查体总结(国外英文资料).docVIP

查体总结(国外英文资料)Review and summarize the material in the department of internal medicineFirst, general examination and vital signs: wash your hands before examination, check the equipment of regular use, introduce yourself. To observe the general condition of the patients developmental nutrition, facial expression and consciousness, to test the temperature and measure the temperature of the armpit for five minutes. Palpate the radial artery and count the pulse for at least 30 seconds. Use both hands to palpate both sides of the radial artery and examine the symmetry. Count the breathing rate for at least 30 seconds. Measure right upper extremities blood pressure, the arm slightly outward, about 45 degrees, and the middle of the cuff is pointed at the brachial artery. The stethoscope of the stethoscope is placed in the brachial artery, and is injected into the cuff with appropriate speed. When the humerus artery sound disappears, the mercury column rises 20 to 30 millimeters, then slowly air. The mercury column slowly decreases, the pressure of the first sound that is heard is the systolic pressure, continue to release the gas, the voice becomes low blunt and then disappears, the cancellation of the sound is diastolic pressure. Take the same measure again and take the lowest value for blood pressure. Note: when you repeat the measurement, you need to adjust the mercury column to zero.Head and neck: check the shape of the skull, whether it is covered with a lump or pain. To look at the face of the patient, to see if the eyebrows were falling off, and to use the near sight chart to see the person in front of the receiver, 33 centimetres, to examine the eyes of the left and right eye respectively. Please look up, examine the conjunctiva, the conjunctiva and the sclera, and examine the tears. Client, please look down, and at the same time inspectors with right index finger and thumb hold on the edge of the upper eyelid, quickly with your index finger to press the upper eyeli