naina
Forum Senior
Topics: 15
Posts: 65
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hi,
whats patricks test-backpain case?
thanx
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| babli
Forum Guru
Topics: 40
Posts: 425
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http://www.hughston.com/hha/a_15_1_1c.htm
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| babli
Forum Guru
Topics: 40
Posts: 425
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http://www.fpnotebook.com/RHE36.htm
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| naina
Forum Senior
Topics: 15
Posts: 65
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thanq very much babli
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| naina
Forum Senior
Topics: 15
Posts: 65
|
hi, wat abt fundal grip and leopalds maneuver
thanx
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| babli
Forum Guru
Topics: 40
Posts: 425
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Leopold's maneuvers are the technique of examination of the pregnant woman with respect to the lie and orientation of the baby in the uterine cavity. don't think its important to remember the FOUR maneuvers for Step 2CS, coz i don't think you'd get a pregnant woman as an SP. here they are anyway:
First Maneuver (Upper pole)
1. Examiner faces woman's head Palpate uterine fundus Determine what fetal part is at uterine fundus
Second Maneuver (Sides of maternal abdomen)
1. Examiner faces woman's head Palpate with one hand on each side of abdomen Palpate fetus between two hands Assess which side is spine and which extremities
Third Maneuver (Lower pole)
1. Examiner faces woman's feet Palpate just above symphysis pubis Palpate fetal presenting part between two hands
2. assess for fetal descent
Fourth Maneuver (Presenting part evaluation)
# Examiner faces woman's head Apply downward pressure on uterine fundus Hold presenting part between index finger and thumb Assess for cephalic versus breech presentation
i think for the 3-step command it could be anything simple but the patient should be made to do some thinking before carrying it out. like writing on a piece of paper a simple command like lifting the pen from left hand and hand it to you with their right hand. then hand that piece of paper to the SP. he/she should be able to read, understand and then execute it. these are the three steps being tested here.
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