logging in or signing up history taking in surgery satvarnan Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 513 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: October 30, 2011 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript History Taking In Surgery: History Taking In Surgery Gamal Khairy FRCS,MS College of Medicine KKUHSlide 2: History taking ? the key step in surgical diagnosis. Varies according to the complain ? specific histories ? surgical specialtyTwo types of history in surgical practice:: Two types of history in surgical practice: Out-pt or emergency room history ?specific complaint is pinpointed ? diagnosis Clerking of pt admitted for elective surgery object ? to assess that the treatment planned correctly indicated and pt is suitable for that operation.How to take the history ?: How to take the history ? Personal information : Age, sex, marital status, occupation, etc……History should be taken in the following order:: History should be taken in the following order: the present complaint (c/o). History of present complaint. Elaboration on the system involved. Systemic enquiry.History should be taken in the following order:: History should be taken in the following order: e. Past history ? surgical, medical f. Drug history g. Family history h. Social historySystemic Enquiry: Systemic Enquiry 1. GIT: Appetite, Vomiting, Regurgitation, etc. Respiratory System ? cough, haemoptysis, Dyspnea…. C.V.S: * Breathlessness, palpations, chest pain… * Peripheral vessels: Intermittent, claudication, rest pain. Urogenital system: micturition, loin pain supropubic pain. Nervous system: Tremor, fainting attacks, fits, weakness… Musculor skeletal ? muscle pains, joint swellingCommonest complains in Surgery: Commonest complains in Surgery Pain LumpThe history of pain: The history of pain - Site. - Onset. - Severity ? wake him up, need analgesics Rather than: mild, severe. - Nature: Buring, stabing, coliky. Progression ? - begin ç maximum, then remains steady. - steadily increase till maximum then gradual decline. Duration. Aggravating and releaving factors Radiation.The history OF A LUMP: The history OF A LUMP Duration How discovered Symptoms ? pain Changes ? ?in size Other lumps Any cause ? TraumaPhysical Examination: Physical Examination General Examination: - First part ? during taking history ? posture, speech,etc… - vital signs ? pulse, BP, tempExamination of the Head and neck: Examination of the Head and neck Eyes Pupil reaction to light Sclera à jaundice Conjuction à paller Movement à Exophthalmos FundoscopyExamination of the Head and neck (cont’d): Examination of the Head and neck (cont’d) Ears and Nose Usually forgotten on ex: External auditory canal Eardrum NostrilsExamination of the Head and neck (cont’d): Examination of the Head and neck (cont’d) Neck Jugular veins Trachea Lymph nodes ThyroidExamination of A LUMP : Examination of A LUMP Position Colour and texture of skin Temperature Tenderness Shape Size Surface Edge Consistency Pulsatile, compressibility (venous malformations) ReducibilityExamination of THE ABDOMEN : Examination of THE ABDOMEN PREPARATION: Warm and private room Good light Comfortable cough or bed Exposure: nipple to knee Get the patient to relax The position of the examiner FIG. 16.6 THE NAMES OF THE REGIONS OF THE ABDOMEN : FIG. 16.6 THE NAMES OF THE REGIONS OF THE ABDOMENTHE STEPS OF Examination : THE STEPS OF Examination Inspection Palpation Percussion AuscultationTHE STEPS OF Examination : THE STEPS OF Examination INSPECTION: Shape of abdomen Scars, sinuses & fistulae Distended veins Lumps Pigmentation MovementTHE STEPS OF Examination : THE STEPS OF Examination PALPATION: Superficial : Tenderness Rebound Ganding Deep palpation: Masses OrgansTHE STEPS OF Examination : THE STEPS OF Examination PERCUSSION: All abdomen à spec. over masses Fluid thrill Shifting dullnessTHE STEPS OF Examination : THE STEPS OF Examination AUSCULTATION: Bowl sounds Aorta and iliac anteries - Bruit Succusion splash: THANK YOU !!!!! You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
