General Practice Tips for Medical Students

*👨🏻 General Practice Tips 👩🏻‍⚕*

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🔴 *Problem : _A ticklish, giggly patient won't let u examine his belly._*

🔵 *Solution : _Give a broad smile, ask the patient to place his hand on abdomen, place ur fingers in between patient's fingers and then examine._*

🔴 *Problem : _Cannot hear Kortokoff's sounds through ur stethoscope !._*

🔵 *Trick : _Rise the pressure in the BP instrument Cuff above 200mmHg, ask patient to alternately open and close the first for 5 to 6 times. Now the sounds ll be distinctly audible._*

🔴 *Problem : _Interactable continuous cough ?_*

🔵 *Try this : _Mix 1ml of Lignocaine with 1ml of Salbutamol respiratory solution and nebulise._*

🔴 *Confused : _Migraine or Sinusitis ?_*

🔵 *Trick : _Give a supra orbital nerve block and wait for 5 minutes. The head ache due to sinusitis ll disappear temporarily, as the nerve supply to the frontal sinus is blocked, while the vascular head ache n migraine ll persist._*

🔴 *Problem : _Easing eye drops in children._*

🔵 *Trick : _Instill a drop at the inner canthus of closed eye. The child ll open the eye and the medicine ll then spread smoothly._*

🔴 *Struggle : _Examining child's throat !_*

🔵 *Solution :  _Keep the tongue depressor away and ask the child to put out his tongue and pant like a dog._*

🔴 *Dilemma : _Grand old man,  Hard of hearing._*

🔵 *Trick : _Just place the ear piece of ur stethoscope in the patient's ear and speak into the diaphragm._*

🔴 *Panicky : _A neurotic patient is in panick n hyperventilating. She might faint cos of consequent low levels of CO2 in the blood._*

🔵 *Solution : _Ask the patient to breathe in and breath out of a plastic bag._*

🔴 *Adamant Child : _To auscultatate a Child refuses to take deep breaths._*

🔵 *Solution : _Ask him to blow hard on the hand kerchief held in front of his mouth. Auscultatate during and after the blowing act for clear n loud expiratory n inspiratory sounds._*

🔴 *Afraid : _Using the tip of needle to remove the foreign body in cornea._*

🔵 *Safer Option : _Take 20 no. Intracath, draw out the stilett n use its plastic tip to remove the body, this ll not harm the cornea._*

🔴 *Safe : _To remove foreign body from nose in a child._*

🔵 *Non invasive : _Instill nasivion nasal drops in the nostril which contains foreign body. Occluded the other nostril with ur finger, then at the kid to exhale through his nose forcefully, the foreign body ll ve pushed out by the blow of air._*

🔴 *Yes or No : _In case of small cut injury, to suture or not to suture !?._*

🔵 *Don't Suture : _Approximate the edges with ur fingers, apply Fevistick and bandage the wound firmly._*

🔴 *Refusal : _A scalp injury patient bleeding profusely refusing stitches to stop bleeding._*

🔵 *Simple : _Take a bunch of hairs on either side of the wound n tie them across the wound n refer to higher center._*

🔴 *Bleed : _Stopping a posterior nasal bleed. When the anterior nasal pack fails to control the bleeding, a posterior nasal pack is necessary, which requires GA in a hospital._*

🔵 *Try this : _Insert a Foley's catheter lubricated with Lignocaine through the bleeding nostril and inflate the balloon with water. The pressure ll stop the bleeding._*

*👨🏻‍⚕iFTHi🚘*

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