General Physical Examination PDF

١١/٠٦/١٤٤٦ D/ Ola Adel  Definition of general physical examination.  Objectives of general physical examination.  Needed equipment for performing general examination....

١١/٠٦/١٤٤٦ D/ Ola Adel  Definition of general physical examination.  Objectives of general physical examination.  Needed equipment for performing general examination.  Components of general physical examination.  Obstetrics & Gynecological instruments. ١ ١١/٠٦/١٤٤٦  Is an assessment done in a detailed systematic ( head to toe) order when a pregnant woman attends the antenatal clinic for the 1st time.  Estimate the period of gestation.  To assess the woman's overall health status.  To assess medical and obstetric conditions that may indicate a risk factor.  To use the obtained information as a baseline for comparison at subsequent examinations. ٢ ١١/٠٦/١٤٤٦  Stethoscope.  Sphygmomanometer.  Thermometer.  Tongue depressor.  Weighing scale.  Light measuring device.  Client record.  During the 1st antenatal assessment.  On admission to hospital (for any reason). ٣ ١١/٠٦/١٤٤٦ History Head to toe Lab investigation  Personal History.  Family History.  Medical & Surgical History.  Menstrual History.  Gynecological History.  Obstetric History. ٤ ١١/٠٦/١٤٤٦ Personal History: 1. Name. 2. Age. 3. Education. 4. Occupation. 5. Income. Family History: 1. Chronic Diseases. 2. Anemia. 3. Cancer. Medical History: 1. Chronic Diseases. 2. Anemia. 3. Any current medication. Surgical History: 1. Any previous operation. Menstrual History: 1. Age of menarche. 2. Amount. 3. Duration. 4. Interval. ٥ ١١/٠٦/١٤٤٦ Gynecological History: 1. Gynecological Diseases. 2. Vaginal Infection. Obstetrical History: G\P 1. Gravida “Number of pregnancy”. 2. Para “Number of delivery”. TPAL 1. Term baby. 2. Preterm baby. 3. Abortion. 4. Living baby. Date of Last Menstrual Period “LMP” History of previous delivery: 1. Duration of pregnancy. 2. Place of delivery. 3. Date of delivery. 4. Type of delivery. 5. Any complications during pregnancy. 6. Any complications during labor. ٦ ١١/٠٦/١٤٤٦ Urine analysis Blood test ٧ ١١/٠٦/١٤٤٦ Urine analysis: 1. Sugar 2. Albumin 3. Urine culture Blood test: 1. Complete blood count “CBC”. 2. Blood typing. 3. Rh factor. ٨ ١١/٠٦/١٤٤٦ Uses: Grasping tough structures in operation like abdominal hysterectomy ٩ ١١/٠٦/١٤٤٦ Uses:  Grasping tubular structures like fallopian tube in tubectomy.  The tip is atraumatic as there are no sharp tooth. ١٠ ١١/٠٦/١٤٤٦ Uses:  This is a hemostatic device used for clamping bleeding vessels.  It is used for grasping tissues at the time of operation. ١١ ١١/٠٦/١٤٤٦ ١٢ ١١/٠٦/١٤٤٦ Uses:  It is used for salpingectomy in or oophorectomy.  It is used for clamping umbilical cord of newborn or for artificial low rupture of membrane ١٣ ١١/٠٦/١٤٤٦ Uses: It is used for episiotomy before forceps or vacuum, or in breech delivery. ١٤ ١١/٠٦/١٤٤٦ Uses:  Used to grasp, hold, manipulate and remove tissue from inside the uterus including the ovum and placenta  Used for removing the products of conception in inevitable , incomplete abortion. ١٥ ١١/٠٦/١٤٤٦ Uses:  It is used for holding sponge or gauze piece for cleaning the area before operation.  It is used for grasping the cervix. ١٦ ١١/٠٦/١٤٤٦ ١٧ ١١/٠٦/١٤٤٦ Uses: It is used for grasping the cervix and steady it in procedures like insertion of IUD, D&C, Cervical biopsy and vaginal hysterectomy. ١٨ ١١/٠٦/١٤٤٦ ١٩ ١١/٠٦/١٤٤٦ Uses:  It is used for inspection of vagina and cervix.  It is used for : Taking Pap Smear, insertion and removal of copper T, taking swap for microscopic examination in suspected infection.  Used also in D&C, vaginal hysterectomy. ٢٠ ١١/٠٦/١٤٤٦ Uses: It is used for:  Retracting bladder during abdominal operation like LCS, abdominal hysterectomy.  Retracting lower abdomen during CS. ٢١ ١١/٠٦/١٤٤٦ ٢٢ ١١/٠٦/١٤٤٦ Uses: For assisted delivery such as:  Prolonged second stage of labor.  Maternal indications such as maternal distress or maternal disease ( heart disease, pre-eclampsia and eclampsia).  Fetal indications such as fetal distress. ٢٣ ١١/٠٦/١٤٤٦ Uses:  Ayre spatula is a device used to collect Pap smear.  It is a wooden spatula with U shaped openings on one side and a flat surface on another.  The broad end is for vaginal sample collection and the narrow end is for cervical sample collection.  It is rotated 360 degrees in the vagina to obtain the cells to be sent for Pap smear examination. ٢٤ ١١/٠٦/١٤٤٦ Uses: A plastic tool used to obtain cells from the cervix during the procedure of a pap smear. ٢٥ ١١/٠٦/١٤٤٦ ٢٦