AAALT60054

Bukundersökning - Mörk

Skin Tone

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Now with Augmented Reality capabilities with the Limbs AR app and training mat.

En anatomiskt korrekt vuxen manlig torso, som används för att undervisa och öva palpation, auskultation och perkussion av buken. Perfekt för OSCE:s förberedelse och bedömning. Med utbytbara organ av varierande storlek, och en integrerad MP3-spelare som ger realistiska ljud, ger utbildaren möjlighet att skilja mellan olika sorters patologi.

Overview

Andningsrörelsen av lever och mjälte kan varieras genom att vrida ett reglage
Integrerad förstärkare och monterad MP3-spelare möjliggör för träning i auskultation av normala och höga eller obstruerade tarmljud samt vaskulära ljud på olika ställen
Volymen kan justeras och MP3-spelaren tillåter att ytterligare ljud laddas in
Distensionsset möjliggör följande: realistisk undersökning av ascites med hjälp av perkussion, vätskespänningsteknik och simulering av tarmobstruktion vid perkussion och auskultation
Pulslampa tillåter simulering av normal och aneurysmal aortpuls

Realism

Organen känns realistiska vid palpation och har en trovärdig respons vid perkussion
Naturtrogen kvalitet på huden kring buken som anpassar sig vid uttöjning vid gasdistension och simulering av ascites
Realistisk procedur för upptäckt av förstorad njure

Versatility

Bukens hud är enkel att ta bort, vilket möjliggör snabbt och enkelt byte av organ
Lämpar sig för både separat träning och för hybridträning med Simulerad Patient
Modellen kan rullas över på sidan för undersökning av ascites

Cleaning

Hudytan kan rengöras med tvål och vatten

Safety

Latexfri
Modellens vikt är inom säkerhetsriktlinjer för män och kvinnor vid lyft till brösthöjd

Anatomy

Torso med buk, bäcken och nedre delen av bröstkorgen
Beniga landmärken inkluderar revben, bröstkorg, xifoidben, blygdben samt undre och övre höftben
3 levrar: något förstorad, förstorad med slät kant och förstorad med ojämn kant
2 mjältar: något förstorad och markant förstorad
2 förstorade njurar
Distenderad blåsa
2 aorta: normal och aneurysmal
Ett set med 6 bukpatologier varav 4 släta massor och 2 ojämna hårda massor
Distensionsset innehållande ascites-påse, gasdistensions-påse, pump och skuminsats
Förenklad representation av lägre bröstkorgen och ländryggen

References

Postgraduate Nursing

National Organisation of Nurse Practitioner Faculties, Nurse Practitioner Core Competencies Content, 2017 Independent Practice Competencies p.14 3.b Uses advanced health assessment skills to differentiate between normal, variations of normal and abnormal findings. 3.c Employs screening and diagnostic strategies in the development of diagnoses.

Surgery

SCORE Curriculum Outline for General Surgery (2017-18): p.6 Category 1: Abdomen - General Diseases/Conditions • Abdominal Pain - Acute • Abdominal Pain - Chronic • Ascites • Bacterial Peritonitis - Spontaneous • Peritoneal Neoplasms - Carcinomatosis p.9 Category 4: Abdomen - Liver Diseases/Conditions • Hepatic Mass - Evaluation

Paramedic

NASEMSO National Model EMS Clinical Guidelines September 2017 Version 2.0, p.48 Abdominal Pain Pertinent Assessment Findings 1. Rebound tenderness 2. Guarding 3. Abdominal distension 4. Abdominal tympany to percussion 5. Tenderness focal to a specific abdominal quadrant 6. Presence of “pulsatile” abdominal mass

Undergraduate Medicine

AAMC (2008) - Recommendations for Preclerkship Clinical Skills Education for Undergraduate Medical Education , p/26 Appendix 5: Patient Examination. Describe abdominal findings. Perform light and deep palpation. Demonstrate tests for peritoneal irritation. Describe the liver span. Palpate for liver and spleen. Show how to detect ascites

Postgraduate Junior Doctors

CPMEC Australian Curriculm Framework for Junior Doctors v 3.1, 2012, p.7: History and Examination: Performs a comprehensive examination of all systems; Elicits symptoms & signs relevant to the presenting problem or condition. Discriminates between the possible differential diagnoses relevant to a patient's presenting problems or conditions

Specialist GP Trainees

RACGP Curriculum for Australian General Practice 2016, CS16 Core Skills unit, p.23 CS2.2.2.2a Demonstrate appropriate and respectful physical examination technique CS2.2.2.5a Identify situations where physical examination findings are inconsistent with history CS2.2.2.2b Effectively utilise appropriate clinical tools to optimise examination CS2.2.2.3b Effectively summarise key examination findings for the patient

Paramedics

Paramedics Australasia Australasian Competency Standards for Paramedics, 2011, p.9 2.a.2 Select and use appropriate assessment techniques Undertake a focussed clinical examination that is consistent with the chief complaint and medical history

Undergraduate Medicine

Medical Deans' Clinical Assessment Blueprints for the medical graduate 4. Conducts ... organ(s)/system specific physical examination as appropriate. 5. Integrates the information obtained to arrive at an appropriate diagnosis and differential diagnosis.

