China
Africa
Explore chapters and articles related to this topic
Communication Skills Stations
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
Explain it is routine to have 1 week off work and 2 weeks off strenuous exercise. Explain the risks of surgery. In this case, explain that although this operation is performed regularly without any problems there are some serious risks of which the patient should be aware:Bleeding – It is very common to have some small quantity of bleeding from the nose and to have blood-tinged mucus for a few days after the operation.Bleeding into the eye – This is rare but can cause black eyes that will recover on their own. A more serious bleed into the eye can result if there is damage to a main artery. Although this is very rare, there is a chance that you could lose the sight in the eye. If this does happen, you may need another operation. In a recent audit in the United Kingdom, eye complications happened in 1 in 500 operations.Cerebrospinal fluid (CSF) leak – The sinuses lie right under the base of the brain, which is contained in special fluid called CSF. A small leak can occur via the nose if there is some bony damage. This often requires no treatment and will recover on its own. Occasionally, you may need another operation to seal over the leak. Sometimes an infection can get into the fluid that will require the use of antibiotics. CSF leaks occur in about 1 in 1000 operations.
Scalp, facial and gunshot injuries
Published in Helen Whitwell, Christopher Milroy, Daniel du Plessis, Forensic Neuropathology, 2021
Lacerations may be linear, or slightly curved on the scalp where the blow is from a linear object (Figure 6.10). Falls onto the head may also result in a linear laceration (see Figure 6.3). Unlike an incised wound, a laceration has irregular edges, with bruising and abrasion of the margins. Tissue may bridge the wound and hair across the wound may be uncut, unlike an incisional wound. Dirt may have been forced into the wound. Lacerations, bruises and abrasions to relatively inaccessible areas where a blunt agent is normally used, such as under the chin or beneath the eyebrow, are often the result of a blow with a shod foot (Figure 6.11a,b), also causing a black eye (Teare 1961). Blows with large implements, such as a lump hammer or sledgehammer, may produce complex lacerations (Figure 6.12).
Communication Skills Stations
Published in Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox, ENT OSCEs: A Guide to Passing the DO-HNS and MRCS (ENT) OSCE, 2019
Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox
Explain it is routine to have 1 week off work and 2 weeks off strenuous exercise. Explain the risks of surgery. In this case, explain that although this operation is performed regularly without any problems there are some serious risks of which the patient should be aware: Bleeding: it is very common to have some small quantity of bleeding from the nose and to have blood-tinged mucus for a few days after the operation.Bleeding into the eye: this is rare but can cause black eyes that will recover on their own. A more serious bleed into the eye can result if there is damage to a main artery. Although this is very rare, there is a chance that you could lose the sight in the eye. If this does happen, you may need another operation. In a recent audit in the United Kingdom, eye complications happened in 1 in 500 operations.Cerebrospinal fluid (CSF) leak: the sinuses lie right under the base of the brain, which is contained in special fluid called CSF. A small leak can occur via the nose if there is some bony damage. This often requires no treatment and will recover on its own. Occasionally, you may need another operation to seal over the leak. Sometimes an infection can get into the fluid that will require the use of antibiotics. CSF leaks occur in about 1 in 1000 operations.
Psychometric properties of concussion knowledge and cognitive mediators of reporting measures
Published in Brain Injury, 2021
Kevin S. McCarthy, Meredith Kneavel, William Ernst
Knowledge of concussion symptoms was measured with a 27-item checklist adapted from an acute concussion evaluation checklist(22), a concussion resource kit(28), and tests of concussion misunderstanding (18,19). Item statements described either 19 true (e.g., blurred vision, headache) or 8 (e.g., black eye, loss of neck range motion) false concussion symptoms. Respondents selected whether they considered the symptom associated with concussion. Seven positive items appearing on all measures were retained on the CKC. An additional 12 positive items from Gioia et al. (22) and CDC (31) were also included, importantly several psychological symptoms not associated with concussion in the public mind. Functionally related symptoms were condensed into single item statements (e.g., “Sleep disturbance” for hyper- or hyposomnia and early insomnia). “Numbness/tingling” was removed as it was considered a symptom on one measure (22) and a foil on another(18). False symptoms were taken from McLeod et al. (18). Two foil items on abnormal sensory experiences with very low correct rejection (5.8% and 7.1%) (18) were replaced with more obvious items from Valovich et al. (19) pertaining to hemorrhage from the ears and mouth. Lastly, “difficulty breathing” was added as a false symptom after pilot testing. Total scores were summed from 0 (all true symptoms unmarked; all false symptoms marked) to 27 (all true symptoms marked; all false symptoms unmarked).
Diplopia after Strabismus Surgery
Published in Seminars in Ophthalmology, 2018
It is notable that some patients with acquired strabismus will present to the office still functional but without the need to occlude one eye full-time, while others present wearing a black eye patch—these patients will only remove the patch when asked and will immediately replace the patch when testing is complete. We have found that the latter group of patients are the likely to continue to require complete occlusion, despite anatomically successful strabismus surgery. In any patient with new-onset diplopia, we try to discourage the continual use of a black eye patch, even as a temporizing measure.
Erectile Dysfunction and Partner-Directed Behaviors in Romantic Relationships: The Mediating Role of Suspicious Jealousy
Published in The Journal of Sex Research, 2022
Gavin Vance, Virgil Zeigler-Hill, Rachel M. James, Todd K. Shackelford
A modified version of the Injury Assessment Index from Study 1 was used to assess how frequently participants had been injured by their male partner as a consequence of having violence against them (α = 0.99). The modifications involved directing participants to consider the injuries they sustained by their partner rather than the injuries they inflicted on their partner (e.g., Black eye).