Professional Documents
Culture Documents
( = =+)
, etc.
Identifying data
, etc.
Chief complain
when ()where ()how (
) ex: Chest (where) pain (how) for 2 hour (when)
History of present illness ( chief complain )
( chief complain )
, etc.
Past medical history ( chief complain )
()
Family history
(ex:
, etc.)
Personal and social history
, etc.
Review of system
()
1
Problem list
Physical Examination
2
Parotid gland enlargement
Parkinsons disease
The eye Harrison eye
diseases scattered hemorrhage, yellow exudate,
neovascularization( p.348) p.13
A-V nicking
vein artery vein vein
vein
The Ear
Neck
Lymph node
Trachea and thyroid gland
Carotid a. and jugular v.
int. jugular v. ACXVY
jugular venous pluse (pressure) (JVP)
JVP
1.
2. JVP
int. jugular v.
JVP
a
c
x
v
y JVP
av xy a v x y
c
3
1. JVP
2. JVP EKG
a
a
JVP JVP
Inspection
Palpation
Percussion
Auscultation: breath soundsadventitious soundstransmitted
voice
Breath soundsbronchial bronchovesicular sound
vesicular sound
Adventitious soundsCrackles
wheezes and rhonchipleural friction rib
Transmitted sound
Barrel chest
Pectus excavatum
Pectus carinatum
Breast
Palpation Tenderness nodules
4
Heart
Inspection()
Palpation ()
Percussion()
Auscultation()<=
1. (bell)(diaphragm)
2. S1 S2
S1 &
*<=
S2 (A2)(P2)
A2 P2
0.03 0.06
S3S4 S3 S4
3. S2 A2 P2
Wide splitting P2 P2
5
=>=>=>
Stroke volume
Fixed splitting
Paradoxical splittingA2 P2
abdomen
*
()
Inspection
6
Male Genitalia
Inspection
Palpation
Female Genitalia
(Mons pubis)
(urethral meatus)
(vaginal introitus)
()
The Anus, Rectum, and Prostate
The Peripheral Vascular System
1.
2.
(deep vein thrombosis)(filariasis)
Nervous System
Muscle power
0 =
1 =
2 =
3 =
4 =
5 =
Deep tendon reflex
4+
3+
2+
1+
0
7
Inspection
Palpation
Percussion
Auscultation
1.
2.
3. Physical examination
4. differential diagnosis
5.
6. differential diagnosis
7. 1~6
8.
9.