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General examination

The document outlines the procedure for conducting a general examination of a patient, detailing steps from explaining the procedure to the patient to documenting findings. It includes specific assessments for various body parts such as hands, face, mouth, neck, and lower extremities. The final steps involve covering the patient, explaining findings, and thanking the patient.

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moutaz.alsunosi
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6 views2 pages

General examination

The document outlines the procedure for conducting a general examination of a patient, detailing steps from explaining the procedure to the patient to documenting findings. It includes specific assessments for various body parts such as hands, face, mouth, neck, and lower extremities. The final steps involve covering the patient, explaining findings, and thanking the patient.

Uploaded by

moutaz.alsunosi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Libyan International Medical University

Clinical Skills Lab

Student name: ……………………


Student number: …………………

General Examination

1. Explain the procedure to the patient


2. Take a permission from a patient
3. Wash your hand
4. Worm your hands
5. Stand on the patient right side of the patient
6. Examine the patient in a good light & warm surrounding

 General looking if the patient comfortable


7. Assess the general appearance:
 Physical built (average, overweight, underweight)

8. Examine hands for character and rash of skin


 Inspect the dorsal then the palmar aspect of the hand
 Skin changes (ulceration, hyperkeratosis)
 Temperature (cold, warm)
 Color (palmar erythema)
 Excessive sweeting
 Muscle wasting
 Tremors
 Nails (clubbing, koilonychias, leuconychiea, dystrophies)

9. Examine FACE AND HEAD for:


 Facial appearance (expression)
 Complexion, color (pallor, cyanosis, jaundice)
 Hair distribution scalp and eye browse, hirsutism)
 Eye : Conjunctiva (pallor), Sclera (jaundice), Cornea (opacities)
 Shape of nose, Working ala nasi, Nasal discharge
 Ear shape and discharge
 Lymph node examination: sub-mental, submandibular, pre-auricular, post-
auricular, occipital. (Consistency, Tenderness, mobility)

1
10.Examine mouth & throat for:
 Breath (abnormal odor)
 Lips (cyanosis, pallor, cracking)
 Teeth (caries, loosening, discoloration)
 Gums (Pigmentation, bleeding, hypertrophy)
 Tongue (color, papillary atrophy, tremors)
 Buccal mucosa (pigmentation, inflammation)
 Palate (deformities, vesicles)
 Salivation (excessive salivation)
 Tonsils (inflammation)

11.Examine the neck


 Trachea central
 Examine cervical lymph nodes, supraclavicular lymph nodes (Consistency,
Tenderness, mobility)
 Notice any swelling

12.Examine lower extremities for:


 Skin changes
 Pedal Edema
 Examine peripheral pulsation (dorsalis pedis, posterior tebial)
 Examine inguinal lymph nodes (Consistency, Tenderness, mobility)

13.Document the results in the patient’s notes

14.Cover the patient, explain your findings to the patient and thank him

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