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Physical exam history taking ppt
60問 • 1年前
  • Tameyra Stefani Al-Suhairy
    • 通報

    問題一覧

  • 1

    Subjective data

  • 2

    Objective data

  • 3

    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

  • 4

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

    Identifying Data

  • 5

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

    Source of History

  • 6

    Chief Complaint

  • 7

    History of Present Illness

  • 8

    History of Present Illness

  • 9

    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?

  • 10

    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

  • 11

    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

  • 12

    Family History

  • 13

    Personal and Social History

  • 14

    Personal and Social History

  • 15

    Personal and Social History

  • 16

    Personal and Social History

  • 17

    Review of Systems

  • 18

    Review of Systems

  • 19

    number 1 Sequence of Clinical Examination

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

  • 20

    number 9 and last Sequence of Clinical Examination

    Occlusion

  • 21

    Temperature elevation

    Hyperthermia

  • 22

    Temperature depression

    hypothermia

  • 23

    systolic pressure

  • 24

    Resting blood pressure

    Diastolic

  • 25

    anthropometric longitudinal growth of an individual

    Height

  • 26

    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

  • 27

    Height declines during the day because of compression of the

    Intervertebral discs

  • 28

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

    BMI

  • 29

    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

  • 30

    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

  • 31

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

    Palpation

  • 32

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

    Palpation

  • 33

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

    Inspection

  • 34

    6 gross deviation

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

  • 35

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

    Inspection

  • 36

    4Methods of Clinical Examination

    Inspection-Visual Inspection, Palpation, Percussion, Auscultation

  • 37

    6 endocrine

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

  • 38

    4 Hematologic

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

  • 39

    6 Psychiatric

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

  • 40

    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

  • 41

    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

  • 42

    4 breast

    Lumps, Pain, Nipple discharge, Self-Examination practices

  • 43

    5 neck

    Swollen glands, Goiter, Lumps, Pain, Stiffness

  • 44

    8Throat (Mouth and Pharynx)

