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History and Physical Examination

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. History and Physical. Have the patient fill out a form that asks about their complete medical history. Take their vital signs

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History and Physical Examination

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  1. 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.

  2. History and Physical • Have the patient fill out a form that asks about their complete medical history. • Take their vital signs • Do a physical exam

  3. Vital Signs • Blood Pressure • Heart Rate • Respirations • Temperature • Height, Weight

  4. HEENT • Head • Eyes • Ears • Nose • Throat

  5. Head Exam

  6. Eye Exam

  7. Snellen Eye ChartTests acuity and CN II

  8. Test for Colorblindness

  9. Deviated Nasal Septum

  10. Deviated Nasal Septum

  11. Nasal Polyps

  12. Throat Exam • Lymph Nodes • Pharynx Exam

  13. Lymph Nodes • submental area • submandibular nodes • Supraclavicular nodes • Anterior cervical (Sternocleidomastoid area) • posterior cervical chain is along the back of the neck (often positive in infectious mononucleosis and HIV+ patients) • Axillary nodes • Inguinal nodes

  14. Lymph Nodes

  15. Swollen Cervical Nodes

  16. Axillary Lymph Nodes

  17. Swollen Inguinal Lymph Nodes

  18. Throat Exam

  19. Throats with tonsillitis

  20. Abdomen • Shape • Symmetry • Girth • Scars • Tenderness • Masses • Organomegaly • Hepatomegaly (liver) • Splenomegaly (spleen) • bowel sounds • hernias

  21. Abdominal Exam • Listen with the diaphragm of the stethoscope for the presence of bowel sounds in the lower abdominal quadrants. • Measure the girth of the abdomen around the umbilicus. Excess girth is a risk factor for cardiovascular disease: • FEMALES: waist size more than 35 inches • MALES: waist size more than 40 inches

  22. Abdominal Exam • Have patient lie down. • Place your fingertips on the upper right quadrant (URQ), below the costal margin. Have them exhale. As they exhale, press firmly into the abdomen and try to feel the border of the liver. It should be difficult to feel much. If it is easy to palpate, the liver is enlarged (hepatomegaly). Repeat this procedure on the left upper quadrant (LUQ) to check for an enlarged spleen (spenomegaly). Palpate the two lower quadrants for tenderness and masses.

  23. Hepatomegaly

  24. Hepatomegaly

  25. Splenomegaly

  26. Splenomegaly

  27. Hernias

  28. Umbilical Hernia

  29. Inguinal Hernia

  30. Inguinal Hernia

  31. Back Exam ABNORMALITIES OF THE SPINE • SCOLIOSIS is a lateral curve in the spine • KYPHOSIS is a hunchback curve • LORDOSIS is a swayback in the lower region.

  32. Scoliosis

  33. KYPHOSIS

  34. LORDOSIS

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