Lu

Approaching the Patient

Scope of the Examination: How Complete Should It Be? Choosing the Examination Sequence, Examining Position and Handedness Adjusting Lighting and the Environment Promoting the Patient's Comfort THE GENERAL SURVEY

Apparent State of Health Level of Consciousness Signs of Distress Height and Build Weight

Skin Color and Obvious Lesions Dress, Grooming, and Personal Hygiene Facial Expression Odors of the Body and Breath Posture, Gait and Motor Activity THE VITAL SIGNS Blood Pressure

Choices of Blood Pressure Cuff (Sphygmomanometer) Technique

Definitions of Normal and Abnormal Levels Special Problems

The Apprehensive Patient The Obese or Very Thin Arm Leg Pulses and Pressures Weak or Inaudible Korotkoff Sounds Arrythmias Heart Rate and Rhythm Heart Rate Rhythm Respiratory Rate and Rhythm Temperature

Chapter 4. The Skin

^ ANATOMY AND PHYSIOLOGY O Changes with Aging

Health History HEALTH PROMOTION AND COUNSELING C TECHNIQUES OF EXAMINATION

O Skin

Color Moisture

^ Temperature

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