history taking in surgery satvarnan Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 513 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: October 30, 2011 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript History Taking In Surgery: History Taking In Surgery Gamal Khairy FRCS,MS College of Medicine KKUHSlide 2: History taking ? the key step in surgical diagnosis. Varies according to the complain ? specific histories ? surgical specialtyTwo types of history in surgical practice:: Two types of history in surgical practice: Out-pt or emergency room history ?specific complaint is pinpointed ? diagnosis Clerking of pt admitted for elective surgery object ? to assess that the treatment planned correctly indicated and pt is suitable for that operation.How to take the history ?: How to take the history ? Personal information : Age, sex, marital status, occupation, etc……History should be taken in the following order:: History should be taken in the following order: the present complaint (c/o). History of present complaint. Elaboration on the system involved. Systemic enquiry.History should be taken in the following order:: History should be taken in the following order: e. Past history ? surgical, medical f. Drug history g. Family history h. Social historySystemic Enquiry: Systemic Enquiry 1. GIT: Appetite, Vomiting, Regurgitation, etc. Respiratory System ? cough, haemoptysis, Dyspnea…. C.V.S: * Breathlessness, palpations, chest pain… * Peripheral vessels: Intermittent, claudication, rest pain. Urogenital system: micturition, loin pain supropubic pain. Nervous system: Tremor, fainting attacks, fits, weakness… Musculor skeletal ? muscle pains, joint swellingCommonest complains in Surgery: Commonest complains in Surgery Pain LumpThe history of pain: The history of pain - Site. - Onset. - Severity ? wake him up, need analgesics Rather than: mild, severe. - Nature: Buring, stabing, coliky. Progression ? - begin ç maximum, then remains steady. - steadily increase till maximum then gradual decline. Duration. Aggravating and releaving factors Radiation.The history OF A LUMP: The history OF A LUMP Duration How discovered Symptoms ? pain Changes ? ?in size Other lumps Any cause ? TraumaPhysical Examination: Physical Examination General Examination: - First part ? during taking history ? posture, speech,etc… - vital signs ? pulse, BP, tempExamination of the Head and neck: Examination of the Head and neck Eyes Pupil reaction to light Sclera à jaundice Conjuction à paller Movement à Exophthalmos FundoscopyExamination of the Head and neck (cont’d): Examination of the Head and neck (cont’d) Ears and Nose Usually forgotten on ex: External auditory canal Eardrum NostrilsExamination of the Head and neck (cont’d): Examination of the Head and neck (cont’d) Neck Jugular veins Trachea Lymph nodes ThyroidExamination of A LUMP : Examination of A LUMP Position Colour and texture of skin Temperature Tenderness Shape Size Surface Edge Consistency Pulsatile, compressibility (venous malformations) ReducibilityExamination of THE ABDOMEN : Examination of THE ABDOMEN PREPARATION: Warm and private room Good light Comfortable cough or bed Exposure: nipple to knee Get the patient to relax The position of the examiner FIG. 16.6 THE NAMES OF THE REGIONS OF THE ABDOMEN : FIG. 16.6 THE NAMES OF THE REGIONS OF THE ABDOMENTHE STEPS OF Examination : THE STEPS OF Examination Inspection Palpation Percussion AuscultationTHE STEPS OF Examination : THE STEPS OF Examination INSPECTION: Shape of abdomen Scars, sinuses & fistulae Distended veins Lumps Pigmentation MovementTHE STEPS OF Examination : THE STEPS OF Examination PALPATION: Superficial : Tenderness Rebound Ganding Deep palpation: Masses OrgansTHE STEPS OF Examination : THE STEPS OF Examination PERCUSSION: All abdomen à spec. over masses Fluid thrill Shifting dullnessTHE STEPS OF Examination : THE STEPS OF Examination AUSCULTATION: Bowl sounds Aorta and iliac anteries - Bruit Succusion splash: THANK YOU !!!!!