CHAPTER 1 Chapter 1 Introduction 1. 2. 3. 4. 5. 6. 1
FOREWORD (Physical Examination and Assessment; PE; PA) (1)(2)(3)(4) (5) 1-1 1-1 2
Chapter 1 1. 2. 3. 4. 5. 6. 7. 3 (Vital Signs)(Body Temperature; BT)(Pulse; P)(Respiration; R)(Blood Pressure; BP) 1-2 3
1-2 (RBC) 4.4~5.9 4.0~5.2 10 6 /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 4~9 10 3 /μl (Platelet Count) 150~400 10 3 /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) 0.9~1.3 0.6~1.1 2.5~7.2 1.8~6.2 mg/dl mg/dl 4
Chapter 1 1-2 (ph) 4.5~7.8 (sp. gr.) 1.003~1.030 (Protein) (Sugar; Glucose) (Occult Blood; OB) (Occult Blood; OB) 1. 2. 3. 1~2 4. 45 1. 5
2. (Therapeutic Communication) 1-3 1-3 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 6. 7. 7. 8. 8. 9. 9. 10. 10. 11. 11. 1. (Open Question) 2. (Facilitation) 6
Chapter 1 3. (Silence) 4. (Clarification) 5. (Reflection) 6. (Confrontation) 7. (Interpretation) 8. (Focusing) 9. (Summary) (Nonverbal Communication)(Body Language) 1. 7
2. 3. 4. 50 cm~1 m (1) 0~45 cm (2) 45~120 cm (3) 120~360 cm (4) 360 cm 1. 2. 3. 4. 5. 6. 8
Chapter 1 1. 2. 3. 4. 5. 9
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)1-4 1-4 Gordon 11 1 2 3 4 5 6 7 8 9 10 11 10
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) 8 1. 2. 11
3. 4. 5. 6. 7. 8. PQRST 1. P(Provocative/Palliative) 2. Q(Quality) 3. R(Region/Radiation) 4. S(Severity)0~10 5. T(Timing) (Past Medical History) 1. 2. 3. 4. 5. 6. 7. 8. (Family History) (Family Tree) 12
Chapter 1 1-1 82 78 78 68 50 48 55 52 50 46 44 18 16 10 1-1 (Personal and Social History) 1. (Average Age) 2. 3. 4. 13
(Review of Systems) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. (1) 14
Chapter 1 (2) 16. 17. 18. 19. 814 11 p.329~330 1. (Proximal) (Distal) 2. (Medial) (Lateral) 3. (Ipsilateral) (Contralateral) 4. (Parietal) (Visceral) 5. (Superficial) (Deep) 15
16 IPPA (Inspection)(Palpation)(Percussion) (Auscultation)IPPA (Inspection) (Palpation) 1-2 1. 2. 3. (Light Palpation)(Deep Palpation)1-3 1. 1~2 cm 1~2 cm
Chapter 1 2. (1) 4~5 cm (2) 4~5 cm (3) 4~5 cm (a) (c) (b) 1-2 (a) (b) (c) 1-3 17
(Percussion) 1. (Striking Hand) 2. (Stationary Hand) 1-4 1. (Flatness) 2. (Dullness) 3. (Tympany) 1-4 4. (Resonance) 5. (Hyperresonance) 1-5 18 1-5
Chapter 1 (Auscultation) (Diaphragm) (Bell) 1. 2. 1. 2. 3. 4. 19
EVALUATION 1. 2. 3. PQRST 4. 5. 6. 7. 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