THE PHYSICAL EXAMINATION

Slides:

Advertisements

Similar presentations

CVS Physical Examination

Advertisements

Health Assessment Review

ABDOMINAL ASSESSMENT.

Caring for Older Adults Holistically, 4th Edition Chapter Fourteen Physiological Assessment Pati L.H. Cox, RN, BSN, M.Ed

Winter Quarter 2010 Adapted from previous years by Amanda Kocoloski, OMS IV Abdominal Exam.

Head to toe examination

Head to Toe Assessment Head Eyes: check sclera, conjunctiva, accomodation, PERRLA Mouth: pink, moist, without odor, teeth alignment, number of teeth,

Assessment Physical Assessment Part 1 Helen Harkreader, RN, PhD.

Huda Al-Owairdy Clinical Pharmacy Dept.

EMT 100 Patient Assessment. Vital Signs *SIGNS OF LIFE*

Detailed Physical Exam. Who Needs a Detailed Physical Exam? Determined by patient’s condition: After critical interventions for a patient with significant.

NURSING 869NURSING 869 Physical Assessment NURSING 869NURSING 869 Gather baseline data Supplement, confirm, or refute data in nursing hx Confirm and.

Kidney Lacerations & Contusions Rina Parrish & Michelle Jones 1 October 2003 AH 322 Eval. Of athletic injuries I.

CVS Examination done by Fahad Gadi 6th year medical student-2007

Detailed Physical Examination CHAPTER 12. Detailed Physical Examination Patients Needing a Detailed Examination.

Baseline Vital Signs & SAMPLE History CHAPTER 5. Baseline Vital Signs.

PHYSICAL ASSESSMENT/ EXAMINATION HEAD TO TOE

Physical Assessment PN 103.

NEO 111 Melanie Jorgenson, RN, BSN.  Inspection: performing deliberate, purposeful observations in a systematic manner  Palpation: using the sense of.

D. Heart and blood vessels

History and Physical Examination You really only need to print the slides with the stars on them, to remind you how to perform each part of the examination.

Basic Physical Assessment Physical Assessment Part 1.

Physical Examination Demonstration

Head & Neck Examination of A SURGICAL PATIENT

Health Assessment Across the Lifespan.  Structure and Function  Subjective Data—Health History Questions  Objective Data—The Physical Exam  Abnormal.

Medical Instruments II: Stethoscope

PHYSICAL EXAMINATION.

ABDOMEN. Examination of the Abdomen  Ensure the patient is lying flat (remove any extra pillows,if present,with the permission of the patient);the hands.

Vital Signs The Five Vital Signs n Level of responsiveness n Breathing n Pulse n Temperature n Blood pressure.

outlines Introduction Scene assessment Patient assessment: Primary survey Secondary survey Care of unconscious patient: Emergency care Long term care.

© 2009 The McGraw-Hill Companies, Inc. All rights reserved 38-1 Purpose of General Physical Examination  To confirm an overall state of health Baseline.

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Abdomen Chapter 21.

Physical Assessment: The Abdomen Purposes Identifies the anatomical boundaries of the abdomen. Identifies the functions of abdomen auscultation, palpation,

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 26 Vital Signs.

TRAUMA ASSESSMENT. PRIMARY SURVEY AIRWAY – Assess for patency/obstruction Chin lift/ jaw thrust Clear FB’s Oropharyngeal airway Intubation/surgical airway.

12 Thorax and Abdomen. Observe surroundings and athlete. On-Field Assessment: Primary Survey Establish consciousness. Assess vitals early (pulse, respirations,

Purpose of General Physical Examination

Physical Examination 2 nd Affiliated Hospital China Medical University 内科郑长青.

M K ALAM.  Abdomen extends from the nipple level to the bottom of the pelvis  Exposure: nipples to knees (ideal)  Patient lying flat on a pillow 

Chapter 27 Physical Assessment.

Integration of the Physical Assessment Putting it all together Dr. Sara Mitchell November 3, 2006.

Physical Examination Findings

The Physical Examination

“When in danger, when in doubt, run in circles, scream and shout.”

Physical Examination ABDOMEN.

PUTTING IT ALL TOGETHER NUR211 Kathleen Hancock. Nurse’s Skills 4Critical thinking 4Interpersonal 4Proficient examination skills 4Proper equipment 4Use.

Examination of Lower Limb Dr Raj. palpation Confirm the bone landmarks Look for tenderness in the area of these landmarks and joint spaces Palpate for.

 External nose comprises the nasal bones and cartilage covered by skin  Cartilaginous bony septum divides the left and right nasal cavities  Turbinates.

Survey the Scene --mechanism of injury --nature of illness.

SECONDARY SURVEY بنام خدا دانشگاه علوم پزشكي بقيه‌الله (عج) دكتر شعبان مهرورز دانشيار گروه جراحي کارگاه ارزیابی و احیا مصدوم در صحنه – 29 تیر 1387 کارگاه.

