LA020352 Assignment 4 BSBMED301, Ed 3 1
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
BSBMED301- Assignment 4
What you have to do
The assignment for the unit BSBMED301 has two tasks. In task 1 there are four short
answer questions and in task 2 you have to complete two case studies, using your
learning resources and recommended book.
TASK 1
Question 1
Using your knowledge of word components, give the co
ect medical term for each of the
definitions below.
Definition Medical Term
1. pain in joint
2. inflammation of the skin
3. suturing of a muscle
4. visual examination of a joint
5. incision into the eardrum
6. downward displacement of eyelid
7. tumour composed of fat tissue
8. increased thirst
9. excision of a toenail or fingernail
10. extremity enlargement
11. sensitivity to light
12. excision of the adrenal gland
13. condition of high blood glucose
14. softening of the sclera
15. a yellow nodule or mass
16. discharge from the ear
17. pertaining to the ribs and verte
ae
18. whiteness of the hair
19. study of the eye
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© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
20. pertaining to upon the skin
Question 2
Give the meaning of each of the a
eviations below.
A
eviation Medical Meaning
1. IOP
2. SPF
3. EMG
4. NSAID
5. DKA
6. VA
7. Ung
8. Fx
9. POAG
10. TMJ
Question 3
Give a
ief definition of each of the following medical terms.
Medical Term Definition
1. compound fracture
2. idiopathic
3. glaucoma
4. audiometry
5. ulcer
6. diabetes insipidus
7. ilium
LA020352 Assignment 4 BSBMED301, Ed 3 3
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
8. cataract
9. otitis media
10. full thickness burn
Question 4
Match the following terms given below with the co
ect definitions.
osteoarthritis Systemic lupus erythematosus
ve
uca strabismus
exostosis naevus
Meniere’s disease astigmatism
acromegaly Gigantism
Definition Term
1. chronic inflammatory disease involving joints,
skin, kidneys, nervous system, heart and lungs.
2. abnormal deviation of the eye.
3. enlargement of the extremeties caused by
hypersecretion of the pituitary gland after
puberty.
4. bony growth arising from the surface of bone.
5. epidermal growth caused by a virus (wart).
6. progressive, degenerative joint disease
characterized by loss of articular cartilage and
hypertrophy of bone at articular surfaces.
7. defective curvature of the cornea or lens of the
eye.
8. Disorder of the labyrinth of the inner ear.
9. hyperfunctioning of the pituitary gland before
puberty leading to abnormal overgrowth of the
ody.
4 LA020352 Assignment 4 BSBMED301, Ed 3
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
10. pigmented lesion of the skin.
Task 2
Case study 1: Sense organs
John Jones
John Jones, a preschooler, has had recu
ent ear infections for one year that his doctor
has not been able to treat successfully with antibiotics and other drugs. His preschool
teacher also identified nasal speech patterns that his doctor later confirmed were related
to his medical problems. After seeing several doctors who recommended surgery, John’s
parents have admitted him to Grove Medical Centre.
LA020352 Assignment 4 BSBMED301, Ed 3 5
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
Grove Medical Centre
History
PATIENT Jones, John C
ADMISSION DATE November 13, 2006
HISTORY OF PRESENT The patient is a 3-year-old boy with recu
ent ear
infections and ear
ILLNESS congestion non-responsive to antibiotic and decongestant
therapy over the past 9/12. The patient also has a history of
nasal obstruction and nasal speech. The patient is being
admitted for myringotomy, Grommets tubes and examination
of the nasopharynx and adenoidectomy. The patient has
also seen other doctors who have recommended surgery,
including Dr. Stacey and Dr. Earnshaw.
PAST MEDICAL Medications: None. Allergies: None. Hospitalisations: None.
HISTORY Surgeries: None. Childhood Diseases: Normal.
FAMILY HISTORY No cancer or heart disease. Patient’s maternal grandmother
has a history of adult-onset diabetes.
SOCIAL HISTORY Normal development except for speech.
REVIEW OF SYSTEMS Cardiovascular: No hypertension and no heart murmurs.
Respiratory: No croup or asthma. Gastrointestinal: No
hepatitis. Renal: Negative. Endocrine: No diabetes.
