This 3 sentence summary provides the key information about the Physical Diagnosis I course syllabus:
The Physical Diagnosis I course teaches physician assistant students to obtain comprehensive medical histories and perform full physical examinations through lectures, labs, and skills assessments. Students must pass quizzes, written exams, practical exams, and a final skills demonstration to pass the course, which is a prerequisite for the Physical Diagnosis II course. The syllabus outlines the course objectives, learning goals, policies, evaluation procedures, textbooks, and contact information for the course director.
1. The document appears to be notes from an OSCE (objective structured clinical examination) containing 10 clinical cases to be identified and summarized.
2. The cases cover topics like identifying ear structures, common ear procedures, nasal deformities and their treatments, tonsillectomy techniques, indirect laryngoscopy findings, and clinical tests for hearing like Weber's test and Rinne's test.
3. For each case the examinee must identify key findings, name relevant procedures, diagnoses, or anatomical structures, and sometimes explain clinical significance or importance.
The document provides information on various medical emergencies, including types, prevention, and management. It discusses emergencies related to unconsciousness like syncope, seizures, respiratory issues like asthma and airway obstruction. It also covers cardiovascular emergencies such as angina and myocardial infarction. Prevention focuses on medical history, examination, and basic life support. Management of specific conditions is explained like use of glucose for hypoglycemia and benzodiazepines for hyperventilation.
This patient presented with conductive hearing loss and tinnitus in the left ear. Examination showed normal appearing ear drums with normal mobility. The audiogram showed a characteristic Carhart's notch, indicating the probable diagnosis of otosclerosis. Otosclerosis causes stapes fixation leading to conductive hearing loss and is identified by the notch on bone conduction testing.
Endotracheal intubation involves inserting a tube into the trachea through the mouth or nose. It is done to administer oxygen, remove secretions, promote airway patency, or assist with breathing difficulties. The document discusses indications for intubation, equipment needed, steps for performing intubation, post-intubation care, complications, and the importance of documentation.
This document discusses the evaluation and management of solitary thyroid nodules. It defines a solitary thyroid nodule and outlines red flags that may indicate cancer such as rapid growth, male sex, or family history of thyroid cancer. Imaging with ultrasound is recommended to assess nodule characteristics while biopsy with FNAC provides the most accurate assessment of malignancy. For indeterminate or suspicious nodules, surgery is the standard treatment to both diagnose and treat the condition. Complete surgical removal of the affected lobe is the typical surgical approach.
1) A 38-year-old male patient was admitted to the hospital on April 10, 2014 due to a head injury and damage to his right clavicle sustained from an accident.
2) His diagnosis was confirmed through CT scan and MRI as a head injury and right clavicle fracture.
3) He was treated medically with injections including ceftriaxone, ranitidine, odensteron, and fosphenytoin as well as oral medications like cefedinir, ranitacid D, and phenytoin.
This document summarizes a presentation on Acute Respiratory Distress Syndrome (ARDS). It discusses the history, epidemiology, causes, pathogenesis, clinical features, investigations and management of ARDS. The key points are: ARDS is caused by diffuse lung inflammation from various diseases and injuries and results in hypoxemia resistant to oxygen therapy. It has been recognized since World War I. The incidence is 13.5-78.9 cases per 100,000 people. Common causes include asthma, pneumonia, burns and pancreatitis. Pathogenesis involves neutrophils, macrophages and inflammatory mediators damaging the lungs. Clinical features range from hyperventilation to respiratory failure and multi-organ dysfunction. Diagnosis is based on hypoxemia,
1) The document defines asthma as a chronic inflammatory disease associated with airway hyperresponsiveness that leads to recurrent attacks of breathlessness, coughing, and wheezing.
2) It discusses the types, causes, risk factors, signs and symptoms, diagnosis, and treatment of asthma. Complications include respiratory failure, growth delays in children, and higher risks of depression and obesity.
3) The treatment plan outlined includes medications like Deriphylline, Pantoprazole, Dexamethasone, and Metronidazole to relieve symptoms and reduce inflammation. Lifestyle modifications and monitoring are also advised.
1. The document appears to be notes from an OSCE (objective structured clinical examination) containing 10 clinical cases to be identified and summarized.
2. The cases cover topics like identifying ear structures, common ear procedures, nasal deformities and their treatments, tonsillectomy techniques, indirect laryngoscopy findings, and clinical tests for hearing like Weber's test and Rinne's test.
3. For each case the examinee must identify key findings, name relevant procedures, diagnoses, or anatomical structures, and sometimes explain clinical significance or importance.
The document provides information on various medical emergencies, including types, prevention, and management. It discusses emergencies related to unconsciousness like syncope, seizures, respiratory issues like asthma and airway obstruction. It also covers cardiovascular emergencies such as angina and myocardial infarction. Prevention focuses on medical history, examination, and basic life support. Management of specific conditions is explained like use of glucose for hypoglycemia and benzodiazepines for hyperventilation.
This patient presented with conductive hearing loss and tinnitus in the left ear. Examination showed normal appearing ear drums with normal mobility. The audiogram showed a characteristic Carhart's notch, indicating the probable diagnosis of otosclerosis. Otosclerosis causes stapes fixation leading to conductive hearing loss and is identified by the notch on bone conduction testing.
Endotracheal intubation involves inserting a tube into the trachea through the mouth or nose. It is done to administer oxygen, remove secretions, promote airway patency, or assist with breathing difficulties. The document discusses indications for intubation, equipment needed, steps for performing intubation, post-intubation care, complications, and the importance of documentation.
This document discusses the evaluation and management of solitary thyroid nodules. It defines a solitary thyroid nodule and outlines red flags that may indicate cancer such as rapid growth, male sex, or family history of thyroid cancer. Imaging with ultrasound is recommended to assess nodule characteristics while biopsy with FNAC provides the most accurate assessment of malignancy. For indeterminate or suspicious nodules, surgery is the standard treatment to both diagnose and treat the condition. Complete surgical removal of the affected lobe is the typical surgical approach.
1) A 38-year-old male patient was admitted to the hospital on April 10, 2014 due to a head injury and damage to his right clavicle sustained from an accident.
2) His diagnosis was confirmed through CT scan and MRI as a head injury and right clavicle fracture.
3) He was treated medically with injections including ceftriaxone, ranitidine, odensteron, and fosphenytoin as well as oral medications like cefedinir, ranitacid D, and phenytoin.
