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Patient Centered Medicine 2 General Appearance Myles Sheehan SJ M Patient Centered Medicine 2 General Appearance Myles Sheehan SJ M

Patient Centered Medicine 2 General Appearance Myles Sheehan SJ M - PDF document

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Patient Centered Medicine 2 General Appearance Myles Sheehan SJ M - PPT Presentation

GENERAL APPEARANCE Moving from history to physical examination Evaluating the patients general appearance and An introduction to functional assessment MAKING THE TRANSITION FROM HISTORY TO P ID: 955337

appearance general patient physical general appearance physical patient adls history examination person sem3 function characteristics ipm2 2005 centered doc

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Patient Centered Medicine 2 General Appearance Myles Sheehan, S.J., M.D. GENERAL APPEARANCE Moving from history to physical examination, Evaluating the patient's general appearance, and An introduction to functional assessment MAKING THE TRANSITION FROM HISTORY TO PHYSICAL The physical exam begins when you greet the patient and salt stained. As you introduce yourself, during the course of the interview. assistance. It takes a moment for him to answehis ankles are swollen. During the interview, C. Portions of the history may best be obtained during the physical examination. several preliminary diagnoses but realize that you need data to hone your diagnostic to Mr. Robinson that you would like to do a physical exam at this point. You ask Mr. that her father does not seem to be doing we

ll in general and THE ELEMENTS OF GENERAL APPEARANCE A. Physical Characteristics Sex, race, body build, obvious deformities or distinguishing characteristics, state of development in relation to chronological age. G:\IPM2\2005-06\Sem3\General_Appearance.doc - 1 - Revised: 06/24/05 Patient Centered Medicine 2 General Appearance Myles Sheehan, S.J., M.D. C. What is the person's mental status? gatory) or you are finding it very hard to willing to pursue a few questions. D. What is the impact of illness on the person? activities of daily living and instrumentaland walk from a seated position, etc. III. SOME SPECIFIC ISSUES How do you communicate general appearance? Presentation of the physical examination, either in writing or verbally, should begin with a pithy description of the patient t

hat makes it clear to all what the person looks like. Descriptions like "Well-developed, well nourisheuseless, a waste of time, provide no when standard image conveys the picture more clearly. Some other points to observe patients)? Who comes with the patient? If Assessing Function Activities of daily living (ADLs) are those taliving (IADLs) are those tasks that a persindependent existence. A list of ADLs inclillnesses, the IADLs tend to be lost first and the ADLs are lost as disability progresses. Who cares? Detecting deficits in function may be more important than exhaustive diagnostic testing as one can tailor therapy to deal with the deficits and, frequently, improve quality of life. can test specific functions: get out of G:\IPM2\2005-06\Sem3\General_Appearance.doc - 3 - Revised: 06/24/05