1 / 24

Medical Assisting

Medical Assisting. HCT I. Physical Exam. A complete PE consists of 3 parts: ·health history· physical exam of each body system· lab and diagnostic tests The MA assists the physician in all 3 aspects. *. Physical Exam Terms. acute illness- Rapid onset (cold, flu, sinus infection )

shona
Télécharger la présentation

Medical Assisting

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Medical Assisting HCT I

  2. Physical Exam A complete PE consists of 3 parts: ·health history· physical exam of each body system· lab and diagnostic tests The MA assists the physician in all 3 aspects *

  3. Physical Exam Terms acute illness- Rapid onset (cold, flu, sinus infection) chronic illness- gradual onset, A disease or illness lasting more than 3 months therapeutic procedure- Done to treat the condition, eliminate or correct the cause. (promotes recovery) diagnostic procedure- Test done to find the cause of an illness. lab testing- analysis of the tests to determine a specific causative agent

  4. clinical diagnosis- Initial diagnosis based on the patient's signs and symptoms differential diagnosis - use labs and diagnostic tests to rule out a similar injury or illness. final diagnosis (the diagnosis) prognosis - outcome or course of a disease risk factor - physical behaviors that increase the risk of a disease.

  5. Preparation of Exam Room room should be well lit, free from clutter restock supplies daily keep trash cans empty; replace full biohazard containers room should be well-ventilated use air fresheners to eliminate odors keep room comfortable temp for pt. clean & disinfect exam table, counters and faucets qd change exam paper after each pt. prepare equipment, instruments & supplies; arrange in order for physician to use knowledgeable on operation/use of equipment

  6. PREPARATION OF THE PATIENT. • Escort pt to exam room • ID patient by name and birth date • Obtain VS, Ht & Wt (mensuration)and chart results in medical record • explain procedures in a friendly manner· • ask patient to void (if a urine spec is needed this is the time!) • Instructions on disrobing • maintain pt privacy • provide physician w/ pt's medical record (HIPPA) • assist pt w/positioning on exam table

  7. Positioning & Draping: provides visualization of body part being examined; draping provides modesty, comfort & warmth Sitting position - drape over pt thighs and knees Fowler's - semi = 45; full = 90 Supine (horizontal recumbent) - remember to pull out table extension; drape length-wise Prone - place in supine then assist them to roll onto stomach, hands at side or folded above head dorsal recumbent - have pt. bend knees & place each foot @ edge of table; drape diagonally Lithotomy - have pt. slide bottom to edge and rotate thighs out ward, feet in stirrup; diagonal drape Sim's - Right leg flexed sharply over slightly flexed left Knee-chest - Place supine, roll towards you into prone, have them bend arms @ elbow and elevate buttocks keeping back straight; diagonal drape

  8. Assessment Techniques: inspection palpation percussion auscultation

  9. Assisting the physician: • assisting with position changes& draping • handing instruments and supplies • reassure patient to decrease apprehension • review treatment plan, patient education, and instructions for a return visit –chart this in the medical record • escort patient to reception area

  10. Height and Weight • Measurements are a procedure common for different types of office visits / physical exams. • Special Points: • Conversions – kg to pounds, pounds to kg • Height vs. length, feet and inches. • Types of scales • Head Circumference • Abdominal Girth • Chest Circumference

  11. From To Multiply by Centimeters Inches 0.3937 Formula. lbs / 2.2 = kilograms. kg x 2.2 = pounds ...

More Related