Direct ophthamoscopy• First: the examination is done with dimmed will best results • Then doctor use a topical mydriatic solution to the eye to aid dilation • Lights to allow the pupil
Trang 1WELCOME TO GROUP 3
TOPIC : BASIC INVESTIGATION AND LAB TESTS
Trang 2REVIEW
Trang 3A test that allows a health professional to see inside the fundus of the eye and other structures by ophthalmoscopy to determind the health of iris , lens , retina and optic disc
Trang 4Review eye anatomy
Trang 5• Mydriatic /,maiə'laitis/ thuốc giãn đồng tử
• Fixate /'fɪkseɪt/ tập trung nhìn
• Dilate /daɪˈleɪt/ (v) giãn
• Dilation /daɪ'leɪʃ(ə)n/ (n) sự giãn
Trang 6Ophthalmoscopy Types
Direct ophthalmoscopy Indirect ophthalmoscopy
Trang 7Direct ophthamoscopy
• First: the examination is done with dimmed ( will best results)
• Then doctor use a topical mydriatic solution to the
eye to aid dilation
• Lights to allow the pupil to maximally dilate or widen
• End, asked patient to fixate on a target for the
duration of the test
>> the doctor inspection and normal results
or abnormal results
Trang 8Normal Results
Fundus
Trang 9Abnormal Results
Macular degeneration
Thoái hóa điểm vàng Glaucoma Tăng nhãn áp
Trang 10This video direct ophthalmoscopy
Trang 11Exercise 34.1
Match the underline expressions(1-4) to expressions with similar meanings (a-d)
(1) A couple of drops
(2) which will make it easier for me to see the retina
(3) I need to get rid of as much external light as posible
(4) look straight ahead at that clock
a- the examination is done with dimmed lights
b- a topical mydriatic solution
c- to aid dilation
d- fixate on a target
Answer: 1-b 2-c 3-a 4-d
Trang 12BLOOD PRESSURE
Trang 13What is blood pressure?
• The force of blood against artery walls.
• Recorded as two numbers:
1.systolic blood pressure (SBP)
- heart contracts
2.diastolic blood pressure (DBP)
- heart relaxes
Trang 14/,sfigmoumə'nɔmitə/
gauge
Cuf
Pump /pʌmp/
Valve
/vælv/ [kʌf]
/ɡeɪdʒ/
Trang 16How to measure blood pressure
● Wrap the cuff
● Palpate the brachial artery
and place the diaphragm
over this area
● Close the valve
● Pump up the pressure to at
least 150mmHg
● Open the valve slowly,
watch the gauge
● Hear the first sound at the
value on the gauge that point
is SBP
● Hear the finally sound at
the value on the gauge that
point is DBP
Trang 17Normal value and abnormal value of the blood pressure
Trang 18High blood pressure
Trang 19CHECK BODY TEMPERATURE
• Body temperature is a measure of your body's ability to make and get rid of heat
Trang 20MERCURY THERMOMETER
Buld
Bend Mercury
Scale
Capillary tube
Trang 21Location
Mouth
Trang 23Body temperature
Trang 24
Fever
Trang 25What to Do if a Mercury Thermometer
Breaks
Trang 26TAKING BLOOD
Insert a needle into a vein and withdraws blood into a specimen tube to send to the haematology laboratory for analysis.
Trang 27• Gloves /ɡlʌv/ găng tay
• Apron /ˈeɪprən/ gối kê tay
• Needle /ˈniːdl/ kim tiêm
• Specimen tube /ˈspesɪmən tuːb/ ống nghiệm
• Laboratory (lab) [ˈlæbrəˌtɔri] phòng thí nghiệm
• Alcohol swab /ˈælkəhɑːl swɑːb/ gạc tẩm cồn
• Dressing /ˈdresɪŋ/ băng
• Tourniquet /ˈtɜːrnəkət/ dây garo
• Venipunture /'venɪˌpʌŋktʃə/ tiêm tĩnh mạch
• Phlebotomist người lấy máu
• Bruise /bruːz/ vết thâm tím(vỡ ven)
• Clot cục (máu)
Trang 29• Wash hands
Trang 30• Wear gloves
Trang 31• Apply tourniquet
• Clean the site with an
alcohol swab
Trang 32Inserts a needle into a vein withdraws blood into a
specimen tube
Trang 34Preventing a bruise Specimen tube are
labelled
correctly
Trang 35Laboratory tests
Trang 36Terms used to describe lab results
+
high
raised
elevated up
Normal within normal limits
Normal unremarkable
Trang 37A microbiology request form
Abbreviations for specimen types:
o MSU : mid-stream urine
o CSU : catheter specimen of urine
Trang 38 MSU : nước tiểu giữa dòng
CSU : nước tiểu qua ống dẫn
Urine first voided- for chlamydia : nước tiểu đầu dòng- với nhiễm khuẩn
Faeces : phân
Sputum : đờm
NP secretions : chất tiết qua mũi
BAL : nồng độ cồn trong máu
Induced sputum : đờm kích ứng
Sw in virus TM : gạc bệnh phẩm virus trong chất vận chuyển trung gian
Blood Culture : cấy máu
EDTA blood : chất chống đông
CSF : dịch não tủy
Trang 39Sw in virus TM CFS
Blood culture MSU
CSU
Trang 40A Biochemistry lab report
Value Range Unit
Urea and electrolytes
Trang 41• biochemistry /ˌbaɪoʊˈkemɪstri /: hóa sinh
• Electrolyte /ɪˈlektrəˌlaɪt/ : chất điện giải
• creatinine /kri:'ætɪni:n/
• sodium /ˈsoʊdiəm/ : Natri
• Potassium /pəˈtæsiəm/: Kali
• bilirubin :sắc tố mật
Trang 42A Haematology lab report
Review Comment result
Trang 43Handout