MARTINDALE'S

THE "VIRTUAL" ~ MEDICAL CENTER



CLINICAL - PHYSICAL EXAMINATIONS

& CLINICAL SKILLS



US/Pacific: Thursday, August 28, 2014
Sydney, Australia: Friday, August 29, 2014


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Home Page ~ Medical Center




PHYSICIAN & HEALTHCARE PROVIDERS GUIDELINES

Ethics ~ End-of-Life Care ~ Sterilization & Disinfection ~ Hand Hygiene

ICD, ICF, etc.

Guidelines for Bioterrorism Physical Examination

Guidelines for Infectious Disease Discovered During Examination

Needlestick



COMPLETE PHYSICAL EXAMINATIONS: HEAD TO TOE
(Basic & Advanced)
(Text, Images, Videos/Movies & Audio/Sound)



Pregnancy, Labor, Delivery, Neonatal, Newborn Exam, etc.


Pediatric Exam, Infant Exam, Toddler Exam, Child Exam, Adolescent Exam


Adult Exam



STETHOSCOPE - AUSCULTATION
Cardiac Auscultation (Heart Sounds) & Pulmonary Auscultation (Lung Sounds)

(Text, Images, Simulations, Videos/Movies & Audio/Sound)


CLINICAL SKILLS
(Text, Images, Videos/Movies & Audio/Sound)

Clinical Laboratory Tests


Clinical Procedures by Subject

Antimicrobial Susceptibility Testing ~ Arterial Blood Gas Sampling

Burn Surface Examination & Emergency Care


Cast & Splint Application & Removal ~ Dermatology Clinical Skills

Fluids & Electrolytes ~ Intubation Procedures & Airway Management

IV Access & Catheter Insertion, Intravenus Dilution Standards, Drug Dosage, etc.

Medicine & Vaccine Administration, Injection Techniques, Immunization Schedules


Exposure to Blood ~ Nasogastric Tube Insertion

Perfusion

Phlebotomy, Venipuncture, Blood Typing, Hematology

Regional Anesthesia, Anesthesia,
Anesthesia Machines, Nerve Block Techniques, Pediatric Sedation, Capnography, etc.


Specimen Collection (Microbiology) ~ Suprapubic Aspirate Procedure

Suturing, Knot Tying, Wound Closure, Dressing Change

Time of Death



PHYSICAL EXAMINATIONS & PROCEDURES: BY PHYSICAL AREA
(Basic & Advanced)
(Text, Images, Simulations, Videos/Movies & Audio/Sound)



Abdominal Exam, Gastroenterology, Digital Rectal Exam
(X-Ray Exam of the Colon, Upper GI Series, Esophagram, etc.)



Cardiac Exam, Venous Pulse, EKG, ECG, Invasive Cardiac Monitoring,
Pulmonary Artery Catheter Insertion Procedure, Pacemaker, etc.



Chest, Lung, Pulmonary Exam,
Pulmonary Procedures & Tests: Bronchoscopy Procedure,
Arterial Puncture Procedure, Pleural biopsy, etc.



Dermatology Examination & Procedures
(KOH Prep, Tinea Capitis KOH, KHO of Nails, Tzanck Prep, etc.)



Emergency Exam, Medicine & Procedures
(Emergency Examination, CPR, Emergency Cardiovascular Care,
Emergency Medicine Technical Skills, Airway Management, Anesthesia
Critical Care; Pandemics;
Heart Failure, Stroke, Ischemic Stroke, Transient Ischemic Attack (TIA), etc.;
Emergency Room Trauma;
Biological, Chemical, Nuclear & Radiological Mass Casualties Emergencies,
Chemical Hazardous Substances, Poisonous Snake, Spiders, etc.)



ENT Exam, HEENT Exam, Face Exam,
Dental Exam, Oral Cavity Exam, Oral Examination of Infants,
Neck Veins Exam, Thyroid Exam, Endocrine System, Larynx Exam, Voice Exam, etc.



Eye Exam, Neuro-Ophthalmic Exam,
Slit Lamp Techniques, Gonioscopy, Penlight Exam,
Pupil Dilation, Ophthalmoscope, Fundoscopic Exam, Eye Tests for Computer Users, etc.



