Transcription
You need to conduct this fecal examination of the patient's cardiovascular system. The patient is waiting for you in the office. Do not collect samples. She can establish contact with the patient, greet them, introduce herself, and wear her role. "Hello, I am the district general practitioner. I will conduct a physical examination for you. Please identify yourself. Belova Alexandra Nikolaevna. How old are you? 34." Offer the patient to sit on the table. Inquire about the patient's well-being. Obtain informed consent. "Please sit on the table. How are you feeling? Good. Do you agree to a physical examination? Yes, I agree." Proceed to process in a sterile manner. Put on examination gloves. Assess the skin, mucous membranes of the oral cavity, and fingers. The skin is of normal color, clean, and dry. Ask the patient to turn their head to the left. Use a light source to examine the ear canals. Perform a symmetrical examination of the left side. "Please turn your head to the left. Now to the right." The veins are not swollen. Assess the pulse in the carotid arteries alternately. Assess the pulse in the radial arteries simultaneously on both hands, then on one hand for at least 10 seconds. Count the pulse. The pulse rate is 80 beats per minute. Measure the respiratory rate. The respiratory rate is 16 per minute. Assess the pulse in the temporal arteries simultaneously on both sides, then simultaneously with the radial artery. The pulse is rhythmic. Proceed to measure blood pressure, after first asking about factors affecting its readings. "Do you smoke? Have you consumed strong alcoholic beverages in the last one and a half to two hours? Have you engaged in physical activity?" My blood pressure is 120 over 80 millimeters of mercury. Palpate the apex beat. If absent, state this. The characteristics of the apex beat are unchanged. Palpate the heart impulse. Palpate the pulsation of large vessels in the second intercostal space on the left and right sternal borders. They are unchanged. Proceed to auscultation of the heart. Perform auscultation of the right and left carotid arteries. Then perform auscultation of the heart with the patient in a left lateral position and in a sitting position. "Please turn onto your side. Please sit down." Perform auscultation of the lungs in symmetrical areas from the front, side, and back. Proceed to process medical equipment. Then wash your hands in a sterile manner and record all necessary medical documentation.