Dr MK hv got a question concerning Prehn's test...isn't it that it's negative in torsion but positive in epididymitis, thus pain relief being only in epididymitis??
yes, a Negative Prehn's sign indicates no pain relief when lifting the affected testicle, which points towards testicular torsion however Positive Prehn's sign indicates there is pain relief with lifting the affected testicle, which points towards epididymitis. I may have switched the two
On that patient with burns, 70kg was used to calculate the fluids required. When do we consider 40kg as maximum weight for fluid calculation to avoid overload?
Doc. If the head is 9% then half is 4.5%. Then if the hand is 1% then half is 0.5%. So on station 8, is it that the TBSA is 6.5% seeing as the surface area from the hands bilaterally is going to be 2% considering two full hands contributed 1% each??
I agree for the head but the hand 1% is the palm remember which is only the front, so I still maintain my answer, in the rule of 9s the hand is actually part of the 9% and the assumption we are using here is the rule of palms which puts the palm at 1% and I believe the palm is only on one side of the hand
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Had my OSCE exams today. This channel came through for me 🙏🙏 thanks Dr Kazevu
Dr MK hv got a question concerning Prehn's test...isn't it that it's negative in torsion but positive in epididymitis, thus pain relief being only in epididymitis??
yes, a Negative Prehn's sign indicates no pain relief when lifting the affected testicle, which points towards testicular torsion however Positive Prehn's sign indicates there is pain relief with lifting the affected testicle, which points towards epididymitis. I may have switched the two
Awesome video Dr 👏🏾👏🏾
You did a great job. Keep going.
Thank you, I will
Work compilation is perfect!
Sound on point
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This is really helpful
Excellent information...very helpful
You’re welcome
On that patient with burns, 70kg was used to calculate the fluids required. When do we consider 40kg as maximum weight for fluid calculation to avoid overload?
The 40 maximum is for the burn percentage surface area not the weight of the patient suppose someone has 55% burns your maximum would be 40
@@DrMK7 oh yes I remember thank you so much
Super helpful. Thank you Doc🙏🫡
Glad it was helpful!
doc, I just have a question, and this may be late, but shouldnt the external hemmorrhoids be painful when bleeding?
They only become painful when thrombosed or infected otherwise it’s just discomfort
Doc. If the head is 9% then half is 4.5%.
Then if the hand is 1% then half is 0.5%.
So on station 8, is it that the TBSA is 6.5% seeing as the surface area from the hands bilaterally is going to be 2% considering two full hands contributed 1% each??
I agree for the head but the hand 1% is the palm remember which is only the front, so I still maintain my answer, in the rule of 9s the hand is actually part of the 9% and the assumption we are using here is the rule of palms which puts the palm at 1% and I believe the palm is only on one side of the hand
@@DrMK7 oh okay I see. That was done using rule of palms. I get the reasoning used. Thank you doc.
Doc just a clarity,what body burnt surface area percentage do you consider before giving IV fluids?
Ideally fluids should be given IV regardless of percentage
But with some literature >20%TBSA in adults, and for burns >10%TBSA in children
Good osce can I join also to your what's app group
I don’t have any WhatsApp group