New Glasses 😎✌
Warby Parker: Carmichael in Black Cherry.
Hand Dropping Test in Pseudocoma:
When a patient is truly in a coma and their hand is released directly above their face, their hand should strike their face on its way down.
Neuroanatomy Through Clinical Cases by Hal Blumenfeld. (via wayfaringmd)
One of our neurologists flipping loves catching fakers with this test. We get folks in with conversion disorder and plain ol fakers all the time, and he always gets ‘em with this one.
- This route is usually used for tuberculin testing or checking for medication/allergy sensitivities
- It may be used for some cancer immunotherapy
- Use small amounts of solution [0.01-0.1 mL] in a tuberculin syringe with a fine-gauge needle [26 to 27] in lightly pigmented, thin skinned, hairless sites [inner surface of mid-forearm or scapular area of back] at a 10-15 degree angle.
- This route is appropriate for small doses of nonirritating, water-soluble medications and is commonly used for insulin and heparin.
- Use a 3/8- to 5/8-inch, 25- to 27-gauge needle, or an insulin syringe of 28- to 31- gauge.
- Inject no more than 1.5 mL solution.
- For an average size client, pinch up skin and inject at 45-90 degree angle. For an obese client, use a 90 degree angle.
- Sites are selected for adequate fat-pad size [abdomen, upper hips, lateral upper arms, thighs]
- This route is appropriate for irritating medications, solutions in oils, and aqueous suspensions.
- Most common sites include ventrogluteal, dorsogluteal, deltoid, and vast us lateralis [pediatric]
- Use needle size 18 to 27 [usually 22- to 25-gauge], 1 to 1.5 inches long, and inject at a 90 degree angle.
- Volume injected is usually 1-3 mL.
- If > 3 mL is required, divide into two syringes and use two sites.
"We need to pray before we go in there"