Upload File

physical examination of the patient

6
Physical examination Identification data of the patient Patient’s name:- Age:- Gender:- Hospital name:- File no./ MLC no.:- Source providing history:- Date and time of admission:- OPD No.:- IPD No.:- Ward:- Bed no:-. Provisional diagnosis:- Surgery done/ Date of surgery:- Name of surgery:- Residential address:- Mother tongue:- Marital status:- Educational status:- Occupation:- Monthly income:- General appearance Body type:- Posture:- Gait:- Activity:- Vital signs Temperature:- Pulse:- Respiration:- Blood pressure:- Height and weight

Upload: shaina-sharma

Post on 18-May-2015

351 views

Category:

Health & Medicine


3 download

Report

DESCRIPTION

this document includes all the essential headings under which physical examination of the patient is done. it helps in collecting the objective information from the patient

TRANSCRIPT

Page 1: Physical examination of the patient

Physical examination

Identification data of the patient

Patient’s name:- Age:- Gender:- Hospital name:- File no./ MLC no.:- Source providing history:- Date and time of admission:- OPD No.:- IPD No.:- Ward:- Bed no:-. Provisional diagnosis:- Surgery done/ Date of surgery:- Name of surgery:- Residential address:- Mother tongue:- Marital status:- Educational status:- Occupation:- Monthly income:-

General appearance

Body type:- Posture:- Gait:- Activity:-

Vital signs

Temperature:- Pulse:- Respiration:- Blood pressure:-

Height and weight

INTEGUMENTSkin:

Colour:- Moisture:- Temperature:- Texture:-

Page 2: Physical examination of the patient

Turgor:- Vascularity:- Lesions:-

Hair and scalp: Distribution:- Colour:- Appearance:- Scalp:- Hair follicles:-

Nails: Color:- Thickness:- Shape:-

HEAD AND NECK

Head:

Position:-

Eyes:

Position and alignment:- Eyebrows:- Eyelids:- Lacrimal ducts:- Conjunctiva:- Sclera:- Cornea:- Pupil:- Lens:- Visual acuity:-

Ears:

Auricles:- Ear drum:- Hearing acquity:-

Nose:

Page 3: Physical examination of the patient

External nares:- Mucosa:- Discharge:- Nasal septum:- Sinuses:-

Mouth and pharynx:

Lips:- Mucosa:- Gums:- Teeth:- Tongue:- Palate:- Pharynx:-

Neck:

Neck muscles:- Lymph nodes:- Thyroid gland:- Trachea:-

THORAX AND LUNGS

Posterior thorax:

Contour:- Intercostal spaces:- Rhythm of breathing:- Thoracic muscles:- Fremitus:- Percussion:- Auscultation:-

Anterior thorax:

Thoracic muscles:- Fremitus:- Percussion:- Auscultation:-

Page 4: Physical examination of the patient

Lateral thorax: Percussion:-

HEART

Inspection:- Palpation:- Auscultation:- Heart rate:-

BREAST

Inspection:- Nipple:- Palpation:-

ABDOMEN

Inspection:- Palpation:- Percussion:- Auscultation:-

GENITALIA (Female)

Labia majora:- Labia minora:- Urethral orifice:- Vaginal orifice:-

GENITALIA (Male)

Penis:- Scrotum:- Inguinal ring and canal:-

RECTUM AND ANUS

Inspection:- Digital palpation:-

Page 5: Physical examination of the patient

MUSCULOSKELETAL SYSTEM

Inspection:- Palpation:- Range of motion:- Muscle tone and strength:-

NEUROLOGICAL SYSTEM

Level of consciousness:- Behavior:- Cranial nerve function:-

Reflexes: Biceps:- Triceps:- Patellar:- Achilles:- Plantar:- Gluteal:- Abdominal:-


Patient History and Physical Examination - KSUfac.ksu.edu.sa/sites/default/files/patient_history... · Tips in Patient History and Physical Examination PROF. ABDULLAH S. AL-JARALLAH,

