Beruflich Dokumente
Kultur Dokumente
Dr: Ebtisam
8-Oct-06 Lec: -2-
GENERAL EXAMINTION
Introduction
EXAMINATION OF A LUMP
Position.
Colour and texture of overlying skin
Temperature
Tenderness
Shape
Size
Surface
Edge.
1. Consistency
2. Fluctuation
3. Fluid thrill
4. Translucency
5. Resonance [Dull. Resonant ]
6. Pulsatility.
7. Compressibility.
8. Bruits.
1
9. Reducibility
General examination.
EXAMINATION OF AN ULCER
Position.
Colour.
Tenderness.
Temperature.
Shape.
Size.
Base.
Floor.
Edge.
Depth
Discharge
Relations.
Local lymph glands.
State of local tissues.
General examination.
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EXAMINATION OF HEAD AND NECK
a-The Colour
*pallor (anemia)
*polycythemia
*jaundice
*others ;
2-vitiligo
b-General appearance
3
g-Examine the eye;
1-arcus senilis
2-xanthelasma (xanthoma)
3-exophthalmus
4-subconjunctival hemorrhage
5-periorbital hemorrhage
6-Horners syndrome
7-others; reaction of the pupils to light… accommodation… eye movement…corneal
or lens opacities …visual acuity …visual field…the fundi….
1-saddle nose
2-rhinophyma.
1- bat ears
2-cauliflower ears
3-keloid nodules
4-accessory auricle
• NB/don't forget to examine the external auditory canal and the ear drum.
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l-Examine the mouth;
Introduction/
• retract the lips to see the buccal mucosa.
• push the check outside to see the buccal side of the gum.
• Look for floor of the mouth.
• Look for posterior third of the tongue.
• Depress the tongue to see the fauces , tonsils , and pharynx.
* the tonsil; acute tonsillitis.., carcinoma of the tonsil.., lymphosarcoma of the tonsil..,
Peritonsillar abscess (Quincy)
m-The neck;
• enlarged lymph gland (infection , secondary tumour deposits)
• branchial fistula or sinus
• carotids body tumour
• cystic hygromata
• pharyngeal pouch.
• sternomastoid tumour
• thyroglossal cyst
• the thyroid gland
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Written By:
Rand Aras Najeeb