Osce 04ans
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This document appears to be a slide presentation for an OSCE (objective structured clinical examination) covering various topics in otolaryngology. It includes 10 multiple choice questions about clinical cases involving the ear, nose and throat. For each case, candidates are asked to identify diagnoses and investigations, and in some cases, recommend treatment approaches.
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The document appears to be a set of questions and answers related to otolaryngology. It includes questions about identifying surgical instruments, interpreting radiology images, making diagnoses based on patient histories and examination findings, and recommending treatments. Diagnoses include adenoid facies, pneumatic mastoid process, chronic suppurative otitis media, perichondritis, nasopharyngeal carcinoma, allergic rhinitis, vocal nodules, and subglottic stenosis. Recommended treatments include adenoid curettage, tonsillectomy, myringoplasty, antibiotics, radiotherapy, allergy testing and medications, microlaryngoscopy, and speech therapy.
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This document discusses various contraceptive methods and their effectiveness. It provides data on typical and perfect use failure rates for different methods including condoms, oral contraceptives, IUDs, implants, injections, sterilization procedures and emergency contraception. The most effective long-acting reversible methods are IUDs and implants, with failure rates below 1%. The document also contains sample questions to assess knowledge of contraceptive options, their use, and management of any issues.
Instruments SURGERY updated PPT
MBBS STUDENTS UNDER GRADUATES ..WITH USES PROPERTIE IMAGES......FOLEYS CATHETER MALECOTS CATHETER ARTERY FORCEPS SMALL MEDIUM LARGE RETRACTOR KELLYS SURGERY SURGICAL INSTRUMENTS MBBS STUDENTS UNDERGRADUATES SUTURE MATERIALS MAYOS SCISSORS MBBS STUDENTS UNDER GRADUATES .......LISTERS SINUS FORCEPS....RIGHT ANGLED FORCEPS....KOCHERS CLAMP...suture material suture removal Jolls thyroid retractor .....WITH USES PROPERTIE IMAGES......FOLEYS CATHETER MALECOTS CATHETER ARTERY FORCEPS SMALL MEDIUM LARGE RETRACTOR KELLYS SURGERY SURGICAL INSTRUMENTS MBBS STUDENTS UNDERGRADUATES SUTURE MATERIALS MAYOS SCISSORS ..FOLEYS CATHETER ....3 WAY 2WAY RYLES TUBE.........HILTONS METHOD ..ALLIS .... MOSQUITO . LANES FORCEPS ....Lanes twin anastomosis clamp......MALECOTS CATHETER.. ARTERY FORCEPS..... SMALL MEDIUM LARGE ......RETRACTOR ....KELLYS ....SURGERY SURGICAL INSTRUMENTS MBBS STUDENTS UNDERGRADUATES..... SUTURE MATERIALS.... MAYOS SCISSORS
...........................MBBS STUDENTS UNDER GRADUATES ..COMPARISON WITH IMAGES NOTES FROM LECTURE CLASSES.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
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Final year.clinical OSCE-Obstetrics & Gynaecology.for medical undergraduates....
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Assessing the and Throat Essay.docx
This case involves a 20-year-old female college student presenting with a 3-day sore throat. Her symptoms include decreased appetite, headaches, pain with swallowing, runny nose, and slight hoarseness. On examination, she has no swollen lymph nodes or tonsils, but her throat is erythematous. Differential diagnoses could include strep throat, viral pharyngitis, or mononucleosis. Further history and physical exam are needed to guide diagnostic testing and diagnosis.
Tympanic Membraneby Lisa MikeFILET IME SUBMIT T ED 1.docx
Tympanic Membrane
by Lisa Mike
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Tympanic Membrane
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Tympanic Membraneby Lisa MikeTympanic MembraneORIGINALITY REPORTPRIMARY SOURCES
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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 ...
100 cases in ent ear and throat from air alshams university
Right chronic suppurative otitis media complicated by suppurative labyrinthitis and meningitis, leading to the death of a 10-year old child. Key manifestations included dizziness, nausea, vomiting, nystagmus, fever, severe headache and neck retraction. The child was not properly managed.
Make a SOAP Note Assessing Ear, Nose, and ThroatMost ear, nose, a.docx
Make a SOAP Note: Assessing Ear, Nose, and Throat
Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep test.
In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
Note:
By Day 1 of this week, your instructor will have assigned you to one of the following case studies to review for this Discussion. Also, your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance.
Remember that not all comprehensive SOAP data are included in every patient case.
Case 1:
Nose Focused Exam
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.
Case 2:
Focused Throat Exam
Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus over the past two weeks, Lily figured she shouldn't take her three-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn't sound congested.
