The physical exam Chapter 5 The physical exam

The physical exam Chapter 5

The physical exam consists of 3 parts: Health history Physical exam Laboratory and diagnostic tests

In the clinic there is a Dx based on the physical exam, health history and CC – this is called the: Clinical Diagnosis When the tests results come back the Dx is – Final Diagnosis The doctor will differentiate between several possibilities ◦ Differential diagnosis The probable outcome is the prognosis

Tray set up for a physical exam

weight The lower calibration bar of a balance-beam scale is divided into 20 lb. increments. An adult patient’s weight should be measured to the nearest -1/4 lb One Kg x 2. 2= -one lbs ◦ 100 Kg = 220 lbs The height of an adult patient usually is measured only on the first visit Coats and shoes should be removed before weighing a patient except jewelry

palpation, auscultation, inspection or percussion Palpation means touching Auscultation – listening inspection – looking percussion - hammering

The formula for BMI = The formula for BMI = Wt in lbs x 703 Divided by Ht in ins / Divided by ins To convert feet and inches: Multiply 4 ft x 48 5 ft x 60 6 ft. x 72 And add the inches.

weight The reason for weighing a prenatal patient is to Check on fetal development the reason for weighing a child is: ◦ To observe the pattern of growth ◦ To determine medication dosage ◦ To identify nutritional problems ◦ All of the above.

In which pion would you place these patients? semi fowlers sims Sitting or prone lithotomy

Positions