Physician Associate

Competence and Curriculum Framework for the Physician Assistant 2012, p 12 and 23 2.3.5 ...Perform a physical examination tailored to the needs of the patient and the demands of the clinical situation, including ...abdominal examination ...The Physician Assistant should be familiar with the following patient presentations and should be able to manage and diagnose: Distension: abdominal GI disturbances including vomiting/altered bowel habit Mass: abdominal Pain: abdominal

CMT

Specialty Training Curriculum for Core Medical Training, 2013 p.51 and 77 Abdominal Pain: The trainee will be able to assess a patient presenting with abdominal pain to produce a valid differential diagnosis • Elicit signs of tenderness, guarding, and rebound tenderness and interpret appropriately...assess a patient presenting with an abdominal mass... abdominal swelling or distension to produce a valid differential diagnosis

Postgrad FY1 FY2

The UK Foundation Programme Curriculum 2016. p.9: obtains history, performs clinical examination, formulates differential diagnosis and management plan (FPC 11)

Obstetric Training

RCOG Core Curriculum, Core Module 1: Clinical Skills Perform valid, targeted and time efficient examinations relevant to the presentation and risk factors Abdominal examination Non-pregnant

General Surgery Training

The Intercollegiate Surgical Curriculum - General Surgery, 2016,p. 49: 3. Acute abdomen assess and provide the early care of a patient presenting with acute abdominal symptoms and signs. This should include localised and generalised peritonitis ... obstruction (small and large bowel – obstructed herniae, adhesions, colonic carcinoma) and localised abdominal pain (biliary colic, non-specific abdominal pain).

Paramedics

Paramedics - College of Paramedics, Paramedic Curriculum Guidance (3rd Edition Revised 2015) p 25 Section C 1.6.5: Conduct a thorough and detailed physical examination of the patient using appropriate skills to inform clinical reasoning and guide the formulation of a differential diagnosis across all age ranges. UK Ambulance Service Clinical Practice Guidelines (2006) "Medical Emergencies in Adults: Abdomen: Feel for tenderness and guarding in all four quadrants, check for bowel sounds."

Undergraduate Medicine

Outcomes for Graduates 2018, General Medical Council, p.16 Diagnosis and medical management: 14b. safely and sensitively undertake an appropriate physical examination ...interpret findings from physical examinations...synthesise findings from the history, physical and mental state examinations and investigations ... and make proposals about underlying causes or pathology

Postgraduate Nursing

RCN Competencies - Advanced Nurse Practitioners, 2012, p.4 ...receiving patients with undifferentiated and undiagnosed problems and making an assessment of their health care needs, based on highly-developed nursing knowledge and skills ... such as physical examination

GP Training

Royal College of General Practitioners Online Curriculum 3.13 Be able to manage primary contact with patients who have digestive problems. Know how to interpret common symptoms in general practice, including dyspeptic symptoms, abdominal pain. Demonstrate a systematic approach to investigating common digestive symptoms.

What is the abdominal examination simulator used for?

Trainees can use the simulator to practice abdominal assessments, also known as gastrointestinal (GI) examinations. Different combinations of this product will help to identify a variety of gastrointestinal pathologies.

What skills can be learnt with the Abdominal Examination Trainer?

The Limbs & Things Abdominal Examination Trainer is ideal for OSCE preparation and assessment, and helps students gain key skills such as:

Identification of ascites, specifically shifting dullness and fluid thrill
Identification of gaseous distension and bowel obstruction
Ballottement of kidneys
Familiarity with the abdominal regions and underlying anatomy

What scenarios can be set up on the abdominal examination simulator?

Scenarios include:

Carcinoma or mass in the left iliac fossa
Liver metastasis
Lymphoma
Aortic aneurysm
Acute urinary retention
Ovarian cyst
Enlarged kidneys

How is the Abdominal Examination Trainer powered?

The trainer is run by a mains power cable, however, you can use 4 AA batteries if power is unavailable allowing it to be used in a range of environments.

Can additional sounds be added to the Abdominal Examination Trainer’s MP3 Player?

Yes, on the MP3 player there is an SD slot that can be used to add additional sounds which can be obtained online or recorded to increase variety and realism. The Pre-set options include normal and abnormal bowel sounds and aortic bruits.

Please note: an SD card is not supplied with this trainer.

What is the fluid within the Ascites Bag of the abdominal trainer?

The fluid consists of food grade glycerine which better simulates the feel of a stomach.

Why has the foam insert of the abdominal trainer changed colour?

The Distension Foam insert will naturally darken when exposed to UV light. This does not have any effect on the functionality of the foam.

How can I prevent kinks in the air inlet tube when using the Gaseous Distension Bag?

To prevent kinks, ensure that the air inlet tube is on the underside of the Gaseous Distension Bag and under the Distension Foam.

Can replacement parts be purchased for the Abdominal Examination Trainer?

Yes, replacements are available for all major parts of the abdominal trainer which can be purchased online.