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Data Collection III

Data Collection III

The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...

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The inspection begins with visually examining the mouth for symmetry, color, and size.

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
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Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

[The physical examination - a vanishing art?]

Ernst Tönnesmann, Diane Goltz, Thorsten Lewalter

Deutsche Medizinische Wochenschrift (1946)

|November 9, 2016

Summary

A rare case of constrictive pericarditis caused by tuberculosis was diagnosed in a 63-year-old female patient. This highlights the importance of clinical examination in diagnosing uncommon heart conditions.

Area of Science:

Cardiology
Internal Medicine
Infectious Diseases

Background:

Progressive dyspnea in a 63-year-old female patient remained undiagnosed despite multiple consultations and hospitalizations.
Diagnostic challenges in complex cases underscore the need for thorough patient evaluation.

Observation:

Physical examination revealed significant bilateral lower extremity edema and jugular venous distention.
These clinical signs prompted further targeted investigations.

Findings:

The patient was diagnosed with constrictive pericarditis of tuberculous origin.
This diagnosis was established despite a focus on more common cardiac pathologies.

Implications:

The case emphasizes the critical role of clinical skills, patient history, and physical examination in modern medicine.

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It highlights the potential for overlooking less common myocardial and pericardial diseases, particularly those causing diastolic dysfunction.