1. Diagnostic Procedures Chapter 13

2. Diagnostic Procedures Objectives Objectives Apply knowledge of anatomy and physiology to determine which diagnostic exams will be useful Apply knowledge of anatomy and physiology to determine which diagnostic exams will be useful List the sources of patient data List the sources of patient data Determine which diagnostic procedures will require surgical intervention Determine which diagnostic procedures will require surgical intervention

3. Diagnostic Procedures Objectives cont’ Objectives cont’ Identify the major indications for surgical intervention Identify the major indications for surgical intervention Understand the surgical technologist’s role in caring for each specific type of specimen Understand the surgical technologist’s role in caring for each specific type of specimen List and discuss techniques used to establish the diagnosis List and discuss techniques used to establish the diagnosis

4. Sources of Patient Data History and physical History and physical Diagnostic imaging Diagnostic imaging Laboratory findings Laboratory findings Endoscopic studies Endoscopic studies Electrodiagnostic studies Electrodiagnostic studies

5. Diagnostic Procedures Portable X-Ray Machine

6. Diagnostic Procedures Femur fracture Femur fracture

7. Diagnostic Imaging X-ray X-ray Fluoroscopy Fluoroscopy Computer axial tomography (CAT scan) Computer axial tomography (CAT scan) Positron emission tomography (PET) Positron emission tomography (PET) Magnetic resonance imaging (MRI) Magnetic resonance imaging (MRI) Ultrasonography Ultrasonography

8. Diagnostic Imaging Mammogram depicting sarcoma Mammogram depicting sarcoma

9. Diagnostic Imaging C- Arm with monitor C- Arm with monitor

10. Diagnostic Procedures Flexible Endoscope Flexible Endoscope

11. Diagnostic Procedures Intraoperative cholangiogram depicting gallstones Intraoperative cholangiogram depicting gallstones

12. Diagnostic and Bacteriologic Lab Tests Diagnostic: Diagnostic: Hematology values Hematology values Arterial blood gas (ABG) values Arterial blood gas (ABG) values Urinalysis values Urinalysis values Urine chemistry values Urine chemistry values

13. Diagnostic and Bacteriologic Lab Tests Bacteriologic: Bacteriologic: Gram stain Gram stain Spinal tap Spinal tap Thoracentesis Thoracentesis Culture and sensitivity Culture and sensitivity

14. Electrodiagnostic Studies Electrocardiography (ECG) Electrocardiography (ECG) Electroencephalography (EEG) Electroencephalography (EEG) Electromyography (EMG) Electromyography (EMG)

15. Electrodiagnostic Studies ECG and cardiac cycle ECG and cardiac cycle

16. Pulmonary Diagnosis Pulse oximetry – Arterial saturation Pulse oximetry – Arterial saturation Capnography – Carbon dioxide Capnography – Carbon dioxide Spirometry – Respiratory status Spirometry – Respiratory status

17. Indications for surgery 1. Diagnostic procedures 1. Diagnostic procedures 2. Trauma 2. Trauma 3. Metabolic disease 3. Metabolic disease 4. Infection 4. Infection 5. Repair congenital defect 5. Repair congenital defect 6. Treat a neoplasm 6. Treat a neoplasm 7. Relieve obstruction 7. Relieve obstruction 8. Reconstruction 8. Reconstruction 9. Aesthetics 9. Aesthetics

18. Diagnostic Procedures REVIEW AND SUMMARY REVIEW AND SUMMARY Take a few minutes to answer the questions for the case studies at the beginning of the chapter 1-3 and at the end 1-3. Prepare to discuss your answers