外科体检操纵规程(国外英文资料).docVIP

外科体检操作规程 Procedures for the operation of the medical examination One, the medical examination item: Generally (height, weight, body mass index, nutrition situation), thyroid, superficial lymph nodes, breast, spine, limb joints, genitourinary, anal diagnosis and other Second, check method: (1) specify the name and time of occurrence of any surgical or traumatic history that the person has ever undergone. (2) general situation: Height (m), weight (kg), physical examination index (BMI) BMI = weight kg/height m? Leaner: 18.5 health: 18.5? 25 overweight: 25? 30 Obesity: 30? Severe obesity: 40 Nutrition status: according to skin, hair, subcutaneous fat, muscle developed situation comprehensive judgement: good, medium and bad. (3) thyroid examination Vision: normal thyroid gland does not stand out. Women are slightly enlarged at puberty, and are told to swallow, so the enlarged thyroid gland moves up and down with the swallow, noticing its size, shape and symmetry. Palpation: the doctor is behind the person who is being examined, with his thumb on the back of his neck, and touching the cartilage from the thyroid cartilage with other fingers. It can also stand in front of the patient with the right thumb and other fingers on both sides of the thyroid cartilage. At the same time, let the patient swallow. Note the degree of enlargement, symmetry, hardness, surface (smooth or nodule), tenderness, and tremors. Thyroid enlargement determines: Ⅰ degrees: thyroid can touch, less than 3 cm in diameter. Ⅱ degrees: thyroid in swallowing, depending on the clinical and palpation are found, 3-5 cm in diameter. Ⅲ degrees: thyroid can also be found when not swallow, 5-7 cm in diameter. Ⅳ degrees: goiter is very obvious, the neck appearance has been changed, 7-9 cm in diameter. Ⅴ degrees: goiter is extremely obvious, more than 9 cm in diameter, with nodules. 3, listen: pay attention to the blood vessel murmur. (4) lymph node examination 1, the inspection area: in front of the ear, ear h