Vital Signs Bates Slides

Vital Signs Bates Slides - Chapter 4: Beginning the...

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Chapter 4: Beginning the Physical Examination:  General Survey and Vital Signs From Bates with editing by Melanie Hagen, MD
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Components of General Survey General appearance Vital Signs Height Weight Blood Pressure  Pulse Respiratory rate Temperature
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Questions to ask patients about their Health  History Changes in weight Weight gain: nutrition vs. medical causes Weight loss: medical vs. psycho-social causes Fatigue and weakness Medical, psychiatric, psycho-social causes Fever, chills, night sweats Infectious, inflammatory, neoplastic processes
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Setting the Stage Four basic techniques used in nearly all regions of the body in  physical examination: Inspection=LOOK Palpation=TOUCH Auscultation=LISTEN Percussion=TAP Comprehensive vs. Focused examination Depends on the history obtained prior to the examination
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Sequence of the Examination
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General Tips for Examination Maximize the patient’s comfort Minimize position changes Drape the patient appropriately – visualize one  area of the body at a time Speak to the patient as you do the examination 
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General Appearance - Description Apparent state of health Acute or chronically ill, frail Level of consciousness Awake, alert, responsive or  lethargic, obtunded, comatose Signs of distress Cardiac or respiratory; pain;  anxiety/depression
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Vital Signs Bates Slides - Chapter 4: Beginning the...

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