PRINCIPLES OF THE PHYSICAL EXAMINATION
GENERAL SURVEY Exam begins the minute you first see the patient Exam continues throughout your patient interaction
OBSERVATION WEALTH OF INFORMATION!!!!
STATURE
HEALTH STATUS
WEIGHT
PERSONAL HYGIENE
SKIN COLOR /LESIONS
BREATH/ODOR
MOOD/ATTITUDE
WHEN WE PERFORM A PHYSICAL EXAM WE USE
TECHNIQUES OF THE PHYSICAL EXAMINATION VISUAL INSPECTION PALPATION PERCUSSION AUSCULATION
VISUAL INSPECTION INSPECT CAREFULLY ALL AREAS OF EXAM DOCUMENT BOTH NORMAL AND ABNORMAL FINDINGS
PALPATION
PALPATION TEXTURE SIZE CONSISTENCY CREPITUS MASSES EXAMPLE – TAKING A PULSE, HEAD AND NECK EXAM
PERCUSSION
PERCUSSION USE OF THE HANDS AND FINGERS STRIKING ONE OBJECT AGAINST ANOTHER
AUSCULATION
AUSCULATION LISTENING FOR SOUNDS PRODUCED BY THE BODY BLOOD PRESSURE, INTESTINAL SOUNDS
PHYSICAL EXAMINATIN MINUTES TO HOURS TO PERFORM OBSERVATION TO HANDS ON CONTINUE THROUGHOUT THE ENTIRE CARE OF THE PATIENT SYSTEMATIC AND THOROUGH