CLINICAL SCENARIOS SURGICAL TECH (NCCT)|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

Grace, a secretary at the local high school, presents to Dr. Smith with complaints of numbness, tingling and pain in her left hand. After examination of the volar surface of the hand, Dr. Smith notes that the symptoms are localized to the thumb and index finger. He also notes the pain sometimes radiates up her arm, into her shoulder, and occasionally wakes her up at night. Grace has been diagnosed with Carpal Tunnel Syndrome. What anatomy does this involve? Median nerve, Carpal ligament Grace, a secretary at the local high school, presents to Dr. Smith with complaints of numbness, tingling and pain in her left hand. After examination of the volar surface of the hand, Dr. Smith notes that the symptoms are localized to the thumb and index finger. He also notes the pain sometimes radiates up her arm, into her shoulder, and occasionally wakes her up at night. Grace has been diagnosed with Carpal Tunnel Syndrome. In what position should the patient be placed? Supine, with affected arm extended on a hand table Grace, a secretary at the local high school, presents to Dr. Smith with complaints of numbness, tingling and pain in her left hand. After examination of the volar surface of the hand, Dr. Smith notes that the symptoms are localized to the thumb and index finger. He also notes the pain sometimes radiates up her arm, into her shoulder, and occasionally wakes her up at night. Grace has been diagnosed with Carpal Tunnel Syndrome. What are the surgical repair options? Open carpal tunnel release Endoscopic carpal tunnel release Grace, a secretary at the local high school, presents to Dr. Smith with complaints of numbness, tingling and pain in her left hand. After examination of the volar surface of the hand, Dr. Smith notes that the symptoms are localized to the thumb and index finger. He also notes the pain sometimes radiates up her arm, into her shoulder, and occasionally wakes her up at night. Grace has been diagnosed with Carpal Tunnel Syndrome. List equipment that, as the surgical technologist assigned to this case, you should make sure is in the operating room Hand tray Hand table Video equipment for endoscopic release Tourniquet Robert, a senior in college, visited the Emergency Room due to pain in his lower right abdomen. Along with this pain, he had a 102' temperature, and vomiting. He was diagnosed there with acute appendicitis, and he was scheduled for surgery. What are the greatest risks of an untreated appendicitis? Rupture, perforation, and/or peritonitis Robert, a senior in college, visited the Emergency Room due to pain in his lower right abdomen. Along with this pain, he had a 102' temperature, and vomiting. He was diagnosed there with acute appendicitis, and he was scheduled for surgery. What surgical procedures are done to rectify appendicitis? Appendectomy (open or laparoscopic) Robert, a senior in college, visited the Emergency Room due to pain in his lower right abdomen. Along with this pain, he had a 102' temperature, and vomiting. He was diagnosed there with acute appendicitis, and he was scheduled for surgery. What position would the patient be placed in? Supine Robert, a senior in college, visited the Emergency Room due to pain in his lower right abdomen. Along with this pain, he had a 102' temperature, and vomiting. He was diagnosed there with acute appendicitis, and he was scheduled for surgery. What type of incision would be made for an open procedure? McBurney incision Robert, a senior in college, visited the Emergency Room due to pain in his lower right abdomen. Along with this pain, he had a 102' temperature, and vomiting. He was diagnosed there with acute appendicitis, and he was scheduled for surgery. What would you as the surgical technologist need to know about the patient, in order to be properly prepared for this case? Weight - if the patient is obese, you would need a long set of general instruments. Also you would need an OR table that would be able to hold additional weight. Age - if the patient is geriatric or pediatric, attention would need to be given to maintaining their body temperature, with a warming device. Additional padding and positioning tools may also need to be used to protect delicate skin and boney prominences. Robert, a senior in college, visited the Emergency Room due to pain in his lower right abdomen. Along with this pain, he had a 102' temperature, and vomiting. He was diagnosed there with acute appendicitis, and he was scheduled for surgery. If the procedure is being done laparoscopically, what tool should be used to achieve a pneumoperitoneum? A Veress needle, or a periumbilical trocar. Ron is a 45-year-old male, who presented to the orthopedist three months ago with pain in his left knee, and unusual weakness during exercise. Cause of this pain and weakness were not able to be diagnosed by CT study. The decision was made to schedule a diagnostic arthroscopy on his knee. What equipment may be used for positioning the leg for better visualization during surgery? Lateral post Ron is a 45-year-old male, who presented to the orthopedist three months ago with pain in his left knee, and unusual weakness during exercise. Cause of this pain and weakness were not able to be diagnosed by CT study. The decision was made to schedule a diagnostic arthroscopy on his knee. What specialty instrumentation would be used if a synovectomy needs to be done? Arthros