Friday November 3, 2006
Bedside tip !! - ischemic bowels and legs
"As medicine is becoming more and more high-tech., physical exam is loosing its presence and in many instances like in ICU, whole management get done on availability of data. We rely on EEG, CT scans, MRIs, CXRs, EKG, ultrasounds, echo, swan, labs and monitor. But significance of physical exam remains as crucial as it was ever which herald changes even before any data available or before its too late.
The essential 5 physical exam of pupils, lungs, heart, abdomen and extremities can be done within 2-3 minutes. If you don't have time to do above 5 essentials, atleast make habit to put your hand on belly and lower extremities on each patient everyday - I promise, those 10 seconds will save you regrets of years ! Your palm is the first and the best scan of ischemic bowels and ischemic legs."
(From lecture of one of the old timer and experienced surgeon)
Bedside tip !! - ischemic bowels and legs
"As medicine is becoming more and more high-tech., physical exam is loosing its presence and in many instances like in ICU, whole management get done on availability of data. We rely on EEG, CT scans, MRIs, CXRs, EKG, ultrasounds, echo, swan, labs and monitor. But significance of physical exam remains as crucial as it was ever which herald changes even before any data available or before its too late.
The essential 5 physical exam of pupils, lungs, heart, abdomen and extremities can be done within 2-3 minutes. If you don't have time to do above 5 essentials, atleast make habit to put your hand on belly and lower extremities on each patient everyday - I promise, those 10 seconds will save you regrets of years ! Your palm is the first and the best scan of ischemic bowels and ischemic legs."
(From lecture of one of the old timer and experienced surgeon)
posted by icupearls.org archive | 7:14 AM
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