第三章体格检查（一）.ppt

第三章 体格检查 Physical Assessment physical examination Physical examination Process: examining the patient’s body to determine the presence or absence of physical problems Goal: to obtain valid information concerning the health of the patient The examiner must be able to identify, analyze, and synthesize the accumulated information into a comprehensive assessment Important aspects of physical examination----physician Elegant appearance Decent manner Kind attitude Highly responsibility Good medical morals Important aspects of physical examination---physician Wash your hands, preferably while the patient is watching Washing with soap and water is an effective way to reduce the transmission of disease Important aspects of physical examination---patient The patient should be made as comfortable as possible during the examination The patient should be properly draped Important aspects of physical examination Where is the bed placed? When possible, the examining table/bed be situated so that the examiner has access to both sides of the patient An ideal arrangement is to have the table located in the center of the examining room Important aspects of physical examination Where does the examiner stand? Stand right side of the bed Exam with one’s right hand Important aspects of physical examination How to perform the physical examination? Sequential Proper expose Sequential Conducted in head to toe order: head ---neck---chest---abdomen---spine---extremities---anal---genital---nerve system Patients tire quickly when asked to “sit up”, “lie down”, “turn on your left side”, “sit up”, “lie down” and so on Proper expose Exposing only the area that are being examined at that time without undue exposure of the other areas When examining a women’s breasts, it is necessary to check for any asymmetry by inspecting both breasts at the same time After inspection has been completed, the physician may use the patients gown to cover the breasts not being