呼吸内渗出基础技能(国外英文资料).docVIP

呼吸内分泌基本技能 Respiratory endocrine basic skill operation Physical check The thyroid gland 1. Depending on the clinical Ask the patient to do the swallowing action, so the enlarged thyroid gland moves up and down, notice its size, shape and symmetry. 2. Touch The examiner stands behind the patient and puts his thumb on the back of the neck and touches the side of the thyroid cartilage with other fingers. You can also stand in front of the patient with your right thumb and other fingers on both sides of the thyroid cartilage and allow the patient to swallow. Notice the degree of enlargement, symmetry, hardness, surface condition, tenderness and tremor. 3. Auscultation Note the vascular noise. Bithoracic examination Chest wall and breast (a) chest wall Vein: no visible veins are visible in normal time. When the obstruction of the inferior vena cava is seen, the pleural veins are filling or winding. Subcutaneous emphysema: the gas is deposited in the subsurface of the chest, and when pressed by hand, the gas is shifted in the subcutaneous tissue to form a twist or a sense of snow. The chest wall is sore: there is no tenderness in normal. (2) of thoracic : 1. The thoracic form within normal thoracic cylindrical, anteroposterior direction: horizontal diameter = 1:1. 5.2 on the ventral horn ridge and rib change: when the abdominal pressure on the ventral horn increase; The rib Angle increases when emphysema is swollen. (3) of the breast Be aware of the symmetry of the skin. When palpation, should notice the upper part of the outer part of the left breast begin, along the clockwise direction from the shallow touch. The same method checks the right breast counterclockwise. Note the relationship between the area, number, size, texture, boundary, pain, movement and skin of the lumps and lumps. Examination of the three lungs and the pleura (a) diagnosis Be aware of the type, depth, frequency, rhythm, and breathing movement of the breathing movement. (2) the touch The touch of the