38 Chapter Flashcards
What are the two purpose of a general physical exam?
is to do an examination on a healthy patient to check their general health, establish standard levels of vital signs and measurements, and diagnose a medical condition.
What is clinical diagnosis?
A diagnosis is made based on the signs and symptoms of a disease as well as the result of the tests in the lab that were asked for it.
What is a sign?
Something that you can see (blood in the stool & rash)
What is a symptom?
Something that patient feel (anxiety, back pain, abdominal pain, and fatigue)
Determining the correct diagnosis when two or more diagnoses are possible is called making a
differential diagnosis
Is a prediction of how long is going to take the recovery
Prognosis
Instructs symptomatic patients to maintain respiratory hygiene/cough etiquette
by covering their mouth and nose with a tissue when coughing
You should wear a mask in the presence of a patient suspected of having an infectious disease that is transmitted
Yes such as tuberculosis (TB) & meningitis
Patient with highly contagious infections diseases such as SARS CoV2-2, diphtheria, or chickenpox must be
examined under isolation precautions such as in a private room
Why female licensed practitioner may ask a male medical assistant to remain in the room when she examines a male patient
For the protection of both the patient and the physician . such a policies depend on the standard procedures in each medical practice or facility.
To ensure the patient physically comfortable you should give the patient opportunity to
Empty their bladder/bowel in order to be comfortable
To protect yourself from injury when helping to position a patient always______
Follow the basic rules of good body mechanics
To help prevent stress and injury to healthcare practitioner who are lifting, moving, and positioning the patients follow:
1- Lifting with your strongest muscles, including your legs and arms, rather than your back
2- Keeping your feet apart
3- Bending from the hip and knees
If the patient is physically uncomfortable in a position you may be
able to ease the discomfort by using a pillow to support part of the body
The patient sit at the edge of the examining table without back support
Sitting position and also is for the provider can check the lungs expand and the upper body symmetry
The patient lies flat on the back with the hands to the side
Supine position, is the most relaxed position for many patients and may not be comfortable for patient who suffer shortness of breath, pregnant patient, patient with back injury, or lower back
The patients knees are drawn up and the feet are flat on the table
The dorsal recumbent, patient who have leg disabilities may find the position uncomfortable, such as arthritis or back pain may find the dorsal recumbent position more comfortable than supine
Patient who may difficulty wit the lithotomy position are those who are
obese or in the late stages of pregnancy
The patients lies back on an examining table on which the head is elevated a ta 45 degrees
Fowler’s position and is the best position for examining patients who are experiencing shortness of breath or patient with lower back pain
Patient is lying on the table facedown
Prone position, In this position the physician can examine the back, feet, or musculoskeletal system. This position is unsuitable for pregnant women, obese patient, patients with respiratory problems and older patients.
The patient is positioned on their left side with the left leg slightly bent and the left arm placed behind the back, allowing the chest to bear most of the weight. The right knee is bent and drawn toward the chest, while the right arm is bent and positioned near the head for support.
The sims’ position, also is used during anal or rectal exams and also may used for perineal exam and certain pelvic exams and patients with joint deformities of the hips and knees may have difficulty assuming this position.
position involves the patient kneeling with their chest or elbows resting on a surface. The hips are elevated, and the head is lowered, creating an 90 angle that allows the chest or elbows to support the upper body.
knee chest or knee elbow, is used during exams of the anal, and perineal and patient who are pregnant, obese or older patient may have difficulty assuming this position
The patient lying face down with the hips elevated and the knees slightly bent. The torso is angled downward, often supported by a specialized table
Proctologic position
Trendelenburg position
the patients lies supine with the feet elevated 15 to 30 degrees above the head