Case.
medical vs surgical... OMEYousaf
This document summarizes a study comparing medical versus surgical management of otitis media with effusion (OME) in children. 62 children with 112 affected ears were treated initially with conservative medical management including medications. Middle ear effusion cleared in 80 ears (71.5%) with medical treatment alone. The remaining 32 ears that did not improve were treated with surgical interventions like adenoidectomy, myringotomy, and ventilation tube insertion. Surgical treatment resulted in improved hearing and clearance of middle ear effusion in most cases. The study concluded that while medical treatment is effective in resolving OME in about 70% of cases, surgical intervention should be considered for cases that do not respond to or recur with medical management alone.
Presentation13
This document discusses 10 common medical abbreviations related to the eyes and ears:
1. Otology is the study of the ear and deals with ear disorders.
2. OU means both eyes.
3. REM refers to rapid eye movement sleep when most dreaming occurs.
4. Hz is a measure of frequency named after Heinrich Hertz.
5. SMD stands for Strudwick syndrome, a genetic bone growth disorder causing vision and skeletal abnormalities.
Selective Attention Paper
I apologize, upon reviewing the document and video you provided, I do not see enough context to accurately summarize or analyze them. Could you please provide more details about what you would like me to focus on? Summarizing without full context runs the risk of missing important details or perspectives.
RIPE 2012 Pediatrics OSCE
This document contains an OSCE (Objective Structured Clinical Examination) practice exam for pediatrics. It includes 10 multiple choice matching questions that pair drugs used in pregnancy with their expected adverse effects on the fetus. It also includes several short clinical vignettes followed by 5 questions each. The vignettes cover topics like interpreting an ABG result, identifying sickle cell anemia from a peripheral smear, making a diagnosis of retropharyngeal abscess from presented symptoms, and more. The goal of the summary is to provide a high-level overview of the content and focus of the practice exam.
Management of foreign body in ear
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APA format for SOAP NOTE 3 peer review articles 1 and half pages lon
APA format for SOAP NOTE 3 peer review articles 1 and half pages long please follow below instructions
Analyze the possible conditions from your colleagues' differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition and justify your reasoning
case Study #3 Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked
S
Cc: “Earache right ear”
HPI: Patient is an 11-year-old Caucasian boy who was brought in by his grandmother after complaining about having a mild earache for the past two days. Patient states that the pain is worse when he falls asleep and that it has become harder for him to hear, grandmother believes that he feels warm but has not taken his temperature
Medications: Patient does not take any medications
PMH: No significant illnesses, shots are up to date
FH: No history of previous ear concerns no family history of ear disease. During the school year, patient lives at home with his mother, father and he does not have pets. Patient is staying with grandmother and grandfather most of summer
SH: Student in public school and is currently on summer break, has been spending a lot of time this summer in the pool per his grandmother that he is spending the summer with.
ROS: general: negative for chills fever currently
EENT: complains of mild right ear pain and mild hearing loss, denies tinnitus, denies pain in throat, or eye pain
O
VS: T 100.8, P 94, R 18, BP 98/64
General: Patient appears to be in mild pain, holding head to right side slightly
HEENT: right tympanic membrane obscured, ear canal is read and has a musty odor from ear canal with small amount of watery drainage, head is normocephalic without signs of trauma, no nasal drainage, PEARL, no complaints of sore throat, no redness in throat
SKIN: Warm and dry, good skin turgor, prominent tan
NECK: No lymph node edema or signs of pain on palpation
NEUROLOGICAL: No complaints of headache or dizziness
Diagnostic results. WBC slightly elevated, low grade temp
A
Differential Diagnoses:
1) Acute Otitis Externa
2) Acute Otitis Media
3) Pharyngitis
Primary diagnoses/presumptive diagnoses: Acute otitis media
P – not indicated per template
Assessing for a possible ear infection would require additional information from the patient in addition to a physical assessment of the ear and the patient. Obtaining background information including recent travel, activities, family history, trauma, history of previous illnesses and treatments that have been used for treatment that were successful or not successful.
Diagnostic studies used to diagnose the specific pathogen would include obtaining a culture of purulent drainage, simple otoscopy was mostly used for diagnosing AOM (D’silva, 2013) or a more invasive way of evaluating white blood cell elevation is by completing a CBC which is not used as often as visual inspection of the ear canal. White blood cell count (WBC), a cl ...
APA format in a SOAP Note format. 1 page long with questions as to
APA format in a SOAP Note format. 1 page long with questions as to which diagnosis would be accurate and why. I have included the references I need 3 peer review articles to be included
Patient Information:
Initials
: JS
Age
: 11
Sex
: M
Race
: Caucasian
SJ
CC:
Patient complaining of a mild right earache for the last two days and trouble hearing from that ear.
