中风体格检查(国外英文资料).docVIP

中风体格检查 stroke 1, check the explanation (avoid using medical language, need to understand, in order to get the patient to cooperate) 2, preparation: treatment car, dirt box, treatment plate, ear temperature gun, stethoscope, flashlight, tuning fork, percussion file, smell and smell. Prepare yourself: wash your hands, wear a mask, and keep your clothes and clothes clean. 3, carry the use to the bed next, check the explanation again (before operation pay attention to protect patients privacy and notice to the patient to keep warm) 4, the whole physical examination process is up to the bottom, avoid too much change the patients position, lest the patient is tired, and pay attention to the humane care of the patient. Ask the patient whether there is any discomfort, diet and two. (in the course of the process, the patient has a hoarse voice, hearing loss, and whether the answer is relevant.) 6, take the appropriate position: 1, take the hypothesis (1) measures the vital signs of the patient. (2) listening to the respiratory note: the S type of listening, at least two breathes, from the outside; The Central Line of the clavicle, the axillary line, and the midaxillary line. You can look at the thoracic movement. (3) abdominal palpation: left to right, clockwise, and four fingers together to check for pain, pain, etc. Abdominal wall reflection. (4) strength testing. (5) shallow reflection (Achilles tendon reflex, corneal reflex, abdominal wall reflex). (6) the sports function evaluation method (Brunnstrom). (7) pathological reflection. 1. Babinski sign: inspectors lie on your back, leg unbend, doctors holding ankle, inspected with blunt bamboo delimit foot lateral edge, after the forward to the little toe and heel turned to the inside, the normal reaction of plantar flexion, positive reaction of great toe back stretch, yu fan out the toe. The Chaddock sign: a bamboo stick is signed on the foot of the foot by the back of the ankle, and is carried forward to the metatarsal jo