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Techniques of Physical Examination | Part Two

Techniques of Physical Examination | Part Two

Making a General Survey: universal overview of the patient’s general condition. Document appropriately:

  • LOC
  • Signs of Distress
  • Apparent state of health
  • Skin color temp and condition
  • Weight
  • Posture Gait activity
  • Dress grooming personal hygiene
  • Breath odors
  • Facial expression
  • Vital Signs
  • Additional assessments: pulse oximetry, blood glucose, cardiac monitoring

Anatomical Regions
Examining Skin and Nails: Skin is largest organ of the body. Check:

Examining and Normal and abnormal findings of Head/Neck Etc.


Respiratory System
Surveying Respirations: Assess Rate, Depth and Quality:

Respirations:
Adult 12-20
Child 18-26
Infant 20-30
Newborn 40

Watch abdomen too, count when they don’t know you are counting

Signs of Respiratory distress:

  • Nasal flaring
  • Paradoxical chest motion
  • Use of Accessory muscles
  • Pursed lip breathing
  • Noisy breathing: stridor, grunting, gurgling
  • Obvious difficulty
  • Cyanosis: blueish lips and skin

Anterior and Posterior Chest

 

 

 

 

 

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