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Medicine I
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Lectures
Medicine I: Part 1: Medical Physical Examination
Author
: Kanchan Ganda, M.D.
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Kanchan Ganda, MD
Physical Examination: Detailed Discussion
Physical Examination
Physical Examination (P.E): Steps
General Appearance
Left Parotid Enlargement
Eyes: Periorbital Cellulitis: 1
Periorbital Cellulitis: 2
Increased Anterior-Posterior (AP) Diameter
Vital Signs
Pulse: Rate, Rhythm, Volume
Pulse
Pulse Volume: Medical Emergency
Pressure Changes with Positions*
Pulse: Rate and Rhythm
Pulse
Pulse: Irregular Rhythm
Pulse: Facts
Radial Pulse:
Radial Pulse
Carotid Pulse
Carotid Pulse
The Carotid Pulse
Examination of the Carotids
Examination of the Carotids
The Brachial Pulse
Respiration
Respiration
Tripod breathing position
Blood Pressure Monitoring: The Stethoscope is placed on the Brachial artery
BP Recording: The correct arm support and Stethoscope placement
BP Recording:
Blood Pressure (BP) Monitoring
BP Monitoring
Blood Pressure Monitoring
Blood Pressure Monitoring
BP: Rough SBP and DBP
BP: Rough SBP
BP: True SBP and DBP
BP: True SBP and DBP
BP: Facts
BP Monitoring: Auscultatory Gap
BP Monitoring: Auscultatory Gap
Height and Weight (H and W)
Physical Examination: Skin
Physical Examination: Skin
Physical Examination: Head
Examination of the Ear
Ear: Inspection
Basal Cell Carcinoma of the back of the Ear
Ear: Otitis Externa
Ear: Otitis Media
Physical Examination: Eyes
Eye: Inspection
Exophthalmus: Protruding eyeballs
Exophthalmus: Lid lag test
Enopthalmus
Eye Movements: The head stays steady
Pupillary Reaction: The patient looks straight ahead
Eyes: Extra Ocular Movements
Pupillary Response
Corneal Reflex
Eyes: The Light Reflex
The Visual Fields
Examination of the Sinuses
Examination of the Mouth and Throat
Palpation of the Mouth
Gingival Hypertrophy/Hyperplasia: Causes
Head and Neck Lymph Nodes Examination
Head and Neck Lymph Nodes Examination
Palpation: Deep Cervical lymph nodes
Palpate the following Lymph Nodes
Lymph Glandular Examination
Lymph Glandular Examination
Examination of the Thyroid Gland
Thyroid Gland: Palpation
Physical Examination: Hands
Physical Examination: Hands
Nails: Clubbing
P.E. Hands: In Rheumatoid arthritis (RA)
Raynaud’s Phenomenon: White painful fingers and toes caused by vasoconstriction
Rheumatoid Changes of the Hand
Osteoarthritis (OA)
Examination of the Extremities
Erythema Nodosum:
Examination of the Back
Barrel Shaped Chest: Increased Anterior-Posterior (A-P) Diameter
Examination of the Lungs
Lungs: Examination
Lung Apex: Palpation
Percussion:
Examination of the Lungs: Percussion
Examination of the Lungs: Auscultation
Breath Sounds: Patterns
Examination of the Lungs
Examination of the Heart
Examination of the Heart
Examination of the Heart
Examination of the Heart
Examination of the Heart
Examination of the Heart
Examination of the Heart
Examination of the Cranial Nerves
Cranial Nerves: II, III, IV
Corneal Reflex:
CN V: The Trigeminal Nerve
CN V: Trigeminal Nerve: Motor Division
CN V: Motor Division and CN VI
Cranial Nerve VII: Facial Nerve
Left UMN Facial Palsy
Left LMN FACIAL PALSY
Cranial Nerves: VIII and IX
Cranial Nerve X: Vagus Nerve
Cranial Nerve XI: Spinal Accessory
Spinal Accessory: Cranial Nerve XI
Hypoglossal Nerve: Cranial Nerve XII
In Conclusion
In Conclusion
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