clinical skills acquiring the basic doctoring skills
Tài liệu NEW ADVANCES IN THE BASIC AND CLINICAL GASTROENTEROLOGY docx
... microbes may die during their transit through the upper intestinal tract to the colon and therefore they may not be able to colonize the colon (Talwakar et al., 2001) They must therefore survive gastric ... mucines, their trophic effect on intestinal epithelium, the reestablishment of the intestinal mucosa integrity, the stimulation of the IgA-mediated immune response against viral pathogens All these ... response, responsible for an increase of the catabolism, promoting the use of endogenous proteins Therefore, the goal of the nutrition of the ELBW infant is the manteinance of his post-natal growth,...
- 554
- 1,990
- 2
Tài liệu Advanced Clinical Skills for GU Nurses docx
... based on the work of the NONPF in America, who developed the original competencies in 1995, and have been revised a number of times since then The RCN based their domains on the 2001 version The competencies ... advanced nursing practice, or otherwise the value of nursing could be lost at the expense of learning these excit- 18 ADVANCED CLINICAL SKILLS FOR GU NURSES ing new clinical skills In summary it would ... affects their life (Jones & Barton, 2004) The history will guide the staff as to the most appropriate investigations, the treatment required and the correct follow-up for the person and their partner(s)...
- 227
- 323
- 0
New Advances in the Basic and Clinical Gastroenterology Edited by Tomasz Brzozowski potx
... microbes may die during their transit through the upper intestinal tract to the colon and therefore they may not be able to colonize the colon (Talwakar et al., 2001) They must therefore survive gastric ... as the real causative background for these diseases The authors decided to describe in detail the relationship between the clinical disability of locomotor system and functional dysphagia They ... reach the intestines It is not surprising therefore that approximately the eighty per cent of the immune system is found in the area of the intestinal tract and it is particularly prevalent in the...
- 566
- 1,998
- 0
CLINICAL SKILLS - PART 1 doc
... and the all-important mastering of basic clinical skills ° ° ° CHAPTER History Taking General procedures Approaching the patient part of a doctor and ° Look the and quietly friendly put the patient ... start? At the basis of all medicine is clinical competence No amount of knowledge will make up for poor technique Over the first few weeks it is essential to learn the basic ABC of clinical medicine, ... because they have not mastered elementary clinical skills. These notes are written to try and help you to identify what is important and to help relate findings to common clinical situations There...
- 33
- 352
- 0
CLINICAL SKILLS - PART 2 pps
... sphygmomanometer Take the blood pressure – Wrap the cuff neatly and tightly around either upper arm The patient should be seated with the arm at the level of the heart – Gently inflate the cuff until the radial ... ° The hepatojugular reflux is checked by firm pressure with the flat of the right hand over the liver, while watching the JVP Compression on the dilated hepatic veins increases the JVP by cm If the ... the left side of the ° ° ° chest, sometimes in the axilla Palpate the apex beat – Feel for the point furthest out and down where the pulsation can still be distinctly felt Measure the position –...
- 33
- 255
- 0
CLINICAL SKILLS - PART 3 doc
... laryngeal palsy First examine the front of the chest fully and then similarly examine the back of the chest Inspection of the chest in ° Rest the patient comfortably andthe bed at 45° – distended ... hand against the middle ° Percuss with the middle finger oflaid flat on the chest .The fingerphalanx of the middle finger of the other, should ° strike at right angles Percuss both sides of the chest ... which may provide noises the and listen at ° Use theofbell ofsides stethoscope and then in thethe top, middle and bottom both of the chest, axilla Ask the patient to breathe through his mouth moderately...
- 33
- 220
- 0
CLINICAL SKILLS - PART 4 pot
... Abdomen generalized swelling of the abdomen, lie the patient ° If there ismark the upper level of dullness Roll the patient to theon one side and other side and see if the level shifts.This is called ... often symptomatic of another problem – Assess whether the grievance is justified and whether it can be resolved – ‘Is there anything else that is upsetting you?’ – If the antagonism is directed ... Examination of the Nervous System Introduction The goal of the examination is to answer three questions: (1) Does the patient have a neurological illness? (2) Where in the nervous system is the pathology...
- 33
- 238
- 0
CLINICAL SKILLS - PART 5 potx
... Touch the back of the pharynx with an orange-stick or spatula gently If the patient gags the nerve is intact This gag reflex depends on the IX and X nerve, the former being the sensory side and the ... Examination of the Nervous System Nystagmus This is an unsteady eye movement .The flickering movement is labelled by the direction of fast movement Test first in the neutral position and then with the eyes ... your hand under the ankle of the patient’s paralysed leg The patient is first asked to extend the paralysed leg (which should produce no effort), and then by asking for hip flexion of the nonparalysed...
- 33
- 293
- 0
CLINICAL SKILLS - PART 6 pptx
... arrive on the wards it is a good idea to go and see the ward sister, physiotherapist, etc and find out what their job is, what their difficulties are and how they view the patient, other groups ... by an emergency, the notes must be written up the same day as the operation These notes should contain definite statements on the following facts: – name of surgeon performing the operation and ... monitoring – what the patient has been told – where the patient has gone, and what help is available – when the patient is next being seen – an estimate of the prognosis If the patient dies, the student...
