Year 2 MBChB Clinical Skills Session Male genitalia examination
|
|
- Russell Dickerson
- 5 years ago
- Views:
Transcription
1 Year 2 MBChB Clinical Skills Sessin Male genitalia examinatin Reviewed & ratified by Miss R Hamm Cnsultant Urlgist Dr Paul Cllins Cnsultant Gastrenterlgist Mr Ben Hrsburgh SpR Urlgist Dr V Taylr Jnes & Ms C Tierney
2 Learning bjectives. T revise male genitalia examinatin including an understanding f the cmmn abnrmalities and examinatin f apprpriate lymph ndes Thery and backgrund. A male genitalia examinatin invlves; inspectin f the male external genitalia fllwed by palpatin f the penis, scrtum and the testes, tgether with the structures arising ff the testes. Testis is the singular Testes is the plural When dcumenting yu shuld use crrect terminlgy. As in all examinatins, effective cmmunicatin with yur patient is the basis f a safe and efficient examinatin. Therefre, make sure yu cmmunicate with yur patient apprpriately as yu prceed. Be familiar with the male genitalia and its structures, which are as fllws; Penis This cnsists f 3 parts which are the rt, the shaft and the glans penis. Bld supply is the pudendal artery. The rt is attached t the abdminal and pelvic wall. The shaft is the middle sectin cmpsed f three cylindrical spaces. The larger spaces are the crpra cavernsa with the smaller the crpus spngisum. These three layers encase the urethra. The glans penis is lcated distal t the shaft and is separated frm the shaft by the crna. The glans als mark the distal pint f the crpus spngisum. The glans may be cvered by the freskin therwise referred t as the prepuce. Scrtum A thin skinned sac cntaining the testes. The cmpsitin f the scrtum is such that it can vary depending n the ambient temperature. This is fr the purpse f spermatgenesis. The testes require a slightly cler temperature relative t the rest f the bdy. Testes Tw vid shaped bdies, ne n the right and ne n the left (left usually lies lwer than the right). They have 2 principle functins; Prductin f sperm; Prductin f teststerne male sex hrmne. 2
3 Epididymis, Vas deferens & Seminal vesicles Fllwing the prductin f sperm, it travels thrugh a cllectin area referred t as the epididymis and then thrugh a tube like duct, called the vas deferens. This in turn jins the seminal vesicles which prvides nutrients fr the sperm. This tgether with ther fluids frms semen Urethra The urethra is surrunded by the crpus spngisum and has 2 purpses. T transprt urine frm the bladder T transprt semen frm the seminal vesicles ut the tip f the penis. Lymphatic drainage Deep and superficial lymph ndes fr the external genitalia and the anterir abdminal wall. The para artic ndes drain the testes. Indicatins fr a male genital examinatin. The histry the patient presents with determines why the examinatin is cnducted and what the anticipated findings may be. Therefre, take a full and cmprehensive histry prir t the examinatin. Examples f presenting cmplaints may include: Changes in size f the scrtum e.g. hydrcele accumulatin f serus fluid in the scrtum Penile discharge Tenderness f the penis r scrtum Penile grwths Skin discluratin Lump n the surface f the testis Trsin f the testes Health check up The abve list is nt exhaustive. Patient safety. On first meeting a patient intrduce yurself, cnfirm that yu have the crrect patient with the name and date f birth, if available please check this with the name band and written dcumentatin and the NHS/ hspital number/ first line f address. Check the patient s allergy status, being aware f the equipment yu will be using in yur examinatin. Ensure the prcedure is explained t the patient in terms that they understand, gain infrmed cnsent and ensure that yu are supervised, with a chaperne available as apprpriate. Dn persnal prtective equipment as required, especially if yu are likely t cme int cntact with bdily fluids. Be aware f hand hygiene and preventing the spread f disease, WHO (2018) This prcedure will require the presence f a chaperne. That is smene wh is familiar with the examinatin and can ensure that nthing inapprpriate ccurs by either party. The chaperne can be a useful resurce, nt just being present t ensure the patient is treated apprpriately, but t help and supprt the patient. Fllwing yur intrductin, explain t the patient that they will need t remve their clthing frm the waist dwn, and when they are ready t lay supine n the examinatin cuch and cver ver with the sheet prvided. 3
4 Inspectin Yu are bserving fr; Are they in bservable pain? Observe fr any breast develpment gynaecmastia Observe fr any trauma Nte if they are circumcised Inspect the genitals fr any abnrmalities (swellings, discharge, grwths, rashes etc) Examinatin f the penis Inspect and palpate the ventral and drsal surfaces f the penis nting any abnrmalities t the shaft f the penis. Fllwing palpatin f the shaft f the penis, explain t the patient that yu are ging retract their freskin (if present), d s gently. Alternatively, yu may ask yur patient t d this themselves, especially if it is tender r they are sensitive t this being dne. The freskin under nrmal circumstances shuld retract easily and with n pain. Having retracted the freskin, inspect fr abnrmalities n the glans f the penis nt frgetting t inspect prximally t the crna. 4
