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Physical exam history taking ppt
  • Tameyra Stefani Al-Suhairy

  • 問題数 60 • 9/20/2024

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    問題一覧

  • 1

    Use of the diaphragm and bell of the stethoscope to detect the characteristics of heart, lung, and bowel sounds, including location, timing, duration, pitch, and intensity

    Auscultation

  • 2

    Personal and Social History

  • 3

    Family History

  • 4

    Objective data

  • 5

    number 9 and last Sequence of Clinical Examination

    Occlusion

  • 6

    Palpitations

    Cardiovascular

  • 7

    demographics, ie. age, gender, occupation, etc.

    Identifying Data

  • 8

    Pleurisy

    Respiratory

  • 9

    method of examination in which the examiner feels the size or shape or firmness or location of something.

    Palpation

  • 10

    7 Musculoskeletal

    Muscle or joint pain, Stiffness, Arthritis, Gout, Backache, Neck or low back pain, Joint pain with systemic features such as fever, chills, rash, anorexia, weight loss, or weakness

  • 11

    4Methods of Clinical Examination

    Inspection-Visual Inspection, Palpation, Percussion, Auscultation

  • 12

    Sputum

    Respiratory

  • 13

    History of Present Illness

  • 14

    thorough and unhurried visualization of the client. This requires the use of the naked eye.

    Inspection

  • 15

    Personal and Social History

  • 16

    History of Present Illness

  • 17

    usually the patient, but can be a family member or friend, letter of referral, or the medical record

    Source of History

  • 18

    7 components health history

    Identifying Data and Source of the History, Chief Complaint, History of Present Illness, Past Medical History, Family History, Personal and Social History, Review of Systems

  • 19

    Listening to any sounds emanating from the patient ●Odors that may be present

    Inspection

  • 20

    10 Cardiovascular

    Rheumatic fever, Dyspnea, Orthopnea, Edema, Palpitations, Chest pain, Hypertension, Paroxysmal nocturnal dyspnea, Electrocardiograms, Echocardiograms

  • 21

    used to calculate the relationship between healthy height and weight and obesity or being overweight or underweight.

    BMI

  • 22

    Height declines during the day because of compression of the

    Intervertebral discs

  • 23

    8 screening tests

    Tuberculin skin tests, Pap smears, Mammograms, Stool tests for occult blood, Cholesterol tests, Sickle cell tests, HIV tests, Hepatitis A, B, C

  • 24

    Hemoptysis

    Respiratory

  • 25

    eyes 4

    Glaucoma, Itching, Specks, Spots

  • 26

    Chief Complaint

  • 27

    Edema • Electrocardiograms • Echocardiograms

    Cardiovascular

  • 28

    device used to measure height although often a height stick is more frequently used for vertical measurement of adults or children older than 2.

    Statiometer

  • 29

    9 neurologic

    Syncope, Seizures, Weakness, Paralysis, Tingling or “pins and needles”, Tremors or involuntary seizures, Vertigo, Syncope, Numbness or loss of sensation

  • 30

    6 gross deviation

    abnormal contour, scars and striae, visible masses, discoloration, swelling, tremor

  • 31

    6 Psychiatric

    Nervousness, Tension, Mood, Including depression, Memory change, Suicide attempts

  • 32

    Personal and Social History

  • 33

    7 Peripheral Vascular

    Intermittent claudication, Leg cramps, Varicose veins, Deep vein thrombosis, Swelling in calves, legs, or feet, Color change in fingertips or toes during cold weather, Swelling with redness or tenderness

  • 34

    Dyspnea Orthopnea

    Cardiovascular

  • 35

    Temperature depression

    hypothermia

  • 36

    Hypertension Rheumatic fever

    Cardiovascular

  • 37

    5 Past Medical History

    childhood illnesses, adult illnesses and surgeries with dates, health maintenance practices such as immunizations, screening tests, lifestyle issues, and home safety, Hospitalizations, Psychiatric illnesses and time frame, diagnoses, hospitalizations, and treatment

  • 38

    6 urinary

    Polyuria, Kidney stones, Suprapubic pain, Incontinence, Hesitancy, Dribbling

  • 39

    Respiratory 7

    Sputum, Hemoptysis, Dyspnea, Wheezing, Pleurisy, Chest X-Ray, Cough

  • 40

    Temperature elevation

    Hyperthermia

  • 41

    genital 4 male

    Hernias, sexually transmitted diseases, HIV infection or exposure, Sexual habit,

  • 42

    Ears 4

    Tinnitus, Vertigo, Infection, Discharge

  • 43

    Personal and Social History

  • 44

    Review of Systems

  • 45

    5 neck

    Swollen glands, Goiter, Lumps, Pain, Stiffness

  • 46

    Head 5

    Dizziness, Syncope, Vertigo, Lumps, Sores

  • 47

    Review of Systems

  • 48

    Subjective data

  • 49

    7Nose and Sinuses

    Frequent colds, Nasal stuffiness, Discharge, Itching, Hay fever, Nosebleeds, Sinus Infections

  • 50

    anthropometric longitudinal growth of an individual

    Height

  • 51

    used by doctors particularly for thoracic and abdominal examinations, but also for examination of edema and palpation of pulses.

    Palpation

  • 52

    4 breast

    Lumps, Pain, Nipple discharge, Self-Examination practices

  • 53

    number 1 Sequence of Clinical Examination

    General appraisal (including temperature, pulse rate, and blood pressure

  • 54

    method used by a doctor to find out about the changes in the thorax or abdomen. tapping on a surface to determine the underlying structure.

    Percussion

  • 55

    5 narratives history of present illness

    onset of the problem, setting in which it has developed, Manifestations, Treatments attempted, Answers question: Did anything make it better or worse?

  • 56

    6 endocrine

    Thyroid conditions, Heat or cold intolerance, Excessive sweating, Excessive thirst or hunger, Polyuria, Change in glove or shoe size

  • 57

    Resting blood pressure

    Diastolic

  • 58

    systolic pressure

  • 59

    4 Hematologic

    Anemia, Easy bruising or bleeding, Past transfusions, Transfusion reactions

  • 60

    8Throat (Mouth and Pharynx)

    Condition of teeth and gums, Bleeding gums, Dentures, Sore tongue, Last dental examination, Dry mouth, Frequent sore throats, Hoarseness