This document summarizes a presentation on Acute Respiratory Distress Syndrome (ARDS). It discusses the history, epidemiology, causes, pathogenesis, clinical features, investigations and management of ARDS. The key points are: ARDS is caused by diffuse lung inflammation from various diseases and injuries and results in hypoxemia resistant to oxygen therapy. It has been recognized since World War I. The incidence is 13.5-78.9 cases per 100,000 people. Common causes include asthma, pneumonia, burns and pancreatitis. Pathogenesis involves neutrophils, macrophages and inflammatory mediators damaging the lungs. Clinical features range from hyperventilation to respiratory failure and multi-organ dysfunction. Diagnosis is based on hypoxemia,
1) The document defines asthma as a chronic inflammatory disease associated with airway hyperresponsiveness that leads to recurrent attacks of breathlessness, coughing, and wheezing.
2) It discusses the types, causes, risk factors, signs and symptoms, diagnosis, and treatment of asthma. Complications include respiratory failure, growth delays in children, and higher risks of depression and obesity.
3) The treatment plan outlined includes medications like Deriphylline, Pantoprazole, Dexamethasone, and Metronidazole to relieve symptoms and reduce inflammation. Lifestyle modifications and monitoring are also advised.
This document appears to be an ENT examination report for a patient named Hana Sabah Rashid conducted on October 9, 2017. The report lists various ENT instruments that were used during the examination but provides no further details about the patient, findings, or assessment.
This document contains 11 multiple choice questions regarding the OSCE examination for Ear, Nose and Throat. Each question provides images, descriptions of patient presentations, and asks for diagnoses, management plans, or other clinical information. The answers to each question are also provided.
a complete slide of endotracheal intubation for mbbs students and students of other medical background. the refrence is from uptodate.com and short text book of anaesthesia by Ajay yadav, 5th edition.
A 72 year old man presented with generalized erythroderma, enlarged lymph nodes and atypical cells on peripheral smear and skin biopsy. This matches the diagnostic criteria for Sézary syndrome, an aggressive form of cutaneous T cell lymphoma characterized by erythroderma, lymphadenopathy and circulating atypical lymphocytes.
A 70 year old woman experienced chest pain radiating to her shoulder and her ECG showed posterior wall myocardial infarction, likely due to occlusion of the right coronary artery, which supplies the posterior wall.
A 83 year old man with congestive heart failure presented with pleural effusion on his chest x-ray. This resolved with treatment and reappeared with decompensation, representing a "phantom
Surgical nursing review common surgical procedures reviewstanbridge
This document summarizes common soft tissue surgeries and orthopedic procedures. It describes abdominal exploratory surgeries, gastrotomies, enterotomies, intestinal resection and anastomosis procedures. It also discusses ovariohysterectomy, castration, cystotomy, ear and eye procedures. For orthopedics it covers fracture assessment, internal and external fixation, amputation and cruciate ligament repairs. Minimally invasive procedures like laparoscopy and endoscopy are also summarized.
A 20-year-old male presented with a cough, sputum production, fever, weakness, and weight loss for 8 days. A physical exam and lab tests confirmed lower respiratory tract infection. The patient was prescribed ceftriaxone, pantoprazole, paracetamol, ambroxol + guaifenesin + methanol + terbutaline, levalbuterol + ipratopium, and paracetamol. He was counseled on lifestyle modifications and the symptoms, causes, and treatment of lower respiratory tract infections.
1) A 2 year 6 month old male child presented with abdominal distension, swelling of the face and feet for 1 week along with anuria for 12 hours.
2) He was diagnosed with nephrotic syndrome based on massive proteinuria, hypoalbuminemia, generalized edema and hypercholestermia.
3) He was treated with prednisolone for nephrotic syndrome and antibiotics for a resolving lower respiratory tract infection.
This document lists numerous medical conditions and examination findings related to cardiology. It includes 73 items that enumerate various causes of conditions like diastolic heart failure, left sided heart failure, infective endocarditis, syncope, shock, and others. For each item, the causes, criteria for diagnosis, signs, complications, and indications for treatment are delineated in detail.
ntubation is a process where a healthcare provider inserts a tube through a person's mouth or nose, then down into their trachea (airway/windpipe). The tube keeps the trachea open so that air can get through. The tube can connect to a machine that delivers air or oxygen.
RAPID SEQUENCE INTUBATION:
Rapid sequence induction (RSI) is a set of actions during induction of anaesthesia in unfasted patients or patients at risk of aspiration/regurgitation of gastric contents.
INDUCTIION AGENT:
Induction agents (sedatives) are integral to the performance of rapid sequence intubation (RSI). They provide amnesia, blunt sympathetic responses, and can improve intubating conditions.
CRICHOID PRESSURE:
Cricoid pressure is applied by an assistant using the thumb and second finger; the first finger stabilizes the thumb and finger on the cricoid ring. press directly backwards at a force of 20-30 newtons against the cervical vertebrae.
endotracheal tube selection
Endotracheal tube selection for male is 8.0 and for female is 7.5
Formula for endotracheal tube children in paediatrics is
[(Age/4) + 4] for uncuffed tubes
[(Age/4) +3.5] for cuffed tubes
The document discusses gas exchange and respiratory failure. It defines two types of respiratory failure: hypoxemic and hypercapnic. Hypoxemic respiratory failure occurs when there is inadequate oxygen transfer, while hypercapnic respiratory failure occurs when there is insufficient carbon dioxide removal. The major mechanisms that can cause hypoxemic respiratory failure are ventilation-perfusion mismatching, shunting of blood, diffusion limitation across the alveolar-capillary membrane, and alveolar hypoventilation. Common diseases associated with each type of respiratory failure are also outlined.
This document contains information about a 54-year-old female patient named Jubedabivi Bharubhai Kakar who was admitted to the hospital for a total mastectomy due to breast carcinoma stage 3. It includes her medical history, physical examination findings, lab results, diagnosis, treatment plan including chemotherapy and surgery, and nursing care plan. The patient presented with complaints of fever, pain and lump in the left breast, and was diagnosed with breast carcinoma based on biopsy, ultrasound, MRI and mammography results. She underwent a total mastectomy and is being treated with chemotherapy.
This document presents a case study of a 50-year-old male patient admitted to the pulmonology department with acute respiratory failure. The patient reported symptoms of breathlessness, cough with expectoration, fever and chest pain. On examination, the patient had elevated temperature, blood pressure, pulse and respiratory rate. Based on the patient's history of COPD and investigations, he was diagnosed with acute respiratory failure. His treatment plan included antibiotics, bronchodilators and corticosteroids.
This document discusses several ENT-related topics:
1. It defines Achalasia cardia as a hypomotility disorder of the esophagus characterized by aperistalsis, increased LES tone, and decreased LES relaxation. Two surgical procedures for it are mentioned.