5 Underlying the freskin yu may nte a curd like smegma, made up frm sebaceus secretins. This is ften durless and is nrmal. Fllwing the examinatin f the glans f the penis yu nw want t examine the external urethral meatus. Using yur thumb apply gentle pressure t the glans t gently pen the urethral meatus. This shuld expse a healthy glistening pink mucsa. If a discharge is present a swab shuld be taken. If the patient has cmplained f urethral discharge and n discharge is apparent the patient may be shwn hw t take a swab themselves next time the discharge is nticed. Examinatin f the scrtum Ask the patient t lift their penis up and hld it against their abdmen s that yu can clearly inspect the scrtum. Observe fr pubic hair n the scrtum; nte the darker pigmentatin f the scrtal skin. Other bservatins may include; The left testis usually lie lwer relative t the right testis Swelling f the scrtum The tne f the darts muscle. This muscle is temperature sensitive and alng with the cremaster muscle is respnsible fr temperature regulatin f the testes fr spermatgenesis. The appearance f the scrtum is affected by ambient temperature and that in turn can affect the ease f palpatin. A patient exhibiting a scrtal swelling can be divided int tw categries. 1 True scrtal swelling - This is a swelling riginating in the scrtum and when palpating yu will be able t feel abve the swelling e.g. Epididymal cyst fluid filled sac n the epididymis Hydrcele fluid accumulatin arund a testis as a cnsequence f trauma r inflammatin. Lump in the testes. 2 False scrtal swelling - This is where the swelling riginates utside f the scrtum and cnsequently when the patient is in a supine psitin the swelling may nt be palpable r if it is it will nly be partially palpable. An example f this wuld be an inguinal hernia, a lp f bwel that has extruded ut f the abdminal cavity and dwn the inguinal canal int the scrtum. This is accmpanied with pain when cughing, exercising and with bwel mvements. Examinatin f the testes Cmmnly the darts will cntract under stressful circumstances s t avid the testis retracting int the inguinal canal place yur left hand ver the inguinal canal t capture the testis in the scrtum. Apply gentle pressure t examine bth testis (ne at a time) using the thumb and first tw fingers. Nte the size and cnsistency f the testis. 5
6 Palpate the epididymis situated alng the psterlateral surface. This shuld feel smth and is bradest superirly, at its head. Finally rll with the finger and thumb t palpate the vas deferens. Examinatin f the scrtum & testes shuld be perfrmed with the patient supine unless indicated in histry e.g. hydrcele, hernia etc. in which case yu wuld examine the patient in the standing psitin as well. T size the testis yu may use an rchidmeter, this is a chart r a set f beads indicating the size / vlume f the testicle in millilitres (althugh this is nt standard practice). Inguinal lymph ndes The palpable lymph ndes assciated with a male genitalia examinatin are the superficial and deep inguinal lymph ndes. The later are lcated clse t the femral artery, vein and nerve. The superficial ndes drain; External genitalia Lwer limbs The deep ndes drain; The external genitalia Lwer anterir abdminal wall Lwer limbs Recrding yur findings Dn t frget when recrding yur findings t dcument the patient s identifier, date (and time), yur signature and t print yur name with yur rle r psitin. 6
7 When dcumenting r describing yur findings, remember t cmment n the penis, scrtum, palpatin f the scrtal cntents (testes, vas deferens and epididymis) and any abnrmal masses palpated. Remember t describe yur findings as fully as pssible; e.g. size, psitin, shape f a swelling etc a diagram may ften be useful in written ntes Further reading Anatmy f the male genitalia histlgy_ug_ntes_6.pdf NICE guidelines n penile & testicular cancer pathways NICE guidelines n the management f scrtal swellings 7
Year 2 MBChB Clinical Skills Session Breast Examination
Year 2 MBChB Clinical Skills Sessin Breast Examinatin Reviewed & ratified by Mr R Vinayagam, Breast Surgen Dr Pnawala, Cnsultant Breast Surgen Dr A Clark, GP Dr V Taylr Jnes, Cnsultant Anaesthetist Ms
More informationPhysical Exam & Associated Pathology Part IX Male Genitalia, Hernias & Rectum
Functinal Medicine University s Functinal Diagnstic Medicine Training Prgram Mdule 1 * Lessn 6 Physical Exam & Assciated Pathlgy Part IX Male Genitalia, Hernias & Rectum By Wayne L. Sdan, D.C., D.A.B.C.I.,
More informationBasic Thyroid Examination
Basic Thyrid Examinatin WIPE Wash hands Intrduce yurself Permissin Psitin (Patient sat in frnt f yu upright) Expsure (Neck expsed) Identify Patient (cnfirm the fllwing details befre starting) Name Age
More informationMaterials Dissecting pan, dissecting kit, safety glasses, lab apron, pig heart, & gloves
Heart Dissectin Intrductin Mammals have fur-chambered hearts and duble circulatin. The heart f a bird r mammal has tw atria and tw cmpletely separated ventricles. The dublelp circulatin is similar t amphibians
More informationBROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:
Page 1 f 6 Subject: Range f Mtin Exercises Date Develped: 4/2010 PROTOCOL FOR: All trained staff PURPOSE: Range f Mtin (ROM) exercises are very imprtant if an individual has t stay in bed r in a wheelchair.
More informationAssessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams
Assessment Field Activity Cllabrative Assessment, Planning, and Supprt: Safety and Risk in Teams OBSERVATION Identify a case fr which a team meeting t discuss safety and/r safety planning is needed r scheduled.
More informationName: Date: Period: Notes: The Blood and Lymphatic System
Name: Date: Perid: Cmpsitin f Bld and their Functins Red Bld Cells (aka ) Structure Ntes: The Bld and Lymphatic System D nt have a like ther cells d Cntain a specialized prtein called Hemglbin cntains
More informationdecreased when the man lies down. The varicocele cannot usually be palpated lying down.
Variccele - Management View full scenari Hw d I knw my patient has a variccele? The man may present with cncern abut scrtal swelling r scrtal pain, r a variccele may be an incidental finding n physical
More informationYear 2 MBChB Clinical Skills Session Examination of the Sensory System
Year 2 MBChB Clinical Skills Sessin Examinatin f the Sensry System Reviewed & ratified by: Dr D Smith Cnsultant Neurlgist Dr R Davies Cnsultant Neurlgist Dr B Michael Neurlgy Clinical Lecturer Dr J Williamsn
More informationMale patients with pain, swelling or erythema please refer to the Acute Painful Scrotum pathway Female patients
UNDESCENDED TESTICLE ALGORITHM Unilateral undescended testicle OR Bilateral palpable undescended testicle Inclusin Criteria: Male patients w/ unilateral r bilateral undescended testicle(s) Exclusin Criteria:
More informationPercutaneous Nephrolithotomy (PCNL)
Percutaneus Nephrlithtmy (PCNL) What is a percutaneus nephrlithtmy? is the mst effective f the cmmnly perfrmed prcedures fr kidney stnes. It is the best prcedure fr large and cmplex stnes. T perfrm this
More informationPodcast Transcript Title: Common Miscoding of LARC Services Impacting Revenue Speaker Name: Ann Finn Duration: 00:16:10
Pdcast Transcript Title: Cmmn Miscding f LARC Services Impacting Revenue Speaker Name: Ann Finn Duratin: 00:16:10 NCTCFP: Welcme t this pdcast spnsred by the Natinal Clinical Training Center fr Family
More information1. Obtain the Catheter (choose one of 3 types below):
Checklist fr Insertin and Setup f an ICP Mnitring Device Befre prceeding, cntact neursurgery t identify the type f catheter t be inserted. The catheter type will define the equipment requirements and preparatin
More informationRecord of Revisions to Patient Tracking Spreadsheet Template
Recrd f Revisins t Patient Tracking Spreadsheet Template Belw is a recrd f revisins made by the AIMS Center t the Patient Tracking Spreadsheet Template. The purpse f this dcument is t infrm spreadsheet
More informationGetting Around Safely With Your Crutches (Partial Weight Bearing)
OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Partial Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing,
More informationCoding. Training Guide
Cding (Specialty Hspital) Visin 4.3 (January 2013) Training Guide SurceMedical VisinSH Cding Learning Center f Excellence Last change made: January 2013 2013 Surce Medical Slutins, Inc. All Rights Reserved.
More informationINFERTILITY DIAGNOSIS
INFERTILITY Infertility is the inability t cnceive after 12 mnths f unprtected intercurse. There are multiple causes f infertility and a systematic way t evaluate the cnditin. Let s lk at sme f the causes.
