History and Physical Examination You really only need to print the slides with the stars on them, to remind you how to perform each part of the examination.

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Presentation transcript:

History and Physical Examination You really only need to print the slides with the stars on them, to remind you how to perform each part of the examination.

History and Physical Have the patient fill out a form that asks about their complete medical history. Take their vital signs Do a physical exam

Vital Signs Blood Pressure Heart Rate Respirations Temperature Height, Weight

HEENT Head Eyes Ears Nose Throat

Head Exam

Eye Exam

Snellen Eye Chart Tests acuity and CN II

Test for Colorblindness

Deviated Nasal Septum

Nasal Polyps

Throat Exam Lymph Nodes Pharynx Exam

Lymph Nodes submental area submandibular nodes Supraclavicular nodes Anterior cervical (Sternocleidomastoid area) posterior cervical chain is along the back of the neck (often positive in infectious mononucleosis and HIV+ patients) Axillary nodes Inguinal nodes

Lymph Nodes

Swollen Cervical Nodes

Axillary Lymph Nodes

Swollen Inguinal Lymph Nodes

Throat Exam

Throats with tonsillitis

Abdomen Shape Symmetry Girth Scars Tenderness Masses Organomegaly – Hepatomegaly (liver) – Splenomegaly (spleen) bowel sounds hernias

Abdominal Exam Listen with the diaphragm of the stethoscope for the presence of bowel sounds in the lower abdominal quadrants. Measure the girth of the abdomen around the umbilicus. Excess girth is a risk factor for cardiovascular disease: – FEMALES: waist size more than 35 inches – MALES: waist size more than 40 inches

Abdominal Exam Have patient lie down. Place your fingertips on the upper right quadrant (URQ), below the costal margin. Have them exhale. As they exhale, press firmly into the abdomen and try to feel the border of the liver. It should be difficult to feel much. If it is easy to palpate, the liver is enlarged (hepatomegaly). Repeat this procedure on the left upper quadrant (LUQ) to check for an enlarged spleen (spenomegaly). Palpate the two lower quadrants for tenderness and masses.

Hepatomegaly

Splenomegaly

Hernias

Umbilical Hernia

Inguinal Hernia

Back Exam ABNORMALITIES OF THE SPINE SCOLIOSIS is a lateral curve in the spine KYPHOSIS is a hunchback curve LORDOSIS is a swayback in the lower region.

Scoliosis

KYPHOSIS

LORDOSIS