Geriatric Exam,
Patient Activity Assessment, Geriatrics Manual
(Geriatric Depression Scale (GDS), Rigit Repetition Test,
Six-Maneuver Physical Screen, The Sternal Nudge Test, etc.)



Gynecological Exam, Clincal Breast Exam, etc.


Hearing Exam, Ear Exam,
Otoscopic Exam, Pneumatic Otoscopy Exam, Hearing Test



Musculoskeletal Examination, Orthopaedic Examination
(Neck Exam; Shoulder Exam; Back Exam; Spine Exam;
Wrist Exam; Hand Exam; Nail Exam; Elbow Exam; Hip Exam;
Knee Exam; Ankle Exam; Foot Exam, Girdle Exam; Gait Exam)



Neurological Examination
(Mental Status Exam-MSE, Sensory Exam, Coordination Exam, Gait Exam, etc.)
Neurological Examination for Divers
Neuro-Ophthalmology Exam
Neuromuscular Exam
(Myopathy, Neuropathy & Peripheral Neuropathy Exams)
Electroencephalography (EEG)
(Normal EEG Variants, EEG Seizure Monitoring,
Encephalopathic Patterns, Awake EEG, Drowsy EEG, Sleep, Activation, etc.)
Electromyography (EMG) and Nerve Conduction
Lumbar Puncture Procedure, Cerebrospinal Fluid (CSF) Examination & Analysis



Physical Examination & Treatment
for Sexually Transmitted Infection/Disease



Radiology Exam


Military Medicine
(Combat and Operational Behavioral Health;
Care of the Combat Amputee;
Medical Aspects of Chemical Warfare;
Military Preventive Medicine: Mobilization and Deployment;
Military Advanced Regional Anesthesia and Analgesia; etc.)



VA & DoD Physicians
(Post Traumatic Stress Disorder (PTSD)






Laboratory Diagnostics & Medical Tests ~ Medical Cases & Grand Rounds

Anatomy Dissection Laboratory

Anatomy Center ~ Pathology, Forensics & Virology Center ~ Anesthesiology & Surgery Center

Prescription & OTC Drug Databases ~ Clinical Calculators ~ Medical Center











Clinical - Physical Examinations
All Inclusive





Newborn, Pregnancy, Labor, Delivery, Exams, etc.



Pregnancy Diagnosis


Ultrasound Examination ~ Fetal Examination


Antepartum Care & Normal Labor & Delivery


Complications in Pregnancy & Childbirth


Cervical Ripening, Vaginal Delivery, Cesarean Delivery, Breech Delivery,
Forceps Delivery, Vacuum Extraction, Twin Delivery,
Amniotomy, Leopold's Maneuvers, Continuous Lumbar Epidural,
Deliver the Placenta, Episiotomy Repair, Circumcision, etc.



Placenta Examination ~ Neonatal Resuscitation


In Utero Drug Exposure - Drug-Exposed Infants


Newborn Clinical Guidelines


Newborn Examination - Neonatal Examination
& Newborn Normal and Abnormal Findings



Newborn Neurological Examination


Newborn Electroencephalograhy Examination


Breastfeeding Newborns



Obstetrics Center








Pediatric Examinations


Pediatric Physical Examinations


Pediatric Growth Charts & Training Modules


Pediatric Eye Examinations ~ Pediatric Ear & Hearing Examination


Pediatric Neurological Examination



Pediatrics Center







Adult Physical Examinations


Adult Physical Examinations
(Text, Images, Videos/Movies & Audio/Sound)



Adult Physical Examinations
(Text, Images, Simulations & Audio/Sound)



Adult Physical Examinations
(Text & Images)








Stethoscope - Auscultation


Cardiac Auscultation:
Heart Sounds, Mumors, Cardiac Arrhythmias, etc.



Cardiac & Pulmonary Auscultation


Pulmonary Auscultation: Lung Sounds, Pulmonary Breath Sounds, etc.