More informationCARDIOVASCULAR SYSTEM. Khaleel Alyahya, PhD, MEd King Saud University School of
CARDIOVASCULAR SYSTEM Khaleel Alyahya, PhD, MEd King Saud University Schl f Medicine @khaleelya OBJECTIVES At the end f the lecture, students shuld be able t: Identify the cmpnents f the cardivascular
More informationGetting Around Safely With Your Crutches (Non Weight Bearing)
OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Nn Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing,
More informationALCAT FREQUENTLY ASKED QUESTIONS
1. Is fasting required befre taking the Alcat Test? N. It is recmmended t drink water and t avid stimulants like caffeine prir t the test. 2. With regard t testing children, must a child be a certain age
More informationScience. Human Biology. New Jersey Quality Single Accountability Continuum (NJQSAC) Department: Course Title
New Jersey Quality Single Accuntability Cntinuum (NJQSAC) Department: Curse Title Human Bilgy Textbk(s): Fundamentals f Anatmy and Physilgy Essential Questin(s): Cntent Unit 1, September 1. What are Anatmy
More informationCONSENT FOR KYBELLA INJECTABLE FAT REDUCTION
CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION INSTRUCTIONS This is an infrmed cnsent dcument which has been prepared t help yur Dctr infrm yu cncerning fat reductin with an injectable medicatin, its risks,
More informationGUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH
GUIDANCE DOCUMENT FOR ENROLLING SUBJECTS WHO DO NOT SPEAK ENGLISH Aurra Health Care s Research Subject Prtectin Prgram (RSPP) This guidance dcument will utline the prper prcedures fr btaining and dcumenting
More informationACRIN 6666 Screening Breast US Follow-up Assessment Form
Screening Breast US Fllw-up Assessment Frm N. Instructins: The frm is cmpleted at 12, 24 and 36 mnths pst initial n study mammgraphy and ultrasund by the Radilgist r RA. Reprt all interim infrmatin related
More informationGetting Around Safely With Your Crutches (Toe-Touch Weight Bearing)
OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Te-Tuch Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing,
More informationFor our protection, we require verification that you have received this notice. Therefore, please sign below.
PATIENT INFORMATION Dear Patient: Sleep prblems are extremely cmmn. Public health and safety are threatened by the increasing prevalence f bstructive sleep apnea, which nw afflicts at least 25 millin adults
More informationFor our protection, we require verification that you have received this notice. Therefore, please sign below.
PATIENT INFORMATION Dear Patient: Sleep prblems are extremely cmmn. Public health and safety are threatened by the increasing prevalence f bstructive sleep apnea, which nw afflicts at least 25 millin adults
More informationRecommendations for Risk Management at Swine Exhibitions and for Show Pigs August 2012
Recmmendatins fr Risk Management at Swine Exhibitins and fr Shw Pigs August 2012 Backgrund: The Natinal Prk Bard facilitated in develping this dcument. These recmmendatins were develped by a wrking grup
More informationCorporate Governance Code for Funds: What Will it Mean?
Crprate Gvernance Cde fr Funds: What Will it Mean? The Irish Funds Industry Assciatin has circulated a draft Vluntary Crprate Gvernance Cde fr the Funds Industry in Ireland. 1. Backgrund On 13 June 2011,
More informationBefore Your Visit: Mohs Skin Cancer Surgery
Befre Yur Visit: Mhs Skin Cancer Surgery Yur Kaiser Permanente Care Instructins Skin Cancer Infrmatin What is skin cancer? Skin cancers are tumrs, r malignancies, f the skin. Skin cancer is assciated with
More informationContinuous Quality Improvement: Treatment Record Reviews. Third Thursday Provider Call (August 20, 2015) Wendy Bowlin, QM Administrator
Cntinuus Quality Imprvement: Treatment Recrd Reviews Third Thursday Prvider Call (August 20, 2015) Wendy Bwlin, QM Administratr Gals f the Presentatin Review the findings f Treatment Recrd Review results
More informationPostoperative Anterior Cruciate Ligament Reconstruction Care WITH meniscus repair:
Pstperative Anterir Cruciate Ligament Recnstructin Care WITH meniscus repair: Imprtant Phne Numbers: - Please see the cntact infrmatin abve fr imprtant phne numbers t call. - If yu have cncerns after hurs,
More informationGroup Members: Date Period
Dissectin Kit Number: Grup Members: Date Perid Dissectins Objective: In this tw-week investigatin, we will be lking at an invetebrate (grasshpper) and a vertebrate (frg). Yu will be fcusing n the external
More informationHuman Reproductive System. Journal Why is it important to know and use the correct terminology of our bodies and its functions?
Human Reprductive System Jurnal Why is it imprtant t knw and use the crrect terminlgy f ur bdies and its functins? Female Reprductin Cervix Neck r pening t the uterus. Strngest muscle in the bdy. Crpus
More informationDear Medical Practitioner
Dear Medical Practitiner The Western Australian Academy f Perfrming Arts (WAAPA) at Edith Cwan University (ECU) requires students applying fr certain curses t cnfirm their capacity t meet the physical
More informationHuman papillomavirus (HPV) refers to a group of more than 150 related viruses.
