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When should you perform a detailed physical exam?

Ideally, the detailed examination should be performed en route to the appropriate facility. This assessment should be performed on unresponsive patients (trauma and medical), provided that life threats are managed.

What are the three components of a medical assessment?

Three main components to the patient assessment:

  • Scene Size Up.
  • Primary Assessment (Initial Assessment)
  • Secondary Assessment (Focused History and Physical)

What are the four components of a patient history?

There are four elements of the patient history: chief complaint, history of present illness (HPI), review of systems (ROS), and past, family, and/or social history (PFSH).

What is the general impression based on?

The general impression is formed by looking at and listening to the patient from a slight distance.

What is primary assessment?

The purpose of the Primary Assessment (aka Primary Survey or Initial Assessment) is to determine the nature of the primary complaint and rule out, prioritize, and treat any immediate life-threatening airway, breathing and circulation problems.

What is a rapid physical exam?

The rapid physical examination of the unresponsive medical patient is almost the same as the rapid trauma assessment of a trauma patient with a significant mechanism of injury. You will rapidly assess the patient’s head, neck, chest, abdomen, pelvis, extremities and exterior.

What is a focused physical exam?

In the focused physical examination, you need to examine specifically the body part or system directly involved with the medical problem when there is no time to perform a head-to-toe examination. Remember, however, that other organ systems may need to be evaluated as well.

What are the three components of the perfusion triangle?

Adequate tissue perfusion requires that three legs of a perfusion triangle all be functioning: the heart, the vasculature (veins and arteries), and oxygenated blood.

What happens when perfusion to the core of the body decreases?

Decreased tissue perfusion to the core of the body can result in shock.