PIER + ABCDEFGH Identify your pt: DOB‚ CC‚ HPI PIER Use the "PIER" mnemonic to assess for adequacy of the film. * Position: Typically‚ upright PA and lateral. Sick patients will have the fuzzier supine AP (because the film is slid under their chest as they are lying down). Size of the heart is exaggerated in AP view compared to PA. Edge of the medial border of scapula is at the midline of lung field in AP. * Inspiration: Count the visible ribs. Lung fields should extend to about the 10th
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Most likely diagnosis considering the clinical picture Localised chest pain over the sternum is a common symptom and can be an indicator of a large assembly of conditions. Commonly seen in cardiac diseases including angina pectoris‚ myocardial infarction and pericarditis (Patient.info‚ 2017). As well as in disorders of the gastroesophageal‚ psychiatric and pulmonary diseases; pneumothorax‚ gastro-oesophageal reflux disease‚ pleurisy‚ panic attack and pulmonary embolism (Kaski‚ 2016; Eslick‚ Jones
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I N T E R P R E T I N G C H E ST X- R AY S Illustrated with 100 Cases Interpreting chest X-rays can seem baffling and intimidating for junior doctors. This highly illustrated guide provides the ideal introduction to chest radiology. It uses 100 clinical cases to illuminate a wide range of common medical conditions‚ each illustrated with a chest X-ray and a clear description of the significant diagnostic features and their clinical relevance. Where appropriate‚ CT scans and bronchoscopic imaging
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Prostate biopsy is essentially a test which hopes to detect cancer of the prostate in patients who have specific indications or causes for suspicion. The most commonly performed biopsy is the TRUS biopsy‚ which is the transrectal ultrasound-directed systematic sampling of the prostate. Main advantages of prostate biopsy The TRUS biopsy is definitely more reliable than the prostate-specific antigen (PSA) test. The ultrasound guidance helps to ensure that the samples are taken from within the prostate
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Research Initiative‚ Department of Chemical Engineering‚ University of Cape Town‚ Private Bag‚ Rondebosch‚ 7701‚ South Africa a r t i c l e i n f o Available online 17 June 2010 Keywords: Acid mine drainage Prediction test Sulfide tailings a b s t r a c t Acid mine drainage (AMD) is formed by the microbially catalysed oxidation of sulfide minerals on exposure to moisture and air. It results in the ongoing contamination of water streams with acidity‚ sulfate and metal ions in solution
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Definition Urinary catheterization is the insertion of a catheter through the urethra into the urinary bladder for withdrawal of urine. Straight catheters are used for intermittent withdrawals; indwelling (Foley) catheters are inserted and retained in the bladder for continuous drainage of urine into a closed system. Purpose Intermittent catheterization is used for the following reasons:• To obtain a sterile urine specimen for diagnostic evaluation; to empty bladder content when the patient is
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attention when they experience chest pain. Many patients assume the chest pain is from indigestion or acid peptic symptoms. These patients waste time with antacids. Chest pain may be accompanied with vomiting‚ sweating and breathlessness. It is known that 15-20% of heart attacks can be painless especially in diabetics and elderly. Severe chest pain can be caused by several other issues and it needs to be ruled out to receive proper treatment. Five known causes for chest pain are pericarditis‚ aortic
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about peripherally inserted central catheters (PICC) and central venous catheters. There are different types of catheters and they are used in different situations. If they are to be used properly‚ they must be maintained and cared for. If they are not maintained there are several adverse side effects that could be life threatening. Along with providing all this information‚ this paper will also instruct how to initiate a peripherally inserted central catheter and how to correctly execute a dressing
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Davis started hiring temporary workers supplied by WorkForce Unlimited‚ a company that specializes in providing temporary employees for firms in the greater Atlanta area. WorkForce Unlimited offered to provide temporary employees under three contract options that differ in terms of the length of employment and the cost. The three options are summarized: Option Length of Employment Cost 1 One month $2000 2 Two months $4800 3 Three months
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that he can’t express. In A Temporary Matter‚ The snow that falls simply after Shukumar and Shoba come back to trustworthiness straightforwardly identifies with the fallbetween the characters. In The Treatment of Bibi Haldar‚ the changing seasons demonstrates the life of the harried principle character. In the fall‚ Bibi is avoided and in the winter she is disconnected. In the spring‚ she is pregnant and rises up out of her wretchedness.
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