HUMAN PAPILLOMAVIRUS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between
More informationManaging the Symptoms of Stroke
Unit 26: Recgnising and Managing the Symptms f Strke Unit reference number: F/616/7312 Level: 2 Unit type: Optinal Credit value: 3 Guided learning hurs: 28 Unit summary A strke can be a life-threatening
More informationThe Mental Capacity Act 2005; a short guide for the carers and relatives of those who may need support. Ian Burgess MCA Lead 13 February 2017
The Mental Capacity Act 2005; a shrt guide fr the carers and relatives f thse wh may need supprt Ian Burgess MCA Lead 13 February 2017 Agenda Overview f the MCA The 5 Principles and the legal definitin
More informationOSCE Regional Ultrasound Review
OSCE Reginal Ultrasund Review Nick Schiavni, MD Olivia Rman, MD Department f Anesthesilgy University f Clrad Denver Each OSCE scenari will address ne f the fllwing skills: Cmmunicatins and Prfessinalism
More informationCLINICAL MEDICAL POLICY
Plicy Name: Plicy Number: Respnsible Department(s): CLINICAL MEDICAL POLICY Supervised Exercise Therapy fr Peripheral Artery Disease (PAD) MP-077-MD-DE Medical Management Prvider Ntice Date: 01/15/2019
More informationA pre-conference should include the following: an introduction, a discussion based on the review of lesson materials, and a summary of next steps.
NAU Mdel Observatin Prtcl The mdel prtcl was develped with supprt and expertise frm the Natinal Institute fr Excellence in Teaching (NIET) and is based in great part n NIET s extensive experience cnducting
More informationPROVIDER ALERT. Comprehensive Diagnostic Evaluation (CDE) Guidelines to Access the Applied Behavior Analysis (ABA) Benefit.
Cmprehensive Diagnstic Evaluatin (CDE) Guidelines t Access the Applied Behavir Analysis (ABA) Benefit May 5, 2017 Clinical infrmatin that utlines medical necessity is required t supprt the need fr initial
More informationFrequently Asked Questions: IS RT-Q-PCR Testing
Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld
More informationINCISIONAL HERNIA INFORMATION SHEET DR. JULIE MILLER BA, MD, FRACS. Specialist Endocrine and General Surgeon
INCISIONAL HERNIA INFORMATION SHEET DR. JULIE MILLER BA, MD, FRACS Specialist Endcrine and General Surgen Suite 12, Level 2, The Wmen s Hspital (03) 9347 6301 Yu have an incisinal hernia. Because f yur
More informationYear 10 Food Technology. Assessment Task 1: Foods for Special Needs. Name: Teacher:
Year 10 Fd Technlgy Assessment Task 1: Fds fr Special Needs Name: Teacher: Due Date: Term 2, Week 1 Type f Task: Design Task Planning Fd Requirements Cllectin f Assessment: Submit in Class Assessment Plicy:
More informationBariatric Surgery FAQs for Employees in the GRMC Group Health Plan
Bariatric Surgery FAQs fr Emplyees in the GRMC Grup Health Plan Gergia Regents Medical Center and Gergia Regents Medical Assciates emplyees and eligible dependents wh are in the GRMC Grup Health Plan (Select
More informationBLOOD BORNE PATHOGENS
BLOOD BORNE PATHOGENS GALVESTON ISD ANNUAL TRAINING 2018-2019 Galvestn Independent Schl District Special Prgrams/ECH Health Services Required Training Ò Training is required by the Texas Department f Health
More informationLESSON 10: NEITHER PLANT NOR ANIMAL
LIFE IN GENERAL LESSON 10: NEITHER PLANT NOR ANIMAL READING & RESEARCH Read KSE Fungi and Lichens, p. 55. Read USE Fungi, pp. 284-285. Read DSE Fungi, p. 315. DEFINITIONS Define the fllwing terms, nting
More informationASFYT Part I: The Skeletal System S1: Intro to Kinesiology
S1: Intr t Kinesilgy (1) Intr t Kinesilgy Majr Divisins f the Human Bdy Jints Between Majr Bdy Parts Describing Mvement in the Bdy True Mvement vs. Ging Alng fr the Ride Anatmic Psitin Directinal Terms
More informationHuon Logistics Isolation & Lockout Work Instruction 1. LOCKOUT DEVICES 2. LIGHT VEHICLE POSITIVE ISOLATION POINTS - 1 -
Hun Lgistics Islatin & Lckut Wrk Instructin Prcedure 1. LOCKOUT DEVICES Explanatin When an islatin f any mbile plant r equipment is required befre safe access t a machine can be prvided the fllwing must
More informationInitial Postoperative Knee Care Patella or Quadriceps Tendon Repairs: - Videos are available on Dr. Witty s website: drjeffreywitty.
Initial Pstperative Knee Care Patella r Quadriceps Tendn Repairs: - Vides are available n Dr. Witty s website: drjeffreywitty.cm Imprtant Phne Numbers: - Please see the cntact infrmatin abve fr imprtant
More informationA Phase I Study of CEP-701 in Patients with Refractory Neuroblastoma NANT (01-03) A New Approaches to Neuroblastoma Therapy (NANT) treatment protocol.