2. Complications of CSOM atticoantral type discussed include mastoiditis, thrombosis of internal jugular vein, and facial nerve paralysis.
3. Anterior rhinoscopy is defined as the examination of the anterior part of the nasal cavity with a speculum.
4. A peritonsillar abscess is identified from its symptoms of sore throat, hot potato voice, and odynophagia
This document provides an overview of CPAP training for paramedics. It covers the background and history of CPAP, physiology of how CPAP works, indications and contraindications for its use, administration procedures, potential complications, documentation requirements, and considerations for EMS systems implementing CPAP protocols. Key points emphasized include starting CPAP at low pressures and titrating upward, using it primarily for CHF/APE but also for respiratory failure from other causes, and being prepared to intubate if the patient does not improve or their condition deteriorates on CPAP.
The document contains a 55 question quiz on medical-surgical nursing related to cardiac care. The questions cover topics like PTCA factors, serum CK levels post-myocardial infarction, types of AV block, rhythms requiring pacing, defibrillation energy doses, etiologies of atrial tachycardia, ventricular tachycardia associated with QT prolongation, procedures for varicose veins, ulcer types, DVT management, cardiac tamponade assessments, anticoagulation for mechanical heart valves, intraaortic balloon pump use, cardiac markers, ECG findings, and more. The answer key is provided at the end.
This document contains questions and answers related to ENT OSPE (Objective Structured Practical Examination). It includes questions on various ENT instruments, procedures, diseases and their management. Some key topics covered include types of tracheostomy tubes, causes of facial nerve paralysis, indications and complications of direct laryngoscopy, diagnostic workup for a foreign body in the esophagus, types of deviated nasal septum, surgical treatments for nasal polyps, and differences between ethmoidal and antroconal nasal polyps.
The document provides guidelines for performing basic life support, including checking for response, calling for help, opening the airway, checking for breathing, performing 30 chest compressions followed by 2 rescue breaths, and continuing cycles of compressions and breaths until emergency services arrive or the victim starts breathing on their own. Early CPR and defibrillation are critical for survival from cardiac arrest, with survival rates declining rapidly without intervention in the first few minutes. Bystander CPR can double or triple a victim's chance of survival.
Bronchopneumonia is a type of pneumonia characterized by multiple areas of lung consolidation affecting one or more lobes. It is caused by viruses, bacteria, fungi or other pathogens and can develop as a complication of other illnesses like measles or influenza. Symptoms include fever, cough with mucus, chest pain, fatigue and decreased appetite. Diagnosis involves auscultation, chest x-ray, and laboratory tests. Treatment focuses on antibiotics, oxygen, rest, hydration and fever reduction. Nursing care involves airway clearance, infection control and addressing related issues like congestive heart failure.
This document provides guidance on venepuncture and intravenous cannulation. It discusses anatomy and vein selection, including superficial veins in the forearm and antecubital fossa. It outlines the procedures for venepuncture and cannulation, including patient assessment, site preparation, equipment, and techniques to minimize pain. Potential complications are also addressed.
PAC 5100 Physical Diagnosis II SyllabusSteven Sager
This document provides the syllabus for the Physical Diagnosis II course at Nova Southeastern University's Physician Assistant Program. The syllabus outlines the course details including the instructor, meeting times, prerequisites, description, goals, format, learning objectives, evaluation procedures, required texts, policies, and classroom behavior expectations. The course builds on skills from Physical Diagnosis I and focuses on performing focused medical interviews, physical examinations, and clinical problem solving to develop differential diagnoses and treatment plans. Students will be evaluated through quizzes, exams, practical skills assessments, assignments, and professionalism in the classroom.
PAC 5200 Physical Diagnosis III SyllabusSteven Sager
This document provides a course syllabus for the Physical Diagnosis III course at Nova Southeastern University's Physician Assistant Program. The course aims to develop students' skills in obtaining medical histories, performing physical examinations, and making diagnoses. It covers examinations of multiple body systems and special populations through lectures, labs, assignments, and evaluations of history-taking and physical exam skills. Students must pass written exams, practical exams, and a final standardized patient exam to pass the course.
This document appears to be an ENT examination report for a patient named Hana Sabah Rashid conducted on October 9, 2017. The report lists various ENT instruments that were used during the examination but provides no further details about the patient, findings, or assessment.
This document contains 11 multiple choice questions regarding the OSCE examination for Ear, Nose and Throat. Each question provides images, descriptions of patient presentations, and asks for diagnoses, management plans, or other clinical information. The answers to each question are also provided.
a complete slide of endotracheal intubation for mbbs students and students of other medical background. the refrence is from uptodate.com and short text book of anaesthesia by Ajay yadav, 5th edition.
A 72 year old man presented with generalized erythroderma, enlarged lymph nodes and atypical cells on peripheral smear and skin biopsy. This matches the diagnostic criteria for Sézary syndrome, an aggressive form of cutaneous T cell lymphoma characterized by erythroderma, lymphadenopathy and circulating atypical lymphocytes.
A 70 year old woman experienced chest pain radiating to her shoulder and her ECG showed posterior wall myocardial infarction, likely due to occlusion of the right coronary artery, which supplies the posterior wall.
A 83 year old man with congestive heart failure presented with pleural effusion on his chest x-ray. This resolved with treatment and reappeared with decompensation, representing a "phantom
Surgical nursing review common surgical procedures reviewstanbridge
This document summarizes common soft tissue surgeries and orthopedic procedures. It describes abdominal exploratory surgeries, gastrotomies, enterotomies, intestinal resection and anastomosis procedures. It also discusses ovariohysterectomy, castration, cystotomy, ear and eye procedures. For orthopedics it covers fracture assessment, internal and external fixation, amputation and cruciate ligament repairs. Minimally invasive procedures like laparoscopy and endoscopy are also summarized.
A 20-year-old male presented with a cough, sputum production, fever, weakness, and weight loss for 8 days. A physical exam and lab tests confirmed lower respiratory tract infection. The patient was prescribed ceftriaxone, pantoprazole, paracetamol, ambroxol + guaifenesin + methanol + terbutaline, levalbuterol + ipratopium, and paracetamol. He was counseled on lifestyle modifications and the symptoms, causes, and treatment of lower respiratory tract infections.
1) A 2 year 6 month old male child presented with abdominal distension, swelling of the face and feet for 1 week along with anuria for 12 hours.
2) He was diagnosed with nephrotic syndrome based on massive proteinuria, hypoalbuminemia, generalized edema and hypercholestermia.
3) He was treated with prednisolone for nephrotic syndrome and antibiotics for a resolving lower respiratory tract infection.