    CARDIAC AUSCULTATION & STETHOSCOPE


      Auscultation
        Cardiac Auscultation, Heart Sounds, Mumors, Cardiac Arrhythmias Lessons with Text, Images, Videos/Movies & Audio/Sound


        CARDIAC AUSCULTATION (FLASH) - Cardiology Site, A.S.M. Systems, Inc. Multimedia Cardiac Auscultation Lessons & Coronary Angiography Lessons (Text, Images, Simulations, Videos/Movies & Audio/Sound).
        Examples from over "50" "Cardiac Auscultation" - Heart Sounds Audio Lessons include
          Heart Sounds
            "...Split S1;
            Ejection Sound;
            S4 & S3 Gallop;
            Summation Gallop;
            Opening Snap (80, 50 & 120 ms); etc..."
          Systolic Mumurs
            "...Cooling Murmur;
            Mild AS;
            Severe AS, MR;
            VSD; etc..."
          Diastolic Murmurs
            "...AR;
            Acute AR;
            PR; etc..."
          Systolic-Diastolic
            "...MR & AR;
            MS & MR;
            Venus Hum; etc..."



        PATHOLOGICAL HEART SOUNDS (REALPLAYER) - A.H. Öztiryaki, Haluk's Corner of Anesthesiology & Reanimation, Istanbul, Turkey Multimedia Pathological Heart Sounds (Text, Images & Audio/Sound)
        Examples of "Pathological Heart Sounds" include
          Mitral Stenosis
            "...Mitral Opening Snap;
            Mitral Stenosis (MS) and Diastolic Murmur (DM);
            MS and DM: 4 x Slower;
            MS and DM and Systolic Murmur (SM); etc..."
          Mitral Insufficiency
            "...MI and SM Plus S3-Sound;
            MI and SM Plus S3-Sound: 2 x Slower;
            MI and SM Plus S3-Sound: 4 x Slower;
            MS and MI and SM Plus S3-Sound; etc..."
          Aortic Stenosis
            "...AS and SM; AS and SM and Long Aortic Sound (LA2);
            AS and SM and LA2 and Atrial Sound;
            AS and SM and LA2 and Atrial Sound: 2 x Slower; etc..."
          Aortic Insufficiency
            "...AI and DM and Attenuated S2;
            AI and Long DM and Attenuated S2;
            AI and Long DM and SM and Attenuated S2: 4 x Slower;
            AI and Long DM and SM and Attenuated S2 Plus AUSTIN FLINT Murmur; etc..."





    CARDIAC & PULMONARY AUSCULTATION


      Auscultation: Heart & Lung Sounds Lessons with Text, Images & Audio

        AUSCULTATION ASSISTANT (QUICKTIME, WINDOWS MEDIA PLAYER) - C. Cable, David Geffen School of Medicine, UCLA Multimedia Auscultation Lessons (Text, Images, Simulations & Audio/Sound).
        Auscultation Assistant
          "...provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills..."
        Examples of "Auscultation Assistant" Lessons include
          Physiology of Murmurs
            "...Split S2;
            Innocent Murmur;
            Venous Hum..."
          Systolic Murmurs
            "...Aortic Stenosis;
            Early Aortic Stenosis;
            Late Aortic Stenosis;
            Pulmonary Stenosis; etc..."
          Diastolic Murmurs
            "...Diastolic Murmurs;
            Aortic Regurgitation..."
          Rubs, Gallops, and Continuous Murmurs
            "...Friction Rub;
            S2; etc..."
          Breath Sounds
            "...Normal Lung;
            Crackles; etc..."





    PULMONARY AUSCULTATION


      Chest Auscultation - Pulmonary Auscultation: Lung Sounds, Pulmonary Breath Sounds, Respiratory Sounds with Text, Images & Audio




Clinical Procedural Skills
















Physical Examinations by Physical Area





Abdominal Exam, Digital Rectal Exam, Gastroenterology


Abdominal Examination


Digital Rectal Examination


Gastroenterology Textbook




Gastroenterology Center
Atlases, Databases, Journals, Courses, Lectures, Lessons, etc.)



Anesthesiology & Surgery Center
Colonscopoy, Endoscopoy, Laparoscopic Procedures, Techniques, etc.






Cardiac Examinations


Cardiac Physical Examinations


Examination of the Venous Pulse


Electrocardiogram (ECG) - Elektrokardiogramm (EKG)


Pacemakers




Stethoscope & Auscultation Section
Cardiac Auscultation Subsection: Heart Sounds, Mumors, Cardiac Arrhythmias




Cardiology Center
Databases, Journals, Courses, Lectures, Lessons, etc.



