Page 38 - 2021 IDMT Digital

GANGLION CYST
Introduction:
• *DQJOLD DUH F\VWLF VZHOOLQJV WKDW DUH QHDU RU DWWDFKHG WR WHQGRQ VKHDWKV DQG MRLQW
FDSVXOHV
• &DXVH LV XQNQRZQ XVXDOO\ GHYHORS VSRQWDQHRXVO\ LQ DGXOWV DJHG WR
• 2FFXU PRVW FRPPRQO\ RQ WKH EDFN RI WKH KDQGV HVSHFLDOO\ RQ WKH GRUVDO DVSHFW RI WKH
ZULVWV
• *DQJOLD DUH WKH PRVW FRPPRQ VRIW WLVVXH WXPRUV RI WKH KDQG; non-cancerous
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ GHVFULEHG DV DFKLQJ
o 2EYLRXV VZHOOLQJ LQ DIIHFWHG DUHD
o 0D\ LPSHGH 520
o 6L]H RI WXPRU PD\ LQFUHDVH ZLWK DFWLYLW\
• )RFXVHG +LVWRU\
o ,PSHGLQJ $FWLYLWLHV RI 'DLO\ /LYLQJ $'/¶V
o ,PSHGLQJ DELOLW\ WR SHUIRUP GXWLHV
o 3DLQ
Objective:
• 3K\VLFDO ([DP
o $ OXPS ZLOO OLNHO\ EH HYLGHQW RQ H[DPLQDWLRQ
o 7H[WXUH RI OXPS ZLOO EH WKDW RI D VPDOO UXEEHU EDOO
o :LOO PRVW FRPPRQO\ EH RQ WKH EDFN RI WKH KDQG
o :LOO WUDQVLOOXPLQDWH ZLWK SHQOLJKW
Assessment:
• 'LIIHUHQWLDO
o %RQH WXPRU FRQVLVWHQF\ ZLOO QRW EH UXEEHU\
o 6RIW WLVVXH WXPRU GRHV QRW WUDQVLOOXPLQDWH
o /LSRPD ODUJHU PRUH FRPPRQO\ LQ WKH SDOP
Plan:
• 5HDVVXUDQFH RI QRW FDXVLQJ VLJQLILFDQW GLVWUHVV
• ,PPRELOL]DWLRQ LI SDWLHQW LV KDYLQJ SDLQ
• $VSLUDWLRQ RI GRUVDO JDQJOLRQ F\VW LV WUHDWPHQW KRZHYHU WKLV VKRXOG RQO\ EH SHUIRUPHG
XQGHU GLUHFW REVHUYDWLRQ RI VXSHUYLVLQJ 0HGLFDO 3UHFHSWRU
• $VSLUDWLRQ RI D YRODU JDQJOLRQ F\VW LV 1(9(5 UHFRPPHQGHG WKLV LV D VXUJLFDO SUREOHP
• 16$,'V 7\OHQRO IRU SDLQ
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as
there is clinical benefit and no worsening of the patient’s condition

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