This document lists numerous medical conditions and examination findings related to cardiology. It includes 73 items that enumerate various causes of conditions like diastolic heart failure, left sided heart failure, infective endocarditis, syncope, shock, and others. For each item, the causes, criteria for diagnosis, signs, complications, and indications for treatment are delineated in detail.
ntubation is a process where a healthcare provider inserts a tube through a person's mouth or nose, then down into their trachea (airway/windpipe). The tube keeps the trachea open so that air can get through. The tube can connect to a machine that delivers air or oxygen.
RAPID SEQUENCE INTUBATION:
Rapid sequence induction (RSI) is a set of actions during induction of anaesthesia in unfasted patients or patients at risk of aspiration/regurgitation of gastric contents.
INDUCTIION AGENT:
Induction agents (sedatives) are integral to the performance of rapid sequence intubation (RSI). They provide amnesia, blunt sympathetic responses, and can improve intubating conditions.
CRICHOID PRESSURE:
Cricoid pressure is applied by an assistant using the thumb and second finger; the first finger stabilizes the thumb and finger on the cricoid ring. press directly backwards at a force of 20-30 newtons against the cervical vertebrae.
endotracheal tube selection
Endotracheal tube selection for male is 8.0 and for female is 7.5
Formula for endotracheal tube children in paediatrics is
[(Age/4) + 4] for uncuffed tubes
[(Age/4) +3.5] for cuffed tubes
The document discusses gas exchange and respiratory failure. It defines two types of respiratory failure: hypoxemic and hypercapnic. Hypoxemic respiratory failure occurs when there is inadequate oxygen transfer, while hypercapnic respiratory failure occurs when there is insufficient carbon dioxide removal. The major mechanisms that can cause hypoxemic respiratory failure are ventilation-perfusion mismatching, shunting of blood, diffusion limitation across the alveolar-capillary membrane, and alveolar hypoventilation. Common diseases associated with each type of respiratory failure are also outlined.
This document contains information about a 54-year-old female patient named Jubedabivi Bharubhai Kakar who was admitted to the hospital for a total mastectomy due to breast carcinoma stage 3. It includes her medical history, physical examination findings, lab results, diagnosis, treatment plan including chemotherapy and surgery, and nursing care plan. The patient presented with complaints of fever, pain and lump in the left breast, and was diagnosed with breast carcinoma based on biopsy, ultrasound, MRI and mammography results. She underwent a total mastectomy and is being treated with chemotherapy.
This document presents a case study of a 50-year-old male patient admitted to the pulmonology department with acute respiratory failure. The patient reported symptoms of breathlessness, cough with expectoration, fever and chest pain. On examination, the patient had elevated temperature, blood pressure, pulse and respiratory rate. Based on the patient's history of COPD and investigations, he was diagnosed with acute respiratory failure. His treatment plan included antibiotics, bronchodilators and corticosteroids.
This document discusses several ENT-related topics:
1. It defines Achalasia cardia as a hypomotility disorder of the esophagus characterized by aperistalsis, increased LES tone, and decreased LES relaxation. Two surgical procedures for it are mentioned.
2. Complications of CSOM atticoantral type discussed include mastoiditis, thrombosis of internal jugular vein, and facial nerve paralysis.
3. Anterior rhinoscopy is defined as the examination of the anterior part of the nasal cavity with a speculum.
4. A peritonsillar abscess is identified from its symptoms of sore throat, hot potato voice, and odynophagia
This document provides an overview of CPAP training for paramedics. It covers the background and history of CPAP, physiology of how CPAP works, indications and contraindications for its use, administration procedures, potential complications, documentation requirements, and considerations for EMS systems implementing CPAP protocols. Key points emphasized include starting CPAP at low pressures and titrating upward, using it primarily for CHF/APE but also for respiratory failure from other causes, and being prepared to intubate if the patient does not improve or their condition deteriorates on CPAP.
The document contains a 55 question quiz on medical-surgical nursing related to cardiac care. The questions cover topics like PTCA factors, serum CK levels post-myocardial infarction, types of AV block, rhythms requiring pacing, defibrillation energy doses, etiologies of atrial tachycardia, ventricular tachycardia associated with QT prolongation, procedures for varicose veins, ulcer types, DVT management, cardiac tamponade assessments, anticoagulation for mechanical heart valves, intraaortic balloon pump use, cardiac markers, ECG findings, and more. The answer key is provided at the end.
This document contains questions and answers related to ENT OSPE (Objective Structured Practical Examination). It includes questions on various ENT instruments, procedures, diseases and their management. Some key topics covered include types of tracheostomy tubes, causes of facial nerve paralysis, indications and complications of direct laryngoscopy, diagnostic workup for a foreign body in the esophagus, types of deviated nasal septum, surgical treatments for nasal polyps, and differences between ethmoidal and antroconal nasal polyps.
The document provides guidelines for performing basic life support, including checking for response, calling for help, opening the airway, checking for breathing, performing 30 chest compressions followed by 2 rescue breaths, and continuing cycles of compressions and breaths until emergency services arrive or the victim starts breathing on their own. Early CPR and defibrillation are critical for survival from cardiac arrest, with survival rates declining rapidly without intervention in the first few minutes. Bystander CPR can double or triple a victim's chance of survival.
Bronchopneumonia is a type of pneumonia characterized by multiple areas of lung consolidation affecting one or more lobes. It is caused by viruses, bacteria, fungi or other pathogens and can develop as a complication of other illnesses like measles or influenza. Symptoms include fever, cough with mucus, chest pain, fatigue and decreased appetite. Diagnosis involves auscultation, chest x-ray, and laboratory tests. Treatment focuses on antibiotics, oxygen, rest, hydration and fever reduction. Nursing care involves airway clearance, infection control and addressing related issues like congestive heart failure.
This document provides guidance on venepuncture and intravenous cannulation. It discusses anatomy and vein selection, including superficial veins in the forearm and antecubital fossa. It outlines the procedures for venepuncture and cannulation, including patient assessment, site preparation, equipment, and techniques to minimize pain. Potential complications are also addressed.
PAC 5100 Physical Diagnosis II SyllabusSteven Sager
This document provides the syllabus for the Physical Diagnosis II course at Nova Southeastern University's Physician Assistant Program. The syllabus outlines the course details including the instructor, meeting times, prerequisites, description, goals, format, learning objectives, evaluation procedures, required texts, policies, and classroom behavior expectations. The course builds on skills from Physical Diagnosis I and focuses on performing focused medical interviews, physical examinations, and clinical problem solving to develop differential diagnoses and treatment plans. Students will be evaluated through quizzes, exams, practical skills assessments, assignments, and professionalism in the classroom.
