principles of clinical examination
DESCRIPTION
Principles of Clinical Examination.TRANSCRIPT
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Adult General Physical Examination
Dr. Seyed Morteza Mahmoudi, MBBS
Gulf Medical University, Ajman2013
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Making use of all our senses, Except?
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Initial Steps
1- Greet
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Initial Steps
2- Introduce yourself
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Initial Steps
3- Make sure you have the right patient
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Initial Steps
4- Explain
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Initial Steps
5- Make sure the environment is appropriate
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Initial Steps
6- Consent
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Initial Steps
7- Wash hands, safety precautions
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Initial Steps
8- Drape and adequately expose
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Initial Steps
9- If necessary get a chaperon
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Initial Steps
10- Ask about pain
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Steps 1- Greet
2- Introduce yourself
3- Make sure you have the right patient
4- Explain
5- Make sure the environment is appropriate
6- Consent
7- Wash hands, safety precautions
8- Drape and adequately expose
9- Chaperon
10- Pain consideration
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Start your physical examination as soon as
you see the patient
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Physical Examination Hand shakeBody built Face ClothingComplexionSoundsOdorsPosture and gaitMovementsSpot diagnosis
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Useful Pneumonic PallorEdemaNail changes/clubbingCyanosisIcterus Lymph nodesSkin changes
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SCHAMROTH’S WINDOW TEST
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CAUSES OF CLUBBINGcyanotic congenital heart diseaseSub acute bacterial endocarditislung carcinoma bronchiectasisEmphysemalung abscesslung fibrosis Pulmonary TuberculosiscirrhosisIBDCeliac disease Thyrotoxicosis Familial
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CAUSESCENTRAL CYANOSISAbnormal hemoglobin
levels Congenital heart
diseaseHypoventilationAsthmaMethmoglobinemia Valvular heart diseaseCOPD
Pulmonary embolismArterial obstructionHeart failureRight to left venous
arterial shuntsHigh altitudesPolycythemia
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PERIPHERAL CYANOSISExposure to cold
Reduced cardiac output
Arterial or venous obstruction
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Skin ChangesDry & inelasticMoistThickened and greasy Atrophied ColourDupuytren's contractureRashesSwellingsHemorrhagesHair
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Nail Changes
KoilonychiasOnycholysis Pitting Splinter hemorrhages
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Lymph node ExaminationCervical
Sub mental -Submandibular – Tonsillar (Jugulodigastric)- PreauricularPostauricular Occipital Superficial (Anterior) Cervical Posterior cervicalSupraclavicular
AxillaryInguinal
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Massive lymphadenopathy
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Tuberculosis Lymphadenopathy
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