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Maybe

In: Film and Music

Submitted By meltedandrew
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Pages 5
*Cardiology-grade stethoscope

**2 vials of aromatic substance

*Pocket sphygmomanometer

**Cotton balls

*Non-pocket otoscope & ophthalmoscope

**Tongue depressors x 5
**1 penny and 1 paperclip
**Instrument for sharp/ dull (more tongue depressors)

**Tuning forks: 128 Hz and 512 Hz

**Penlight

**Triangular reflex hammer
**Centimeter ruler

*please read below before purchasing

**Pocket Snellen eye chart

**PA class sells packets that contains all these

CARDIOLOGY-GRADE STETHOSCOPE: ~$ 140-160


Get at least a cardiology-grade stethoscope: has a diaphragm, bell, and dual lumen. Plan to spend at least $140. Examples:
1. Littman: Cardiology III: pediatric side can be a bell or can adjust pressure on diaphragm ~$140160, Master Cardiology ~$185 (is single sided and NOT necessary)
2. Heine: Gamma C3 Cardiology ~$140
3. Welch Allyn: Tycos Elite ~$140
4. MDF: Procardial C3 ~$162
 Your stethoscope will be used to hear heart murmurs, lung sounds, bruits--- things not always so easy to hear. You will not be working in sound proof environments. DO NOT skimp in this area or you’ll just buy another one because you can’t hear anything.
 Chest piece can be two sided: bell (low pitch) and diaphragm (high pitch) or single sided. We suggest for ease of use that you purchase a scope with a two-sided chest piece
 Should have replaceable, multi-size ear tips, esp if you have small ear canals!
 Multiple tube colors and different chest piece finishes available; get whatever color you desire. Get a name tag piece to identify yours or you can get it engraved.

SPHYGMOMANOMETER (Blood Pressure cuff) $20-200


Prices vary according to calibration warranty, valves, and cuffs. Can lose calibration when knocked around.

1. POCKET SPHYGS $20 @ CVS or up to $115


Generally, the least expensive and most popular. Pocket designs are the most compact and portable. This is what is in most offices.

2. PALM SPHYGS $95-200


Most commonly used with multi-cuffs (Pedi, Adult, XL).



The bulb and valve are integrated into the gauge for one-hand convenience.



Palm sphygs are easier to use, but we use pocket sphygs in the “real world.”

DIAGNOSTIC SCOPE HANDLE AND ATTACHMENTS ~$428-705


Prices vary according to the type of battery handle you choose and the type of scope heads. 

All items are traditionally bundled together in a basic kit with a case that includes the handle, an otoscope head (to look in ears) and an ophthalmoscope head (to look in eyes.)




Less expensive if bundled in a kit ~$428- $705, or else sold separately.

If you purchase from Heine or Welch Allyn via UNTHSC, they will provide a broad warranty— READ CAREFULLY.


** We have had 2 years of trouble with bulbs from Welch Allyn– caused nondimming. They remedied the problem immediately. CHARGE and TEST YOUR
EQUIPMENT THE MOMENT YOU GET IT!!



DO NOT buy the cheap portable/ mini kits- you can’t see with them– and we don’t allow them. If you can’t see, you can’t learn. The ONLY pocket/ mini kits we allow are those sold by Heine ~ $430. BUT Heine pocket kit ophthalmoscope lights are very bright and cannot be dimmed, which may limit a good funduscopic (eye) exam.



Use caution when buying used from someone or buying online: www. Steeles.com, Amazon, Craig’s list, ebay, UNT treasure chest: It’s not always clear what you’re getting and no manufacturer’s warranty on this expensive item is risky.

A. HANDLES
1. Lithium Ion Battery Handle $250


Has a longer battery life, fully rechargeable in wall. (This item is not necessary or worth the extra $$$.)

2. Ni-Cd Battery Handle ~ $120


Can replace battery— even after 10 years of non use (about $26.)



Fully rechargeable in wall. Also, you can buy adapter and use 2 D batteries.

B. DIRECT OPHTHALMOSCOPE HEADS
1. Coaxial Ophthalmoscope Head ~$190


Feels and looks like any other ophthalmoscope used in almost all clinics; learning on this will prepare you for wherever you go. This is what you will use in OSCEs.



Has basics that any student would want and will allow for adequate visualization of the retina

2. PanOptic Ophthalmoscope Head ~$600


You are NOT allowed to use these on OSCEs, so why spend the extra $$$?



Regardless of your PanOptic purchase, you still need to know how to use a coaxial head (above) in
OSCEs and in “the real world” and if you learned on a Welch Allyn PanOptic, you have no technical ability to use a standard ophthalmoscope.



Fits on any standard Welch Allyn 3.5 V power handle.



5x greater view of the back of the eye (retina), and 26% increased magnification.



Holding this to a patient’s eye produces results PROVIDED YOU KNOW HOW TO USE IT.



You can buy an adapter to hook up iPhone and take pictures.

C. OTOSCOPE HEADS
1. Standard Otoscope Head ~$110


Most likely to come these across in clinics and hospitals, but no longer sold in kits via Welch
Allyn—has been replaced by the Macroview.



Welch Allyn uses standard otoscope tips.


Heine otoscopes require their own otoscope tips, which Heine will send you free
ONLY while you’re in school.



You can slide the lens for curette access and can attach a insufflator bulb (accessory used to push air into the ear and gauge movement of the tympanic membrane.)

2. Macroview Otoscope Head ~ $200


Doubles field of view and can increase magnification by 30% .



Requires its own specific otoscope tips (NOT the same ones above).



Can fog up easy; use anti-fog lens wipes



You cannot slide the lens aside for direct access to the ear with a curette.



There is no difference in the physical use of any of the above otoscope heads.

Final points: Remember; this equipment lasts years; think of the future when you purchase.
1.

This course requires that men wear shorts and women wear shorts and tank tops while in lab as you will examine each other. If you are especially modest, buy an exam gown and wear it in lab. (Approximately $9-25 from amazon)

2.

Top of the line items (PanOptic, Macroview) are typically NOT used in standard practice. You don’t know where you are going to work just yet and you may want to wait before you spend the big bucks. Remember, you are NOT allowed to use a PanOptic head during testing
(OSCEs).

3.

You can purchase online to save money on sites such as www.steeles.com or even Amazon. Some students have used Craig’s list or Ebay.
Downside: you don’t always know what you’re getting and they may not provide the same manufacturer warranties. Proceed with caution.

4.

“Exotic” tube colors on stethoscopes may look unprofessional in certain environments.

5.

CHARGE and TEST ALL YOUR EQUIPMENT THE MOMENT YOU GET IT! READ THE MANUALS AND WARRANTIES! To save yourself from embarrassment, please read all materials carefully and charge your equipment before you come to class/ OSCEs and/ or before you say a piece of equipment doesn't work properly. 

6.

We have plenty of disposable otoscope tips (both Welch Allyn and Heine) that we will supply you with while you are in PE Skills, so you don’t need to buy them.

7.

Questions? I am happy to help! Email me, your course director for Physical Exam skills: chrystyna.senkel@unthsc.edu…...

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