Positive Electromyography Case Study

Hemostasis was maintained with the neo point electro corderin. An elliptical excision was made a pound the right lateral neck after infra treating with 1 percent lidocaine with one, and one hundred thousand epinephrine. This was made to set the measurements of the full thickness graft for 3.5 by 2 centimeters. This was taken down to the skin and into the subcutaneous tissue with the 15 blade. The 15 was then used to dissect the full thickness skin graph off from the surrounding subcutaneous tissue. The wound was then closed using multiple interrupted buried foropedia sutures, and then a running subcuticular foroprolene stitch. Hemostasis was maintained prior to closer with the electro quarter. The full thickness skin graft was placed on a saline soaked lab pad during the closer of the right neck wound. The neck wound was also then cleansed; the sutures were applied.

I stopped what I was doing to assess what was wrong. The patient’s abdominal dressing was soaked in fluid. I removed the dressing and noticed that in the middle of her incision site fluid was leaking and would not stop. I grabbed the gauze and applied pressure. After several soaked gauzes, I told the CNA to continue to apply slight pressure on that site and I went to get the

Clinical Scenario: Adult female accountant complaints of right-sided lateral upper extremity numbness and tingling, pain, weakness, and dropping things held in right hand.

A _____(43 or 42)-year-old female [Place] Police Officer with 2 issues. She has noticed, for about 5 weeks numbness in all the fingers of her right hand. Present most of the time. She notes that by holding her arm bent at an angle and up it seems to resolve it. She can recall no neck trauma or neck injury. Neck is not bothering her. No car wrecks. She fashioned some sort of splint herself, but it did not seem to help that much. No other numbness, or tingling, or other neurological symptoms. Feels well overall. Did have her thyroid ablated about a month ago, and she is due to check her TSH again. In addition she has chronic sinus problems, we went through that. There is a seasonal variation. Zyrtec-D seems to work the best. Flonase

PLAN: The patient is to keep the wound clean and dry for the next several days. He will continue follow-up for suture removal in 5

The surgeon irrigates with warm NACL and suction out to make sure no bleeding is occurring. He applies strips of surgical into the wound and begins to close using a silk 3-0

History of Present Illness (Use OLDCARTS format). T.R. is a 50 year old white female that present in the office today as an established patient who is concerns about numbness and tingling in her right wrist and hand. She reports that the numbness and tingling started about 5 days ago. She denies pain, but described the numbness and tingling as intermittent in nature which radiates to fingers (thumb, the scound, third, and partially of the fourth digits). She noticed that her right hand grip is weak, and she is not able to hold a cup of coffee tightly. The numbness and tingling are aggravated by movement and relieved with rest. The numbness and tingling seems to feel worst when typing and less severe at rest. Denies having these symptoms

Locoregional anesthesia was routinely used in non-fasting, cooperative or unfit patients while general anesthesia was the routine in patients who are uncooperative, irritable or medically fit. Pneumatic tourniquet was routinely applied at the midarm with pressure that was 70-100 mmHg above systolic blood pressure. Place the patient supine on the operating table with the arm on an arm board in 90° abduction, full extension of the elbow and forearm pronation. A straight longitudinal dorsal incision was used for exposure of metacarpals; however, proximal phalanges were exposed through a mid-lateral approach. The extensor apparatus was drawn aside and the periosteum was longitudinally incised and elevated to expose the fracture site preventing

Electromyography (EMG) is a way of measuring muscle electrical activity and use it in medical diagnoses which refers to muscle performance. The electric activity generated during muscle activation, known as the myoelectric signal, is generated from small electrical currents generated by the exchange of ions across the muscle membranes and detected with the help of surface electrodes [1].

Initially, the dressings were dry and intact while the patient was still asleep. After 15 minutes of transition, Miss T was gagging, straining, and acted nauseated. I immediately inspected the wound sites and noticed a slight bloody discharge on one of the dressings. Alerting the PACU nurse was my immediate action to alert her of a possible bleeding as I had handed over the intraoperative bleeding in that area. As I continued observing, I noted an increase in the discharge. Hence, my inspection on the wound site which had its tape stripped off and active bleeding was noted. Slight wound dehiscence was apparent. I did all less invasive measures such as cleaning the incision site and the application of pressure dressing initially but to no avail. Notification of the surgeon all throughout was done and given importance. Immediately, I acted on stopping the bleeding through suturing of wound with a deep-

Despite the sterile environment of the surgical theatre infections do occur. The patient’s body always has natural flora on the surface, sometimes these micro-organisms may migrate from the surface of the skin to the open surgical site (Carville, 2012). Wound management for Mr Brown will include assessing the wound site and surround tissue, looking for signs of infection redness, swelling, pain, increased temperature or ooze. As Mr Brown has a vacu drain institu the amount of exudate and color of exudate will be monitored and recorded. Large amounts of exudate may indicate wound complications, such as infection, abscess or a dehiscence of the wound (Carville, 2012). The dressing will remain intact until the date specified by the doctor, until the dressing is changed, regular monitoring of the wound site will continue.

Surgical wound that results from delayed healing in a gastro-surgical ward is one of the most challenging tasks for us. Any dehisced wound that is complicated by wound infection and in relation to malnutrition, age, and different comorbidities are one of the dilemmas that are regularly happening in our ward. Wound management in our ward will require a rigid assessment in every shift of the day, this will require proper wound assessment and referral to the healthcare team when there are any changes to the wound or there is no progress in the healing for wound. Various changes of dressings are also used to pack the wound, and this will also depend on individual nurses that are assessing the wound. There is also a common practice of trial

Prior to being released to go home, patients receive instructions related to caring for their incisions and drains (when applicable). All the information included in their after-care instructions is designed to help patients avoid complications and monitor their healing. Keeping follow-up appointments with Dr. G at his surgery center in Miami is essential. At these follow-up appointments, Dr. Gershenbaum will remove the patient’s bandages, support bra and drains. He will also remove the sutures and examine her incisions.

The patient has identified many factors in her life that can put her at risk for injury when she’s experiencing the numbness in her right hand and weakness. For