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