{"id":887,"date":"2022-04-18T06:47:00","date_gmt":"2022-04-18T06:47:00","guid":{"rendered":"https:\/\/blog.ki.se\/studentbloggen\/?p=887"},"modified":"2022-04-14T10:47:35","modified_gmt":"2022-04-14T10:47:35","slug":"en-vecka-pa-lakarprogrammet-t7-kirurgi-klin","status":"publish","type":"post","link":"https:\/\/blog.ki.se\/studentbloggen\/2022\/04\/18\/en-vecka-pa-lakarprogrammet-t7-kirurgi-klin\/","title":{"rendered":"En vecka p\u00e5 l\u00e4karprogrammet T7 Kirurgi #klin"},"content":{"rendered":"\n

Under termin 7 l\u00e4ser vi om kirurgi (allm\u00e4nkirurgi, ortopedi, urologi och fler kirurgiska specialiteter). Under termin 7 har vi praktik i stort sett varje vecka. Vi har praktik inom de olika omr\u00e5dena i block p\u00e5 1-3 veckor. L\u00e4s mitt tidigare inl\u00e4gg om en dag p\u00e5 urologen h\u00e4r.<\/a> Kirurgiblocket best\u00e5r av 3 veckor p\u00e5 avdelning (varav en p\u00e5 operation), 1 vecka p\u00e5 akuten och 1 vecka p\u00e5 mottagning. Veckan jag ska ber\u00e4tta om idag \u00e4r den kirurgiska mottagningsveckan. H\u00e4r \u00e4r schemat f\u00f6r veckan:<\/strong><\/p>\n\n\n\n

\"\"
Schema f\u00f6r kirurgisk mottagningsvecka<\/figcaption><\/figure>\n\n\n\n

M\u00e5ndag<\/h2>\n\n\n\n

R\u00f6ntgenseminarium<\/strong>: vi g\u00e5r igenom r\u00f6ntgenbilder som illustrerar vanliga kirurgiska diagnoser s\u00e5som appendicit (blindtarmsinflammation) och divertikulit (inflammerade tarmfickor). Vi f\u00e5r st\u00e4lla fr\u00e5gor, sj\u00e4lva f\u00f6rs\u00f6ka hitta avvikelser p\u00e5 bilder i grupp (vi \u00e4r ca 6 studenter p\u00e5 seminariet) och p\u00e5 egen hand granska bilder som vi sedan g\u00e5r igenom. Ett av l\u00e4randem\u00e5len (det vi ska kunna) f\u00f6r kursen \u00e4r att kunna identifiera strukturer p\u00e5 en normal r\u00f6ntgen och \u00e4ven vanliga fynd relaterade till kirurgiska diagnoser.<\/p>\n\n\n\n

Br\u00e5ckmottagning<\/strong>: Tillsammans med en kirurg tar vi emot patienter som ska opereras f\u00f6r olika typer av bukbr\u00e5ck. Vi svarar p\u00e5 eventuella fr\u00e5gor som patienten har, g\u00f6r en ny kroppslig unders\u00f6kning, tittar p\u00e5 prover, l\u00e4kemedel, EKG och annat som beh\u00f6ver kontrolleras inf\u00f6r operation.<\/p>\n\n\n\n

\"\"
R\u00f6ntgenseminarium<\/figcaption><\/figure>\n\n\n\n

Tisdag<\/h2>\n\n\n\n

Prickmottagning<\/strong>: Vi \u00e4r 3 studenter som tillsammans med handledare tar emot 3 patienter som ska ta bort hudf\u00f6r\u00e4ndringar (s\u00e5som avvikande f\u00f6delsem\u00e4rken). Vi bed\u00f6mer hudf\u00f6r\u00e4ndringen, tar bort f\u00f6r\u00e4ndringar som sedan skickas p\u00e5 analys och f\u00f6rsluter s\u00e5ret med stygn. Vi studenter turas om att vara operat\u00f6r, assistent och en icke-steril som hj\u00e4lper till med material mm. Alla f\u00e5r prova p\u00e5 varje roll en g\u00e5ng. Detta g\u00f6r vi f\u00f6r att tr\u00e4na p\u00e5 excision och sutur som kan komma att examineras p\u00e5 OSCE.<\/p>\n\n\n\n

Rektoskopimottagning<\/strong>: Under eftermiddagen \u00e4r det samma koncept, vi \u00e4r 3 studenter med v\u00e5r handledare och tar emot tre patienter som ska genomg\u00e5 en rektoskopi (d\u00e5 man g\u00e5r in och tittar p\u00e5 sista delen av tarmen med hj\u00e4lp av ett verktyg). I denna unders\u00f6kning ing\u00e5r \u00e4ven per rektum-unders\u00f6kning och proktoskopi. Denna typ av unders\u00f6kning kan ex vara indicerat som uppf\u00f6ljning efter genomg\u00e5ngen divertikulit (inflammerade tarmfickor). Vi ska kunna utf\u00f6ra per rectum, prokto- och rektoskopi, \u00e4ven detta kan komma att examineras p\u00e5 OSCE.<\/p>\n\n\n\n

