Physical AssessmentPhysical AssessmentPhysical AssessmentPhysical Assessment

Techniques of Physical

Assessment and the

Techniques of Physical

Assessment and theAssessment and the

General Survey

Assessment and the

General Survey

Inspection

Palpation

Percussion

Auscultation

Equipments Used

Goniometer

SkinfoldCaliper

Wood’s lampWood’s lamp

Doppler UltrasonicStethoscope

Transilluminator

Ophthalmoscope Otoscope

Snellen’sChart

General SurveyGeneral SurveyGeneral SurveyGeneral Survey

Physical Presence� 1. Age

� 2. General Appearance

� 3. Body Fat� 3. Body Fat

� 4. Stature

� 5. Motor Activity

� 6. Body and Breath Odors

Association of Breath Odors to Disease

Breath Odor Description Associated Condition

Halitosis, Foul Odor of Necrotic Tissue

Pyorrhea, poor dental hygiene, tonsillitis, sinusitis, lung abscess, & bronchiectasis

Feculent Odor of feces Bowel Obstruction

Fetor hepaticus Fishy odor Hepatic failure

Acid Odor of Acid Peptic disease

Ammonia Odor of Urine Renal Failure

Acetone Odor of Acetone Diabetic Acetone Odor of Acetone “fruity odor”

Diabetic ketoacidosis

Bitter almonds Odor of almonds Cyanide poisoning

Psychological Presence

� 1. Dress, Grooming, and

Personal Hygiene

� 2. Mood and Manner

� 3. Speech

� 4. Facial Expressions

Distress

� 1. Breathing

� 2. Pain

� 3. Serious or Life-Threatening � 3. Serious or Life-Threatening

Occurences

� 4. Signs of Emotional Distress