Labour Room Board - Procedure Instructions for candidates by Prof. Haleema A. Hashmi

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PROCEDURE INSTRUCTIONS FOR CANDIDATES
Specialty Obstetrics & Gynaecology
STATION NO.
STATION Title: Labour Room Board
TIME ALLOWED
DESCRIPTION OF THE TASK TO THE CANDIDATES
You are the registrar on duty today when you arrive at
8:00 a.m. there are 4 patients in the labour room. You have one
registrar & two house officers along with two staff nurses.
You have 5 minutes to decide the management of each
case & prioritize each case to be dealt by whom.
At the next station you discuss the board with the
examiner.

L A B O U R B O A R D
NO. AGE NAME PARITY AMENORRHOEA PROBLEM CTG CONTRACTIONS EPIDURAL COMMENTS
1. 35 yrs A G3 P2+0 32 weeks
BP: 150/110 mm
BSL: 200 mg/dl
PROM
Reactive Nil -
2. 32 yrs B G4 P3+0 37 weeks Cord Prolapse
Pulsation
+ive
Mild - Os 3 cm
3. 27 yrs C G3 P2+0 35 weeks APH Moderate FHS + Nil - -
4. 25 yrs D G2 P1+0 38 weeks - Reactive Moderate Nil Cephalic

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Tympanic Membrane by Lisa Mike FILE T IME SUBMIT T ED 17 - DEC- 2016 12:02PM SUBMISSION ID 7 54 4 537 7 9 WORD COUNT 14 00 CHARACT ER COUNT 7 57 8 ORDER_4 4 897 _109194 .DOC (39.5K) %35 SIMILARIT Y INDEX %7 INT ERNET SOURCES %4 PUBLICAT IONS %34 ST UDENT PAPERS 1 %30 2 %2 3 %1 4 %1 5 %1 EXCLUDE QUOT ES OFF EXCLUDE BIBLIOGRAPHY OFF EXCLUDE MAT CHES OFF Tympanic Membrane ORIGINALITY REPORT PRIMARY SOURCES Submitted to EDMC St udent Paper Submitted to AUT University St udent Paper journals.lww.com Int ernet Source etheses.bham.ac.uk Int ernet Source ukplatinumessays.com Int ernet Source Tympanic Membraneby Lisa MikeTympanic MembraneORIGINALITY REPORTPRIMARY SOURCES 1 Running head: WEEK TWO ASSIGNMENT TWO 8 WEEK TWO ASSIGNMENT TWO Week Two Assignment Two: Tympanic Membrane and Thyroid Gland Sample Student Paper South University NSG 3012 Week Two Assignment Two: Tympanic Membrane and Thyroid Gland Conducting a thorough examination of the tympanic membrane and thyroid gland can identify the cause of presenting symptoms. When a patient reports ear pain, blockage, loss of hearing, and/or ear ringing the nurse will need to perform a thorough assessment to identify the cause. Tympanic ear perforation is one issue that may be identified. Additionally, when a patient reports recent weight loss, weight gain, hair loss, fatigue, irritability, and sensitivity to heat or cold, the nurse may suspect thyroid problems and will examine the thyroid. Dysfunction of the thyroid can lead to many problems, hypothyroidism is one such issue, caused by the thyroid not producing the thyroid hormone (Jarvis, 2016). An overview of the tympanic membrane and thyroid gland will be discussed to further detail the associated assessments. Health History One A 19-year-old Hispanic male presents to the primary care office with a constant earache lasting three days. He describes the dulling pain as deep in his left ear. He rates the pain as a 10 out of 10. He has a temperature of 101.1. It is suspected the patient may have an ear infection. The patient reports a history of ear infections. Patient denies hearing loss, discharge, ringing or buzzing, and/or ear injury. Findings for Tympanic Membrane Examination of the ear are mainly performed using inspection and palpation (Jarvis, 2016). The client was seated on the exam table, with the examiner’s head at the same level as the client’s. The examiner begins by inspecting both auricles for abnormalities. No abnormalities were noted, but the left ear is red in color. The auricles and mastoid areas were palpated to check for swelling, tenderness, or nodules. The left ear was tender to touch. When using an otoscope, the provider is examining the external auditory canal and tympanic membrane. When inspecting the pinna, it is important to look for lesions (Kalyanakrishnan, Sparks, & Berryhill, 2007). Inspecting the canal, the examiner is looking f ...

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