中国医科大学：《诊断学》课程教学课件（PPT讲稿）Physical Diagnosis

Physical Examination 2nd Affiliated Hospital China Medical University 内科郑长青

Physical Examination 2 nd Affiliated Hospital China Medical University 内科 郑长青

What is physical examination? Physical examination is a fundamental examining method,it is proceeded by the sense organs such as eyes,ears, nose and hands or simple tools -stethoscope and plexor

What is physical examination? Physical examination is a fundamental examining method, it is proceeded by the sense organs such as eyes, ears, nose and hands or simple tools –stethoscope and plexor

The basic methods of physical examination 1 inspection 2 palpation 3 percussion 4 auscultation 5 smelling

The basic methods of physical examination 1 inspection 2 palpation 3 percussion 4 auscultation 5 smelling

1 Inspection includes a general view of the patient's mental status development nutrition posture body movement gait facial expression complexion

1 Inspection includes a general view of the patient’s mental status development nutrition posture body movement gait facial expression complexion

Inspection

Inspection

For example pallor anemia exophthalmus hyperthyroidism cyanosis(lips) mitral face moon face cushing syndrome spider angioma liver cirrhosis barrel chest pulmonary emphysema

For example pallor anemia exophthalmus hyperthyroidism cyanosis(lips) mitral face moon face cushing syndrome spider angioma liver cirrhosis barrel chest pulmonary emphysema

Inspection

Inspection

Gastric type pylorus obstruction Abdomenal respiratory movement normal men children disappear acute peritonitis lower extremity edema right heart failure skeleton and joints deformity

Gastric type pylorus obstruction Abdomenal respiratory movement normal men children disappear acute peritonitis lower extremity edema right heart failure skeleton and joints deformity

2 Palpation mainly used in abdominal examination mass: location size contour consistency mobility tenderness pulsation

2 Palpation mainly used in abdominal examination mass: location size contour consistency mobility tenderness pulsation

palpation

palpation