SAMPLE INFORMED CONSENT A Phase I Study f CEP-701 in Patients with Refractry Neurblastma NANT (01-03) A New Appraches t Neurblastma Therapy (NANT) treatment prtcl. The wrd yu used thrughut this dcument
More informationGENERAL / VASCULAR SONOGRAPHY OPTION COURSE OUTLINE AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW
AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW The cre curriculum defines several majr mdules f ultrasund educatin. All lectures are crrelated with scan lab demnstratin
More informationMonopolar Energy Simulation: Chicken Thigh Model
Mnplar Energy Simulatin: Chicken Thigh Mdel Lisa Cha, MD, Magee-Wmen s Hspital f UPMC Nicle Dnnellan, MD, Magee-Wmens Hspital f UPMC Amanda Ecker, MD, Oregn Health and Science University Ted Lee, MD, Magee-Wmen
More informationPHARYNGO-OESOPHAGECTOMY
PHARYNGO-OESOPHAGECTOMY This infrmatin aims t help yu understand the peratin, what is invlved and sme cmmn cmplicatins that may ccur. It may help answer sme f yur questins and help yu think f ther questins
More informationHealth Screening Record: Entry Level Due: August 1st MWF 150 Entry Year
Health Screening Recrd: Entry Level MIDWIFERY EDUCATION PROGRAM HEALTH SCREENING REQUIREMENTS (Rev. June 2017) 1. Hepatitis B: Primary vaccinatin series (3 vaccines 0, 1 and 6 mnths apart), plus serlgic
More informationHealth for Life Chiropractic At Cloverdale Mall Unit # The East Mall Etobicoke, ON, M9B 3Y
Health fr Life Chirpractic At Clverdale Mall Unit #143-250 The East Mall Etbicke, ON, M9B 3Y8 416-232-1822 416-232-0060 Child and Adlescent Health Questinnaire Name:_ Birth date: Address:_ Telephne: Medical
More informationAnnex III. Amendments to relevant sections of the Product Information
Changes t the Prduct infrmatin as apprved by the CHMP n 13 Octber 2016, pending endrsement by the Eurpean Cmmissin Annex III Amendments t relevant sectins f the Prduct Infrmatin Nte: These amendments t
More informationThe Cell Cycle & Cellular Division
The Cell Cycle & Cellular Divisin Name: Perid: Date: I. Cell Divisin: All are derived frm preexisting cells (Cell Thery) is the prcess by which cells prduce new cells Cells grw in number, NOT in Smaller
More informationWork Experience - Athletic Training. o Work Experience, General. o Open Entry/Exit. Distance (Hybrid Online) for online supported courses
SECTION A - Curse Infrmatin 1. Curse ID: 2. Curse Title: 3. Divisin: 4. Department: 5. Subject: 6. Shrt Curse Title: 7. Effective Term:: KIN 92 Wrk Experience - Athletic Training Kinesilgy & Athletics
More informationActive elbow motion is when your own muscles move the elbow back and forth.
Initial Pstperative Shulder Care and Exercise: **Can be dne if a biceps tendesis has been perfrmed. If a biceps tendesis prcedure has been perfrmed, active elbw mtin is delayed up t 6 weeks. Please clarify
More informationNHAIS SIS Communication
T: All NHAIS Key Users/Screening Managers Frm: Catherine Rberts SIS Request: T/14528 HSCIC Change Number: 15846 Date: 24/03/2015 Page 1 f 5 Impacted Applicatins: SD screen, Lab Links, MM screen, AJ-CD
More informationInstructions for Use INTRON A (In-tron-aye) (Interferon alfa-2b, recombinant) Powder for Solution
Instructins fr Use INTRON A (In-trn-aye) (Interfern alfa-2b, recmbinant) Pwder fr Slutin Be sure that yu read, understand, and fllw these instructins befre injecting INTRON A. Yur healthcare prvider shuld
More informationChapter 37 The Skeletal and Muscular System:
Chapter 37 The Skeletal and Muscular System: 3.5 Learning Objectives 3.5. Respnses in the human 1. Descriptin f the structure and functins f the skeletn. 2. Label the cmpnent parts f the axial and appendicular
More informationUnderstanding your thumb osteoarthritis
Understanding yur thumb stearthritis Intrductin The CMC jint is ne f the mst imprtant jints f the thumb and hand due t its wide range f mtin. Over time, the CMC jint is subject t large and repeated frces
More informationIntravenous Vancomycin Use in Adults Intermittent (Pulsed) Infusion
Backgrund This plicy cvers the use f intravenus vancmycin prescribed as an intermittent (pulsed) infusin. This can be used fr treatment r prphylaxis. Evidence supprting this guidance is detailed belw.
