Chest examinations

Xem 1-20 trên 30 kết quả Chest examinations
  • History of the Present Illness: Duration of chest pain. Location, radiation (to arm, jaw, back), character (squeezing, sharp, dull), intensity, rate of onset (gradual or sudden); relationship of pain to activity (at rest, during sleep, during exercise); relief by nitroglycerine; increase in frequency or severity of baseline anginal pattern. Improvement or worsening of pain. Past episodes of chest pain. Age of onset of angina.

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  • Unstable Angina and Myocardial Infarction (See also Chaps. 238 and 239) Patients with these acute ischemic syndromes usually complain of symptoms similar in quality to angina pectoris, but more prolonged and severe. The onset of these syndromes may occur with the patient at rest, or awakened from sleep, and sublingual nitroglycerin may lead to transient or no relief. Accompanying symptoms may include diaphoresis, dyspnea, nausea, and light-headedness. The physical examination may be completely normal in patients with chest discomfort due to ischemic heart disease.

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  • Acute Chest Discomfort In patients with acute chest discomfort, the clinician must first assess the patient's respiratory and hemodynamic status. If either is compromised, initial management should focus on stabilizing the patient before the diagnostic evaluation is pursued. If, however, the patient does not require emergent interventions, then a focused history, physical examination, and laboratory evaluation should be performed to assess the patient's risk of life-threatening conditions.

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  • (BQ) Ebook 100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward, or in the community setting. A succinct summary of the patient's history, examination, and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case.

     

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  • Indian Council of Medical Research (ICMR) undertook drug resistance studies during 1965- 67 in nine urban areas of the country. However, this exercise was not a surveillance study and did not use strict sampling techniques, the centres being selected more for logistic considerations than for epidemiological reasons. Sputum specimens collected from all patients attending chest clinics were tested for drug susceptibility to streptomycin, Isoniazid, para amino salicyctic acid (PAS) and thioacetazone.

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  • The audit procedure illustrated here should guarantee consistent, high quality IS audits and the ability to compare the results of audits. In all steps, the audit procedure is to be documented by the IS audit team in an orderly and understandable manner. All working documents created to perform an IS audit for a Federal Agency are to be classified as ”VS – Nur für den Dienstgebrauch” (RESTRICTED). The individual classification is with the office head and the affected assistant advisors, and possibly in co-operation with the Data Protection Officer.

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  • The idea for this book grew out of our experience in teaching pediatric radiology to clinicians and students. Clearly, there is a strong desire on the part of those taking care of children to familiarize themselves with the rudiments of the pediatric radiograph. While radiologists have primary responsibility for the interpretation of films, clinicians bring valuable insight and information. Often they present additional important data or ask searching questions that prompt a re-evaluation of the films so that a more appropriate diagnosis may be obtained....

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  • The results of the IS audit are reported to the management of the organisation, the person responsible for IS audits, and the IT Security Officer (see section 4.9) and integrated into the ISMS process. A clearly defined procedure should be available for this purpose that is stated in a guideline for examining and improving the security process (see [BSI2]). Requirements for eliminating deficiencies and improving quality are the result of the evaluation of the IS audit report. The IT Security Officer derives the corresponding follow-up activities from these requirements.

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  • Lee slid off the examining table and began buttoning his shirt. He had had a medical examination every six months of his adult life, and it always seemed strange to him that, despite the banks of machines the doctor had which could practically map a man from a single cell outward, each examination always entailed the cold end of a stethoscope against his chest. He tucked

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  • The Institutional Review Board approved this retrospective study, with a waiver of informed consent from the patients. TB outbreaks occurred in 15 senior high schools and chest radiographs from 58 students with identical strains of TB were analyzed by restriction fragment length polymorphism analysis by two independent observers. Lesions of nodule(s), consolidation, or cavitation in the upper lung zones were classified as typical TB.