Chapter 16 Focused History and Physical Examination of the Medical Patient

ChildrenChildren, Doctor-Patient Relationship, Family Relationships, Illness and the Family, Physical Examination, Psycho- social Medicine, Rebellion,

GENERAL APPROACH TO THE PATIENT Case history Patient Compliance pertinent physical examination

Basic physical examination - BSMS · Basic physical examination Supporting students to practise simple examination techniques Undertaking a basic physical examination is a key assessment

Western Diagnosis----Physical examination diagnosis/Notes/5...examination----- Cardiovascular System Western Diagnosis ----- Physical examination -- Heart HEART EXAMINATION Inspection

PATIENT HISTORY & PHYSICAL EXAMINATION. Making a diagnosis 1.Anamnesis = history taking 2.Physical examination – inspection, palpation, percussion, auscultation,

Module 3 Patient Assessment. Scene Size Up Initial Assessment Physical Examination Patient History On-Going Assessment

Physical Examination Proposal: collection of patient ’ s body statement

CHAPTER 1 Patient History and Physical Examination

Physical Sciences examination guidelines€¦ · Refering to: PHYSICAL SCIENCES, EXAMINATION GUIDELINES, GRADE 12 2009 And AMENDMENTS TO EXAMINATION GUIDELINES, PHYSICAL SCIENCES

Approach to Bleeding Disorders. Evaluation of the patient History Physical Examination Laboratory Evaluation

Physical Medicine and Rehabilitation Patient-Centered … · Physical Medicine and Rehabilitation Patient-Centered Care ... Physical Medicine and Rehabilitation Patient ... Medicine

PATIENT HISTORY PHYSICAL EXAMINATION - … a diagnosis 1. Anamnesis = history taking 2. Physical examination –inspection, palpation, percussion, auscultation, vital signs, weight,

Physical examination signs

Detailed Physical Examination CHAPTER 12. Detailed Physical Examination Patients Needing a Detailed Examination

Chapter 14 Focused History and Physical Examination of the Trauma Patient

Abdominal examination (Physical Examination for OSCE)

Patient Examination History

1 Patient Assessment Beginning the Physical Examination: Scene Size-Up, General Survey, Vital Signs, and Pain

Fundamentals of the Chest Physical Exam RESD 60 Bedside Assessment Skills Patient Interview History Taking Physical Examination Medical Record

Chronic Diarrhea: Approach to the Patient diagnostic evaluation must be rationally directed by a careful history and physical examination history, physical

Performing A Physical Exam PO 002.01. Physical Examination The evaluation of a patient is conducted in two parts: The subjective exam The objective

MALIK ALQUB MD. PHD. Clinical labrotaries. Steps in the Investigation of a Patient Patient History Physical Examination Laboratory Tests Imaging Techniques

Physical Therapy Examination of the Vertiginous …...3/20/2018 1 Physical Therapy Examination of the Acutely Vertiginous Patient Andrew Wagner, PT, DPT, NCS Jennifer Williams, PT,

Patient-Centred PartII: FindingCommon Common Ground.pdf · Patient-CentredInterviewing ... clinical methods, including history taking, physical examination, and ... This approachgenerates

physical examination of orthopaedic patient

Physical Therapy 2008 Program Review - Andrews University · patient/client management (examination, evaluation, diagnosis, prognosis and intervention) in order to maximize patient

HISTORY AND PHYSICAL EXAMINATION IN AN OBSTETRIC PATIENT

Clinical eye examination History & physical examination

Examination of Female Genitalia - westernbiomed.weebly.com · Physical Examination of Female Genitalia •The Patient –Avoid intercourse or douching 1-2 days prior to exam –Empty

Physical Examination Abdomen

Sick Call Screener Course Patient Presentation Call Screener's...Physical Examination •Report your findings by system from head to toe in a sequential order ... physical examination

Confidential Patient Case History - revchiropractic.com Patient Case History.pdfPrimary Care Physician Date of last physical examination . MEDICA TIONS Please list medications, what

Physical Examination of the Hip Outline - Denver, …. Hoppenfeld, S. Physical Examination of the Spine and Extremities. ... orthopedic physical examination. ... Physical Examination