MindMap Gallery General Status Check Notes
This is a mind map about general status examination notes, including vital signs, state of consciousness, nutritional status, development and body shape, etc.
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
General status check
gender
Classification
Medical level——XX/XY/XXY
reason
sex chromosome abnormalities
Effects of disease on sexual characteristics
Relationship between gender and incidence of certain diseases
age
Note that age is related to the occurrence and prognosis of certain diseases
vital signs
Indicators to evaluate the existence and quality of life activities
include
Body temperature (T)
method
Oral test, anal test, axillary test
clinical significance
Fever: seen in infection, trauma, malignant tumors, Cerebrovascular accidents and various intrabody hemorrhages
Hypothermia: seen in shock, severe malnutrition, Hypothyroidism and prolonged exposure to low temperatures
Pulse (P)
include
Pulse rhythm, tone, arterial wall condition, Strength, waveform, pulse rate: 60–100 beats/min
Common abnormal pulse waveforms
Shuichongmai
Pulse rises and falls suddenly, rapid and strong
Pulse paradoxus (pulse asphyxiation)
Inspiratory cubital pulse is significantly weakened or disappears
alternating pulse
Refers to a pulse with a regular rhythm and alternating strength and weakness. One of the important signs of early left ventricular dysfunction
Breathe(R)
respiratory movements
Abdominal
chest pose
Difficulty breathing
Mixture
expiratory
breathability
frequency and depth
Normal: 16--20 times/minute
bradypnea
~overspeeding
~~Shen Kuai
~~Qian Kuai
Rhythm
Normal people's breathing rhythm is even and regular
Teochew's breathing
pause in breathing
Sighing breathing
blood pressure(Bp)
blood pressure standards
Clinical significance of blood pressure changes
Development and body shape
development
The relationship between age and intelligence and physical growth status
Common indicators of normal adult physical development
The length of the head is about 1/7~~1/8 of the height
Bust circumference is approximately 1/2 of height
After the two upper limbs are spread out, the distance between the left and right fingertips is approximately equal to the height.
The sitting height is approximately equal to the length of the lower limbs
abnormal growth and development
Endocrine system diseases, nutritional deficiencies
Abnormal development is related to endocrine factors: Gigantism, dwarfism, cretinism, male-female sexual alienation
body shape
Super strength type (short and fat type)
Positive force type (balanced type)
Weak type (slender type)
Nutritional status
One of the important indicators for judging health status and disease severity
standard weight
M (kg) = [Height cm-100] × 0.9
F (kg) = [Height cm-100] × 0.85
Normal weight is within ±10% of standard body weight
Body mass index (BMI) = weight in kg ÷ height in square meters
Reference
<18.5 underweight
20~~24 is normal
24~~26 overweight
26~~28 mildly obese
>28 are obviously obese
Sebum thickness measurement
Measuring triceps, subscapula, and parashoulder sebum thickness, repeat 2 times
standard
M: 12.5mm
F: 16.5mm
Comprehensive judgment
good nutrition
medium
bad
abnormal nutritional status
Wasting: Body weight <10% of normal body weight
Extreme weight loss: cachexia
Obesity: Body weight >20%
simple obesity
secondary obesity
state of consciousness
disorder of consciousness
Refers to an individual’s recognition of the surrounding environment and one’s own status A mental state in which the ability to perceive is impaired
Any cause of high-level nerve center function In case of injury, disturbance of consciousness may occur
Classification
Lethargy
The mildest degree, can be awakened, can answer questions accurately, react and fall asleep quickly after the stimulation stops
vague meaning
Deeper than sleepiness, able to keep things simple
lethargy
subtopic
coma
subtopic
Face and Expression
acute face
acromegaly
Chronic~~
Mask~~
Hyperthyroidism~~
Full moon~~
Myxedema~~
Critically ill~~
body position
Refers to the state of an individual's body when lying down, Disease can cause changes in body position
Common positions
Autonomy~~
Passive~~
Forced~~
~Supine position
~Squatting position
~Look down~
~Standing position
~side~
Tossing and turning
~Sitting position (orthopnea)
opisthotonus
gait
waddling gait
subtopic
Drunk~
subtopic
Ataxia~
subtopic
Panic~
subtopic
Crossing the threshold~
subtopic
Scissors~
subtopic