- 33
- 182
- 0
CLINICAL SKILLS - PART 7 docx
... Testing the urine is part of the routine physical examination It is most simply done using one of the combination dipsticks Dip the stick in the urine and compare the colours with the key at the ... pulmonary arteriole so the pressure at the tip reflects the left atrial pressure transmitted through the pulmonary capillaries (Fig 11.13) The cardiac output is calculated either by the Fick principle ... by the diastolic pressure difference between the left ventricle (left heart catheter) and left atrium measured indirectly via the right heart catheter in the ‘wedge’ position — passed through the...
- 33
- 345
- 0
CLINICAL SKILLS - PART 8 docx
... defines the cellularity of the marrow The procedure is either carried out with simple infiltration of the periosteum using local anaesthetic or under light sedation Bone marrow examination may give the ... cellularity — i.e whether the marrow is empty (aplastic anaemia), packed (leukaemia) or normal – cytology — whether the cells within the marrow are maturing correctly and whether there are abnormal ... sure the arm is in a stable horizontal position Palpate the mid45∞ dle of the artery Insert the needle into the artery at 45° Gradually withdraw the needle until blood flows freely into the syringe...
- 33
- 355
- 0
CLINICAL SKILLS - PART 9 pdf
... than the other When this happens the next conduction passes down only one pathway Conduction subsequently passes retrogradely up the other pathway, which is no longer refractory This pathway then ... arrhythmia There are two separate pathways from the atria to the ventricles In the resting ECG the early entry, by the aberrant conduction pathway bypassing the bundle of His, is seen as a delta wave ... stimulate either the atrium or ventricle and restore rhythm Pacemakers can be basic or very sophisticated Ventricle-only pacemakers These are the commonest types of pacemaker (80%+) If the ventricle...
- 33
- 188
- 0
CLINICAL SKILLS - PART 10 ppt
... Guidelines for the Barthel index of activities of daily living (ADL): The index should be used as a record of what a patient does, not what a patient can The main aim is to establish the degree of ... reason The need for supervision renders the patient not independent A patient’s performance should be established using the best available evidence The patient, friends/relatives and nurses are the ... chart should be held at 3m from the patient, with good lighting, with each of the patient’s eyes covered in turn Use the patient’s usual spectacles for this distance If the patient cannot read 6/6...
- 33
- 291
- 0
Clinical skills (lecture notes) (2003) medlibrary4u blogspot
... with your career and the all-important mastering of basic clinical skills ° ° ° CHAPTER History Taking General procedures Approaching the patient the part of a doctor and put the patient at ease ... appearance of the patient is the first observation, and thereafter the order of examination will vary The system to which the presenting symptoms refer is often examined first Otherwise devise ... because they have not mastered elementary clinical skills. These notes are written to try and help you to identify what is important and to help relate findings to common clinical situations There...
- 331
- 278
- 0
Báo cáo y học: "Clinical Strategy for the Management of Solid Pseudopapillary Tumor of the Pancreas: Aggressive or Less"
... whom the mass was located in the portion of body or tail of the pancreas For tumors of SPT located in the neck and body of the pancreas, resection of the midportion of the pancreas and the mass ... 311 Fig The CT scan indicated the typical internal or capsular calcification in the SPT Once the diagnosis of SPT is made, surgery is the first choice of treatment, since other adjuvant therapies, ... CA125) and the level of detections were all within normal limits The median diameter of the lesions was 8.0 cm (range 4-20) Nine patients had their tumors within the head, in the body and in the tail...
- 5
- 640
- 0
Quality tools, the basic seven
... Tools, The Basic Seven (Cont'd) In contrast, the histogram of Figure 10 shows a situation in which the spread of measurements is lower on one side of the central tendency than on the other These ... related to each other It is simply the plotting of each point of data on a chart with one parameter as the x-axis and the other as the y-axis If the points form a narrow "cloud" the parameters ... of the scales used and hence not a measure of the strength of the correlation Unfortunately, the scales used also affect the width of the cloud, which is the indicator of correlation When there...
- 10
- 318
- 1
Introduction to the basic approaches and issues of Intrusion Detection
... centers can raise the alert level in their sectors can raise the alert level in their sectors on their own on their own * *President can raise the alert level in all President can raise the alert level ... Countermeasures) = Severity Please note that the attacker seemed to know what systems he was targeting because of the direct hit to the sunrpc port On the other hand, these are not servers, so let us assign ... to boil a lobster, bring the water temperature up slowly so they don’t try to jump out They just keep adjusting to the warmer water until they are boiled “Victory is the main object in war If...
- 34
- 445
- 0
Tài liệu A.3. The Basic Installation pptx
... folder) On the Erase tab, erase the iPod Now click the Re-store tab in Disk Utility From the Source list at the left side of the window (shown here), drag the Leopard DVD's icon into the top (source) ... 10.5 on it (Read the message at the bottom of the dialog box to find out.) That's the case if you're trying to install from the original 10.5 DVD, but you already have 10.5.2 on the hard drive, ... WORKAROUND WORKSHOP The Leopard "Up to Date" Upgrade Disk When you buy Leopard from a store, you get the installer described on these pages the one capable of performing either an Upgrade installation...
- 4
- 360
- 0
Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam xác định các mục tiêu của chương trình khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo gắn với các giáo trình cụ thể tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ các đặc tính của động cơ điện không đồng bộ hệ số công suất cosp fi p2 đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng 9 tr 25