông CSF : dịch não tủy Exercise 35.1 Suspected condition anaemia Bacterial conjunctivitis Genital herpes Meningitis Septicaemia Urinary infection Urinary infection (catheter in place) Specimen EDTA blood Eye sw Sw in virus TM CFS Blood culture MSU CSU A Biochemistry lab report Value Urea and electrolytes (U&E) Urea Creatinine Sodium (Na) Potassium (K) Liver function test(LFT) Bilirubin ALT Alkaline Phosphatase (Alk.Phos) 4.5 58 138 4.5 131 Range Unit 2.5-6.6 60-120 135-145 3.6-5 mmol/L umol/L mmol/L mmol/L 3-16 10-50 40-125 umol/L U/L U/L Vocabulary • • • • • • biochemistry /ˌbaɪoʊˈkemɪstri /: hóa sinh Electrolyte /ɪˈlektrəˌlaɪt/ : chất điện giải creatinine /kri:'ætɪni:n/ sodium /ˈsoʊdiəm/ : Natri Potassium /pəˈtæsiəm/: Kali bilirubin :sắc tố mật A Haematology lab report Review • FBC • Hb • HCT • MCV • WCC Answer: Anaemia Comment result FBC: 3.3G/l Hb: 100g/l HCT: 0.25L/L MCV: 70fl => ? Handout