PRINCIPLES OF THE PHYSICAL EXAMINATION

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Presentation transcript:

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