Saturday, September 12, 2015

WILTIMS #355: MS3 is aware

"MD aware" is a phrase used by nurses to denote in a patient's chart, often passive aggressively, that the preceding problem has been brought to the attention of the doctor (but the doctor hasn't done anything about it yet). Accordingly, the residents I work with have reappropriated the term for use with each other to mean "Got it. Thanks for letting me know!

TIL: "Skiffy" is not a thing. SCFE, on the other hand, is. It's always so hard looking up things you don't know when everything is an acronym instead of an initialism (pronounced as a word rather than as a series of letters. Anyways, a SCFE is a slipped capital femoral epiphysis which is a serious injury seen in adolescents where the growth cap of the ball part of the hip joint slips off the rest of the leg bone. If not treated quickly, the bone can die and lead to permanent disability.

If someone has a septic hip joint, they often lie in a certain way. They have their leg bent and their hip rotated outward. This position opens up the muscle joint as broadly as possible, which lowers the painful pressure on the joint.

Shenton's line is an imaginary curve that should be present if you connect the curves of the femur and pelvis.

Incentive spirometry in a young child can be achieved by having the kid blow bubbles or fire marshmallow cannons. Incentive spirometry is essentially a breathing exercise but it's boring and somewhat painful for the patients that need it. By making it into a game, you can get children to do this annoying activity willingly.

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