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general examination medical and nursing s.pptx

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This document provides an overview of examining a respiratory case. It discusses preparing for the physical examination, including introducing yourself, explaining what will be done, and maintaining privacy. The examination involves assessing the patient's appearance, vital signs, and conducting a regional examination of the neck, chest, hands, and lower limbs. Signs related to conditions like cor pulmonale, pulmonary hypertension, and lung cancer are described.

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3RD LECTURE RESPIRATORY SKILLS GENERAL EXAMINATION OF RESPIRATORY CASE Dr Muneer Bashoaib
PREPARING FOR PHYSICAL EXAMINATION - Introduce Yourself . - Take Permission . - Explain What You Are Going To Do . - Maintain Privacy . - Wash Your Hand . - Exposure ( Full Exposure Of Trunk ) , Position ( Sitting OR Semi-Sitting Position 45o ) .
FIRST IMPRESSIONS
general examination medical and nursing s.pptx
general examination medical and nursing s.pptx
general examination medical and nursing s.pptx
ABCDE : Appearance : Looks Well/Ill , Consciousness , Alert , Orientation To Time - Palace - Person . Body Built : Average , Thin , Obese ( Depends On BMI ) . Color : Pale , Cyanosed , Erythematous . Decubitus : Patient's Sitting & Position . Deformities : Any Congenital Abnormality ( If You Find One Anomaly Search For Others ) Distress : Difficulty In Breathing ( Dyspnic ) . Environment : Any Connections To Patient ( IV Line , Catheter, O2 Mask , ECG , Wheelchair , Etc. "
VITAL SIGNS
general examination medical and nursing s.pptx
general examination medical and nursing s.pptx
general examination medical and nursing s.pptx
REGIONAL EXAMINATION
NECK Neck vein >>Engorged and pulsatile neck veins (due to cor pulmonale) or engorged non-pulsatile veins in SVC obstruction. JVP >> raised in pulmonary hypertension , tension pneumothorax or large pulmonary embolism , superior vena cava obstruction Lymph node >> sarcoidosis , malignancy , TB , Lymphoma using of accessory muscles Trachea
HAND Nicotine staining in nails (may be associated with bronchial carcinoma). Clubbing. Cyanosis. Wasting (due to involvement of lower trunk of brachial plexus by bronchial carcinoma, C8 and T1 lesions). Pulse: Tachycardia, pulsus paradoxus (due to severe obstructive airway disease), high volume and bounding pulse (due to CO2 excess). Warm and sweaty hands (due to anoxic cor- pulmonale). Flapping tremor (due to severe respiratory failure and CO2 retention). Signs of other diseases such as joint deformity in rheumatoid arthritis, skin change in systemic sclerosis or dermatomyositis (which may cause DPLD).
general examination medical and nursing s.pptx
general examination medical and nursing s.pptx
HORNERS SYNDROME Wasting of the small muscles of the hands from lung cancer
LOWER LIMB - Skin Changes , Muscle Wasting , Loss Of Hair . - Edema : Pitting / Non-Pitting - Unilateral / Bilateral - Level . - Pulse : Femoral - Popliteal - Dorsalis Pedis - Posterior Tibial .
A Fig. Skin lesions associated with respiratory conditions. A Metastatic nodules of lung cancer. B Erythema nodosum on the shins in sarcoidosis B
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general examination medical and nursing s.pptx

  • 1. 3RD LECTURE RESPIRATORY SKILLS GENERAL EXAMINATION OF RESPIRATORY CASE Dr Muneer Bashoaib
  • 2. PREPARING FOR PHYSICAL EXAMINATION - Introduce Yourself . - Take Permission . - Explain What You Are Going To Do . - Maintain Privacy . - Wash Your Hand . - Exposure ( Full Exposure Of Trunk ) , Position ( Sitting OR Semi-Sitting Position 45o ) .
  • 7. ABCDE : Appearance : Looks Well/Ill , Consciousness , Alert , Orientation To Time - Palace - Person . Body Built : Average , Thin , Obese ( Depends On BMI ) . Color : Pale , Cyanosed , Erythematous . Decubitus : Patient's Sitting & Position . Deformities : Any Congenital Abnormality ( If You Find One Anomaly Search For Others ) Distress : Difficulty In Breathing ( Dyspnic ) . Environment : Any Connections To Patient ( IV Line , Catheter, O2 Mask , ECG , Wheelchair , Etc. "
  • 13. NECK Neck vein >>Engorged and pulsatile neck veins (due to cor pulmonale) or engorged non-pulsatile veins in SVC obstruction. JVP >> raised in pulmonary hypertension , tension pneumothorax or large pulmonary embolism , superior vena cava obstruction Lymph node >> sarcoidosis , malignancy , TB , Lymphoma using of accessory muscles Trachea
  • 14. HAND Nicotine staining in nails (may be associated with bronchial carcinoma). Clubbing. Cyanosis. Wasting (due to involvement of lower trunk of brachial plexus by bronchial carcinoma, C8 and T1 lesions). Pulse: Tachycardia, pulsus paradoxus (due to severe obstructive airway disease), high volume and bounding pulse (due to CO2 excess). Warm and sweaty hands (due to anoxic cor- pulmonale). Flapping tremor (due to severe respiratory failure and CO2 retention). Signs of other diseases such as joint deformity in rheumatoid arthritis, skin change in systemic sclerosis or dermatomyositis (which may cause DPLD).
  • 17. HORNERS SYNDROME Wasting of the small muscles of the hands from lung cancer
  • 18. LOWER LIMB - Skin Changes , Muscle Wasting , Loss Of Hair . - Edema : Pitting / Non-Pitting - Unilateral / Bilateral - Level . - Pulse : Femoral - Popliteal - Dorsalis Pedis - Posterior Tibial .
  • 19. A Fig. Skin lesions associated with respiratory conditions. A Metastatic nodules of lung cancer. B Erythema nodosum on the shins in sarcoidosis B