The Complete Health History and Physical Examination

Overview of Physical Assessment Chapter 13 PNU 145 Bethann Davis RNC/NP MSN.

HEAD TO TOE ASSESSMENT SUMMARY

 Lecture 2. Level 1 (Problem Focused) Level 2 (Expanded Problem Focused) Level 3 (Detailed) Level 4 / 5 (Comprehensive)

Assessment of the Abdomen

Division 2 Patient Assessment

Introduction to History and Physical Exam

Neck Vessels & Peripheral vascular

PHYSICAL ASSESSMENT/ EXAMINATION HEAD TO TOE

Physical Exam and Health Assessment

Purpose of General Physical Examination

The Physical Examination

Chapter 18 Medical Overview

Assessment of the Abdomen (Gastrointestinal System)

Patient Assessment Chapter 8.

The Complete Health History and Physical Examination

ASSESSMENT OF THE TRAUMA PATIENT

Generalized patient assessment Work from the head down

History and Physical Examination

Presentation transcript:

THE PHYSICAL EXAMINATION HEAD TO TOE ADULT ASSESSMENT

GENERAL SURVEY (OBSERVATION) APPARENT SIGNS OF RESPIRATORY OR OTHER DISTRESS? LEVEL OF CONSCIOUSNESS, AWARENESS MOOD & BEHAVIOR SPEECH CLARITY ASSESS SKIN (COLOR, TEMP. , MOISTURE ODORS (ALCOHOL, KETONE, URINE, ETC)

EXAMINING THE HEAD AND NECK (INSPECTION, PALPATION, AUSCULTATION) FOR OBVIOUS INJURY/DEFORMITY CHECK PUPILS OBSERVE FOR DISCHARGE (FROM EYES, EARS, NOSE, MOUTH) OBSERVE ORAL, PHARYNGEAL CAVITIES,TEETH INSPECT NECK (VEIN DISTENTION, ENLARGED NODES, SYMMETRY)

Examining the head & neck (cont.) PALPATE: SCALP FACIAL BONES LYMPH NODE LOCATIONS (SUBMANDIBULAR, SUBMENTAL, PRE AND POST AURICULAR, CERVICAL)

Examining the head & neck (cont.) AUSCULTATE: CAROTID ARTERIES FOR BRUITS

EXAMINING THE CHEST AND BACK INSPECT: FOR OBVIOUS INJURY, DEFORMITY,SKIN ABNORMALITIES (SUCH AS DECUBITI) OBSERVE RESPIRATIONS, CHECK FOR EQUAL CHEST EXPANSION BILATERALLY OBSERVE FOR CONTOUR AND SYMMETRY

Examining the chest & back (cont.) Palpate: Clavicles, supra and sub clavicular lymph node areas Axillae Ribs, spine, check for sacral edema

Examining the chest & back (cont.) Auscultate: Breath sounds in all five lung lobes, respiratory rate, depth,rhythm.Wheezing? On inspiration or expiration or both? Cough? Productive or nonproductive? Heart sounds (aortic, pulmonic, Erb’s, tricuspid, mitral areas), S1 and S2. Check heart rate: regular? Regularly irregular? Irregularly irregular?

Examining the chest & back (cont.) Percuss: Chest periphery Costoverterbral angles

EXAMINING THE ABDOMEN INSPECT: FOR OBVIOUS INJURY, SCARS, RASH FOR DISTENTION FOR ASYMMETRY, MASSES, HERNIAS OBSERVE FOR PULSATIONS, VISIBLE PERISTALSIS INSPECT EXTERNAL GENITALIA

Examining the Abdomen (cont.) Auscultate: All four quadrants for bowel sounds For bruit over the abdominal aorta

Examining the Abdomen (cont.) Palpate (gently!) For pain, rebound tenderness, guarding Liver margin, spleen Carefully palpate any hernias Check femoral pulses

Examining the Abdomen (cont.) Percuss: For fluid, motion All four quadrants, noting sounds

EXAMINING THE EXTREMITIES INSPECT: OBSERVE FOR SYMMETRY, OBVIOUS DEFORMITY FOR GAIT, RANGE OF MOTION OBSERVE SKIN FOR COLOR, CONDITION OBSERVE NAILS FOR COLOR, CONDITION OBSERVE FOR INVOLUNTARY MOVEMENTS OBSERVE FOR EDEMA

EXAMINING THE EXTREMITIES PALPATE: UPPER EXTREMITIES: RADIAL, BRACHIAL PULSES, COMPARE CHECK GRIP, STRENGTH BILATERALLY LOWER EXTEMITIES: PERIPHERAL PULSES:POPLITEAL, DORSALIS PEDIS, POSTERIOR TIBIAL; COMPARE BILATERALLY EVALUATE SENSATION IN ALL EXTREMITIES ASSESS FOR PITTING EDEMA PERFORM HOMAN’S SIGN EXAM; CHECK FOR CALF TENDERNESS, PAIN, HEAT

EXAMINING THE EXTREMITIES PERCUSS: DEEP TENDON REFLEXES