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MT Newsletter | ![]() |
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Compiled by
Dr. Rema Valsala |
Thought for the month: |
To acquire knowledge, one must study; but to acquire wisdom, one must observe. ...Marilyn vos Savant |
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FAQs
Standards Questionnaire |
The term used for the medical or developmental history of a patient is anamnesis.
The idiom, "Toe the line" means -- Follow the rules and regulations.. Palpation of the abdomen did not elicit any pain. She put forth a wonderful suggestion. He had a bout of asthma last week, but now he is doing quite well. The patient had extensive postoperative scarring. Scan revealed a prosthetic valve in his heart. Heal: Provide a cure for, make healthy again, as in "The wound is expected to heal completely in three days." |
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Q. What is meant by trigger point injection?
A trigger point is a specific point or area where stimulation by touch, pain, or pressure induces a painful response. Normal muscle contracts and relaxes when it is active. A trigger point is a knot or tight, ropy band of muscle that forms when muscle fails to relax. The knot can be felt under the skin and may twitch involuntarily when touched. This is called a jump sign. The trigger point can trap or irritate surrounding nerves and cause referred pain viz. pain felt in another part of the body. Scar tissue, loss of range of motion, and weakness may develop over time. Trigger point injection (TPI) is used to treat extremely painful areas of muscle that does not respond to other treatment. TPI is used to alleviate myofascial pain syndrome. Myofascial pain syndrome is chronic pain involving tissue that surrounds muscle. Many muscle groups, especially those in the arms, legs, lower back, and neck, are treated by this method. TPI also can be used to treat fibromyalgia and tension headaches. Injections are given in the physician's office and takes approximately 30 minutes. Before performing TPI, the patient may be given a nerve block to prevent pain from needle penetration. A small needle is inserted into the trigger point and a local anesthetic (e.g., lidocaine, procaine) with or without a corticosteroid is injected. Injection of medication inactivates the trigger point and thus alleviates pain. Sustained relief usually is achieved with a brief course of treatment. The injection may cause a twitch or pain that lasts a few seconds to a few minutes. A bruise may form at the injection site and numbness from the anesthetic may last about an hour. Pain at the injection site can be relieved by alternately applying moist heat and ice for a day or two. In most cases, stretching exercises and physical therapy are performed following TPI. Q. What is asterixis? Asterixis, commonly known as flapping tremor, is a clinical sign indicating a lapse of posture and is usually manifest by a bilateral flapping tremor at the wrist, metacarpophalangeal, and hip joints. It may also be seen in tongue, foot, and any skeletal muscle. Except for the facial muscles, the tremors occur in an asynchronous (i.e. not symmetric) fashion on either side of the body. In the hands, these involuntary jerking movements are best elicited by having the patient extend the arms, dorsiflex the wrists, and spread the fingers. The patient struggles to maintain posture while posture control repetitively vanishes resulting in flapping motions of the hands. Asterixis is seen primarily with various metabolic and toxic encephalopathies, especially hepatic encephalopathy. (Encephalopathy is any disorder of the brain.) |
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PRONOUN:
A pronoun is a word used in place of a noun or noun phrase in a sentence. PERSONAL PRONOUN: He, I, you, us Example: He and I agree that this patient will have to see us again after her surgery. INDEFINITE PRONOUN: It, them.. Example: Both kidneys went into kidney failure. It appears neither of them could be revived. DEMONSTRATIVE PRONOUN: this, that, these, those. . Example: This is the course of treatment planned out by the team of doctors in this hospital. RELATIVE PRONOUN: Who, which, that, whose, whom, what, where. . Example: This is a 21-year-old patient who has a history of lower abdominal pain, came in with severe vaginal hemorrhage. POSSESSIVE PRONOUN: My, your, his, its, our, their, mine, yours, his, hers, its, ours, theirs. Examples: That report is not mine. His diabetes can be brought under control. |
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Q. The term used for difficulty in writing or writer's cramp is _____________.
a. dysgnosia b. dysgraphia c. dysesthesia Q. The idiom, "Go out on a limb" means _____________. a. Take a risk in order to support something or someone. b. To go to the limits c. To get a boost or advantage Q. Fill in the blanks with the suitable word given in brackets: 1. The patient is ______ to undertake surgery at this time. ((loath, loathe)) 2. Examination of the abdomen reveals no ______ masses. (discreet, discrete) 3. The patient was diagnosed with ______ of the knee. (arthritis, arteritis) 4. A sponge was used to ______ the oozing blood. (bloat, blot) 5. He was brought to the emergency room in a state of ______. (comma, coma) Q. Find the meaning of these homonyms: inflammation and information site, sight, and cite trail and trial See the answers in the next month's issue.... |
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