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Surgical technology for the surgical technologist fourth edition
https://books.google.com/books?id=Cw8UfnpDIsYC&printsec=frontcover&dq=surgi
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Read Chapter 13 Diagnostic Procedures
P. 396 – P. 409 and answer questions.
Lynn has just sustained a fall off a stepladder. She fell backward, striking her head
against the wall. She temporarily lost consciousness but is now awake, alert, and
oriented. Lynn was transferred to the emergency department at the local hospital by
ambulance with a cervical collar in place. She responds appropriately to verbal
commands and is able to move all four extremities. She has a history of craniofacial
fractures with stainless steel implants.
1 Lynn is complaining of a headache. The surgeon is concerned that her intracranial
pressure may be in creasing, so speed is an issue. Which diagnostic imaging test will
be ordered to see if she has any intracranial bleeding? Why is a MRI not likely to be
ordered for Lynn?
2 What diagnostic examination is most likely to be performed to view a vertebral
bone injury prior to removal of the cervical collar? How is the amount of X-ray
exposure measured?
3 What type of physician specialist will be needed to interpret the results of the
diagnostic examination?
Read Chapter 14 General Surgery
P. 410 – P. 505 and answer question
Lin Su is a 21 years old female college student. She was admitted to the college’s
health center for right lower quadrant pain, nausea, and low grade fever. She was
diagnosed with acute appendicitis, and surgery was scheduled.
1 Describe the causes of appendicitis. Is the appendix ever removed when
appendicitis is not involved?
2 Describe the signs and symptoms of appendicitis. Describe the significance of
perforation
3 Describe how a McBurney’s incision is made for an open procedure. A laparoscopic
appendectomy will require an infraumbilical incision for the Hasson trocar; where is
this incision made?
4 Describe how the appendix/mesoappendix is ligated and how the appendiceal stump
is inverted.
5 Describe what precautions you take with the instruments, lap sponges, and supplies
that come in contact with the appendix.
6 The appendix was perforated; the surgeon intends to use the principles of third
intention healing. He asks for a Penrose drain. From information in previous chapters
regarding wound healing, describe what s means to the patient.
References
Frey, K. B., & Ross, T. (Eds.). (2014). Surgical Technology for the Surgical
Technologist: A Positive Care Approach (4th ed.). Clifton Park, NY: Delmar.
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