PRINCIPLES OF THE PHYSICAL EXAMINATION

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					PRINCIPLES OF THE PHYSICAL
       EXAMINATION
          GENERAL SURVEY



 Exam begins the
  minute you first
  see the patient
 Exam continues
  throughout your
  patient interaction
  OBSERVATION


WEALTH OF INFORMATION!!!!
STATURE
HEALTH STATUS
WEIGHT
PERSONAL HYGIENE
SKIN COLOR /LESIONS
BREATH/ODOR
MOOD/ATTITUDE
WHEN WE PERFORM A PHYSICAL
      EXAM WE USE
 TECHNIQUES OF THE PHYSICAL
        EXAMINATION

 VISUAL INSPECTION

 PALPATION

 PERCUSSION

 AUSCULATION
      VISUAL INSPECTION

 INSPECT CAREFULLY ALL AREAS OF
  EXAM

 DOCUMENT BOTH NORMAL AND
  ABNORMAL FINDINGS
PALPATION
             PALPATION
   TEXTURE
   SIZE
   CONSISTENCY
   CREPITUS
   MASSES
   EXAMPLE – TAKING A PULSE, HEAD
    AND NECK EXAM
PERCUSSION
         PERCUSSION


 USE OF THE HANDS AND FINGERS

 STRIKING ONE OBJECT AGAINST
  ANOTHER
AUSCULATION
         AUSCULATION


 LISTENING FOR SOUNDS PRODUCED
  BY THE BODY

 BLOOD PRESSURE, INTESTINAL
  SOUNDS
    PHYSICAL EXAMINATIN
 MINUTES TO HOURS TO PERFORM

 OBSERVATION TO HANDS ON

 CONTINUE THROUGHOUT THE
  ENTIRE CARE OF THE PATIENT

 SYSTEMATIC AND THOROUGH