PAC 5200 Physical Diagnosis III SyllabusSteven Sager
This document provides a course syllabus for the Physical Diagnosis III course at Nova Southeastern University's Physician Assistant Program. The course aims to develop students' skills in obtaining medical histories, performing physical examinations, and making diagnoses. It covers examinations of multiple body systems and special populations through lectures, labs, assignments, and evaluations of history-taking and physical exam skills. Students must pass written exams, practical exams, and a final standardized patient exam to pass the course.
This document outlines the course details for Nursing Foundation and Health Assessment courses at the University of Eastern Africa Baraton School of Nursing. The Nursing Foundation course is a 4 credit course that introduces students to nursing philosophy, roles, ethics, communication, and basic skills. It aims to develop critical thinking through the nursing process. The Health Assessment course is 2 credits that teaches students to perform health histories and physical exams, identifying normal and abnormal findings. It includes lectures, skills labs, assignments, and exams over 14 weeks to evaluate students' knowledge and competency in basic nursing practices and assessments.
This document outlines the curriculum for a Health Assessment-2 course. The course is part of the 2nd year, 4th semester of a Generic-BSN program. The course aims to teach students how to systematically assess health status by obtaining a health history and performing physical examinations of various body systems. The curriculum covers assessment of multiple body systems, including the musculoskeletal, neurological, cardiovascular, respiratory, eyes and ears systems. It also has units focused on assessing elderly and pediatric patients. Students will be evaluated based on midterm, performance, and final exams.
Bohomolets 4th year Surgery Exam ObjectiveDr. Rubz
This document provides a study guide for an objective examination of a surgical patient. It outlines the importance of a complete objective exam to establish an accurate diagnosis and appropriate surgical treatment. The guide details the key components of an objective exam, including inspection, palpation, percussion, auscultation, and additional diagnostic tests. It emphasizes using all the senses to thoroughly examine both the localized disease area and overall patient condition. The goal is to facilitate learning objective exam skills and their role in surgical diagnosis and care.
This document is a syllabus for a 4 credit hour Human Anatomy and Physiology I course at SAC Biology Department. The course covers the structure and function of cells, tissues, and body systems with an emphasis on the integumentary, skeletal, muscular, and nervous systems. Upon completing the course, students will be able to apply anatomical and physiological concepts, analyze knowledge in a lab setting, solve problems presented in the fields, and demonstrate oral and written competence. Student progress and mastery of the material will be evaluated through exams, lab practicals, assignments, and participation.
Physical Diagnosis Presentation prepared by AAMBC StudentNomenMea
The document discusses physical examination techniques for assessing different body systems. It provides details on preparing for and conducting abdominal examinations, evaluating patients presenting with chronic cough or extremity weakness, and techniques for palpating the spleen. Key points covered include ensuring patient privacy and comfort, using the appropriate examination methods like auscultation and palpation to thoroughly evaluate organs and body systems, and obtaining relevant medical history to aid diagnosis.
Physical Examination and Diagnosis of the Head and Neck - ROJoson - 14Oct3Reynaldo Joson
This document outlines the learning objectives and activities for a 3-hour teaching module on physical examination and diagnosis of the head and neck. The module aims to teach medical students how to systematically examine the head and neck, correlate physical findings with anatomy and physiology, document examination findings, and make a physical diagnosis. The session includes demonstrations of examination techniques, practice documenting case examples, and interactive discussions of sample cases to reinforce learning.
This document outlines the topics and contents to be covered in a course on patient assessment and history taking for the respiratory system. The course will cover topics like introduction and history taking, cardiopulmonary symptoms, vital signs, respiratory examinations, neurological assessments, and more. It will teach principles of communication, techniques for interviewing patients, and the structure of a medical history, including collecting information on the chief complaint, present illness, past medical history, and social history. The goal is to train participants to properly assess patients and obtain an organized medical history focused on the respiratory system.
This document provides guidance on performing a physical assessment examination. It discusses the nursing process and how physical assessments are used to gather subjective and objective data to identify issues and evaluate care. It outlines the typical order of assessment techniques, including inspection, palpation, percussion, and auscultation. The document provides details on performing a general survey, health history, physical examination, and measurements of patients. It emphasizes a comprehensive assessment of all body areas and organ systems according to age-specific guidelines.
This document outlines the curriculum for an MD program in Chest Diseases and Tuberculosis. It includes the goals, objectives, syllabus, teaching program, postings, thesis requirements, assessment methods, job responsibilities, suggested reading materials, and a sample test paper for the program. The key goals of the program are to produce competent chest physicians who can recognize and manage chest complaints, are aware of contemporary advances in pulmonary medicine, and have acquired teaching and research skills. The curriculum covers various topics related to pulmonary medicine through theory sessions, practical skills training, rotations in different departments, and a research thesis. Students are continuously assessed internally and through summative exams at the end of the program.
11 Steps of the Nursing Process new 26 11 2018 (2).pptxMosaHasen
Here are some potential clusters from the data:
- Respiratory: difficulty breathing, increased respiratory rate
- Cardiovascular: increased pulse, elevated blood pressure
- Skin/tissue perfusion: lower extremity swelling
- Mobility: difficulty voiding
- Psychosocial: estranged from daughter, dislikes hospitals due to past experience
Some potential nursing diagnoses based on the clusters:
- Impaired gas exchange
- Acute pain
- Risk for deficient fluid volume
- Anxiety
- Readiness for enhanced coping
A physical examination is performed for several reasons: to obtain baseline health data for comparison over time, to identify nursing diagnoses and care needs, and to monitor previously identified health problems. The type of exam depends on the client's health status and setting. Exams can be comprehensive, involving a health history and head-to-toe assessment, or focused on a specific body system. Preparing the client and environment is important, including ensuring privacy, explaining the exam, and putting the client at ease.
f NSB010 Student CPS Guide Page 7 of 81 Intro .docxssuser454af01
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NSB010 Student CPS Guide Page 7 of 81
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Identify patient and what is new for that shift
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What is new about your client’s condition? What happened during your shift
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PATIENT PROGRESS NOTE
Happy Valley Nursing Home
Victoria Park Road
KELVIN GROVE QLD 4154
Bed: 4
URN: QUT302872
PATIENT: Sam Shepherd
DOB: 31/05/1936 (81yo) Date of Admission: 10/05/2015
Date/
Time
Notes
13/07/20151420
1420
Mr Shepherd has had three loose bowels motions this shift and was incontinent for all of these. He has a history of
hypertension, AF, R) CVA 2010 L) sided weakness, glaucoma, Type II diabetic, and Asthma. Vital signs assessed – BP 130/90, PR
88(irreg), R 16, temp 36.5oC. Complaining of abdominal cramping in the lower quadrants, pain score 5/10. Dr
Trainer has been notified and has requested a stool sample to be sent to pathology and to give Panadol x 2 for pain. Panadol given
at 13:30 and Mr Shepherd stated that this had given him some relief – pain score 3/10. Mr Shepherd is to remain on bed rest with
toilet privileges. Stool sample has not yet been collected.
