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Thread: clinical tips 4 today...

  1. #1
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    Thumbs up clinical tips 4 today...

    hi im glad to start this thread... all geeks plz post daily the best clinical points u learnt on a day...

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    requisities for removal of intercostal tube
    (1)thin fluid of <50ml for 3 consecutive days
    (2)improvement in breath sounds
    (3)radiological evidence of decreased fluid unless broncho pleural fistula excluded
    Last edited by rupu; 09-04-2008 at 05:39 PM. Reason: make reader friendly

  3. #3
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    Quote Originally Posted by rupu View Post
    requisities for removal of intercostal tube
    (1)thin fluid of <50ml for 3 consecutive days
    (2)improvement in breath sounds
    (3)radiological evidence of decreased fluid unless broncho pleural fistula excluded
    i'll scan & post my notes on icd. Hope you all will find it helpful.

    =================
    always empty bladder during any abdominal surgery/examination and examine abdomen with relaxed abdominal muscles. [in flexed kneee & thigh]

    Always speak "i've exmined patient in supine position with knee and thigh flexed and in adequate light and well-exposed from xiphisternum to symphysis pubis with empty bladder." in any abdominal case.


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    Default about clinical exmination of swelling

    a swelling fluctuates if it contains fluid or gas..
    a swelling can be flunctuant but not translucent ,
    for a swelling to be translucent it should contain clear fluid like water, serum, lymph, plasma...

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    Always inflate foley's ballon after inserting it fully in male as if u won't insert fully and inflate before, it may injure urethra as course of urethra is longer in male.

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    If the baloon of a Foley's catheter is stuck and you can't deflate it, get a needle. Puncture the side tube just above the valve where the syringe fits. The water will leak out, and the baloon will deflate, enabling removal.

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    All examinations, even all surgical procedures are done by standing on the patient's right side, including heria repairs on the left side.

    Name a procedure, that you do, standing on the LEFT side of the patient.

    Ans: Urethral dilatation.

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    in palpation of a swelling always begin with "no local warmth no tenderness then say i have confirmed my inspectory findings".

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    most common cause of anuria in the LABOUR ROOM..
    !) Foley's cather in vagina and
    2) attaching urobag without removing cap..
    after that all clinical terms comes like PIH etc.

  10. #10
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    4 criteria to diagnose water hammer pulse-1.HIGH VOLUME 2.RAPID UPSTROKE AND DOWNSTROKE 3.PALPABLE ULNAR PULSE 4.WIDE PULSE PRESSURE

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