Cardiothoracic Radiology
Databases, Courses, Lectures, Lessons, etc.







Pulmonary Exam, Pulmonary Procedures & Tests


Pulmonary Examination


Advanced Pulmonary Examination


Pulmonary Procedures & Tests
(Bronchoscopy Diagnostic Procedure,
Arterial Puncture Procedure, Pleural Biopsy, Bronchoscopic Atlases, etc.)




Stethoscope & Auscultation Section
Pulmonary Auscultation Subsection: Lung Sounds, Pulmonary Breath Sounds




Pulmonary & Respiratory Center
(Atlases, Cases, Courses, Journals, etc.)






Dermatology Exam






Emergency Exam, Medicine & Procedures


Emergency Examination in Emergency Situtations


Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care


Cardiopulmonary Physiological Model


Airway Management ~ Anesthesia


Emergency Medicine Technical Skills ~ Ultrasound Guide for Emergency Physicians


Influenza Pandemic ~ Blast & Bombing Injuries


Chemical Hazard Emergencies &
Biological, Chemical, Nuclear & Radiological Mass Casualties Emergencies



Critical Care Procedures
(Fiberoptic Endotracheal Intubation Procedure,
Endotracheal Intubation by Direct Laryngoscopy, etc.)



Emergency Medicine


Diagnosis and Management of Foodborne Illnesses


Heart Failure, Stroke, Ischemic Stroke,
Hemorrhagic Stroke, Lacunar Stroke, Transient Ischemic Attack (TIA)



Hazardous Substances Emergency Medicine


Poisons Recognition & Management


Pesticide Poisoning Recognition & Management


Poisonous Snake, Spiders, Scorpions, Marine Life, etc. Bites


Emergency Room Trauma Assessment & Management









ENT Exam, HEENT Exam, Face Exam,

Dental Exam, Neck Viens Exam, Thyroid Exam,

Endocrine System, Larynx Exam, Voice Exam, etc.


ENT Examination - HEENT Examination


Dental Physical Examination,
Oral Pathology Physical Examination, Oral Examination of Infants



Endocrine System
Thyroid Gland, Adrenal Gland, Acromegaly, etc.



Larynx Examination, Voice Examination, Larynx & Phonetics




Otolaryngology, Otorhinoloaryngology Center
(ENT, Larnyx, Voice Atlases, Cases, Courses, Journals, etc.)



Dental Center
(Atlases, Cases, Courses, Journals, etc.)







Eye Exam


Clinical Eye Examination,
Slit Lamp Techniques, Gonioscopy, Penlight Exam, Eye Tests for Computer Users, etc.



Neuro-Ophthalmic Examination


Neurological Eye Simulation ~ Oculocephalic Reflex


Ophthalmoscope ~ Fundoscopic Examination




Ophthamology & Optometry Center
(Ophthamology & Optometry Atlases, Cases, Courses, Journals, etc.)








Geriatric Exam

Patient Activity Assessment, Geriatrics Manuals


Geriatric Standardized Patient Activity Assessment Course
(Geriatric Depression Scale (GDS), Rigit Repetition Test,
Six-Maneuver Physical Screen, The Sternal Nudge Test, etc.)



Geriatrics Manuals, Courses, Grand Rounds & Cases




    GERIATRIC EXAMINATION, GERIATRIC MANUALS, ETC.


      Geriatric Standardized Patient Actor Training Course with Text, Images, Videos/Movies & Audio/Sound