M. Smith (SMITH)RN
S B
A R
The patients’ medical file is a legal document. When writing
in a patient’s medical file:
§ Writing must be legible and in black or blue pen
§ Any mistakes are to be crossed out with a single
line then signed and dated
§ All entries need to have a date and time, and be
signed with your designation
§ Don’t leave blank space.
IF IT ISN’T DOCUMENTED IT HAS NOT
OCCURRED
Assessment Task 1
Assessment name: Critique of a Video Vignette
Learning outcomes
measured:
1. Critique a health assessment, recognising normal health
parameters and identifying actual and potential health problem
/ s and accurately document findings.
2. Apply knowledge of the key NMBA Registered Nurse
Standards for Nursing Practice, National Safety and Quality
Health Service Standards and national health priorities for
effective and appropriate decision making, planning and action.
3. Apply the underpinning knowledge of anatomy, physiology and
pathophysiology to support evidence-based decisions for
planning and action.
4. Apply clinical reasoning, decision making and communication
skills to inform care planning of fundamental safe person-
centred nursing care across the lifespan.
Length: 750 words
Estimated time to
complete task:
Approximately 3 - 5 hours
Weighting: Satisfactory or Unsatisfactory
Individual/Group: Individual
Authentic Assessment: Yes
Formative/Summative: Formative but mandatory
How ...
GUIDELINEPURPOSE As you learned in NR302, before any nursing.docxshericehewat
GUIDELINE
PURPOSE
As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold.
• To recognize the interrelationships of subjective data (physiological, psychosocial, cultural and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care
• To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination
COURSE OUTCOMES
CO1: CO1. Explain expected client behaviors while differentiating between normal findings, variations and abnormalities. (PO1)
CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4, 8)
CO 3: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO 4: Utilize effective communication when performing a health assessment. (PO 3)
CO5: Demonstrate beginning skill in performing a complete physical examination using the techniques of inspection, palpation, percussion, and auscultation. (PO 2
CO 6: Identify teaching/learning needs from the health history of an individual. (POs 2, 5)
CO 7: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO 6, 7)
PREPARING THE ASSIGNMENT
There are four graded parts to this assignment: (1) Obtain a health history and conduct a physical examination on an individual of your choosing (not a patient), (2) compile a health education needs assessment, (3) self-reflection, and (4) writing style and format.
Health History Assessment and Physical Assessment (50 points)
Using the following subjective and objective components, as well as your textbook for explicit details about each category, complete a health history and physical examination on an individual. You may choose to complete portions of this assignment as you obtain the health history and perform the physical examination associated with the body systems covered
NR304. Please be sure to avoid the use of any identifiers in preparing the assignment. Students may seek input from the course instructor on securing an individual for this assignment. Keep notes on each part of the health history and physical examination as you complete them so that you can refer to the notes as you write the paper ...
NR 304 RUA Grading Rubric and Grading Criteria V2.docx 10_16 S.docxvannagoforth
This document provides guidelines for a required uniform assignment in an undergraduate nursing course. The purpose of the assignment is for students to conduct a health history and physical examination on an individual to collect subjective and objective health data. This will allow students to identify health priorities, recognize relationships between different types of health data, and reflect on the assessment process.
The document outlines the specific components that must be included in the health history and physical exam, such as demographic information, medical history, and examination of body systems. It also provides instructions on compiling a health education needs assessment, writing a reflection, and formatting the written report. The grading rubric emphasizes thorough collection and documentation of all required health history and exam elements, accurate identification of teaching needs
Chamberlain College of Nursing NR304 Health Assessment II .docxsleeperharwell
This document provides guidelines for a required uniform assignment in a health assessment course. Students are instructed to obtain a health history and conduct a physical examination on an individual, identifying at least two health education needs based on the assessment. They must also locate two peer-reviewed articles supporting the identified needs. Finally, students must write a reflection describing their experience completing the assignment. The assignment will be graded based on thoroughness of the health history and physical exam, appropriateness of the identified needs and supporting evidence, and quality of the written reflection.
This document provides an introduction to evidence-based practice (EBP) in athletic training. It defines evidence-based medicine (EBM) and EBP, explaining that EBP integrates the best research evidence with clinical expertise and patient values. The history of EBM in athletic training is discussed, noting it began gaining momentum in the early 2000s and is now mandated in athletic training education and clinical practice. The 5-step EBP process is outlined as asking questions, acquiring evidence, appraising evidence, applying to practice, and assessing outcomes. Various EBP resources are also introduced.
The document discusses the history of evidence-based medicine and the need for its development. It describes how clinical practice was often not aligned with the best available research evidence, resulting in unnecessary harm to patients. The development of systematic reviews helped bridge the gap between research and practice by synthesizing the highest quality studies. The story of the drug flecainide illustrates how initial research focused on mechanisms of action rather than patient outcomes, leading to widespread use of a drug that actually increased mortality. This highlighted the importance of basing treatment decisions on empirical evidence about what works in actual clinical practice.
This document provides instructions for a lab assignment analyzing an episodic note case study describing abnormal genital or rectal findings in a patient. Students are asked to review the case study and relevant learning resources to determine what additional history should be collected, which exams and tests should be conducted, and generate a differential diagnosis. The case study provided examines a 21-year-old woman presenting with painless bumps on her genital area, and the assessment identifies the condition as a chancre.
Similar to PAC 5000 Physical Diagnosis I Syllabus (20)
The document provides information on clinical analgesia including objectives, quiz questions, and details on pain mechanisms and treatment. It discusses non-opioid analgesics like acetaminophen and NSAIDs as well as adjuvant analgesics including antidepressants, anticonvulsants, corticosteroids, and muscle relaxants. The document also provides dosing information for various analgesics.
This document provides an overview of learning objectives and techniques for performing a musculoskeletal examination of the shoulder, elbow, wrist, hand, knee, ankle and foot. It reviews pertinent history taking questions and physical exam findings for each area. Special tests are described to evaluate specific structures like the rotator cuff, meniscus and ligaments. Case studies are presented to demonstrate the application of the physical exam techniques.
