Exam Technique Flashcards
0
Q
How would you manage this tumour?
Exam technique
A
I would take a history asking about cough/haemoptysis, urinary symptoms. I’d ask about red flags of weight loss, night pain and fevers). Examine for breast lumps, prostate and chest.
I’d stage locally with X-rays, bone scan (non-continguous lesion) CT and MRI
I'd stage systemically with Harmatological - FBC, EUC LFT ESR & CRP - Inflammatory Ca, Ph, Mg, ALP, LDH - bone and liver EPG, IEPG, electrophoresis Urine hence jones proteins Radiological PET CT Fine slice chest CT Bone scan Skeletal survey (MM)
Biopsy
1
Q
What is your surgical approach to this fracture?
Exam technique
A
Indications Position + incidentals Incision S'ficial interval Deep interval Dangers Closure Follow up
2
Q
What are the principles of polio management?
A
Prevent and correct deformities to allow ambulation and fitting of orthoses
Appropriate tendon transfers to restore function
Correct limb length to reduce orthosis bulk
3
Q
What is bone?
A
A specialised form of dense connective tissue composed of calcium salts embedded in a matrix of collagenous fibres