More informationIMMIGRATION Canada. Temporary Resident Visa. Los Angeles and New York City Visa Office Instructions. Table of Contents IMM 5876 E ( )
IMMIGRATION Canada Table f Cntents Dcument Checklist Temprary resident visa Temprary Resident Visa Ls Angeles and New Yrk City Visa Office Instructins This applicatin is made available free by Immigratin,
More informationThe Cannabis Act and Regulations
The and Regulatins OVERVIEW The and Regulatins cme int frce n Octber 17, 2018 and replaces the Access t Cannabis fr Medical Purpses Regulatins (ACMPR), and any mentin f Cannabis and Marihuana in the Narctics
More informationAlcohol & Substance Misuse Policy. St Mary s CE Academy Trading Company. Date: Spring 2017 Date of Next Review: Summer 2018
St Mary s CE Academy Trading Cmpany Alchl & Substance Misuse Plicy Date: Spring 2017 Date f Next Review: Summer 2018 Signed by: Family Supprt Crdinatr Signed by: Grup Manager Alchl and Substance Misuse
More informationKnee Class Fremont Physical Therapy
Fremnt Knee Facts The knee lses strength and stability after an injury. Stretching, strengthening and stability exercises are recmmended nt nly fr peple wh have injured their knees, but als t prevent injury.
More informationCONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS
CONSENT FORM - TESTOSTERONE FOR TRANSGENDER CLIENTS Yu want t take teststerne t masculinize yur bdy. Befre taking it, there are several things yu need t knw abut. They are the pssible advantages, disadvantages,
More informationUniversity College Hospital. Pump school Starting on an insulin pump. Children and Young People s Diabetes Service
University Cllege Hspital Pump schl Starting n an insulin pump Children and Yung Peple s Diabetes Service 2 If yu wuld like this dcument in anther language r frmat, r require the services f an interpreter,
More informationA foot x-ray series is required only if there is pain in the midfoot zone and any one of the following:
RADIOGRAPHY OF THE ANKLE AND FOOT (OTTAWA ANKLE RULES) Clinical Practice Guideline January 2007 This guideline has been adapted frm the Ottawa Ankle Rules develped by Dr. Ian Stiell et al. Dr. Stiell received
More informationSection J. Health Conditions
Sectin J Health Cnditins Objectives 1 State the intent f Sectin J Health Cnditins. Identify health cnditins assessed in Sectin J that affect a resident s functinal status and quality f life. Describe hw
More informationBIOLOGY 101. CHAPTER 15: The Chromosomal Basis of Inheritance: Locating Genes Along Chromosomes
BIOLOGY 101 CHAPTER 15: The Chrmsmal Basis f Inheritance: Lcating Genes Alng Chrmsmes Lcating Genes Alng the Chrmsme CONCEPTS: 15.2 Sex-linked genes exhibit unique patterns f inheritance 15.3 Linked genes
More informationHow to become an AME Online
Hw t becme an AME Online 1. Check that yu meet the minimum technical requirements in rder t use the AME Online system: Operating System: Windws Vista (Service Pack 2) Windws 7 Windws 8, 8.1 Windws 10 Please
More informationDIRECTED FORGETIING: SHORT-TERM MEMORY OR CONDITIONED RESPONSE? WENDY S. MILLER and HARVARD L. ARMUS The University of Toledo
The Psychlgical Recrd, 1999, 49, 211-220 DIRECTED FORGETIING: SHORT-TERM MEMORY OR CONDITIONED RESPONSE? WENDY S. MILLER and HARVARD L. ARMUS The University f Tled Previus researchers have interpreted
More informationTOP TIPS Lung Cancer Update Dr Andrew Wight Consultant respiratory Physician - WUTH
Tpic Circulatin list In case f query please cntact Executive Summary TOP TIPS Lung Cancer Update Dr Andrew Wight Cnsultant respiratry Physician - WUTH All Wirral GP s JaneFletcher2@nhs.net Dear Clleagues,
More informationS.K.J Construction Ltd Groundwork & Civil Engineering
S.K.J Cnstructin Ltd Grundwrk & Civil Engineering SUBSTANCE MISUSE POLICY 1 2 SUBSTANCE MISUSE POLICY 1 INTRODUCTION Plicy Aims Frm the viewpint f health and safety at wrk, SKJ Cnstructin Ltd (the Cmpany)
More informationMemory Care Community Standards
Memry Care Cmmunity Standards SEXUAL / INTIMATE BEHAVIOR POLICY Staff shuld understand, recgnize and supprt the healthful expressin f sexuality and intimacy amng residents, and demnstrate an understanding
More informationPhysical Exam & Associated Pathology Part VIII Breast & Female Pelvis
Functinal Medicine University s Functinal Diagnstic Medicine Training Prgram Mdule 1 * Lessn 6 Physical Exam & Assciated Pathlgy Part VIII Breast & Female Pelvis By Wayne L. Sdan, D.C., D.A.B.C.I., & Rn
More informationCompleting the NPA online Patient Safety Incident Report form: 2016
Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject
More informationSusan Wortman, Career Development Center
