IMM core topics (1).pptx
•Download as PPTX, PDF•
0 likes•12 views
This document outlines skills and procedures for general surgery, genitourinary surgery, vascular surgery, and communication skills. It includes lists of surgical procedures, steps in operations, and components of communication such as obtaining informed consent and breaking bad news. The document provides guidance on history taking, explaining diagnoses and treatments, discussing risks and alternatives, and assessing a patient's understanding of medical information.
Recommended
More Related Content
Similar to IMM core topics (1).pptx
Similar to IMM core topics (1).pptx (20)
Recently uploaded
Recently uploaded (20)
IMM core topics (1).pptx
- 2. SURGICAL SKILLS • VERESS NEEDLE • CVP LINE INSERTION • PROCTOSCOPY • THYROIDECTOMY STEPS • GOWNING & GLOVING • FNAC • SIGMOIDOSCOPE • VENOUS CUT DOWN • INTESTINAL ANASTOMOSIS • URINARY BLADDER REPAIR • SUTURE MATERIALS • T TUBE CHOLANGIOGRAM • DRAINS • KNOT TYING’ • TRU CUT BIOPSY NEEDLE • ABDOMINAL EXAMINATION
- 3. GENERAL SURGERY • GAS UNDER DIAPHRAGM • APPENDICITIS & HEMOPHILIA • LAPARASCOPIC CHOLECYSTECOMY • GASTRIC OUTLET OBSTRUCTION • PYLORIC STENOSIS • INTESTINAL OBTRUCTION • MECKEL’S DIVERTICULUM • RECTAL PROLAPSE • TERMINAL ILEUM STRICTURE • ACHALASIA • SIGMOID VOLVULUS • STAB WOUND ABDOMEN • PANCREATIC PSEUDO CYST’ • OBSTRUCTED INGUINAL HERNIA • CA RECTUM • LOOPOGRAM’ • PARALYTIC ILEUS • CA ESOPHAGUS • DUODENAL ATRESIA • PERI ANAL ABSCESS • UPPER GI BLEEDING • PANCREATITIS SECONDARY TO GALL STONE • DUODENAL ATRESIA • CA PANCREAS • HEMETEMESIS SEONDARY TO CLD • PEPTIC ULCER BLEED • ACUTE PANCREATITIS • RECTAL PROLAPSE • Bilateral mastitis • CA Breast
- 4. GENITOURINARY SYSTEM • B ILATERAL PELVI URETERIC JUNCTION OBSTRUCTION • RENAL INJURY / HEMATOMA • BPH • BLADDER OUTLET OBSTRUCTION • RENAL CALCULI • VESICLE CALCULUS • URETERIC INJURY • PARAPHIMOSIS • CIRCUMCISION • TESTICULAR SWELLING • TESTICULAR TORSION • ACUTE URINARY RETENTION • VARICOCELE • HYDROCELE • DJ STENT • TESTICULAR TUMORS • FOURNIER S GANGRENE
- 5. VASCULAR SURGERY • COMPATMENT SYNDROME • ACUTE LIMB ISCHEMIA • DEEP VENOUS THROMBOSIS • VERICOSE VEINS • LOWER LIMB GANGRENE • MASSIVE BLOOD TRANSFUSION • MELANOMA • CARPAL TUNNEL SYNDROME • CLAUDICATION
- 6. COMMUNICATION SKILLS • BREAKING BAD NEWS (DEATH) • ILEAL PERFORATION • CA RECTUM PER MANUAL COLOSTOMY • CONSENT FOR LAPARASCOPIC CHOLECYTECTOMY • BELOW KNEE AMPUTATION DIABETIC FOOT • SWAB LEFT IN ABDOMEN POST SURGERY • STOMA CARE • LADY WITH 3 CM BREAST LUMP WITH NO LYMPH NODES PALPABLE
- 10. Types 1.History taking & delivering information 2.Informed consent 3.Breaking bad news 4.Difficult consultation –agitated, anxious, incapacitated 5.Communication with family 6. Sexual history & abuse KFHU 10
- 11. INFORMED CONSENT 1.PREPARATION Introduction Give your own name Check patient’s name, Explain what you are doing and by what authority Background Check what the pt already knows Explore how much he or she actually wants to know 11 FOUR STAGES
- 12. 2.EXPLANATION What is wrong: Explain the diagnosis in simple language. Action: What is proposed action? Does it differ from national or other guidelines, if so justify. Outcome: Describe the likely short and long term outcomes Choices: Describe all viable choices including doing nothing KFHU 12 INFORMED CONSENT
- 13. 2.Explanation-cont.. Complications: Explain all serious complications and those with a risk >1% Describe the actions that will be taken to prevent each Explain how complications will be managed if they do occur Right of refusal: Make it clear that the final decision is the pt’s alone Give the patient time to think about the decision 13 INFORMED CONSENT
- 14. 3.Check competence to give consent : Tell me what you have understood? 4.Closure Open question: Is there anything else you would like to discuss? Record: Record what was discussed and what was agreed 14 INFORMED CONSENT
- 15. Module for Informed Consent • Mr Mohammed is diagnosed to have papillary Ca Thyroid and scheduled for thyroidectomy. • Obtain an informed consent. • 1.Introduction and identification • 2.Explanation of diagnosis • 3.Explaining surgical options • 4.Explaining intended procedure KFHU 15
- 16. Module for Informed Consent-2 • 5.Explaining pros and cons • 6. Explains consequences of not operating • 7.Measures to be taken to avoid complication or to treat complications if they may arise • 8. Realistic hope (prognosis) • 9.Leaves Mr Mohammed to decide and sign. KFHU 16
- 17. SPECIAL SITUATION • Incapacitated, unconscious patient – surrogate decision maker not available in emergency /OR decision making • Two consultants and Medical director would sign • Consent is ‘presumed’ not ‘obtained’ • Later in appropriate situation should be obtained KFHU 17
- 18. Module –Breaking Bad News • Abdulaziz, 52 yrs old male, diagnosed as Colorectal Ca. • Deliver the news to Mr Abdulaziz • Skills- P anticipates queries, prepares for consequences before entering the room • Never carry Stetho, show no hurry, body language sympathetic – enter the room KFHU 18
- 19. Module –Breaking Bad News- 2 • Identifies himself and the Pt • Asks Abdul about how much he understands abt his ailment • Enquires about Abdul’s personal & family/social support • Describes physical & diagnostic findings • Skill : sits close to Abdul with a comforting gesture KFHU 19
- 20. Module –Breaking Bad News-3 • Declares the diagnosis- skill –touches hands, pats the shoulder, and assesses Abdul’s condition. • Describes the investigative/ management options • Describes realistic prognosis • May suggest second opinion KFHU 20