Procedures and Cases

This guide demonstrates the best way to carry out a deep dermal suture, together with step-by-step photos of the important thing levels concerned. This workhorse suture is steadily utilized by plastic surgeons, utilising the power of the dermis to offer the foundations of a strong wound closure. You may additionally have an interest within the
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Introduction The restoration place is designed to scale back the chance of aspiration within the unconscious however respiratory casualty. It permits for postural drainage of any liquid contained in the mouth and reduces the chance of the tongue occluding the airway. The restoration place is a element of the bigger fundamental life assist (BLS) algorithm
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A 32-year-old man presents to the emergency department for treatment of a gunshot wound above the knee on his left thigh. He reports having sustained the injury 1 hour earlier. The patient has no significant medical history and does not have additional injuries. He is able to walk despite the injury. His vital signs are
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American Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Google Scholar | Crossref Barlow, D. H. (1988). The anxiety and its disorder: The nature and treatment of anxiety and panic. Guilford Press. Google Scholar Barlow, D. H. (2007). Clinical handbook of psychological disorders. Guilford Press. Google Scholar Beck, A. T.,
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Armbruster, P., Sukhodolsky, D., Michalsen, R. (2004). The impact of managed care on children’s outpatient treatment: A comparison study of treatment outcome before and after managed care. American Journal of Orthopsychiatry, 74(1), 5–13. https://doi.org/10.1037/0002-9432.74.1.5 Google Scholar Barker, E. D., Oliver, B. R., Maughan, B. (2010). Co-occurring problems of early onset persistent, childhood limited, and adolescent
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This guide provides an overview of performing a nasopharyngeal swab for the purposes of viral sample collection (e.g. COVID-19) in an OSCE setting. It does not include details on the appropriate personal protective equipment (PPE) required, which is pathogen dependent (see our guide to PPE here). It should be noted that this guide only provides a
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1 Theoretical and Research Basis for Treatment Parent–child interaction therapy (PCIT) is a short-term, evidence-based intervention designed for families with young children displaying a broad range of behavioral, emotional, and family problems (Eyberg, 1988). PCIT is unique among parenting interventions in its use of live, bug-in-the-ear technology to deliver incidental coaching to parents during therapy
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American Psychological Association . (2017). PTSD treatments. https://www.apa.org/ptsd-guideline/treatments/index Google Scholar Ansara, D. L., Hindin, M. J. (2010). Exploring gender differences in the patterns of intimate partner violence in Canada: A latent class approach. Journal of Epidemiology and Community Health, 64, 849–854. Google Scholar | Crossref | Medline | ISI Archibald, C. (2011). Cultural tailoring for
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Beck, A. T., Epstein, N., Brown, G., Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897. Google Scholar | Crossref | Medline | ISI Beck, A. T., Steer, R. A. (1993). Beck Anxiety Inventory manual. Psychological Corporation. Google Scholar Beck, A. T., Steer, R.
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American Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. Google Scholar | Crossref Austin, A., Craig, S. L. (2015). Transgender affirmative cognitive behavioral therapy: Clinical considerations and applications. Professional Psychology: Research and Practice, 46, 21–29. https://doi.org/10.1037/a0038642 Google Scholar Baams, L., Grossman, A. H., Russell, S. T. (2015).
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A 66-year-old man presents to the emergency department with a 3-day history of gradually worsening pain and swelling in his left knee. He denies any injury other than a scrape sustained approximately 1 week ago. He reports no fever, redness or warmth to the knee, additional injuries, or other complaints. The patient’s vital signs are normal
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This guide provides an overview of performing an oropharyngeal swab for the purposes of viral sample collection (e.g. COVID-19) in an OSCE setting. It does not include details on the appropriate personal protective equipment (PPE) required, which is pathogen dependent (see our guide to PPE here). It should be noted that this guide only provides
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Introduction This guidance covers the donning (putting on) and doffing (taking off) of personal protective equipment (PPE) when dealing with patients who are suspected or confirmed to have COVID-19. This article is based on the latest guidance from the UK Government. 1,2,3 The article provides PPE guidance for both aerosol-generating procedures (AGPs)1 and non-aerosol generating
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A 32-year-old woman presents to the emergency department for evaluation of a worsening rash that begins at her navel and continues down both of her legs. The rash first appeared approximately 10 days earlier and has gotten progressively worse; initially the rash was itchy, but now is painful. The patient is not receiving any medications
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Sputum sample collection involves the collection of expectorated secretions from a patient’s lower respiratory tract for the purpose of isolating microorganisms. This guide provides an overview of collecting a sputum sample in an OSCE setting. Download the sputum sample collection PDF OSCE checklist, or use our interactive OSCE checklist. Introduction Introduce yourself to the patient
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A 51-year-old man presents to his primary care provider complaining of recent, recurrent episodes of angioedema. The patient previously had gone to the emergency department (ED) because of facial swelling. The ED physician diagnosed the swelling as angioedema related to stress and eating spicy foods. However, the patient has continued to experience episodes of angioedema
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A 45-year-old black man presents for evaluation of a recent flare of long-standing atopic dermatitis (AD). The patient’s medical history is significant for hyperlipidemia and hypertension, which are being treated with oral medications. For several decades, the patient considered his condition to be “tolerable” and “somewhat well-controlled” with topical therapies and ample exposure to sunlight
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A 71-year-old woman presents to the emergency department with a 2- to 3-week history of waxing and waning constant pain in her lower posterior neck. The patient reports no fever, weakness, numbness, chest pain, or shortness of breath. On further questioning, she states that she experiences occasional chills. Physical examination reveals normal vital signs except for
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A 24-year-old man presents to the emergency department with a tactile fever, cough, and shortness of breath that have persisted for approximately 7 days. The patient notes that his symptoms have worsened in the past 2 days and denies any signs of bleeding, chest pain, or other complaints. He has no significant medical history. Physical
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Case Presentation A 56-year-old white woman with a history of fibromyalgia and anxiety presents to her primary care physician (PCP) for follow-up to review abnormal laboratory findings. During her visit she mentions worsening digestive problems including bloating and frequent diarrhea. The patient denies abdominal pain, nausea, and vomiting. Her digestive symptoms began approximately 3 years
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A 56-year-old woman presents to the emergency department with a 3-day history of gradually worsening pain and swelling in her left knee.  She denies injury, fever, or other complaints. She has never experienced this type of pain before, and she states that she is fairly active.   The patient’s vital signs are normal; physical examination
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A report printed within the New England Journal of Medication describes the case of a 25-year-old girl who developed methemoglobinemia following the use of topical benzocaine.  In line with clinicians from the Miriam Hospital in Windfall, RI, the affected person offered with generalized weak spot, fatigue, shortness of breath and pores and skin discoloration. “Measurements
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Abstract Women can still conceive naturally or through in vitro fertilization (IVF) with the one oviduct that is properly functioning if only one oviduct is blocked, however, the chances are decreased particularly if the blockage is close to the ovary (hydrosalpinx) because of wash out phenomena and toxic fluid produced by the fallopian tube that
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