Recognising Vascular Causes of Leg Complaints in Endurance Athletes. Part 2: The Value of Patient History, Physical Examination, Cycling Exercise Test and Echo-Doppler Examination

2002 ◽  
Vol 23 (5) ◽  
pp. 322-328 ◽  
Author(s):  
G. Schep ◽  
M. H. Bender ◽  
S. L. Schmikli ◽  
W. L. Mosterd ◽  
E. R. Hammacher ◽  
...  
Keyword(s):  
Physical Examination ◽  
Exercise Test ◽  
Endurance Athletes ◽  
Patient History ◽  
Cycling Exercise ◽  
Doppler Examination ◽  
Echo Doppler Examination

Nursing assessment

2021 ◽  
pp. 201-210
Author(s):  
Jennie Burch ◽  
Brigitte Collins
Keyword(s):  
Clinical Practice ◽  
Physical Examination ◽  
General Health ◽  
Nutritional Assessment ◽  
Health Assessment ◽  
Digital Rectal Examination ◽  
Assessment Methods ◽  
Patient History ◽  
Nursing Assessment ◽  
Rectal Examination

The nursing assessment chapter explores the essential processes required to enable nurses to effectively assess patients and subsequently plan care. Undertaking a general patient history is important to determine a general health assessment. Additionally, there are a number of additional assessments that can be undertaken to gain greater understanding of specific gastrointestinal systems, such as a gastrointestinal assessment, a liver assessment, or a nutritional assessment. After performing an assessment through the use of questions, to gain more details about the patient and any condition they might be presenting with, a physical examination is necessary of the abdomen and rectum; a digital rectal examination may be undertaken. Succinct explorations on the various assessment methods that nurses use to evaluate the needs of patients can be reviewed when necessary within clinical practice by the nurse.

Back Pain: It’s Not Always Arthritis

2018 ◽  
Author(s):  
Tariq M. Malik
Keyword(s):  
Back Pain ◽  
Physical Examination ◽  
Spinal Metastases ◽  
Spinal Pain ◽  
Primary Treatment ◽  
Spinal Tumors ◽  
Vertebral Augmentation ◽  
Augmentation Therapy ◽  
Patient History ◽  
Pain Evaluation

Back pain is prevalent in adults, and most often its cause is nonspecific and benign. Imaging and interventions are not always helpful and they are generally expensive and low yield. However, in about 10% or fewer cases, a specific etiology is found. A patient history, physical examination, and testing are the methods for finding the cause. Back pain from malignancy must also be considered. Prolonged survival from better chemotherapy has increased the incidence of metastases to bone, especially the spine. Common sources of spinal metastases are cancers of the prostate, kidneys, thyroid, breast, and lungs. The primary treatment is to address the malignancy. Pain from spinal tumors can be treated with chemotherapy, radiotherapy, radiofrequency, or vertebral augmentation therapy. The chapter reviews the epidemiology of spinal cancer pain, evaluation of malignant spinal pain, and what the interventional pain physician can offer patients to alleviate their pain.

scholarly journals Prior moderate and heavy exercise accelerate oxygen uptake and cardiac output kinetics in endurance athletes

2009 ◽  
Vol 106 (5) ◽  
pp. 1553-1563 ◽  
Author(s):  
Azmy Faisal ◽  
Keith R. Beavers ◽  
Andrew D. Robertson ◽  
Richard L. Hughson
Keyword(s):  
Cardiac Output ◽  
Oxygen Uptake ◽  
Phase Ii ◽  
Exercise Bout ◽  
Endurance Athletes ◽  
Heavy Exercise ◽  
Cycling Exercise ◽  
Warm Up ◽  
Exercise Onset ◽  
Finger Pulse

Cardiorespiratory interactions at the onset of dynamic cycling exercise are modified by warm-up exercises. We tested the hypotheses that oxygen uptake (V̇o2) and cardiac output (Q̇) kinetics would be accelerated at the onset of heavy and moderate cycling exercise by warm-up. Nine male endurance athletes (peak V̇o2: 60.5 ± 3.2 ml·min−1·kg−1) performed multiple rides of two different 36-min cycling protocols, involving 6-min bouts at moderate and heavy intensities. Breath-by-breath V̇o2 and beat-by-beat stroke volume (SV) and Q̇, estimated by Modelflow from the finger pulse, were measured simultaneously with kinetics quantified from the phase II time constant (τ2). One novel finding was that both moderate (M) and heavy (H) warm-up bouts accelerated phase II V̇o2 kinetics during a subsequent bout of heavy exercise (τ2: after M = 22.5 ± 2.7 s, after H = 22.1 ± 2.9 vs. 26.2 ± 3.2 s; P < 0.01). Q̇ kinetics in heavy exercise were accelerated by both warm-up intensities (τ2: M = 22.0 ± 4.1 s, H = 23.8 ± 5.6 s vs. 27.4 ± 7.2 s; P < 0.05). During moderate exercise, prior heavy-intensity warm-up (one or two bouts) accelerated V̇o2 kinetics and elevated Q̇ at exercise onset, with no changes in Q̇ kinetics. A second novel finding was a significant overshoot in the estimate of SV from Modelflow in the first minutes of each moderate and heavy exercise bout. These findings suggest that the acceleration of V̇o2 kinetics during heavy exercise was enabled by the acceleration of Q̇ kinetics, and that rapid increases in Q̇ at the onset of moderate and heavy exercise might result, in part, from an overshoot of SV.

Clinical and laboratory diagnosis of lower extremity infections

1989 ◽  
Vol 79 (10) ◽  
pp. 505-510
Author(s):  
WS Joseph
Keyword(s):  
Infectious Diseases ◽  
Lower Extremity ◽  
Physical Examination ◽  
Therapeutic Intervention ◽  
Systematic Approach ◽  
Laboratory Diagnosis ◽  
Infectious Complications ◽  
Laboratory Analysis ◽  
Patient History ◽  
Partial Amputation

By following a systematic approach to the patient history, physical examination, and laboratory analysis in cases of infections, rapid and accurate therapeutic intervention becomes possible. This action can prevent possibly devastating infectious complications, ranging from partial amputation to death. The current litigious climate dictates thorough evaluation and documentation of all infectious diseases of the lower extremity.

The Patient History and Physical Examination

2011 ◽  
pp. 170-186 ◽  
Author(s):  
Christopher J. Standaert ◽  
Stanley A. Herring ◽  
J. David Sinclair
Keyword(s):  
Physical Examination ◽  
Patient History

scholarly journals Structured data entry for narrative data in a broad specialty: patient history and physical examination in pediatrics

2006 ◽  
Vol 6 (1) ◽  
Author(s):  
Sacha E Bleeker ◽  
Gerarda Derksen-Lubsen ◽  
Astrid M van Ginneken ◽  
Johan van der Lei ◽  
Henriëtte A Moll
Keyword(s):  
Physical Examination ◽  
Data Entry ◽  
Structured Data ◽  
Patient History
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