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بسم الله الرحمن الرحيم

بسم الله الرحمن الرحيم. EXANIMATION of a patient. Mohammad Bukhary. Why do we examine a patient ?. To obtain information that cannot be taken by history: Patient doesn't know Patient can’t describe. Mohammad Bukhary. GENERAL EXANIMATION. examination. General Examination + vitals

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بسم الله الرحمن الرحيم

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

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

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

  4. بسم الله الرحمن الرحيم GENERAL EXANIMATION Mohammad Bukhary

  5. GENERAL EXANIMATION • Inspection • Vitals • Face & Neck • Limbs Mohammad Bukhary

  6. GENERAL EXANIMATION • Inspection • Vitals • Face & Neck • Limbs Mohammad Bukhary

  7. GENERAL EXANIMATION Inspection • Appearance • Body • Color • Distress &Decubitus • Environment Mohammad Bukhary

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

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

  10. GENERAL EXANIMATION Inspection • Color: • Cyanosis • Pallor • Jaundice Jaundice Mohammad Bukhary

  11. GENERAL EXANIMATION Inspection • Distress • Accessory muscles utilization • Decubetus ( position of the patient ) Mohammad Bukhary

  12. GENERAL EXANIMATION Inspection • Environment • IV fluid • Oxygen mask • ECG • Folly cath Mohammad Bukhary

  13. GENERAL EXANIMATION • Inspection • Vitals • Face & Neck • Limbs Mohammad Bukhary

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

  15. GENERAL EXANIMATION Vital signs • Pulse • Rate • More details in CVS Examination ! Mohammad Bukhary

  16. GENERAL EXANIMATION Vital signs • Respiratory rate Mohammad Bukhary

  17. GENERAL EXANIMATION Vital signs • Blood Pressure Mohammad Bukhary

  18. GENERAL EXANIMATION Vital signs • Temperature Mohammad Bukhary

  19. GENERAL EXANIMATION • Inspection • Vitals • Face & Neck • Limbs Mohammad Bukhary

  20. GENERAL EXANIMATION Face & Neck • Characteristic Faces • Eyes • Mouth • Neck Mohammad Bukhary

  21. GENERAL EXANIMATION Face & Neck • Characteristic Faces Mohammad Bukhary

  22. GENERAL EXANIMATION Face & Neck • Eyes Normal Pallor Jaundice Mohammad Bukhary

  23. GENERAL EXANIMATION Face & Neck • Mouth Cyanosis Central VS Peripheral Mohammad Bukhary

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

  25. GENERAL EXANIMATION • Inspection • Vitals • Face & Neck • Limbs Mohammad Bukhary

  26. GENERAL EXANIMATION Limbs • Upper limb • Lower limb Mohammad Bukhary

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

  28. GENERAL EXANIMATION Limbs • Lower limb • Edema (pitting & non-pitting) Mohammad Bukhary

  29. CONGRATULATIONS You’re now an excellentgeneral examiner

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