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Copy of Unit 14 Physiological disorders

Diagnosis
by

angela de vere

on 25 November 2014

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Transcript of Copy of Unit 14 Physiological disorders

The bigger picture...

To know the processes involved in the diagnosis of physiological disorders

Unit 14 Physiological disorders
Function Tests
Blood glucose (blood sugar) test
Blood gas test – respiratory diseases & disorders
Hormone levels – endocrine disorders
Blood typing -
Blood cholesterol test
Liver function test
Blood cultures
THE STRUCTURE OF A MEDICAL HISTORY
◆ The presenting complaint(s) what's wrong
◆ The history of the presenting complaint(s)
How long has it been happening?
◆ Past medical history what have you had in the past?
◆ Drug/allergy history what are you allergic to?
are you taking any medication?
◆ Family medical history what diseases are in your family?
◆ Personal and social history
Details of your family, where you live, etc ...
Scans
Radiology
Radiology
Radiology
Radiology
Radiology
http://www.sciencephoto.com/channel/image/healthcare.html
Use of Images
Can discern between liver disease and where the bile duct might be blocked
High levels of bilirubin indicate blocked bile duct
Function Tests
Ultrasound Scans
CT or CAT Scans
Radiology
Rarer Elf
Investigations
1. self
2. professional referral
3. third party referral


Types of Referral
http://www.youtube.com/watch?v=3YnBD7Gtd1A
Jack Osbourne - MS
Unit 14: Physiological Disorders
Diagnosis
Scans
FBC - Full Blood Count
http://www.nhs.uk/Conditions/Blood-tests/Pages/What-it-is-used-for.aspx
Electrolyte test
Check the level of electrolytes in the blood – sodium, potassium, Chloride, require for transport in & out of the cell
Blood Tests
Physical nature
Chemical composition

Urea – can be toxic
Amino acids – end product of digesting proteins
Urine tests
FBC (full blood count)
U & Es (urea and electrolytes)
LFT (liver function test)
Cholesterol
Glucose (eg fasting bloods)
Tumour markers
Thyroid function
Rheumatoid factor

Blood tests
Your GP/nurse can carry out:
medical history
Test urine
Test sputum
Take blood tests
Take blood pressure
Observations
Investigations - where?
Check for enlarged organs

To note areas that are tender, have lumps or are unyeilding
http://www.youtube.com/watch?v=aSPqXd9PILo
Palpation
Washer, P (2009) Clinical Communication Skills, OUP, Oxford
THE STRUCTURE OF A MEDICAL HISTORY
◆ The presenting complaint(s)
◆ The history of the presenting complaint(s)
◆ Past medical history
◆ Drug/allergy history
◆ Family medical history
◆ Personal and social history
◆ Systems review
Medical history
Investigations
Lung Function
http://www.aurorahealthcare.org/yourhealth/healthgate/getcontent.asp?URLhealthgate=14853.html
Function Tests
Learning Objectives

All will identify the referral process
Most will be able to explain at least 3 major investigations
Some will be able to evaluate the need for at least 2 investigations in their chosen disorder

Referrals
Investigations (who?)
Investigations (what?)
Measurements (obs)

Task 2

Create a Storyboard charting the tests and measurements carried out pre-diagnosis and how the results of these lead to a diagnosis of the 2 disorders. If you do not use a Storyboard you can add information to the leaflets in Task 1.

Describe the investigations that are carried out to enable the diagnosis of these physiological disorders P3
Assess possible difficulties involved in the diagnosis of the disorders from their signs and symptoms M1


Completion date: 5th December 2014

local surgery
at a hospital
at specialist clinics
at home
In pairs please investigate:
Megan and Gina - Tumour marker
Lillian and Kirsty - U and Es
Hina and Kim - Glucose
Alice, Jorja and Gemma - FBC and thyroid


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