Susan Wrtman, Career Develpment Center Audience CV Résumé Fellw academics in yur field f study A general audience f emplyers wh hire fr a wide variety f psitins Gal T present yur full academic histry including
More informationBRCA1 and BRCA2 Mutations
BRCA1 and BRCA2 Mutatins ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM v Cancer is a cmplex disease
More informationI am having a Rotator Cuff Repair
I am having a Rtatr Cuff Repair A rtatr cuff repair is surgery t repair a trn tendn in the shulder. The rtatr cuff is a grup f muscles and tendns that frm a cuff ver the shulder jint. The muscles and tendns
More informationIn the list of organisms given below, those that reproduce by the asexual method are
In the list f rganisms given belw, thse that reprduce by the asexual methd are Banana Dg Yeast Ameba (ii) and (iv) (i), (iii) and (iv) (i) and (iv) (ii), (iii) and (iv) Answer:(b) (i), (iii) and (iv) In
More informationMethadone Maintenance Treatment for Opioid Dependence
POLICY STATEMENT Methadne Maintenance Treatment fr Opiid Dependence APPROVED BY COUNCIL: May 2010 PUBLICATION DATE: Dialgue, Issue 2, 2010 Disclaimer: As f May 19, 2018 physicians n lnger require an exemptin
More informationScreening Questions to Ask Patients
Screening Questins t Ask Patients 1. Have yu ever had TB (Tuberculsis)? Yes N 2. Have yu been living with anyne in the past tw years that has been diagnsed with TB? Yes N 3. Have yu ever had a Persistent
More informationPROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS
PROCEDURAL SAFEGUARDS NOTICE PARENTAL RIGHTS FOR PRIVATE SCHOOL SPECIAL EDUCATION STUDENTS INTRODUCTION This ntice prvides an verview f the parental special educatin rights, smetimes called prcedural safeguards
More informationPatrick J McGahan, MD Orthopaedic Surgeon Specializing in Sports Medicine/Shoulder Reconstruction Surgery Instructions Hip
Patrick J McGahan, MD Orthpaedic Surgen Specializing in Sprts Medicine/Shulder Recnstructin 2801 K St, Ste 330, Sacrament, CA, 95816 (p) 916-733-5049 (f) 916-733-8914 www.patrickmcgahanmd.cm Befre Surgery
More informationYear 1 MBChB Clinical Skills Session CVS Blood pressure monitoring Taking upper body pulses
Year 1 MBChB Clinical Skills Sessin CVS Bld pressure mnitring Taking upper bdy pulses Reviewed & ratified by: Dr V Taylr-Jnes and Ms C Tierney Aims and Objectives Aim: Fr the student t be able t take a
More informationInfection Control. Three Ways Germs Are Spread Germs are spread in the environment three ways: direct contact, indirect contact, and droplet spread.
Infectin Cntrl Infectin cntrl is preventing the spread f germs that cause illness and infectin. Infectin cntrl starts with understanding germs and hw they are spread. Abut Germs Everyne cmes in cntact
More informationUNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES
UNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES This page intentinally left blank. UNIT INTRODUCTION Visual 6.1 This unit presents infrmatin n annexes that shuld be included in a schl emergency peratins
More informationYear 1 MBChB Clinical Skills Session Blood Glucose Monitoring
Year 1 MBChB Clinical Skills Sessin Bld Glucse Mnitring Reviewed & ratified by: Dr V Taylr-Jnes, Cnsultant Anaesthetist Ms C Tierney, HARC Elements discussed with Ms Lesley Lamen, Diabetic Nurse Specialist
More informationTick fever is a cattle disease caused by any one of the following blood parasites:
Tick fever Tick fever is a cattle disease caused by any ne f the fllwing bld parasites: Babesia bvis Babesia bigemina Anaplasma marginale These parasites are all transmitted by the cattle tick (Bphilus
More informationObesity/Morbid Obesity/BMI
Obesity/mrbid besity/bdy mass index (adult) Obesity/Mrbid Obesity/BMI Definitins and backgrund Diagnsis cde assignment is based n the prvider s clinical judgment and crrespnding medical recrd dcumentatin
More informationGuidelines, Policies and Statements D19 Statement on Visceral Vascular Testing Using Ultrasound
Guidelines, Plicies and Statements D19 Statement n Visceral Vascular Testing Using Ultrasund Disclaimer and Cpyright The ASUM Standards f Practice Bard have made every effrt t ensure that this Guideline/Plicy/Statement
More informationImmunisation and Disease Prevention Policy
Immunisatin and Disease Preventin Plicy Quality Area 2: Children s Health and Safety 2.1 Each child s health is prmted 2.1.4 Steps are taken t cntrl the spread f infectius diseases and t manage injuries
More informationAnterior Total Hip Arthroplasty Patient Guide & Common Questions
Intrductin: Anterir Ttal Hip Arthrplasty Patient Guide & Cmmn Questins This handut is a general guide t cmmn indicatins fr anterir ttal hip arthrplasty, what t expect when underging the prcedure, risks,
More information