15 results
Kernig's and Brudzinski's Signs- Physical Exam Diagnostic Accuracy in Meningitis

#Diagnosis #PhysicalExam #Meningitis #Sensitivity #Accuracy #Kernigs #Brudzinskis
Kernig's and Brudzinski's ... Sensitivity #Accuracy #Kernigs ... Brudzinskis #Signs #Jolt
Umbilical Cord Prolapse - umbilical cord presents ahead of fetus
 • Elevate the presenting fetal part
Umbilical Cord Prolapse ... - umbilical cord ... position • Obstetrical ... UmbilicalCord #Prolapse #Obstetrics
Traditionally, we have been taught to examine for Kernig’s and Brudzinski’s signs when examining patients with
to examine for Kernig ... recommend testing for jolt ... #Diagnosis #Kernigs
Sister Mary Joseph Nodule on Physical Exam

Unfortunately, not all bulges are hernias. This umbilical bulge ended
all bulges are hernias ... This umbilical bulge ... clinical #video #umbilical ... lymphnode #oncology #umbilicus
Types of abdominal hernias
 - 
Inguinal (70.7%)
 - 
Umbilical (13.9%)
 - 
Epigastric (6.6%)
 - 
Incisional (4.7%)
Types of abdominal hernias ... Inguinal (70.7%) - Umbilical
Approximation of Fundal Height 

Gestational age - Fundal Height Landmark 
12 wks - Pubic symphysis 
20
symphysis 20 wks - Umbilicus ... (<= 24 hrs) - Umbilicus ... Approximation #Obstetrics
Resuscitative Hysterotomy - Procedure Instructions
When? ASAP. Within 4 minutes when possible.
Who? Pregnant patient with uterus above
with uterus above umbilicus ... Scalpel, Scissors • Umbilical ... Midline Incision Umbilicus ... Instructions #checklist #obstetrics
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
: Non-specific Kernig ... 30%; Spec: 70% Jolt
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
uterus above the umbilicus ... Scalpel, Scissors, Umbilical ... - Cut midline umbilicus ... #Instructions #Obstetrics
Intrapartum Abnormal Fetal HR Tracing - Causes of Variability & Decelerations - Differential Diagnosis Algorithm
Minimal/Absent Variability
• Unresolving umbilical ... Algorithm #Causes #Obstetrics