LEFT TO RIGHT SHUNTING IN 60-YEAR-OLD PATIENT: ROLE OF PHYSICAL EXAMINATION

2020 ◽  
Vol 75 (11) ◽  
pp. 3069
Author(s):  
Whitney Kagabo ◽  
Dennis Grewal ◽  
Kimberly Borden ◽  
Cynthia Glasgow ◽  
Anees Razzouk ◽  
...  
Keyword(s):  
Physical Examination ◽  
Patient Role

Natriuretic Peptides – Addressing the Dilemma of Heart Failure Management

2011 ◽  
Vol 7 (2) ◽  
pp. 104
Author(s):  
Kenneth McDonald ◽  
Ulf Dahlström ◽  
◽  
Keyword(s):  
Heart Failure ◽  
Physical Examination ◽  
Natriuretic Peptides ◽  
Normal Values ◽  
Outpatient Setting ◽  
Heart Failure Management ◽  
Effective Screening ◽  
Specific Symptoms ◽  
Objective Marker

Heart failure (HF) is characterised by non-specific symptoms and unremarkable physical examination; therefore, the need exists for an available objective marker of HF status. Natriuretic peptides (NPs) are a marker that can aid the dilemmas in present-day HF management. More effective screening for clinical deterioration would include changes in brain natriuretic peptide (BNP) levels. Normal values for BNP, <50–100 pg/ml, have excellent negative predictive value (NPV) in excluding HF as a diagnosis. BNP values that are significantly elevated, e.g. >500 pg/ml, make the diagnosis of HF more likely. There are now established and emerging uses for NPs in managing HF in the community. These include the role of NPs at the time of possible new presentation of HF, its role in prognostication and, finally, the increasing interest in using NPs to guide therapy in the outpatient setting.

The essential role of nurses in supporting physical examination in telemedicine: Insights from an interaction analysis of postsurgical consultations in orthopedics

2021 ◽  
Author(s):  
Maria Cherba ◽  
Sylvie Grosjean ◽  
Luc Bonneville ◽  
Isaac Nahon‐Serfaty ◽  
Judith Boileau ◽  
...  
Keyword(s):  
Physical Examination ◽  
Essential Role ◽  
Interaction Analysis

scholarly journals Organization of Multidisciplinary Cancer Care for the Surgical Patient: Role of Anesthesiologists

2018 ◽  
Vol 8 (4) ◽  
pp. 368-374
Author(s):  
Elizabeth F. Rieth ◽  
Gregory W. Fischer ◽  
Anoushka M. Afonso
Keyword(s):  
Cancer Care ◽  
Surgical Patient ◽  
Patient Role

scholarly journals Role of Magnetic Resonance defecography in assessment of pelvic floor dysfunction

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M S Moussa ◽  
Y I Abdelkhaleq ◽  
S M Botros ◽  
A A Montasser
Keyword(s):  
Pelvic Organ Prolapse ◽  
Physical Examination ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
Magnetic Resonance Defecography ◽  
Facial Defect ◽  
Floor Failure ◽  
Muscle Tear

Abstract Purpose to assess the role of the role of MR defecography in assessment of pelvic floor failure . Methods and Material Thirty-six patients (twenty-seven female and nine male) with female and male patients, complaining of stress urinary incontinence, constipation, fecal incontinence or pelvic organ prolapse. Results MRI revealed 18 cystocele (50%), compared to physical examination 2 cases(5.6%),MRI revealed 28 rectocele ( 77.8%) compared to physical examination that showed 13 (36.1%) , MRI revealed 10 uterine descent (40.7%), compared to physical examination 6 (22.2%) I, MRI revealed 7 enterocele (19.4%) compared to physical examination that was negative. MRI revealed level I/II facial defect in and level III facial defect in, 19 cases of Intussusception (52.8%), urethral hypermobility in 14 (38.9%), sphincteric defect 7 (19.4%), levator angle weakness in 30 cases (83.3%), iliococcygeaus muscle tear in 5 cases (13.9%), puborectalis tear in 3 cases (8.3%),anorectal decent in 26 cases (72.2%), genital hiatus width in 23 (63.9%) Conclusion Dynamic MR imaging is a necessary tool in the diagnosis of multicompartment pelvic organ prolapse and it provides good concordance with clinical examination

Role of history and physical examination in preoperative evaluation

2003 ◽  
Vol 20 (8) ◽  
pp. 612-618 ◽  
Author(s):  
W. A. van Klei ◽  
D. E. Grobbee ◽  
C. L. G. Rutten ◽  
P. J. Hennis ◽  
J. T. A. Knape ◽  
...  
Keyword(s):  
Physical Examination ◽  
Preoperative Evaluation

Role of clinical context in residents’ physical examination diagnostic accuracy

2011 ◽  
Vol 45 (4) ◽  
pp. 415-421 ◽  
Author(s):  
Matthew Sibbald ◽  
Daniel Panisko ◽  
Rodrigo B. Cavalcanti
Keyword(s):  
Physical Examination ◽  
Diagnostic Accuracy ◽  
Clinical Context

Liaison in Reverse: The Role of a Psychosomatically-Oriented Internist in a Department of Psychiatry

1982 ◽  
Vol 11 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Robert F. Klein
Keyword(s):  
Physical Examination ◽  
Medical Center ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Medical Consultation ◽  
Psychiatric Inpatient Unit ◽  
Physician Identity

The renewal of interest in the physician identity of the psychiatrist has exposed widespread deficits in skills such as physical examination. A program designed to provide medical consultation and teaching in a 107 bed psychiatric inpatient unit of a university medical center is described. The contributions of a psychosomatically-oriented internist to the development of this program of reverse liaison are considered. Bidirectional liaison units may prove to be a resource for psychiatry departments in the remedicalization process.

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