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  • There are two situations in which the TST is not required. Applicants providing written documentation (with a health-care provider’s signature) of a TST reaction of 5 mm or greater of induration or applicants with a history of a severe reaction with blistering to a prior TST may be excluded from this requirement. Applicants in these two groups must undergo a chest radiograph. A verbal history of a positive TST reaction from the applicant is not acceptable.

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  • This first guide, entitled Key Steps, provides an overview of the outcome management process, identifying specific steps and providing suggestions for examining and using the outcome information. Other volumes in the guidebook series examine specific tasks in more detail. For example, one provides information on surveying clients to obtain feedback on the quality of the service received and changes in the clients’ lives—probably the major source of outcome information for many nonprofit organizations.

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  • (BQ) Part 2 book "Practical manual of echocardiography in the urgent setting" presents the following contents: Prosthetic heart valves, the great vessels, evaluation of the pericardium, specialty echocardiographic examinations, common artifacts, hommon artifacts, chest pain syndrome,...

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  • This book was written with the intention to pursue Dr. Stephen Goldberg's vision to make learning ridiculously simple. It is designed to rapidly teach the clinically vital components of radiology. The reader will acquire a solid approach to radiographic examinations commonly interpreted without radiologist assistance, and will become comfortable at recognizing common and dangerous conditions. Although this book is intended for medical students and interns, it is also useful for nurses, nurse practitioners and X-ray technicians....

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  • This book has been written for anaesthetists and intensive care doctors working in hospital practice. The material in the book covers all the common pathologies encountered in hospital anaesthetic practice and intensive care. Included are the core radiological requirements for the FRCA examination, but it is also ideally suited for doctors preparing for the Diploma in Intensive Care Medicine. It is not only intended as an examination revision aid, but also as a general radiological or revision text in anaesthetic radiology.

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  • Management of Occult and Stage 0 Carcinomas In the uncommon situation where malignant cells are identified in a sputum or bronchial washing specimen but the chest radiograph appears normal (TX tumor stage), the lesion must be localized. More than 90% can be localized by meticulous examination of the bronchial tree with a fiberoptic bronchoscope under general anesthesia and collection of a series of differential brushings and biopsies. Often, carcinoma in situ or multicentric lesions are found in these patients.

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  • The clinical evaluation of patients with myeloma includes a careful physical examination searching for tender bones and masses. Only a small minority of patients has an enlargement of the spleen and lymph nodes, the physiologic sites of antibody production. Chest and bone radiographs may reveal lytic lesions or diffuse osteopenia. MRI offers a sensitive means to document extent of bone marrow infiltration and cord or root compression in patients with pain syndromes. A complete blood count with differential may reveal anemia. Erythrocyte sedimentation rate is elevated.

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  • A 65-year-old hypertensive male smoker requires a low anterior resection for treatment of an upper rectal cancer. A CT scan of the chest, abdomen, and pelvis does not show any distant metastatic spread and his carcinoembryonic antigen is normal. What additional preoperative laboratory studies and adjunctive testing are indicated? case management A complete history and physical examination is perhaps the single most important step for guiding preoperative preparation.

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  • Clinical Presentation Molar pregnancies are generally associated with first-trimester bleeding and excessive uterine size. About 45% of patients have ovarian theca-lutein cysts present on ultrasound. The β-hCG levels are generally markedly elevated. Fetal parts and heart sounds are not present. The diagnosis is generally made by the passage of grapelike clusters from the uterus, but ultrasound demonstration of the hydropic mole can be diagnostic. Patients suspected of a molar pregnancy require a chest film, careful pelvic examinations, and weekly serial monitoring of β-hCG levels.

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  • When I started examining patients with ultrasound for musculoskeletal disorders we were still using static “B” scanners. CT was a new invention and MRI did not exist. Whilst my contemporaries were enthusiastically specialising in the use of nuclear medicine and ultrasound, I chose to take an interest and eventually a full-time specialisation in a system rather than a machine. The principal strength of this choice is that I use all imaging methods and hopefully have insight into their advantages and weaknesses in each potential application.

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