focused medical examination dr. anmar jamil mandourah
TRANSCRIPT
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Focused Medical Examination
Dr. Anmar Jamil Mandourah
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Responsive Medical PatientsResponsive Medical Patients
• Remember that a physical exam is required Remember that a physical exam is required for all patientsfor all patients
• In the In the responsiveresponsive patient, assess the patient, assess the body systems body systems associated with the chief complaintassociated with the chief complaint
eg. if the patient complains of a chest pain there is no need eg. if the patient complains of a chest pain there is no need to examine the arms.to examine the arms.
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Responsive Medical PatientsResponsive Medical Patients
D-C-A-P-B-T-L-SD-C-A-P-B-T-L-S acronymacronymDDeformitieseformities
CContusionsontusions
AAbrasionsbrasions
PPenetrationsenetrations
BBurnsurns
TTendernessenderness
LLacerationsacerations
SSwellingwelling
Reminder of injuries and signs of injuries
to look for while assessing.
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Responsive Medical PatientsResponsive Medical Patients
• Assess the head, as necessary(if Assess the head, as necessary(if pain present)pain present)
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Responsive Medical PatientsResponsive Medical Patients
• Assess the neck, as necessaryAssess the neck, as necessary
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Responsive Medical PatientsResponsive Medical Patients
• Assess for JVD, as Assess for JVD, as necessarynecessary
• JVD should be assessed JVD should be assessed when the patient is lying at a when the patient is lying at a 45 degree position45 degree position
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Responsive Medical PatientsResponsive Medical Patients
• Assess the patient’s Assess the patient’s chest, as necessarychest, as necessary
• Check for Check for symmetry, and symmetry, and paradoxical or paradoxical or diminished diminished movement.movement.
• Assess for Assess for Accessory muscle Accessory muscle useuse
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Responsive Medical PatientsResponsive Medical Patients
• Assess the breath Assess the breath soundssounds
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Responsive Medical PatientsResponsive Medical Patients
• Assess the abdomen, as necessaryAssess the abdomen, as necessary
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Responsive Medical PatientsResponsive Medical Patients
• Assess the four quadrants of Assess the four quadrants of the abdomen, as necessarythe abdomen, as necessary
• Chec if any masses, Chec if any masses, tenderness or regidity has tenderness or regidity has been foundbeen found
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Responsive Medical PatientsResponsive Medical Patients
• Assess the pelvis Assess the pelvis assess stability . assess stability .
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Responsive Medical PatientsResponsive Medical Patients
• Assess the lower extremities, as necessaryAssess the lower extremities, as necessary
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Responsive Medical PatientsResponsive Medical Patients
• Assess pulse, motor, and sensation in the lower Assess pulse, motor, and sensation in the lower extremities, as necessaryextremities, as necessary
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Responsive Medical PatientsResponsive Medical Patients
• Assess the upper extremities, as necessaryAssess the upper extremities, as necessary
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Emergency Care for Emergency Care for Unresponsive Medical PatientsUnresponsive Medical Patients
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Emergency CareEmergency Care
• Bring the stretcher – give O2- move the Bring the stretcher – give O2- move the patient quickly .patient quickly .
• Begin transport and assess vital signs.Begin transport and assess vital signs.• Complete OPQRST and SAMPLE history.Complete OPQRST and SAMPLE history.• Provide Emergency medical care to the area Provide Emergency medical care to the area
injured.injured.• Interventions for some medical emergenciesInterventions for some medical emergencies
inhaler - O2- epinephrine – nitroglycerin-inhaler - O2- epinephrine – nitroglycerin-glucose - AEDglucose - AED
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Unresponsive Medical PatientsUnresponsive Medical Patients
• Complete a rapid head-to-toe Complete a rapid head-to-toe assessment, as in the assessment, as in the Focused History Focused History and Physical Examination: Trauma and Physical Examination: Trauma PatientsPatients
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SummarySummary
• Responsive Medical PatientsResponsive Medical Patients– Patient HistoryPatient History– Rapid AssessmentRapid Assessment– Vital SignsVital Signs– Emergency CareEmergency Care
• Unresponsive Medical PatientsUnresponsive Medical Patients