can i please get a qoute
LA020352 Assignment 4 BSBMED301, Ed 3 1 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 BSBMED301- Assignment 4 What you have to do The assignment for the unit BSBMED301 has two tasks. In task 1 there are four short answer questions and in task 2 you have to complete two case studies, using your learning resources and recommended book. TASK 1 Question 1 Using your knowledge of word components, give the correct medical term for each of the definitions below. Definition Medical Term 1. pain in joint 2. inflammation of the skin 3. suturing of a muscle 4. visual examination of a joint 5. incision into the eardrum 6. downward displacement of eyelid 7. tumour composed of fat tissue 8. increased thirst 9. excision of a toenail or fingernail 10. extremity enlargement 11. sensitivity to light 12. excision of the adrenal gland 13. condition of high blood glucose 14. softening of the sclera 15. a yellow nodule or mass 16. discharge from the ear 17. pertaining to the ribs and vertebrae 18. whiteness of the hair 19. study of the eye 2 LA020352 Assignment 4 BSBMED301, Ed 3 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 20. pertaining to upon the skin Question 2 Give the meaning of each of the abbreviations below. Abbreviation Medical Meaning 1. IOP 2. SPF 3. EMG 4. NSAID 5. DKA 6. VA 7. Ung 8. Fx 9. POAG 10. TMJ Question 3 Give a brief definition of each of the following medical terms. Medical Term Definition 1. compound fracture 2. idiopathic 3. glaucoma 4. audiometry 5. ulcer 6. diabetes insipidus 7. ilium LA020352 Assignment 4 BSBMED301, Ed 3 3 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 8. cataract 9. otitis media 10. full thickness burn Question 4 Match the following terms given below with the correct definitions. osteoarthritis Systemic lupus erythematosus verruca strabismus exostosis naevus Meniere’s disease astigmatism acromegaly Gigantism Definition Term 1. chronic inflammatory disease involving joints, skin, kidneys, nervous system, heart and lungs. 2. abnormal deviation of the eye. 3. enlargement of the extremeties caused by hypersecretion of the pituitary gland after puberty. 4. bony growth arising from the surface of bone. 5. epidermal growth caused by a virus (wart). 6. progressive, degenerative joint disease characterized by loss of articular cartilage and hypertrophy of bone at articular surfaces. 7. defective curvature of the cornea or lens of the eye. 8. Disorder of the labyrinth of the inner ear. 9. hyperfunctioning of the pituitary gland before puberty leading to abnormal overgrowth of the body. 4 LA020352 Assignment 4 BSBMED301, Ed 3 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 10. pigmented lesion of the skin. Task 2 Case study 1: Sense organs John Jones John Jones, a preschooler, has had recurrent ear infections for one year that his doctor has not been able to treat successfully with antibiotics and other drugs. His preschool teacher also identified nasal speech patterns that his doctor later confirmed were related to his medical problems. After seeing several doctors who recommended surgery, John’s parents have admitted him to Grove Medical Centre. LA020352 Assignment 4 BSBMED301, Ed 3 5 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 Grove Medical Centre History PATIENT Jones, John C ADMISSION DATE November 13, 2006 HISTORY OF PRESENT The patient is a 3-year-old boy with recurrent ear infections and ear ILLNESS congestion non-responsive to antibiotic and decongestant therapy over the past 9/12. The patient also has a history of nasal obstruction and nasal speech. The patient is being admitted for myringotomy, Grommets tubes and examination of the nasopharynx and adenoidectomy. The patient has also seen other doctors who have recommended surgery, including Dr. Stacey and Dr. Earnshaw. PAST MEDICAL Medications: None. Allergies: None. Hospitalisations: None. HISTORY Surgeries: None. Childhood Diseases: Normal. FAMILY HISTORY No cancer or heart disease. Patient’s maternal grandmother has a history of adult-onset diabetes. SOCIAL HISTORY Normal development except for speech. REVIEW OF SYSTEMS Cardiovascular: No hypertension and no heart murmurs. Respiratory: No croup or