        GERIATRIC: STANDARDIZED PATIENT ACTOR TRAINING (QUICKTIME) - Geriatric Education, Carver College of Medicine, University of Iowa Multimedia Geriatric: Standardized Patient Actor Training Course (Text, Images, Videos/Movies & Audio/Sound).
        Examples of "Geriatric: Standardized Patient Actor Training" Course Sections & Subsections include
          Assessment of Activities of Daily Living
            "...Taking a Functional History;
            Assessment of Activities of Daily Living
              The Six-Maneuver Physical Function Screen;
              The Six-Meter Walk;
              The Five-Second Stand;
              The Sternal Nudge Test;
              The Whispered Word;
              The Mini Mental State Exam (MMSE); etc..."
          Alzheimer's Disease Patient
            "...Functional Assessment;
            Six-Maneuver Physical Screen;
            Clock Drawing Test;
            Geriatric Depression Scale (GDS); etc..."
          Parkinson's Disease Patient
            "...Functional Assessment
              The Rotatory Tremor;
              Six-Maneuver Physical Screen;
              Geriatric Depression Scale (GDS); etc..."
          Examples of "Geriatric Tools" include:
            Dementia and Delirium
              "...Confusion Assessment Method;
              Digit Repetition Test;
              Trail Making Test; etc..."
            Gait and Immobility - Fall Risk
              "...Get-up and Go Test;
              Performance-Oriented Assessment of Balance; etc..."
            Pain
              "...Faces Pain Scale;
              Pain Thermometer;
              Pain Assessment in Advanced Dementia Scale; etc..."
            Sensory Perception
              "...Snellen Eye Chart;
              Whispered Voice Test..."
        For more information see the Geriatric Lecture Series or Geriatric Education




      Geriatrics Manuals, Courses, Grand Rounds & Cases




Gynecological Exam,

Clinical Breast Exam, Lymph Nodes Exam


Gynecological Examination


Clinical Breast Examination & Lymph Nodes Examination


Breast Cancer Screening & Diagnosis Guidelines




Gynecology Center
(Atlases, Cases, Courses, Databases, Journals, etc.)







Hearing Examination,

Ear Exam, Otoscopic Exam, etc.


Otoscopic Examination ~ Hearing Test ~ Hearing Loss



Ear, Audiology, Hearing
(Atlases, Cases, Courses, Databases, Journals, etc.)







Musculoskeletal Examination


Musculoskeletal Examination - All Inclusive
(Neck Exam; Shoulder Exam; Back Exam; Spine Exam;
Wrist Exam; Hand Exam; Nail Exam; Elbow Exam; Hip Exam;
Knee Exam; Ankle Exam; Foot Exam, Girdle Exam; Gait Exam)



Musculoskeletal Examination by Specific Exams


Back Examination:
Cervical Spine, Lumbar Spine, Upper & Lower Extremities



Foot & Ankle Exam ~ Hand Exam & Wrist Exam ~ Hip Exam ~ Knee Exam ~ Shoulder Exam




Orthopaedic Surgery
(Guidelines, Atlases, Surgery Procedures & Techniques,
Interventional Radiology Musculoskeletal Procedures, Cases, etc.)








Neurological Exam, Mental Status Exam

Neuromuscular Exam, EEG, EMG, CSF, etc.


Neurological Examination
(Mental Status Exam, Cranial Nerve Exam, Motor Exam,
Sensory Exam, Coordination Exam, Gait Exam, etc.)



Neurological Examination for Divers


Pediatric Neurological Examination (Newborn to 2-1/2)


Neuro-Ophthalmology Examination


Neuromuscular Examination
(Myopathy, Neuropathy, Peripheral Neuropathy)



Electroencephalography (EEG)
(Normal EEG Variants, EEG Seizure Monitoring, Encephalopathic Patterns,
Awake EEG, Drowsy EEG, Sleep, Activation, etc.)



Electromyography (EMG) and Nerve Conduction


Lumbar Puncture (Spinal Tap),
Cerebrospinal Fluid (CSF) Examination & Analysis
(Positioning the Patient, Lunbar Puncture Technique,
Collecting CSF Samples, Fluid Analysis, etc.)




Neuro & Brain Center
(Atlases, Databases, Courses, Cases, Journals, etc.)



Radiology Center
(Neuro MRI, PET, etc. Atlases & Databases)









Physical Examination & Treatment for

Sexually Transmitted Infection


Physical Examination for Sexually Transmitted Infection (STI)
Sexually Transmitted Disease (STD)



Sexually Transmitted Disease (STD's) Treatment Guidelines







Radiology Examination


Med Students - Basic Introduction to Radiology


Residents & Physicians - Radiology Examinations



Radiology Center
(Neuro MRI, PET, etc. Atlases, Courses, Cases, Databases, etc.)









Health Science Guide ~ Medical Center

Home Page



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