focused medical examination dr. anmar jamil mandourah

Focused Medical Examination

Dr. Anmar Jamil Mandourah

Responsive Medical PatientsResponsive Medical Patients

• Remember that a physical exam is required Remember that a physical exam is required for all patientsfor all patients

• In the In the responsiveresponsive patient, assess the patient, assess the body systems body systems associated with the chief complaintassociated with the chief complaint

eg. if the patient complains of a chest pain there is no need eg. if the patient complains of a chest pain there is no need to examine the arms.to examine the arms.


D-C-A-P-B-T-L-SD-C-A-P-B-T-L-S acronymacronymDDeformitieseformities

CContusionsontusions

AAbrasionsbrasions

PPenetrationsenetrations

BBurnsurns

TTendernessenderness

LLacerationsacerations

SSwellingwelling

Reminder of injuries and signs of injuries

to look for while assessing.


• Assess the head, as necessary(if Assess the head, as necessary(if pain present)pain present)


• Assess the neck, as necessaryAssess the neck, as necessary


• Assess for JVD, as Assess for JVD, as necessarynecessary

• JVD should be assessed JVD should be assessed when the patient is lying at a when the patient is lying at a 45 degree position45 degree position


• Assess the patient’s Assess the patient’s chest, as necessarychest, as necessary

• Check for Check for symmetry, and symmetry, and paradoxical or paradoxical or diminished diminished movement.movement.

• Assess for Assess for Accessory muscle Accessory muscle useuse


• Assess the breath Assess the breath soundssounds


• Assess the abdomen, as necessaryAssess the abdomen, as necessary


• Assess the four quadrants of Assess the four quadrants of the abdomen, as necessarythe abdomen, as necessary

• Chec if any masses, Chec if any masses, tenderness or regidity has tenderness or regidity has been foundbeen found


• Assess the pelvis Assess the pelvis assess stability . assess stability .


• Assess the lower extremities, as necessaryAssess the lower extremities, as necessary


• Assess pulse, motor, and sensation in the lower Assess pulse, motor, and sensation in the lower extremities, as necessaryextremities, as necessary


• Assess the upper extremities, as necessaryAssess the upper extremities, as necessary

Emergency Care for Emergency Care for Unresponsive Medical PatientsUnresponsive Medical Patients

Emergency CareEmergency Care

• Bring the stretcher – give O2- move the Bring the stretcher – give O2- move the patient quickly .patient quickly .

• Begin transport and assess vital signs.Begin transport and assess vital signs.• Complete OPQRST and SAMPLE history.Complete OPQRST and SAMPLE history.• Provide Emergency medical care to the area Provide Emergency medical care to the area

injured.injured.• Interventions for some medical emergenciesInterventions for some medical emergencies

inhaler - O2- epinephrine – nitroglycerin-inhaler - O2- epinephrine – nitroglycerin-glucose - AEDglucose - AED

Unresponsive Medical PatientsUnresponsive Medical Patients

• Complete a rapid head-to-toe Complete a rapid head-to-toe assessment, as in the assessment, as in the Focused History Focused History and Physical Examination: Trauma and Physical Examination: Trauma PatientsPatients

SummarySummary

• Responsive Medical PatientsResponsive Medical Patients– Patient HistoryPatient History– Rapid AssessmentRapid Assessment– Vital SignsVital Signs– Emergency CareEmergency Care

• Unresponsive Medical PatientsUnresponsive Medical Patients

focused medical examination dr. anmar jamil mandourah

Documents

emergency medical care

focused medical examinationdr

responsive medical patientsdc

responsive patient

lower extremities

upper extremities

patients chest

focused history