236 2021 u4 physical exam VOC

UNIT – VOCABULARY & READING (2 hours) ENGLISH IN MEDICINE – GENERAL PRACTITIONER Y2 PHYSICAL EXAMINATION Editor: Nguyen Hoang Quynh Mai Email: nguyenhquynhmai@duytan.edu.vn 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 Source: https://en.wikipedia.org/wiki/Physical_examination GIVING INSTRUCTIONS MATCHING Throat A Remove your shock and shoe Ears B Remove your top clothing Chest C Turn your head this way Back D Open your mouth Foot E Tilt your head back Nasal passage F Stand up GIVING INSTRUCTIONS Which part of the body is going to be examined? I want you to push as hard as you can against my hand Breath in as far as you can Now out as far as you can Say 99 Now whisper it Could you fix your eyes on the tip of my pen and keep your eyes on it? Answers: Hand muscles Lungs Lungs Eyes (iris) GIVING INSTRUCTIONS Which part of the body is going to be examined? I want you to keep this under your tongue until I remove it Would you roll over on your left side and bend your knees up? This may be a bit uncomfortable I want to see you take your right heel and run it down the front of your left leg Put out your tongue Say Aah Answers: Tongue Spinal cord Brain Throat GIVING INSTRUCTIONS Video (13:45): https://www.youtube.com/watch?v=D8ixnaY5XuQ The correct order of movements examined? GIVING INSTRUCTIONS Note how the doctor instructs the patient: Now I just want to see you (standing) Could you (bend down) as far as you can? Would you (slip off your top things), please? Now I would like you to (lean backwards) I’m just going to find out (where the sore spot is) GIVING INSTRUCTIONS Video (15:25): https://www.youtube.com/watch?v=D8ixnaY5XuQ The correct order of reflexes tested? GIVING INSTRUCTIONS Alternative method of eliciting the ankle jerk Reinforcement in eliciting the knee jerk Eliciting the plantar reflex FOUR TECHNIQUES A Inspection B Palpation lesions, bruising, and rashes temp., moisture & texture Edema pupillary reaction to light facial symmetry breath sounds C Percussion D Auscultation expansion/retraction of chest wall abdominal distension, asymmetry bowel sounds 10 abdominal pain 11 radial pulses 12 back and spine anomalies (signs) can be found by (techniques) RECOGNIZE COMMON SIGNS Lump/mass/tumor Benign/malignant Edema/swelling ulcer Abdominal distension Retraction RECOGNIZE COMMON SIGNS Seizure Tremor RECOGNIZE COMMON SIGNS Skin rash RECOGNIZE COMMON SIGNS Bell palsy Paralysis HEAD-TO-TOE ASSESSMENT VIDEO: https://www.youtube.com/watch?v=gG8kh8MfnGY Watch the video before coming to the class Briefly describe the head-to-toe exam HEAD-TO-TOE EXAM General appearance Measurement Vital signs Head & face Neck Chest (post & ante) Upper extremities Breasts & axilla Abdomen Lower extremities Musculoskeletal sys Neurologic sys Neuromuscular function Genitalia Rectum HEAD-TO-TOE ASSESSMENT General appearance Skin, hair, and nails Head and neck Chest Abdomen HEAD-TO-TOE ASSESSMENT Extremities Back area Tubes, drains, dressings, and IVs Mobility 10 Document assessment findings HEAD-TO-TOE ASSESSMENT Assessment Tools • Penlight • BP cuff • Thermometer • Tongue depressor HEAD-TO-TOE ASSESSMENT • Stethoscope • Sterile sharp object (like toothpick or pin) • Sterile soft object (like cotton ball) • Something for patient to smell (could be an alcohol swab) WRITING PRACTICE What is the difference between sign and symptom? (3-5 sentences) What is retraction? (3-5 sentences) What is physical examination? How to perform a physical examination? (at least paragraphs) REVIEW 10 MCQS ON KAHOOT QUESTIONS & ANSWERS ...A physical examination, medical examination, or clinical examination (more popularly known as a check-up) is the process by which... and symptom? (3-5 sentences) What is retraction? (3-5 sentences) What is physical examination? How to perform a physical examination? (at least paragraphs) REVIEW 10 MCQS ON KAHOOT QUESTIONS &... the physical examination aids in determining the correct diagnosis and devising the treatment plan This data then becomes part of the medical record Source: https://en.wikipedia.org/wiki /Physical_ examination