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1 CHAPTER 1 Chapter 1 Introduction

2 FOREWORD (Physical Examination and Assessment; PE; PA) (1)(2)(3)(4) (5)

3 Chapter (Vital Signs)(Body Temperature; BT)(Pulse; P)(Respiration; R)(Blood Pressure; BP) 1-2 3

4 1-2 (RBC) 4.4~ ~ /μl (Hb) 14~17 12~16 g/dl (MCHC) 32~36 g/dl (MCH) 27~33 pg (Hct) 42~52 37~47 % (MCV) 80~100 fl (ESR) 0~9 0~15 mm/hr (WBC) 4.5~11 4~ /μl (Platelet Count) 150~ /μl (AC Sugar) 70~100 mg/dl (PC Sugar) <140 mg/dl (HbA 1C ) 4~6 % (AST/SGOT) 5~45 IU/L (ALT/SGPT) 17~39 IU/L (ALP) 20~140 IU/L (Total Protein; TP) 6.4~8.9 gm% (Albumin; ALB) 3.5~5.5 g/dl (Globulin; GLO) 2.5~3.5 g/dl (Amylase) 40~140 IU/L (T-Bil) 0.3~1.0 mg/dl (D-Bil) 0.03~0.18 mg/dl (Total Cholesterol; TC) <200 mg/dl (Triglyceride; TG) <150 mg/dl (HDL-C) >40 mg/dl (LDL-C) 130 mg/dl (BUN) 4.5~24 mg/dl (Serum Creatinine; Cr.) (Urine Acid; UA) 0.9~ ~ ~ ~6.2 mg/dl mg/dl 4

5 Chapter (ph) 4.5~7.8 (sp. gr.) 1.003~1.030 (Protein) (Sugar; Glucose) (Occult Blood; OB) (Occult Blood; OB) ~

6 2. (Therapeutic Communication) (Open Question) 2. (Facilitation) 6

7 Chapter 1 3. (Silence) 4. (Clarification) 5. (Reflection) 6. (Confrontation) 7. (Interpretation) 8. (Focusing) 9. (Summary) (Nonverbal Communication)(Body Language) 1. 7

8 cm~1 m (1) 0~45 cm (2) 45~120 cm (3) 120~360 cm (4) 360 cm

9 Chapter

10 1. (Data Base) 2. (Chief Complain) 3. (Present Problem or Illness) 4. (Past Medical History) 5. (Family History) 6. (Personal and Social History) 7. (Review of Systems) Majory Gordon198211(11 Functional Health Patterns) Gordon

11 Chapter 1 (Data Base) 1. (Name) 2. (Age) 3. (Birth Date) 4. (Sex) 5. (Domicile) 6. (Education) 7. (Marital Status) 8. (Occupation) 9. (Religion) 10. (Referral Source) 11. (Informant) 12. (Date of Interview) 13. (Address Telephone Number) 14. (Key Person) (Chief Complain) (Present Problem or lllness)

12 PQRST 1. P(Provocative/Palliative) 2. Q(Quality) 3. R(Region/Radiation) 4. S(Severity)0~10 5. T(Timing) (Past Medical History) (Family History) (Family Tree) 12

13 Chapter (Personal and Social History) 1. (Average Age)

14 (Review of Systems) (1) 14

15 Chapter 1 (2) p.329~ (Proximal) (Distal) 2. (Medial) (Lateral) 3. (Ipsilateral) (Contralateral) 4. (Parietal) (Visceral) 5. (Superficial) (Deep) 15

16 16 IPPA (Inspection)(Palpation)(Percussion) (Auscultation)IPPA (Inspection) (Palpation) (Light Palpation)(Deep Palpation) ~2 cm 1~2 cm

17 Chapter 1 2. (1) 4~5 cm (2) 4~5 cm (3) 4~5 cm (a) (c) (b) 1-2 (a) (b) (c)

18 (Percussion) 1. (Striking Hand) 2. (Stationary Hand) (Flatness) 2. (Dullness) 3. (Tympany) (Resonance) 5. (Hyperresonance)

19 Chapter 1 (Auscultation) (Diaphragm) (Bell)

20 EVALUATION PQRST REVIEW ACTIVITIES 1. (Hyperresonance) (1) (2) (3) (4) (A)(1)(3)(B)(2)(3)(C)(2)(4) (D)(1)(4) 2. (A) (B) (C) (D) 3. (A) (B) (C) (D) 4. (A) (B) (C) (D) 5. (A) (B) (C) (D) 6. (A) (B) (C) (D) 20

身體檢查與評估 Introduction (Physical Examination and Assessment; PE; PA) 1-1 (1)(2)(3) (4)(5)

CHAPTER 1 1. 緒論 Introduction 1-1 1-2 1-3 1-4 1 身體檢查與評估 Introduction (Physical Examination and Assessment; PE; PA) 1-1 (1)(2)(3) (4)(5) 1-1 1-1 2 CHAPTER 1. 緒論 1. 2. 3. 4. 5. 6. 7. 3 ( Vital Signs)(Body