![]() ![]() A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. ![]() ![]() follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Peripheral oedema: James Heilman, licensed under the Creative Commons Attribution-Share Alike 3.A.D.A.M., Inc. Pectus carinatum: 2010 Tolson411, licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license, editedīarrel chest: 1912. Pectus excavatum: 2006 Ahellwig, licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license and GNU Free Documentation licence 1.2 Horner’s syndrome: Nautiyal A, Singh S, DiSalle M, O’Sullivan J (2005) Painful Horner Syndrome as a Harbinger of Silent Carotid Dissection. Licenced under Creative Commons Attribution 2.5 Generic license Ozlem Celik, Mutlu Niyazoglu, Hikmet Soylu and Pinar Kadioglu. Open AccessĬushing’s facial appearance: 2012. In: Head & face medicine Band 6, 2010, S. Licensed under the Creative Commons Attribution-Share Alike 4.0 International license. Tar staining: James Heilman, licensed under the Creative Commons Attribution-Share Alike 3.0 Unported licenseīutterfly rash: 2003. Peripheral cyanosis: 2011 James Heilman, licensed under the Creative Commons Attribution-Share Alike 3.0 Unported licenseĬlubbing: 2009 Desherinka, licensed under the Creative Commons Attribution-Share Alike 4.0 International, 3.0 Unported, 2.5 Generic, 2.0 Generic and 1.0 Generic license and GNU Free Documentation licence 1.2 Let us help you! Hundreds of stations available here.Now it’s time for you to try some OSCE stations Note reduction in inspiration ( ‘tracheal tug’). Now place subsequent fingers in the midline until you reach the sternal notch ( <3 fingers = lung hyperinflation). Cricosternal distance and tracheal tug: place your right hand’s index on the inferior border of the cricoid.( Pneumothorax pushes to contralateral side collapsed lung pulls to ipsilateral side.) Roll your middle finger over the trachea in the sternal notch. Tracheal deviation: place your right hand’s index and ring fingers on each clavicle head.JVP: ask the patient to rest their head back and turn head slightly, then look for double pulsation of internal jugular vein – up to 3cm above sternal angle is normal ( raised in cor pulmonale).Mouth: look for central cyanosis under tongue ( hypoxia).Look for Horner’s syndrome (ptosis, miosis, anhidrosis Pancoast tumour). ![]() Ask permission from the patient then pull down the lower eyelid to look for conjunctival pallor ( anaemia of chronic disease),.telangiectasia/microstomia ( systemic sclerosis), butterfly rash ( SLE), lupus pernio ( sarcoid), lupus vulgaris ( TB) Plethoric ( secondary polycythaemia Cushing’s syndrome superior vena cava obstruction if facial swelling).Count respiratory rate while patient still thinks you are feeling pulse: tachypnoea ( lung disease, infection, hyperventilation, fever, PE), bradypnoea ( central nervous system depression).increased up-stroke and down-stroke CO 2 retention) Consider if there is a bounding pulse (i.e.Calculate rate over 30 seconds and also note rhythm ( tachycardia may indicate: hypoxia in severe asthma or COPD, PE or infection).Pursed-lip breathing ( prevents bronchial wall collapse by keeping airway pressure high in severe airway obstruction/emphysema).Note any use of accessory muscles ( COPD, pleural effusion, pneumothorax, severe asthma).Look for cachexia ( malignancy, emphysema) and cushingoid features ( steroid use).Consider if they are alert, comfortable, breathless.Observe from the foot of the patient’s bed.Ask Patient’s name, DOB and what they like to be called.Now it’s time for you to try some OSCE stations.Here are some questions on some of the conditions you may see.Why don’t you test your knowledge on examination findings?. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |