Examination:
1. Knowledge
2. Should know what to do
and how to do
3. Practice
Examination stations:
4 Interactive stations are:
1. Either history( diagnosis
or investigation) most
common are of
infection,fever,diarrhea,we
akness,shortness of
breath, cough
2. Counselling
(E.g, 20 year old male
came with a complain of
cough kindly take the
history of that patient)
Introduction
Greet
Consent
ODIPARA:
O=ONSET
D=DURATION
I=
P=PROGRESSION
A=ASSOCIATION
R=RELIEVING OR
RADIATING FACTOR
A=AGGREGATING
FACTOR
CHECK LIST:
INTRODUCE,
CONSENT,ONSET,DURA
TION , WEIGHT LOSS ,
SMOKING, SEXUAL
HISTORY,
QUESTION: 6O YEAR
OLD MALE WITH
SHORTNESS OF
BREATH,DIABETIC AND
HYPERTENSIVE.
In shortness of breath
there is a chance of COPD
in weight gain there might
be edema
Question: 20 YEAR OLD
MARRIED NURSE GOT A
PRICK FROM A
INJECTION AND THE
PATIENT WAS
HEPATITIS B
HOW TO COUNSEL
THAT PATIENT?
REASSURE
. CHECK THE
TITRE,PCR,SURFACE
ANTIGEN FOR
HEPATITIS B
. COUNSELLING OF
HEPATITIS B AND C
EXAMINATION OF
RESPIRATORY,ABDOME
N,CVS, NEUROLOGY
(KIDNEY)
intro, greet, consent, thank
u in every examination
1. Inspection
2. Palpation
3. Purcation
4. Auscatation (inspiration
and expiration)
Inspection of CVS(remove
the shirt for examination),
CHEST(remove the shirt
for examination) AND
ABDOMEN(ABDOMEN=e
xpose nipples to mid thigh
in privacy , check for
shape of
abdomen,swelling,
movement with respiration,
visible vesicle , umbilicus )
Palpation of abdomen(light
palpation)
Throughout try to see the
face of the patient and see
either pr have a pain or
tenderness(kahin dard to
nhn hai, light touch , then
palpate deeply, palpate
liver from the left iliac and
spleen from the right iliac
Purcation
Auscatation
BE AT THE PATIENT
LEVEL
there is genital and
umbilical examination.
CHEST :
1. Inspection
Can be anterior or
posterior
Shape of the chest
Barrel of the chest
Symmetrical or
asymmetrical
Puncture mark or fluid
Breathing
2. Palpation
Check the tracheal (either
deviated or not )
Chest expansion with the
measurement tape
3. Purcation (intercoastal
space)
Check for all the spaces
Pneumothorax
4. Auscaltation ( check the
breathing sounds )
CARDIOVASCULAR:
JVP(jugglar venous pulse)
EXAMINATION CAME
LAST YEAR
Sternal angle is the
reference point and then
differentiate from the
carotid artery ( sternum
and neck should be
exposed at least )
Difference between JVP
AND CAROTID FOR
OSPE
requires two scales for the
examination
Normal pressure is less
than or equal to 9 cm
Causes of JVP OR RIGHT
VENTRICULAR FAILURE
MEASUREMENT OF BP
