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Skill Lab

Skill Lab. Dr. Ghassan A Barayan, MBBS Urology Demonstrator, UQU. Hx of Lump Hx of ulcer Ex of Lump Ex of ulcer. HPI . Analysis of chief complation SDN OPERA Site – Severity Duration Nature Onset Progression – Precipitating Factor End Radiation – reffered – Relifing Factor

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Skill Lab

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  1. Skill Lab Dr. Ghassan A Barayan, MBBS Urology Demonstrator, UQU

  2. Hx of Lump • Hx of ulcer • Ex of Lump • Ex of ulcer

  3. HPI • Analysis of chief complation • SDN OPERA • Site – Severity • Duration • Nature • Onset • Progression – Precipitating Factor • End • Radiation – reffered – Relifing Factor • Aggrevating Factor – Associated Symptoms • Previous Similar Attack • Risk Factors • Associated Symptoms

  4. Hx of lump & ulcer • Wher? Site • How? S/He notice • When? • Onset: Acute vs Chronic • Progression? size • Other lump? • Previous similar • Risk factors • Associated feature • Pain • Discharge • Constitutional symptoms • Malignancy • Inflammation • Hx of trauma • What do you think is the cause?

  5. Ex of Lump • Inspection • 4Ss • Size • Site • Shape • Overlaying Skin • Color • Ulcers • Scars

  6. Palpation: STC >> easy life • 2Ts • Temperature • Tenderness • 2 C • compressibility • consistency • 2 S • Surface • Relation to surrounding • Overlying skin • Underlying structure

  7. Palpation “cont’ “ • Edge • Reducibility • Cough impulse • Fluctuation • Fluid thrill • Tran illumination • Pulsetile

  8. Percussion • Resonant vs Dull • Auscultation • Abdominal sound • bruit

  9. Ex of ulcer • Inspection • 4 Ss • Size • Site • Shape • Surrounding • Color • Scar • Induration or edema • F E • Floor • Edge • Depth

  10. Palptaion • 2Ts • Tenderness • Temprature • Base • Status of blood supply??

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