HPI
: James Jones is an 11 year old Caucasian male who presents to the clinic with complaints of a right earache for the last two days. The patient reports worsening pain at night when trying to fall asleep and difficulty hearing out of that ear. The patient rates is earache pain 5/10 and describes it as sharp and constant. The patient has taken 600mg ibuprofen with minimal relief of pain. The patient reports that he has been spending a lot of time swimming in the pool this summer.
Current Medications
:
1. Ibuprofen 600mg PRN for earache pain
Allergies:
NKA
PMHx
: Up to date on all immunizations. No significant PMH.
Soc Hx
: Patient lives with two siblings and supportive parents in a safe neighborhood in Boston. The patient is currently in middle school and enjoys playing soccer, fishing with his dad and swimming in his pool during the summer.
Fam Hx
: Maternal grandmother died of a stroke at the age of 70. No other significant family history.
ROS
:
GENERAL: No fever, fatigue or chills. No weight loss.
HEENT:
Eyes:
No visual loss, blurred vision, double vision or yellow sclerae.
Ears:
Patient reporting pain in right ear and hearing loss.
Nose,
Throat:
No sneezing, congestion, runny nose or sore throat.
SKIN: No rashes or itching.
RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.
LYMPHATICS: No enlarged nodes. No history of splenectomy.
ALLERGIES: No history of asthma, hives, eczema or rhinitis.
O.
GENERAL: Patient comes to the clinic with his grandmother, patient appears uncomfortable, is rubbing his right ear and having difficulty hearing.
HEENT: PEERLA.
Ears:
Right ear canal is erythematous and edematous with pus present, tympanic membrane is difficult to visualize. Hearing difficulty with right ear. Left ear canal is intact without erythema or edema, tympanic membrane is clear and intact.
Nose
: Nose is patent without any rhinorrhea.
Throat:
Oropharynx is clear, without erythema or exudates, mucous membranes are moist, pink and intact. (Sullivan, 2012).
SKIN: Skin color is normal for patient, intact, without rashes or lesions. Skin turgor is good.
RESPIRATORY: LS CTA bilaterally, no sternal retractions noted.
GASTROINTESTINAL: Abdomen is soft, nontender, nondistended. + BS in all quadrants. No bruits noted. No splenomegaly or masses present.
NEUROLOGICAL: Cranial ...
NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLISTThe fo.docx
NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST
The following list will be used to determine the grade for the physical examination demonstration. It does not constitute a
complete list of everything that could be included in a physical examination but rather a list of those things that should be done at a
minimum for every individual having a “complete physical examination”.
Possible
Points
Score
Skin
2
Inspects all areas of body esp. feet
2
Head & Neck
6
Inspect & Palpates skull
1
Palpates lymph nodes for adenopathy
2
Palpates thyroid (with H2O/swallowing)
2
Palpates tracheal placement
1
Eyes
12
Checks visual acuity
1
Checks peripheral fields
2
Checks EOMs
2
Checks conjunctiva for pallor
1
Checks pupillary reaction
1
Opthalmoscopic exam
5
describes discs, checks for microaneurysms,
hemorrhages, neovascularization
Ears, Nose,
Sinuses, Mouth
Determines gross hearing/whisper test
2
8
Otoscopic exam (describes landmarks)
2
Inspect & Assess Nares
1
Palpate & percuss sinuses
2
Examines mouth including blind pouch
1
Chest and Lungs
8
Inspect & Observes respiratory movements/rate
1
Posterior chest
5
Palpates & percuss respiratory excursion. Assess tactile fremitus
Auscultates breath sounds
Anterior chest
2
Palpate & percuss ant chest. Auscultate breath sounds
Breasts
Explanation only –do not demonstrate
1
1
Palpates axillae, inspects breasts
Palpates axillary lymph nodes
Cardiovascular
8
Inspect & Observes neck veins and measures
1
Palpates PMI and precordium
2
Auscultates cardiac sounds
5
With diaphragm and bell sitting
then diaphragm supine/left lateral decubitis
Peripheral Vascular
5
Inspect & Palpates pulses: carotids, radials, tibialis, pedals
2
Palpates for lower extremity edema
1
Auscultates carotids
2
Abdomen
10
Inspect & Auscultates bowel sounds
1
Auscultates renal arteries
2
Palpates abdomen for tenderness/McBurney’s pt
2
(rebound tenderness)
Check for splenic & liver enlargement
3
Percuss liver to determine span
2
Neurological
30
Mental status—MMSE or clock drawing
1
Cranial nerves:
12
Olfactory: smell
Optic: visual acuity, fields
Oculomotor, trochlear, abducens: EOMs
Trigeminal: sensation & jaw strength
Facial: frown, smile, corneal reflex
Acoustic: gross hearing
Glossopharyngeal, vagus: gag reflex
Spinal accessory: shrug shoulders
Hypoglossal: moves tongue
Reflexes: all DTRs and Babinski
5
Sensory:
light touch/monofilament on feet
1
Vibration
1
Stereognosis or graphesthesia
1
Motor:
Strength—upper and lower extremities
2
Muscle tone during active ROM
2
Gait
1
Cerebellar:
Test for coordination—finger/nose
1
One test for balance
1
One test for meningeal irritation
1
One test for nerve root irritation
1
Musculoskeletal
10
Inspect & Inspects spine
1
Palpates spine
2
Palpates major joint.
