General Physical exam
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Greats
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Consent
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Hand wash
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Proper exposure
Inspection ( Head to Two)
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Catheter ,IV lines on the side of the bed
Weight ,symmetry ,shape ,pulsation ,texture , color , scars
vital signs
Eyes for = Jaundice , pallor , ptosis
Hair = Alopecia ( hair spaces ), scalp look for lumps!
Ear = discharge , size, color, position , tenderness
Lymph nodes for = Swelling
Abdomen = lumps , scars , symmetry , hair distribution ,
Hands = muscle waste , pale , cyanosis, Palmar erythema!
Nails = Color ,clubbing(Respiratory problem ), ,cyanosis
Mouth = Moister , hydration , cyanosis , jaundice + gums for any swelling or
bleeding
Nose= discharge , symmetry , position
Legs = visible veins , pigmentation , ulcers , swelling ,tenderness
most importance look for any kind of edema in the.
Palpation
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Light : tenderness , temperature and skin texture
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Deep: deep organs and detect the masses , hernias ,organ size
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Lymph nodes
Causes of pallor
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Anemia Physiologic
Shock!
Hypoglycemia
Respiratory distress
Skin edema
palmar erythema
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LIVER CIRRHOSIS
Diabetes mellitus
Smoking
Causes of cyanosis
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Central cyanosis
 Decreased arterial oxygen saturation
 lung disease
 Polycythemia
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Peripheral cyanosis
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All the causes of central cyanosis
left ventricular failure
Shock
Causes of jaundice
Intrahepatic
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Sepsis
Drugs
Hepatobiliary infection
Ischemia
shock
Extrahepatic
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4)Arterial or venous obstruction
Tumer
Choledochal cyst
Cholelithiasis