Clinical Skills and Approaches
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Inverted Reflexes
An inverted tendon reflex refers to the elicitation of the movement opposite to that normally seen when the reflex is elicited. Mechanism of Inverted Reflexes A lesion which simultaneously affects: This leads to 2 components: Mechanisms of hyperactive response: Types of Inverted Reflexes 1. Inverted supinator reflex: 2. Paradoxical triceps…
Clinical Skills and Approaches
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WIPERS mnemonic for starting patient examination
A useful approach before examining any patient, using the mnemonic WIPER. 1. Wind up clothes above elbow, Withdraw all jewelry and Wash your hands. 2. Introduce yourself. 3. Purpose and Permission – explain purpose and gain verbal consent (permission) to proceed with the examination. 4. Expose the patient as needed….
Clinical Skills and Approaches
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Ascitic Paracentesis : Practical Essentials
Absolute contraindications to Ascitic Tapping (Paracentesis) While some authors have claimed ascitic paracentesis to be free from absolute contraindications, others have listed following as absolute contraindications: Clinically evident fibrinolysis Disseminated Intravascular Coagulation (DIC) Clinically apparent oozing from needle sticks Acute abdomen requiring surgery Relative contraindications to Blind Paracentesis Ultrasound guided…
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