Musculoskeletal: No joint disease. Haematologic: Nil.
Physical examination
GENERAL XXXXXXXXXXThe patient is alert and afe
ile.
ENT TMs are dull and slightly retracted; there is decreased
mobility. There is dull light reflex bilaterally. No sinus
tenderness on percussion of the maxillary or frontal sinuses;
there are swollen tu
inates on nasal examination. The
oropharynx shows hypertrophic tonsils, and there are
hypertrophic adenoids on examination of the nasopharynx.
CHEST Lungs: Clear to percussion and auscultation. Heart: Pulse: 88
and regular. Abdomen: There are no masses or tenderness.
No hepatosplenomegaly was noted.
BACK Supple. There are no masses or tenderness.
RECTAL/GENITALIA Defe
ed.
EXTREMITIES There was no peripheral oedema, and there were no
ecchymoses.
IMPRESSION Chronic otitis media with effusion, nasal speech, and nasal
obstruction secondary to adenoid hypertrophy.
PLAN The patient is to be admitted as an outpatient for
adenoidectomy, myringotomy and Grommet tubes as noted
above. The surgery and potential risks and complications
have been discussed with the parents as well as the possible
need for further repeat myringotomy and tubes.
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© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
Operative Report
DATE OF OPERATION November 14, 2008
PREOPERATIVE DIAGNOSIS Chronic otitis media with effusion bilaterally and
nasal obstruction with chronic adenoiditis and
adenoid hypertrophy.
POSTOPERATIVE DIAGNOSIS Chronic otitis media with effusion bilaterally and
adenoid hypertrophy and chronic adenoiditis.
OPERATION PERFORMED Bilateral myringotomy and tubes with
adenoidectomy.
PROCEDURE AND FINDINGS After general anaesthesia induction and oral
intubation, the patient’s ears were prepped and
draped in the usual manner for microscopic
myringotomy surgery. A myringotomy in the right
ear was ca
ied out following de
idement of
cerumen. Incision of the circumferential inferior
anterior quadrant was ca
ied out. Mucoid material
was aspirated from the middle ear. A Grommet
tube was placed in position without difficulty.
Cotton dressing was applied to the ear. The left
ear was examined. A similar dull, non-mobile TM
was noted. An inferior anterior myringotomy was
ca
ied out again, and thick mucoid material was
aspirated. A Grommet tube was inserted again in
the left ear. Cotton dressing was applied to the ear
canal. The patient was repositioned in the Rose’s
position for examination of the nasopharynx which
was ca
ied out with a palate retractor. The
marked adenoid hypertrophy was noted, and the
adenoidectomy was ca
ied out with curette
technique. The patient tolerated the procedure
well, and following extubation, he was sent back to
the recovery room in satisfactory postoperative
condition.
FINAL DIAGNOSIS Chronic otitis media with effusion bilaterally, with
chronic adenoiditis, adenoid hypertrophy and
nasal obstruction.
G. Fields, MD
LA020352 Assignment 4 BSBMED301, Ed 3 7
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
Questions
1. Provide a
ief definition for the following medical terms used in this report.
hepatosplenomegaly
tu
inates
extubation
2. In the left column, list the patient’s medical problems noted in the history; in the right
column write the diagnosis that pertains to each problem.
Medical problem Diagnosis
(a)
(b)
3. John’s social history is related to his medical history. State how this has affected his
development.
4. Under the ‘Review of Systems’ were any additional medical symptoms or problems
identified?
5. At the time of the examination John was afe
ile. Give a
ief definition of this term.
6. Carefully read the physical examination. Mark the body areas/systems in which Dr.
Fields found any abnormalities.
general
chest
ENT
back
rectal/genitalia
extremities
8 LA020352 Assignment 4 BSBMED301, Ed 3
© New South Wales Technical and Further Education Commission, 2015 (TAFE NSW – WSI), Archive version 1, October 2015
7. Identify the surgical procedures performed and give a
ief definition of each one.
a)
)
c)
8. Define oral intubation and explain the need for this in John’s case.
9. Put the following operative actions in co
ect order by numbering