\"\"
Rektoskopimottagning: utrustning som f\u00f6rberetts inf\u00f6r rekto- och proktoskopi<\/figcaption><\/figure>\n\n\n\n
  • \"\"
    Rektoskopi – delar som ska kopplas ihop<\/figcaption><\/figure><\/li>
  • \"\"
    Ihopkoppling av rektoskop<\/figcaption><\/figure><\/li>
  • \"\"
    Ihopkoppling av rektoskop<\/figcaption><\/figure><\/li><\/ul><\/figure>\n\n\n\n

    Onsdag<\/h2>\n\n\n\n

    Mottagning NGI (nedre gastrointestinala <\/strong>sjukdomar)<\/strong>: Precis som p\u00e5 m\u00e5ndagen g\u00e5r jag med en kirurg och tar emot patienter p\u00e5 mottagningen. Denna g\u00e5ng patienter som s\u00f6ker f\u00f6r olika gastrointestinala besv\u00e4r\/sjukdomar i nedre delen av buken. Detta kan till exempel vara uppf\u00f6ljning efter operation eller konservativt behandlad (ej opererad) sjukdom i nedre buken.<\/p>\n\n\n\n

    \"\"
    Mottagning (NGI): hj\u00e4lpmedel som anv\u00e4nds f\u00f6r att informera patienten om tillst\u00e5nd och behandling<\/figcaption><\/figure>\n\n\n\n

    Torsdag<\/h2>\n\n\n\n

    Akutsimulering med sjuksk\u00f6terskestudenter<\/strong>: Vi \u00e4r p\u00e5 KTC (kliniskt tr\u00e4ningscentrum) d\u00e4r vi simulerar akut omh\u00e4ndertagande. Med hj\u00e4lp av en docka och teknologi simuleras olika akuta fall och vi f\u00e5r tr\u00e4na p\u00e5 att handl\u00e4gga patienten (dvs unders\u00f6ka, stabilisera och ev diagnostisera). Vi har flera simuleringar under l\u00e4karprogrammet, oftast med dockor som patienter men ibland med sk\u00e5despelare som spelar patienter. Just denna g\u00e5ng filmas vi och efter varje fall tittar vi p\u00e5 filmerna och g\u00e5r igenom vad som gjordes bra och vad som kunde g\u00f6ras b\u00e4ttre. Fokus f\u00f6r denna simulering \u00e4r teamarbetet snarare \u00e4n den medicinska bed\u00f6mningen, \u00e4ven om vi s\u00e5 klart tr\u00e4nar p\u00e5 det ocks\u00e5. Vi l\u00e4karstudenter turas om att vara team-leader, unders\u00f6kande l\u00e4kare och resurs. Sjuksk\u00f6terskestudenterna turas om att vara patientn\u00e4ra resp. l\u00e4kemedelsansvarig sjuksk\u00f6terska. Simuleringarna \u00e4r v\u00e4ldigt roliga och givande.<\/p>\n\n\n\n

    \"\"
    Akutsimulering med sjuksk\u00f6terskestudenter<\/figcaption><\/figure>\n\n\n\n

    Fredag<\/h2>\n\n\n\n

    Mottagning\/Inl\u00e4sning<\/strong>: Vi har ett individuellt schema f\u00f6r mottagningspassen. Jag hade pga sjukdom missat n\u00e5gra seminarium s\u00e5 v\u00e5r amanuens ordnade s\u00e5 att jag kunde ha inl\u00e4sningstid och d\u00e5 delta p\u00e5 de missade seminariumen. De andra i min grupp hade inl\u00e4sningstid under de andra dagarna d\u00e5 jag hade mottagning. Denna veckan \u00e4r j\u00e4mf\u00f6relsevis v\u00e4ldigt lyxig n\u00e4r det kommer till inl\u00e4sningstid, vanligtvis har vi inte s\u00e5 h\u00e4r mycket inl\u00e4sningstid under en vecka p\u00e5 T7.<\/p>\n\n\n\n

    Denna vecka var v\u00e4ldig varierad och sp\u00e4nnande. T7 \u00e4r som sagt en v\u00e4ldigt praktisk termin med mycket praktik och \u00f6vning i praktiska moment som suturering, unders\u00f6kningar och akut omh\u00e4ndertagande.<\/strong> Ans\u00f6kan till l\u00e4karprogrammet \u00e4r fortfarande \u00f6ppen, s\u00f6k via antagning.se senast tisdag den 19 april!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

    Under termin 7 l\u00e4ser vi om kirurgi (allm\u00e4nkirurgi, ortopedi, urologi och fler kirurgiska specialiteter). Under termin 7 har vi praktik i stort sett varje vecka. Vi har praktik inom de […]<\/p>\n","protected":false},"author":487,"featured_media":896,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7,36],"tags":[],"class_list":["post-887","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lakarprogrammet","category-praktik"],"acf":[],"yoast_head":"\nEn vecka p\u00e5 l\u00e4karprogrammet T7 Kirurgi #klin - Studentbloggen<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/blog.ki.se\/studentbloggen\/2022\/04\/18\/en-vecka-pa-lakarprogrammet-t7-kirurgi-klin\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"En vecka p\u00e5 l\u00e4karprogrammet T7 Kirurgi #klin - Studentbloggen\" \/>\n<meta property=\"og:description\" content=\"Under termin 7 l\u00e4ser vi om kirurgi (allm\u00e4nkirurgi, ortopedi, urologi och fler kirurgiska specialiteter). Under termin 7 har vi praktik i stort sett varje vecka. 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