1. بسم الله الرحمن الرحيم EXANIMATION of a patient Mohammad Bukhary

2. Why do we examine a patient ? Mohammad Bukhary To obtain information that cannot be taken by history: - Patient doesn't know - Patient can’t describe

3. GENERAL EXANIMATION Mohammad Bukhary 1. General Examination + vitals 2. system examination 3. others examination 1.orthopedic 2.Urology 3.hernia 4.Etc…… 1.CVS 2.CNS 3. GIT 4.Respiratory

4. بسم الله الرحمن الرحيم GENERAL EXANIMATION Mohammad Bukhary

5. GENERAL EXANIMATION Mohammad Bukhary 1. Inspection 2. Vitals 3. Face & Neck 4. Limbs

6. GENERAL EXANIMATION Mohammad Bukhary 1. Inspection 2. Vitals 3. Face & Neck 4. Limbs

7. GENERAL EXANIMATION Mohammad Bukhary Inspection 1. Appearance 2. Body 3. Color 4. Distress & Decubitus 5. Environment

8. GENERAL EXANIMATION Mohammad Bukhary Inspection 1. Appearance  Well/Ill: subjective  Consciousness:  Orientation: Time – Place - Person

9. GENERAL EXANIMATION Mohammad Bukhary Inspection 2. Body Built  Average  Overweight  Underweight

11. GENERAL EXANIMATION Mohammad Bukhary Inspection 3. Color:  Cyanosis  Pallor  Jaundice Jaundice

12. GENERAL EXANIMATION Mohammad Bukhary Inspection 4. Distress  Accessory muscles utilization 4. Decubetus ( position of the patient )

13. GENERAL EXANIMATION Mohammad Bukhary Inspection 5. Environment  IV fluid  Oxygen mask  ECG  Folly cath

14. GENERAL EXANIMATION Mohammad Bukhary 1. Inspection 2. Vitals 3. Face & Neck 4. Limbs

15. GENERAL EXANIMATION Mohammad Bukhary Vital signs 1. Pulse : 60 ~ 100 bpm 2. Respiratory rate : 14 ~ 20 bpm 3. Blood Pressure : 120/80 mmHg 4. Temperature : 36.8ْ-37.2

16. GENERAL EXANIMATION Mohammad Bukhary Vital signs 1. Pulse  Rate  More details in CVS Examination !

17. GENERAL EXANIMATION Mohammad Bukhary Vital signs 2.Respiratory rate

18. GENERAL EXANIMATION Mohammad Bukhary Vital signs 3. Blood Pressure

19. GENERAL EXANIMATION Mohammad Bukhary Vital signs 4. Temperature

20. GENERAL EXANIMATION Mohammad Bukhary 1. Inspection 2. Vitals 3. Face & Neck 4. Limbs

21. GENERAL EXANIMATION Mohammad Bukhary Face & Neck 1. Characteristic Faces 2. Eyes 3. Mouth 4. Neck

22. GENERAL EXANIMATION Mohammad Bukhary Face & Neck 1. Characteristic Faces

23. GENERAL EXANIMATION Mohammad Bukhary Face & Neck 2.Eyes NormalPallorJaundice

24. GENERAL EXANIMATION Mohammad Bukhary Face & Neck 3.Mouth Cyanosis Central VS Peripheral

25. GENERAL EXANIMATION Mohammad Bukhary Face & Neck 4.Neck (Lymph Nodes) Submental Submandibular Auricular (- Pre – Infra – post ) Cervical (- Ant – Post – Deep ) Occipital Supraclavicular Occipital

26. GENERAL EXANIMATION Mohammad Bukhary 1. Inspection 2. Vitals 3. Face & Neck 4. Limbs

27. GENERAL EXANIMATION Mohammad Bukhary Limbs 1. Upper limb 2. Lower limb

28. GENERAL EXANIMATION Mohammad Bukhary Limbs 1. Upper limb depends on each system. It will be covered in the systemic examination.

29. GENERAL EXANIMATION Mohammad Bukhary Limbs 2. Lower limb Edema (pitting & non-pitting)

30. CONGRATULATIONS You’re now an excellent general examiner