Med4yu: Ortho HO must know

- age/ race/gender

- chief complain

- presenting history (how it happens-where they fall, how, why; pain-what kind of pain-location, intensity, relieving factors)

- other related signs and symptoms: LOC(loss of consciousness), headache, N&V(nausea and vomiting)

- treated by any other hospital?

- past medical history: underlying disease? DM/HPT? well controlled?

- Social hostory: ADL, who he is staying with?

- P/E- relevant and related: Observe, palpate, motor: Range of movement of limbs, sensitivity, neurological

- report any X-ray or CT scan done

- the header is S/B Dr. XXX or <AM review>

format:

- age/race/gender

- Post operation Day/ Day admission, what kind of surgery,

- pt condition: oral and toiletry, SOB, fever, cough/flu, pain(pain score),

- vital signs: BP, Pulse, T

- P/E: dressing, wound/condition

- Plan: continue previous meds, change dressing, physio referral, feeding, pain medication

- how to read the spine X-ray/ any xray

- check alignment

- body: vertabral body, spinous process, antevertebral body, 4 lines of X-ray,

- any burst /compression fracture

- to determine via TLCIS if the person with thoracolumbar injury needs surgery or not.

- physical examination

- motor, sensory and neurological: any abnormalities, know what is it testing for

- differences between Upper Motor neuron and Lower Motor Neuron,

- Cauda Equina

- end of UMN is L2

TO do ABG, use the blue needle and syringe to extrct the blood
to do line, use pink needle, find the vein on pt hand, feel and put it in.
to do slap, need a friend to help with releasing the water from the back slap(10 layers)
to do skin traction: prepare the cover and weight(10% of pt body weight)
to be prepared always for mo who is coming for pt.

Med4yu