پاورپوینت اصول گرفتن شرح حال و معاينه فيزيكي پوست (pptx) 140 اسلاید

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نوع فایل : PowerPoint (.pptx) ( قابل ویرایش و آماده پرینت )

تعداد اسلاید: 140 اسلاید

قسمتی از متن PowerPoint (.pptx) :

بسم الله الرحمن الرحیم مبحث ارزیابی بیمار اصول گرفتن شرح حال و معاينه فيزيكي پوست معاينه فيزيكي  وضعيت و حال عمومي، سطح هوشياري علايم حياتي HEENT = Head , Eye , Ear , Nose , Throat مشاهده و معاینه پوست مشاهده و معاینه قفسه سينه و ريه ها مشاهده و معاینه قلب و عروق مشاهده و معاینه شكم مشاهده و معاینه ادراري- تناسلي مشاهده و معاینه عضلاني- اسكلتي (اندام هاي فوقاني و تحتاني، ستون فقرات ) مشاهده و معاینه سيستم نورولوژيك مشاهده و معاینه سايكولوژيك( معاينه روانپزشكي) Head-to-Toe Framework • General survey • Vital signs • Head Hair, scalp, face Eyes and vision Ears and hearing Nose Mouth and oropharynx • Neck Muscles Lymph nodes Trachea Thyroid gland Carotid arteries Neck veins • Upper extremities Skin and nails Muscle strength and tone Joint range of motion Brachial and radial pulses Sensation • Chest and back Skin Thorax shape and size Lungs Heart Spinal column Breasts and axillae • Abdomen Skin Abdominal sounds Femoral pulses • External genitals Anus • Lower extremities Skin and toenails Gait and balance Joint range of motion Popliteal, posterior tibial, and dorsalis pedis pulses The American Cancer Society’s guidelines for early detection COLORECTAL CANCER (MALES AND FEMALES) • Fecal occult blood test or fecal immunochemical test annually beginning at age 50 or • Stool DNA test may be done beginning at age 50. • Flexible sigmoidoscopy every 5 years beginning at age 50 or • Colonoscopy every 10 years beginning at age 50 or • Double contrast barium enema every 5 years beginning at age 50. • Computerized tomography, colonography every 5 years beginning at age 50. The American Cancer Society’s guidelines for early detection BREAST CANCER (FEMALES) • Beginning in their early 20s, women should be told about the benefits and limitations of breast self-examination (BSE) and the importance of reporting breast symptoms to a health professional. Those who choose to perform BSE should receive instruction and have their technique reviewed regularly. Women may choose to perform BSE regularly, occasionally, or not at all. • Clinical breast examination every 3 years from ages 20 to 40, and then annually beginning at age 40. • Mammogram annually at age 40 and over. • For women ages 21 to 29, screening every 3 years with Pap tests. • For women ages 30 to 65, screening every 5 years with both HPV test and the Pap test, or every 3 years with the Pap test alone. • Women ages 65 and older who have had ≥3 consecutive negative Pap tests or ≥2 consecutive negative HPV and Pap tests in the last 10 years, the most recent test in the last 5 years, and women who have had a total hysterectomy should stop cervical cancer screening. The American Cancer Society’s guidelines for early detection CERVICAL AND UTERINE CANCER (FEMALES) • For men who have at least a 10-year life expectancy, discussion with the primary care provider about the benefits, risks, and uncertainties associated with prostate cancer screening. The American Cancer Society’s guidelines for early detection PROSTATE CANCER (MALES) • Examination for cancers of the thyroid, testicles, ovaries, lymph nodes, oral region, and skin during the regular health examination The American Cancer Society’s guidelines for early detection HEALTH COUNSELING AND CANCER CHECKUP (MALES AND FEMALES) OVER AGE 20 طبق گایدلاین های انجمن سرطان آمریکا برای تشخیص زودرس، مشاوره و چک آپ سرطان خانم ها و آقایان در سنین بالای 20 سال: بررسی سرطان های تیروئید، بیضه ها، تخمدان ها، گره ها ی لنفاوی، ناحیه دهان و پوست در طول معاینات منظم وضعیت سلامت باید انجام شود.