Case 2 Part 1

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What's inside?

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Desktop feature. View the video. Rearrange the list below to match the order of events in the video. (Click on an event. Hold down the click. Then drag up or down to bring to a new position.) The site will let you know when the order is correct.

Y-shaped incision
External assessment
Removal of chest plate
Contact with EKG leads

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Discussion Questions

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1. Inventory the physical findings in the video. Feel free to use the sketch pad body diagram.
 
 
2. What surgeries did the patient have?
 
 
3. How many total surgeries did the patient have?
 
 
4. Are there any post-surgical complications? What are they?
 
 
5. Does the patient have evidence of an infection?
 
 
6. What are the signs of infection in the skin?
 
 
7. What is necrosis?
 
 
8. Does the patient have necrosis?
 
 
9. Does necrosis imply infection?
 
 
10. What can cause necrosis?
 
 
11. What is the difference between a gastrotomy tube and a jejunostomy tube?
 
 
12. Which tube is which in the patient? Feel free to use the sketch pad body diagram.
 
 
13. Why would a patient have both a gastrostomy tube and a jejunostomy tube?
 
 
14. What is a decubitus ulcer?
 
 
15. How are decubitus ulcers graded?
 
 
16. How many decubitus ulcers does the patient have? Where are they? Grade them. Feel free to use the sketch pad body diagram.
 
 
17. Based on the external exam, what anatomic changes will you be checking for inside the abdomen?
 
 
18. Based on the external exam, what post-surgical complications could you see inside the abdomen?
 
 
19. Do you think this patient functioned independently, semi-independently or was completely dependent on care? What is your evidence.
 
 
20. Assess the patient’s muscle mass. How does that correlate with the rest of the physical exam.





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