Interesting Things from Clinical
Here are some tidbits from my clinical adventures on Thursday and Friday of this week…
I learned that my pediatric comps don’t necessarily have to be six years old or younger as previously noted. There are a couple exams where that is important, but others I can use older kids. I was told that, in the case of upper or lower extremities, I can use a child of any age as long as their epiphyseal plates are distinct. That’s gonna make comping my pediatric lower extremity a little easier. I comped the pediatric upper extremity last week, and my precomps and master comp were both on six or under patients.
Thursday was my busiest day yet in clinical. I logged 42 exams in one day. I’m easily going to complete my 300 required exams for this semester before the half way point. I only got one more comp this week, but that brings my total up to 10 out of the 22 I need for the maximum grade this semester.
I saw some nasty fractures this week also. I saw a third metatarsal transverse fracture, I saw several serious compression fractures in the lumbar spine, and I think I saw more rods, nuts, and bolts than you see in Home Depot.
I ran into another new situation on Thursday. I had two different exams on convicts from the jail who were escorted by armed guards.
We’re testing on spinal stuff on Monday, so I’ll get to start working on comps next week at clinical. The only problem is that I’ll not likely get to comp my C-spine and L-Spine stuff in this orthopedic office. They don’t do the obliques except for rare occasions, which I haven’t seen happen yet. I may be able to comp the T-spine though, so we’ll see how that goes. We’ll be diving into the ribs and sternum as soon as these tests are complete, so I’ll have some new positioning videos on that stuff in a week or so…
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