بسم الله الرحمن الرحيم

EXANIMATION

of a patient

Mohammad Bukhary

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

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

بسم الله الرحمن الرحيم

GENERAL EXANIMATION

Mohammad Bukhary

GENERAL EXANIMATION

Mohammad Bukhary

1. Inspection

2. Vitals

3. Face & Neck

4. Limbs

GENERAL EXANIMATION

Mohammad Bukhary

1. Inspection

2. Vitals

3. Face & Neck

4. Limbs

GENERAL EXANIMATION

Mohammad Bukhary

Inspection

1. Appearance

2. Body

3. Color

4. Distress & Decubitus

5. Environment

GENERAL EXANIMATION

Mohammad Bukhary

Inspection

1. Appearance

Well/Ill: subjective

Consciousness:

Orientation: Time – Place - Person

GENERAL EXANIMATION

Mohammad Bukhary

Inspection

2. Body Built

Average

Overweight

Underweight

GENERAL EXANIMATION

Mohammad Bukhary

Inspection

3. Color:

Cyanosis

Pallor

Jaundice Jaundice

GENERAL EXANIMATION

Mohammad Bukhary

Inspection

4. Distress

Accessory muscles utilization

4. Decubetus ( position of the patient )

GENERAL EXANIMATION

Mohammad Bukhary

Inspection

5. Environment

IV fluid

Oxygen mask

ECG

Folly cath

GENERAL EXANIMATION

Mohammad Bukhary

1. Inspection

2. Vitals

3. Face & Neck

4. Limbs

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

GENERAL EXANIMATION

Mohammad Bukhary

Vital signs

1. Pulse

Rate

More details in CVS Examination !

GENERAL EXANIMATION

Mohammad Bukhary

Vital signs

2.Respiratory rate

GENERAL EXANIMATION

Mohammad Bukhary

Vital signs3. Blood Pressure

GENERAL EXANIMATION

Mohammad Bukhary

Vital signs

4. Temperature

GENERAL EXANIMATION

Mohammad Bukhary

1. Inspection

2. Vitals

3. Face & Neck

4. Limbs

GENERAL EXANIMATION

Mohammad Bukhary

Face & Neck

1. Characteristic Faces

2. Eyes

3. Mouth

4. Neck

GENERAL EXANIMATION

Mohammad Bukhary

Face & Neck

1. Characteristic Faces

GENERAL EXANIMATION

Mohammad Bukhary

Face & Neck2.Eyes

Normal Pallor Jaundice

GENERAL EXANIMATION

Mohammad Bukhary

Face & Neck

3.Mouth

Cyanosis

Central VS Peripheral

GENERAL EXANIMATION

Mohammad Bukhary

Face & Neck4.Neck (Lymph Nodes)

Submental

Submandibular

Auricular (- Pre – Infra – post )

Cervical (- Ant – Post – Deep )

Occipital

Supraclavicular

Occipital

GENERAL EXANIMATION

Mohammad Bukhary

1. Inspection

2. Vitals

3. Face & Neck

4. Limbs

GENERAL EXANIMATION

Mohammad Bukhary

Limbs

1. Upper limb

2. Lower limb

GENERAL EXANIMATION

Mohammad Bukhary

Limbs

1. Upper limb

depends on each system.

It will be covered in the systemic examination.

GENERAL EXANIMATION

Mohammad Bukhary

Limbs

2. Lower limb

Edema (pitting & non-pitting)

CONGRATULATIONS

You’re now an excellentgeneral examiner