Clinical Skills Lab
As I walked back to my lab station with a pig's foot cut in half, I admired the piece of anatomy and questioned how this was deemed appropriate for a Jewish institution to support. Apparently, it is "Kosher" as long as we are not eating it. Pig's feet never had the same appeal as bacon, so I don't think that will be a problem.
After creating a laceration in the foot, we learned various suture styles to close the wound. It was more of a crash course in instrument handling as I quickly learned how clumsy my rookie hands performed this common clinical task. Nonetheless, it is a skill I will be needing in the future and any exposure is good exposure.
The next station, phlebotomy, was old hat. While my partner fretted the experience, I couldn't wait to get my hands on a needle again as it had been too long since my last stick. To my surprise there were quite a few in the class who have drawn blood in one form or another. On the other hand, those who attempted it for the first time would shake at the thought of hurting their partners. Learning new skills in the classroom has obvious benefits over learning them in the clinics, fortunately it leaves room for mistakes. Even though my partner impaled me twice before striking gold, he did a great job for his first experience.
Board Prep Question of the Week
On your rotation in the intensive care unit, you follow a patient with advanced sepsis from a central line infection. On exam you notice marked petechiae on his extremities as well as some large clots around his mouth. Concerned about disseminated intravascular coagulation, you check his labs. What would you expect?
A. High platelets, low bleeding time, high PT, high PTT
B. Low platelets, high bleeding time, high PT, high PTT
C. Low platelets, high bleeding time, low PT, high PTT
D. Low platelets, low bleeding time, high PT, high PTT
E. Low platelets, low bleeding time, low PT, low PTT
Answer & Explanation