Is a doctor needed in the adult ENT pre–admission clinic?

2004 ◽  
Vol 118 (10) ◽  
pp. 796-798 ◽  
Author(s):  
M. Daniel ◽  
A.R. Banerjee
Keyword(s):  
Prospective Study ◽  
X Rays ◽  
Blood Tests ◽  
Drug History

Objectives: Pre-admission clinics are traditionally run jointly by nurses and doctors. Within an adult ENT pre-admission clinic, we wished to assess what doctors added tonurses’ pre-clerking, to determine whether doctors were actually needed in the clinic.Methods: Prospective study,looking at how often doctors, seeing patients after ward-based nurses, changed or added to clerking or tests as organized by nurses.Results: Out of 184 patients, doctors changed or added to nurses’ clerking or planned investigations in 47 patients (26 per cent), making 64 different changes. The commonest reasonsfor changes were ordering blood tests (22 changes), chest X-rays (eight), cancelling due to hypertension (seven), altering drug history (five) and requesting electrocardiograms (five changes).Conclusion: Most changes made by doctors could be eliminated by designing a pre-admission clinic protocol that could easily be used by nurses. We recommend that all ENT departments consider implementing nurse-led pre-admission clinics.

Diagnosis of Silica Induced Granulomatous Hypersensitivity

1982 ◽  
Vol 40 ◽  
pp. 336-337
Author(s):  
C. W. Mehard ◽  
W. L. Epstein
Keyword(s):  
Electron Microscope ◽  
White Female ◽  
X Rays ◽  
Blood Tests ◽  
Analytical Electron ◽  
Analytical Electron Microscope

The underlying cause of a disease may not he readily apparent but may have a long history in development. We report one such case which was diagnosed with the aid of the analytical electron microscope.The patient, a 48 yr. old white female, developed a tender nodule on the sole of her foot in December, 1981. Subsequently additional lesions developed on the same foot resulting in deep pain and tenderness. Superficial lesions also extended up to the knee on both legs. No abnormalities were revealed in blood tests or chest X-rays.

Epistaxis: anatomical and clinical correlates

1990 ◽  
Vol 104 (4) ◽  
pp. 308-311 ◽  
Author(s):  
Nigel Padgham
Keyword(s):  
Point Sources ◽  
X Rays ◽  
Initial Examination ◽  
Bleeding Point ◽  
Clinical Correlates ◽  
Blood Tests ◽  
Laboratory Results ◽  
Nasal Anatomy ◽  
Septal Spur ◽  
Experienced Personnel

AbstractOne hundred and seven consecutive patients with acute and chronic epistaxis were examined to identify the site and nature of the source. Aetiological factors in the history, nasal anatomy or pathology were noted, along with the blood pressure and laboratory results.In most presentations an anterior bleeding point was isolated. Cautery usually sufficed in both anterior and posterior sources. No source was hidden behind a septal spur or deflection. Hypertension was associated with bleeding from the middle meatus, but not with the severity of bleeding. Patients on antihypertensive medication were more likely to be admitted.Point sources of bleeding were from prominent vessels or haemorrhagic nodules; the latter are not well recognized and are easily overlooked.Routine blood tests did not reveal unsuspected abnormalities or change management; neither did sinus X-rays.Initial examination of the nose in the acute phase by experienced personnel is suggested, to reduce admissions and avoid nasal packing.

‘If I knew what was going to happen, it wouldn’t worry me so much’: Children’s, parents’ and health professionals’ perspectives on information for children undergoing a procedure

2019 ◽  
Vol 23 (4) ◽  
pp. 626-638 ◽  
Author(s):  
Lucy Bray ◽  
Victoria Appleton ◽  
Ashley Sharpe
Keyword(s):  
Health Literacy ◽  
Health Professionals ◽  
Ad Hoc ◽  
Qualitative Interviews ◽  
Visual Images ◽  
X Rays ◽  
Blood Tests ◽  
Procedural Information ◽  
Low Levels

Children undergoing procedures such as blood tests and X-rays experience less anxiety and upset if they are well prepared and informed. Currently the provision of information about procedures can be ad hoc and there are barriers to children understanding this information. This study explored the perspectives of 32 children undergoing procedures (aged between 8 and 12 years), 27 parents and 19 health professionals on the provision of preparatory information to children. Qualitative interviews, prompted by visual images, were thematically analysed. The three themes, ‘accessing information’, ‘understanding information’ and ‘using information’, resonated with the central tenets of health literacy. Children reported mainly accessing information second-hand through their parents and demonstrated misconceptions about their procedure. Children identified that procedural information would help them to know what was going to happen and enable them to feel less worried and scared about their procedure. This study highlights that children can have low levels of health literacy in relation to a planned procedure. Their health literacy in this context is heavily influenced by the adults (parents and health professionals) around them. There needs to be further work conducted, informed directly by children, to improve the health literacy of children attending hospital for planned procedures.

scholarly journals Early scaphoid fractures are better diagnosed with ultrasonography than X-rays: A prospective study over 114 patients

2018 ◽  
Vol 21 (4) ◽  
pp. 206-210 ◽  
Author(s):  
Ravikant Jain ◽  
Nikhil Jain ◽  
Tanveer Sheikh ◽  
Charanjeet Yadav
Keyword(s):  
Prospective Study ◽  
X Rays ◽  
Scaphoid Fractures ◽  
A Prospective Study

Abstract 2541: A prospective study of medical diagnostic x-rays and risk of thyroid cancer.

2013 ◽  
Author(s):  
Gila I. Neta ◽  
Preetha Rajaraman ◽  
Amy Berrington de Gonzalez ◽  
Michele Doody ◽  
Bruce Alexander ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Prospective Study ◽  
X Rays ◽  
Medical Diagnostic ◽  
A Prospective Study
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