This document provides an overview of performing a neurological examination, including objectives, components, and techniques. It discusses evaluating various areas such as mental status, cranial nerves, motor function, reflexes, and sensory status. It also covers localizing neurological lesions, differentiating central and peripheral nervous system disorders, and assessing various conditions including movement disorders, levels of consciousness, and aphasia.
This document provides an overview of normal musculoskeletal imaging. It discusses basic x-ray concepts and densities. It then reviews normal anatomy as seen on x-rays of the skull, spine, pelvis, chest, and extremities. Key anatomical structures are labeled on example x-rays for the shoulder, hip, knee, and foot. Quizzes are included to test recognition of anatomical structures and patient age based on x-rays.
This document provides objectives and information about infections and infestations of the skin, including definitions, diagnostic tests, common conditions, signs and symptoms, etiologies, epidemiology, evaluations, and treatment options. It covers topics such as dermatophytoses, candidiasis, herpes simplex virus, varicella zoster virus, human papillomavirus, molluscum contagiosum, pediculosis, and scabies.
This document provides an overview of ECG essentials and interpretation. It lists six essential lists related to ECG findings and covers evaluating rhythms, causes of abnormalities, treatment approaches, and the importance of comparison to prior ECGs. Computer analysis can help with accurate measurements and calculations but may miss subtle findings, so provider interpretation is still needed.
This document certifies that Steven J. Sagal, MPA, PA-C has fulfilled the requirements to be a member of the Florida Academy of Physician Assistants. It is signed by Michael L. Fuglestad, PA-C, the President of the FAPA, and R. Keith Bailey, Membership Chairman.
Steven John Sager has been awarded Distinguished Fellow status by the American Academy of Physician Assistants Board of Directors. As a Distinguished Fellow, Sager joins an elite group of outstanding PAs who have distinguished themselves through service to the physician assistant profession and their communities. Sager is now entitled to use the initials DFMPA after his name and his continued support of the PA profession as a member of this select group is greatly appreciated.
This document provides the course syllabus for the Clinical Pharmacology course in the Physician Assistant Program at Nova Southeastern University. The course aims to enhance students' knowledge of pharmacotherapy and prescribing practices. It will cover topics like pharmacokinetics, drug interactions, medication errors, and commonly prescribed medications for various conditions. Students will develop skills in writing prescriptions, counseling patients, and selecting appropriate pharmacologic treatments. Evaluation will include quizzes, exams, assignments, and participation. Attendance is mandatory at all lectures.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
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Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
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1. NOVA SOUTHEASTERN UNIVERSITY
PHYSICIAN ASSISTANT PROGRAM
Ft Lauderdale
Course Syllabus
I. Course Title: PAC 5000 Physical Diagnosis I
II. Course Director: Steven J. Sager, MPAS, PA-C
Terry Building, 2nd Floor, Room 1283
Office: 954-262-1236
ssager@nsu.nova.edu
III. Meeting Times: Please refer to the online WebEvent calendar
IV. Instructor’s Office Hours: By appointment.
V. Course Description: The Physical Diagnosis course is an introduction to clinical
medicine. Students will acquire the knowledge and skills essential to obtain a comprehensive
medical history and perform a complete head-to-toe physical examination. Emphasis is placed
on normal physical findings. The course emphasizes patient interviewing, acquiring a medical
data base, and performing a comprehensive physical examination. A combination of lectures,
discussions, case studies, and performance skills labs will be used to present and practice the
necessary concepts and skills. Lab sessions are used to optimize teaching of concepts. The
student will be required to demonstrate Competency Based Learning during the performance of
the required procedures and skills.
VI. Course Goals: This course will teach students the skills necessary to obtain and document
a comprehensive medical history and to perform and document a complete head-to-toe physical
examination. Students will also develop the necessary skills to proficiently and comfortably
handle medical equipment and instruments. In addition, students will:
1. Develop skills in medical interviewing that allow for establishing rapport and
gathering accurate and complete information while maintaining patient comfort and
dignity.
2. Acquire and hone the knowledge and skills to perform a complete physical
examination, including a beginning appreciation for distinguishing normal from
abnormal.
3. Learn to present an organized, thorough case history in both written and oral form.
VII: Course Objectives: At the end of this course the student will be able to:
1. Obtain a comprehensive patient history.
2. Perform a thorough head-to-toe examination.
3. Correctly document medical information in a different formats
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VIII: Learning Objectives:
Given an adult patient and the necessary equipment, without assistance or reference, obtain a
comprehensive medical history and perform a complete head-to-toe physical examination
utilizing a logical, systematic sequence of steps. Each section will include the following:
Medical Interview
Define the primary goal of the patient interview
Identify the method by which the tone of the interview is established
Compare and contrast techniques for gathering information from the patient
Identify techniques to elicit the patient’s perspective
Define the purpose and content of the “Chief Complaint”
Construct the method for eliciting the “history of present illness.”
Compare and contrast “pertinent positives” and “pertinent negatives”
Define the differences between “disease and illness”
Describe the purpose and content of the past medical history, social history and
family history
Define the purpose and content of the “review of systems”
Define the techniques used to close the patient interview
Define documentation guidelines as established by the Center for Medicare/
Medicaid Services (formerly HCFA)
Obtain a complete patient history
Document a complete medical history including a patient genogram
Physical Examination
List the components of the vital signs assessment
Describe the techniques used to evaluate each vital sign
Properly obtain vital signs on a classmate
Identify the elements of the General Survey
Identify the anatomical structures/landmarks of the skin
Identify the anatomical structures/landmarks of the head and neck
Describe and demonstrate the proper techniques of examination of the head and
neck
Identify the anatomical structures/landmarks of the eye
Describe and demonstrate the proper techniques of examination of the eye
Identify the anatomical structures/landmarks of the ear, nasal cavity, and oral
cavity
Describe and demonstrate the proper techniques for the examination of the ear,
nasal cavity, and oral cavity
Identify thoracic and pulmonary anatomy and landmarks
Identify and demonstrate the proper techniques for inspection, palpation,
percussion and auscultation of the lungs, thorax, and heart
Describe and demonstrate the steps of the cardiac examination, including:
o the proper positions of the patient and examiner
o the important precordial areas for inspection, palpation, and auscultation
o the proper use of the diaphragm and bell in cardiac auscultation
o the method for timing the cardiac cycle using two senses
o the normal cardiac sounds
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Identify peripheral vascular landmarks in upper and lower extremities including
areas of palpation for pulses and auscultation for bruits
Describe and demonstrate the steps of the peripheral vascular examination,
including determination of the arterial blood pressure by palpation and
auscultation, inspection of the external jugular vein, and measurement of jugular
venous pressure
Identify the anatomical structures/landmarks of the abdomen and the relationship
of the abdominal organs to each other
Discuss the anatomy of the abdomen as it relates to the physical examination of the
abdomen
Describe and demonstrate the proper techniques of examination of the abdomen
Identify the anatomical structures/landmarks of the musculoskeletal system
Discuss the physiology of movement as it pertains to the musculoskeletal system
Measure the range of motion of selected joints and compare your results to the
normal range of motion
Describe and demonstrate the proper techniques of examination of specific joints
Describe the anatomy of the nervous system
Identify the motor and sensory pathways
Describe the pathways involved in the spinal reflex
Define and demonstrate the proper techniques of the Mental Status examination
List or identify the functions of the cranial nerves
Describe and demonstrate the proper techniques of examination of the cranial
nerves
Describe and demonstrate the proper techniques of examination of the motor
component of the nervous system
Identify or list the innervations of the muscles
Describe and demonstrate the proper techniques of examination of the sensory
component of the nervous system
Identify the dermatomes
Identify and demonstrate the proper techniques of examination of the deep tendon
and abdominal reflexes
Identify and demonstrate the proper techniques of examination of cerebellar
function
Properly perform a complete head-to-toe physical examination in the allotted time
IX. Texts:
Required:
1) Seidel HM, Ball JW, Dains JE, Benedict GW. Mosby’s Guide to Physical Examination.