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

  • 45

    7Nose and Sinuses

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

  • 46

    Ears 4

    Tinnitus, Vertigo, Infection, Discharge

  • 47

    Head 5

    Dizziness, Syncope, Vertigo, Lumps, Sores

  • 48

    eyes 4

    Glaucoma, Itching, Specks, Spots

  • 49

    Respiratory 7

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

  • 50

    10 Cardiovascular

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

  • 51

    6 urinary

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

  • 52

    genital 4 male

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

  • 53

    9 neurologic

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

  • 54

    Hemoptysis

    Respiratory

  • 55

    Sputum

    Respiratory

  • 56

    Pleurisy

    Respiratory

  • 57

    Dyspnea Orthopnea

    Cardiovascular

  • 58

    Edema • Electrocardiograms • Echocardiograms

    Cardiovascular

  • 59

    Palpitations

    Cardiovascular

  • 60

    Hypertension Rheumatic fever

    Cardiovascular

    • Sporeformers

    Sporeformers

    Tameyra Stefani Al-Suhairy · 44問 · 1年前

    Sporeformers

    Sporeformers

    44問 • 1年前
    Tameyra Stefani Al-Suhairy

    Spirochetes

    Spirochetes

    Tameyra Stefani Al-Suhairy · 46問 · 1年前

    Spirochetes

    Spirochetes

    46問 • 1年前
    Tameyra Stefani Al-Suhairy

    Subcutaneous, Systemic, Opportunistic Mycoses

    Subcutaneous, Systemic, Opportunistic Mycoses

    Tameyra Stefani Al-Suhairy · 75問 · 1年前

    Subcutaneous, Systemic, Opportunistic Mycoses

    Subcutaneous, Systemic, Opportunistic Mycoses

    75問 • 1年前
    Tameyra Stefani Al-Suhairy

    Mycobacteria

    Mycobacteria

    Tameyra Stefani Al-Suhairy · 46問 · 1年前

    Mycobacteria

    Mycobacteria

    46問 • 1年前
    Tameyra Stefani Al-Suhairy

    Bacterial Classification, morphology, utrastructure

    Bacterial Classification, morphology, utrastructure

    Tameyra Stefani Al-Suhairy · 64問 · 1年前

    Bacterial Classification, morphology, utrastructure

    Bacterial Classification, morphology, utrastructure

    64問 • 1年前
    Tameyra Stefani Al-Suhairy

    HIV

    HIV

    Tameyra Stefani Al-Suhairy · 31問 · 1年前

    HIV

    HIV

    31問 • 1年前
    Tameyra Stefani Al-Suhairy

    CORONA

    CORONA

    Tameyra Stefani Al-Suhairy · 24問 · 1年前

    CORONA

    CORONA

    24問 • 1年前
    Tameyra Stefani Al-Suhairy

    PAPILLO

    PAPILLO

    Tameyra Stefani Al-Suhairy · 15問 · 1年前

    PAPILLO

    PAPILLO

    15問 • 1年前
    Tameyra Stefani Al-Suhairy

    ADENO

    ADENO

    Tameyra Stefani Al-Suhairy · 16問 · 1年前

    ADENO

    ADENO

    16問 • 1年前
    Tameyra Stefani Al-Suhairy

    POX

    POX

    Tameyra Stefani Al-Suhairy · 6問 · 1年前

    POX

    POX

    6問 • 1年前
    Tameyra Stefani Al-Suhairy

    PARVO

    PARVO

    Tameyra Stefani Al-Suhairy · 25問 · 1年前

    PARVO

    PARVO

    25問 • 1年前
    Tameyra Stefani Al-Suhairy

    HEPATOTROPHIC

    HEPATOTROPHIC

    Tameyra Stefani Al-Suhairy · 24問 · 1年前

    HEPATOTROPHIC

    HEPATOTROPHIC

    24問 • 1年前
    Tameyra Stefani Al-Suhairy

    PICORNA

    PICORNA

    Tameyra Stefani Al-Suhairy · 25問 · 1年前

    PICORNA

    PICORNA

    25問 • 1年前
    Tameyra Stefani Al-Suhairy

    RABIES

    RABIES

    Tameyra Stefani Al-Suhairy · 26問 · 1年前

    RABIES

    RABIES

    26問 • 1年前
    Tameyra Stefani Al-Suhairy

    PARAMYXO

    PARAMYXO

    Tameyra Stefani Al-Suhairy · 20問 · 1年前

    PARAMYXO

    PARAMYXO

    20問 • 1年前
    Tameyra Stefani Al-Suhairy

    HERPES

    HERPES

    Tameyra Stefani Al-Suhairy · 40問 · 1年前

    HERPES

    HERPES

    40問 • 1年前
    Tameyra Stefani Al-Suhairy

    ORTHO

    ORTHO

    Tameyra Stefani Al-Suhairy · 7問 · 1年前

    ORTHO

    ORTHO

    7問 • 1年前
    Tameyra Stefani Al-Suhairy

    FLAVI

    FLAVI

    Tameyra Stefani Al-Suhairy · 24問 · 1年前

    FLAVI

    FLAVI

    24問 • 1年前
    Tameyra Stefani Al-Suhairy

    TOGA

    TOGA

    Tameyra Stefani Al-Suhairy · 19問 · 1年前

    TOGA

    TOGA

    19問 • 1年前
    Tameyra Stefani Al-Suhairy

    VIRUS STRUCTURE

    VIRUS STRUCTURE

    Tameyra Stefani Al-Suhairy · 16問 · 1年前

    VIRUS STRUCTURE

    VIRUS STRUCTURE

    16問 • 1年前
    Tameyra Stefani Al-Suhairy

    問題一覧

  • 1

    Subjective data

  • 2

    Objective data

  • 3

    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

  • 4

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

    Identifying Data

  • 5

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

    Source of History

  • 6

    Chief Complaint

  • 7

    History of Present Illness

  • 8

    History of Present Illness

  • 9

    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?

  • 10

    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

  • 11

    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

  • 12

    Family History

  • 13

    Personal and Social History

  • 14

    Personal and Social History

  • 15

    Personal and Social History

  • 16

    Personal and Social History

  • 17

    Review of Systems

  • 18

    Review of Systems

  • 19

    number 1 Sequence of Clinical Examination

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

  • 20

    number 9 and last Sequence of Clinical Examination

    Occlusion

  • 21

    Temperature elevation

    Hyperthermia

  • 22

    Temperature depression

    hypothermia

  • 23

    systolic pressure

  • 24

    Resting blood pressure

    Diastolic

  • 25

    anthropometric longitudinal growth of an individual

    Height

  • 26

    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

  • 27

    Height declines during the day because of compression of the

    Intervertebral discs

  • 28

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

    BMI

  • 29

    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

  • 30

    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

  • 31

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

    Palpation

  • 32

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

    Palpation

  • 33

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

    Inspection

  • 34

    6 gross deviation

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

  • 35

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

    Inspection

  • 36

    4Methods of Clinical Examination

    Inspection-Visual Inspection, Palpation, Percussion, Auscultation

  • 37

    6 endocrine

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

  • 38

    4 Hematologic

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

  • 39

    6 Psychiatric

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

  • 40

    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

  • 41

    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

  • 42

    4 breast

    Lumps, Pain, Nipple discharge, Self-Examination practices

  • 43

    5 neck

    Swollen glands, Goiter, Lumps, Pain, Stiffness

  • 44

    8Throat (Mouth and Pharynx)

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

  • 45

    7Nose and Sinuses

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

  • 46

    Ears 4

    Tinnitus, Vertigo, Infection, Discharge

  • 47

    Head 5

    Dizziness, Syncope, Vertigo, Lumps, Sores

  • 48

    eyes 4

    Glaucoma, Itching, Specks, Spots

  • 49

    Respiratory 7

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

  • 50

    10 Cardiovascular

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

  • 51

    6 urinary

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

  • 52

    genital 4 male

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

  • 53

    9 neurologic

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

  • 54

    Hemoptysis

    Respiratory

  • 55

    Sputum

    Respiratory

  • 56

    Pleurisy

    Respiratory

  • 57

    Dyspnea Orthopnea

    Cardiovascular

  • 58

    Edema • Electrocardiograms • Echocardiograms

    Cardiovascular

  • 59

    Palpitations

    Cardiovascular

  • 60

    Hypertension Rheumatic fever

    Cardiovascular