Need response for below discusssion.docx
1) The patient is an 11-year-old boy who presents with a mild earache in his right ear for two days, worse when sleeping and with mild hearing loss. On examination, his right tympanic membrane is obscured and the ear canal is red with a musty odor and small amount of watery drainage.
2) The differential diagnoses include acute otitis externa, acute otitis media, and pharyngitis.
3) The most likely diagnosis is acute otitis media given the symptoms of earache, hearing loss, and examination findings of an obscured tympanic membrane with drainage, consistent with the middle ear filling with pus.
The ENT history and examination
The document provides guidance on taking patient history and performing examinations in ENT (ear, nose, and throat). It emphasizes the importance of the history in guiding examination and diagnosis. The history should explore the presenting complaint, past medical history, medications, and social factors. Key areas to examine include the ears, nose, mouth, larynx, neck, and facial nerves. Specific procedures are described for examining the external ear canal, ear drum, and performing tuning fork tests to evaluate hearing. Danger signs in the history that may indicate serious conditions are also highlighted.
FNBE 0214 MATHS REPORT
This document discusses a survey conducted to analyze the understanding of asthma among males aged 21-25 and 26-30. The survey consisted of 18 questions about asthma symptoms, causes, treatments and impacts. 200 males completed the online questionnaire. Statistical analysis found most males had limited understanding of asthma. For example, over half did not know asthma is typically worse at night. The conclusion is that greater public awareness campaigns are needed in Malaysia to improve understanding of this common chronic disease.
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This document discusses a case study of a 6-year-old girl presenting with left ear pain and discharge for 5 days. On examination, her left ear canal was infected with purulent discharge and increased warmth. Guidelines recommend antibiotics such as amoxicillin for 5-7 days for acute otitis media in children. Prescribing for children requires considering differences from adults in drug pharmacokinetics, testing, and formulations. Clinical guidelines help inform appropriate treatment and review.
Canine Dermatology Case Study module 7.pptx
A 5-year-old male Labrador presented with acute onset head shaking and pawing at the ear with no previous ear issues. Examination found inflammatory changes, erythema, stenosis, thick brown exudate in one ear. Cytology revealed Malassezia organisms. The veterinarian cleaned the ear, performed cytology, and prescribed systemic steroids and ear cleaner. After treatment, the ear epithelium was smooth and pale with negative cytology. The owner was warned to monitor for potential underlying causes like allergy or food sensitivity but further testing was not pursued due to the first isolated episode and lack of other symptoms.
Chronic rhinosinusitis
Chronic rhinosinusitis (CRS) is defined as inflammation of the nose and paranasal sinuses characterized by two or more symptoms for at least 12 weeks, one of which must be either nasal blockage/congestion or nasal discharge. CRS subtypes include CRS with nasal polyps (CRSwNP) and CRS without nasal polyps (CRSsNP). Diagnosis involves symptom assessment, nasal endoscopy, and sometimes CT scans or allergy testing. Risk factors include allergy, asthma, aspirin sensitivity, smoking and genetic factors. Treatment involves nasal saline irrigation, corticosteroids and surgery.
Evaluation of Hearing in Children - from birth until 7 years old
A short presentation describing, very generally, the reasoning and methods used to evaluate hearing in neonates and older pediatric patients, up to 7 years of age. Slides compiled as part of medical school studies.
Sources for all imagery and sources listed in references section where possible. I do not claim ownership of any images or graphics. Slides for educational purposes only, and should not replace clinical judgement. No monetary gain was made for this work.
ENT ospe 1 .pdf .....good and easy for medical
This document provides instructions and questions for an ENT OSPE exam station on static stations. It includes questions about various ENT conditions, radiographs, procedures and instruments. The student is asked to identify structures, diagnose conditions, describe treatments and complications. Key points include identifying nasal bones and cartilages on a diagram, diagnosing a foreign body in the ear, describing a tonsillectomy position and indications, and identifying instruments like a bronchoscope and mastoid retractor.
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We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
ABDOMINAL TRAUMA in pediatrics part one.
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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