6th ed. St. Louis, MO: Mosby; 2006. (ISBN 13: 978-0-3230-2888-2)
2) Coulehan JL, Block MR. The Medical Interview: Mastering Skills for Clinical Practice.
5th ed. F.A. Davis; 2006 (ISBN 13: 978-0-8036-1246-4)
Recommended:
1) Seidel HM, Ball JW, Dains JE, Benedict GW. Student Laboratory Manual for Mosby’s
Guide to Physical Examination. 6th ed. St. Louis, MO: Mosby; 2006.
(ISBN 13: 978-0-3230-3573-6)
2) LeBlond RF, DeGowin RL, Brown DD. DeGowin’s Diagnostic Examination. McGraw-
Hill; 2008 (ISBN 13: 978-0-0714-7898-4)
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X. Evaluation Procedures:
Quizzes – will be administered using audience response devices (“clickers”) and will be given
prior to each lecture for each system discussed. Advanced reading of the material prior to the
lecture is required. (Responding to questions asked during the lectures will be counted as part of
the class participation grade.)
Written examinations for PAC 5000 will be held at the times designated on the WebEvent
calendar. The comprehensive midterm written examination will cover lecture material from the
first half of the course. The comprehensive final written examination will cover lecture material
presented in the second half of the course. A minimum score of 75% (C) must be achieved to
pass each written exam. Failure of a written exam requires retesting or mandatory
participation in a remedial exercise (tutorial).
Practical Examinations – Faculty will use standardized checklists to evaluate each student’s
physical examination skills. A minimum score of 80% (B-) must be achieved to pass each
practical exam. Failure of a practical exam requires mandatory attendance and
participation in a remedial exercise (tutorial), which consists of practicing the failed
material under direct faculty supervision. Although the remedial exercise is mandatory, your
original grade will not change after the exercise is complete.
Classroom and laboratory preparation and performance will be evaluated based on student’s
attendance and participation. This includes:
punctuality
preparation and successful completion of assignments
classroom responses using the audience response device (“clicker”)
proper lab attire
functional diagnostic equipment
familiarity with material
The final course grade will be calculated based on the following distribution:
Quizzes 15%
Classroom & laboratory preparation and performance 15%
Midterm written exam 15%
Final written exam 15%
Practical exams 20%
Final skills demonstration (head-to-toe physical exam) 20%
In order to pass this course, all students must achieve a cumulative average of 75% (C) or
greater on the written exams, a cumulative average of 80% (B-) or better on the practical
examinations, and a score of 80% (B-) or better on the final skills demonstration.
NOTE: all evaluation components of this course must be passed to pass the course. The
student will be offered one remedial exam for each component that is not passed. Failure to
pass any of the remedial exams will result in course failure without the option of additional
remediation and the student will be referred to the Committee on Student Progress.
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This course is a prerequisite for PAC 5100 Physical Diagnosis II. Failure to pass the course may
result in dismissal, prohibition from enrolling in PAC 5100 Physical Diagnosis II, or may extend
the student’s course of study.
XI. COURSE POLICIES:
Student attendance at all lectures, labs, and exams is mandatory and essential to achieve
the course objectives! It is expected that all students will engage in critical thinking and
problem solving during this course.
Reading assignments must be completed prior to the lecture.
All written assignments must be in MS Word document format and they must be
submitted electronically as an e-mail attachment. All written assignments must also
be formatted using the following parameters:
Margins: 1” on all sides
Font: Times New Roman 12-pitch
Spacing: single-space
Title: LastnameFirstinitial_Assignment (SmithA_SOAP1)
Participation is essential insure learning of interviewing and physical examination
techniques and is expected of every student throughout the course. While in the
classroom or lab, students will be selected at random to answer questions concerning the
reading material.
Mandatory lab attire and equipment: If a student is not properly attired or does not
have their diagnostic equipment, they will be asked to leave, which will be counted as an
unexcused absence. Only tennis shoes or crocs-like footwear is authorized. Slippers,
sandals, and flip-flops are not acceptable.
Men: program T-shirt and program exercise shorts
Women: sports top (bra), program T-shirt, and program exercise shorts
All: student lab coat with PA program logo
Students should bring their textbook to all lecture and lab sessions throughout the
semester. Assigned readings must be completed prior to lectures and laboratory
practicums. Students will be randomly called upon to answer questions and will be
expected to critique their own and other students' thinking.
The required textbooks will serve as the authoritative answer to a clinical problem if not
addressed in lecture or written handout.
Please refer to the Academic Year Handbook on the policies and procedure for missed
exams and the procedure for documenting and reporting all absences. Immediately notify
the course director via phone call of any missed lectures, exams, or labs.
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Tardiness will not be tolerated. Tardy students will not be permitted to enter the
classroom. However, if the student is denied entry into the lecture because of tardiness,
he/she will be permitted to enter the classroom during the next class break.
XII. Classroom Behavior and Conduct
Professional behavior and decorum is a requirement for successful completion of this
course. This will be evaluated in the classroom, labs, and all associated encounters with the
instructor and/or staff. Failure to adhere to this standard, regardless of academic
achievement in the course, will subject the individual to referral to the Committee on
Student Progress for possible disciplinary action and/or dismissal.
THE COURSE DIRECTOR RESERVES THE RIGHT TO MAKE REVISIONS TO THIS
SYLLABUS AT ANY TIME.
6