asthma. Gastrointestinal: No hepatitis. Renal: Negative. Endocrine: No diabetes. Musculoskeletal: No joint disease. Haematologic: Nil. Physical examination GENERAL The patient is alert and afebrile. ENT TMs are dull and slightly retracted; there is decreased mobility. There is dull light reflex bilaterally. No sinus tenderness on percussion of the maxillary or frontal sinuses; there are swollen turbinates on nasal examination. The oropharynx shows hypertrophic tonsils, and there are hypertrophic adenoids on examination of the nasopharynx. CHEST Lungs: Clear to percussion and auscultation. Heart: Pulse: 88 and regular. Abdomen: There are no masses or tenderness. No hepatosplenomegaly was noted. BACK Supple. There are no masses or tenderness. RECTAL/GENITALIA Deferred. EXTREMITIES There was no peripheral oedema, and there were no ecchymoses. IMPRESSION Chronic otitis media with effusion, nasal speech, and nasal obstruction secondary to adenoid hypertrophy. PLAN The patient is to be admitted as an outpatient for adenoidectomy, myringotomy and Grommet tubes as noted above. The surgery and potential risks and complications have been discussed with the parents as well as the possible need for further repeat myringotomy and tubes. 6 LA020352 Assignment 4 BSBMED301, Ed 3 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 Operative Report DATE OF OPERATION November 14, 2008 PREOPERATIVE DIAGNOSIS Chronic otitis media with effusion bilaterally and nasal obstruction with chronic adenoiditis and adenoid hypertrophy. POSTOPERATIVE DIAGNOSIS Chronic otitis media with effusion bilaterally and adenoid hypertrophy and chronic adenoiditis. OPERATION PERFORMED Bilateral myringotomy and tubes with adenoidectomy. PROCEDURE AND FINDINGS After general anaesthesia induction and oral intubation, the patient’s ears were prepped and draped in the usual manner for microscopic myringotomy surgery. A myringotomy in the right ear was carried out following debridement of cerumen. Incision of the circumferential inferior anterior quadrant was carried out. Mucoid material was aspirated from the middle ear. A Grommet tube was placed in position without difficulty. Cotton dressing was applied to the ear. The left ear was examined. A similar dull, non-mobile TM was noted. An inferior anterior myringotomy was carried out again, and thick mucoid material was aspirated. A Grommet tube was inserted again in the left ear. Cotton dressing was applied to the ear canal. The patient was repositioned in the Rose’s position for examination of the nasopharynx which was carried out with a palate retractor. The marked adenoid hypertrophy was noted, and the adenoidectomy was carried out with curette technique. The patient tolerated the procedure well, and following extubation, he was sent back to the recovery room in satisfactory postoperative condition. FINAL DIAGNOSIS Chronic otitis media with effusion bilaterally, with chronic adenoiditis, adenoid hypertrophy and nasal obstruction. G. Fields, MD LA020352 Assignment 4 BSBMED301, Ed 3 7 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 Questions 1. Provide a brief definition for the following medical terms used in this report. hepatosplenomegaly turbinates extubation 2. In the left column, list the patient’s medical problems noted in the history; in the right column write the diagnosis that pertains to each problem. Medical problem Diagnosis (a) (b) 3. John’s social history is related to his medical history. State how this has affected his development. 4. Under the ‘Review of Systems’ were any additional medical symptoms or problems identified? 5. At the time of the examination John was afebrile. Give a brief definition of this term. 6. Carefully read the physical examination. Mark the body areas/systems in which Dr. Fields found any abnormalities. general chest ENT back rectal/genitalia extremities 8 LA020352 Assignment 4 BSBMED301, Ed 3 © New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015 7. Identify the surgical procedures performed and give a brief definition of each one. a) b) c) 8. Define oral intubation and explain the need for this in John’s case. 9. Put the following operative actions in correct order by numbering