Clinical Skills and Approaches
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Communication Module for dealing with an Angry patient or relative
The basic structure for communication skills remains the same. Recall the mnemonic P I CX3. Take into considerations of following points during consultation. Mnemonic: AARRR! Mnemonic Heading Comment A Acknowledge 1. Acknowledge the problem2. Acknowledge the concerns3. Acknowledge and validate the emotions of the patient/relative A Apologize and Empathize Apologize for the…
Clinical Skills and Approaches
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Splenomegaly : Examination techniques and Clinical Approach
ANATOMY OF SPLEEN Histologically: FUNCTIONS OF SPLEEN Spleen is the largest lymphoid organ organ and serves following functions – An increase in these normal functions may result in splenomegaly EXAMINATION OF SPLEEN 1. Palpation: If history suggest splenomegaly but is not palpable: Roll the patient on to the right lateral…
Clinical Skills and Approaches
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Bulbocavernosus Reflex (BCR)
Synonyms: Bulbospongiosus reflex (BSR), Osinski reflex Reflex arc: a. Stimulus: Briskly squeezing glans penis or clitoris or Tugging Foley’s catheter (pulling the balloon of foley’s catheter against the bladder neck) b. Afferent: Sensory fibers of pudendal nerve c. Reflex center: S2-S4 spinal segments (Polysynaptic) d. Efferent: Motor fibers of pudendal…
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