gordo
Resident Jew
242 isn;t low at all dude
ppl get in with 200
ppl get in with 200
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for a total of 15-20 lines ... in 4 mins... for 3-4 marks.. :SMr x is a 22-year-old labourer who reports that he injured his back at work on a construction site . After a full assessment you conclude that he will need at least one week absence from work.
(a) When undertaking an examination of Mr Jones you find tenderness on palpation of a spinous process in the lumbar spine.
Explain how you would identify the level of the spinous process that was tender.
(b) Explain how you assess rotation of the thoraco-lumbar spine and what is the normal range of movement.
(c) What are your responsibilities as a doctor, in terms of his absence from work and his injury?
(a) the lumbar spine has 5 vertebrae...palpate the anterior superior iliac spine and trace posteromedially to the lumbar region. This should lie superficial to the L4-5 intervetebral disc. This is an important landmark because it is a site for lumbar puncture and extraction of cerebrospinal fluid in the subarachnoid space. It allows us to palpate for the spinous processes of the L4/5 verterbrae immedately superiorly and inferiorly (respectively) and from there it is a simple matter of extrapolating from mr.x which spious process exactly was tender.Mr x is a 22-year-old labourer who reports that he injured his back at work on a construction site . After a full assessment you conclude that he will need at least one week absence from work.
(a) When undertaking an examination of Mr Jones you find tenderness on palpation of a spinous process in the lumbar spine.
Explain how you would identify the level of the spinous process that was tender.
(b) Explain how you assess rotation of the thoraco-lumbar spine and what is the normal range of movement.
(c) What are your responsibilities as a doctor, in terms of his absence from work and his injury?
Four degrees.Joytotheworld! said:Oh and no, I haven't heard of a quadruple testumar or whatever. Please explain?