236 2021 u4 physical exam LIS

UNIT – LISTENING & SPEAKING (2 hours) ENGLISH IN MEDICINE – GENERAL PRACTITIONER Y2 PHYSICAL EXAMINATION PRESENTER: Nguyen Hoang Quynh Mai EDITOR: Nguyen Hoang Quynh Mai Email: 1004quynhmai@gmail.com PRONUNCIATION EXERCISES LISTENING EXERCISES SPEAKING ACTIVITIES PRONUNCIATION EXERCISES check-up investigate sign technique inspection palpation percussion auscultation symmetry retraction benign malignant edema ulcer distension seizure tremor palsy paralysis extremity measurement axilla genitalia rectum mobility tongue depressor stethoscope sterile PRONUNCIATION EXERCISES A physical examination, medical examination, or clinical examination (more popularly known as a check-up) is the process by which a medical professional investigates the body of a patient for signs of disease It generally follows the taking of the medical history - an account of the symptoms as experienced by the patient Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan This data then becomes part of the medical record 1 PRONUNCIATION EXERCISES The routine physical examination, also known as periodic health evaluation, annual physical, comprehensive medical exam, general health check, preventive health examination, medical check-up, is a physical examination performed on an asymptomatic patient for medical screening purposes These are normally performed by a pediatrician, family practice physician, physician assistant, a certified nurse practitioner or other primary care provider This routine physical exam usually includes the HEENT evaluation 2 LISTENING EXERCISES VIDEO: https://www.youtube.com/watch?v=D8ixnaY5XuQ&t=2638s Listen to the video twice (13:44 & 15:26) and try to fill in the blanks 2 LISTENING EXERCISE Doctor: Would you slip off (1) , please? Now I just want to see you standing (2) You are sticking that hip out a little bit, aren’t you? Patient: Yes, well I cant straighten up easily Doctor: Could you (3) as far as you can with your knees straight and stop when you’ve had enough? Patient: Oh, that’s (4) _ 2 LISTENING EXERCISE Doctor: Not very far, is it? Stand up again Now I would like you to (5) That’s not much either Now stand up straight again Now first of all, I would like you to slide your right hand (6) _ of your thigh See how far you can go That’s fine Now the same thing on the opposite side Fine now just come back to (7) Now keep your feet together just as they are Keep (8) _ Now try and turn both shoulders round to the right Look right round Keep your knees and feet steady 2 LISTENING EXERCISE Patient: Oh, that’s sore! Doctor: Go back to the center again Now try the same thing and (9) _ to the left side Fine Now back to the center That’s fine! Now would you like to get onto the couch and (10) _? I’m just going to try and find out where the sore spot is 2 LISTENING EXERCISE Doctor: Would you slip off your top things, please? Now I just want to see you standing Hands by your side You are sticking that hip out a little bit, aren’t you? Patient: Yes, well I cant straighten up easily Doctor: Could you bend down as far as you can with your knees straight and stop when you’ve had enough? Patient: Oh, that’s the limit 2 LISTENING EXERCISE Doctor: Not very far, is it? Stand up again Now I would like you to lean backwards That’s not much either Now stand up straight again Now first of all, I would like you to slide your right hand down the right side of your thigh See how far you can go That’s fine Now the same thing on the opposite side Fine now just come back to standing straight Now keep your feet together just as they are Keep your knees firm Now try and turn both shoulders round to the right Look right round Keep your knees and feet steady 2 LISTENING EXERCISE Patient: Oh, that’s sore! Doctor: Go back to the center again Now try the same thing and go round to the left side Fine Now back to the center That’s fine! Now would you like to get onto the couch and lie on your face? I’m just going to try and find out where the sore spot is 2 LISTENING EXERCISE Would you like to (1) here on the couch, on your back? Ok I’m going to (2) by tapping you with this little hammer It won’t hurt you Let me (3) _ Let it go quite relaxed Try not to tighten up There Now the other one Just let me have your wrist Let it go (4) _ That’s right 2 LISTENING EXERCISE I’m going to (5) Fine Now the left one Ok? Fine I’ll just give you a little tap here (6) Now the other one Now let your legs go completely relaxed I’ll hold them up (7) There I’m just going to turn your leg out to the side (8) Just relax That’s it Now the other one Fine 3 SPEAKING ACTIVITIES DESCRIBE THE PICTURE SPEAKING ACTIVITIES DESCRIBE THE PICTURE SPEAKING ACTIVITIES CONVERSATION WITH A PATIENT Introduce yourself - name & role Confirm patient details - name & DoB Explain the need to take history Gain consent Present complaint Ask for details Other symptoms Previous health Summary & next step SPEAKING ACTIVITIES CONVERSATION WITH A PATIENT Work in pairs to make your own story, start with a common symptom that you’ve learned QUESTIONS & ANSWERS ... physical examination, also known as periodic health evaluation, annual physical, comprehensive medical exam, general health check, preventive health examination, medical check-up, is a physical examination... mobility tongue depressor stethoscope sterile PRONUNCIATION EXERCISES A physical examination, medical examination, or clinical examination (more popularly known as a check-up) is the process by which... primary care provider This routine physical exam usually includes the HEENT evaluation 2 LISTENING EXERCISES VIDEO: https://www.youtube.com/watch?v=D8ixnaY5XuQ&t=2638s Listen to the video twice (13:44