The patient will sit on a flat surface with their legs dangling.
The GP will use a reflex hammer to gently strike the patella refelx which is a tendon just below the knee cap.
This streaches the tendon, a message is sent along the nerve pathways to the spinal cord.
This triggers another message from the spinal cord causing the thigh muscle to contract.
This is to detect damage or disease to the nerve pathways, having no reflex response can indicate a problem.
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VISUAL EXAMINATIONS.
A GP will look for an indication of a condition.
They will look for signs and symptoms including; swelling, rashes or brusing.
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TAKING TEMPERATURE.
A persons temperature is taken by a digital thermometer which is connected to a digital display.
The probs is placed on the; skin, in the ear, in the mouth under the tounge.
The thermometer is left for a short period of time, some thermometers will beep.
The temperature is read from the thermometer.
The GP will be looking for a temperature aroung 39c or over
This could indicate an infectious disease such as meningitis.
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USING PALPATION.
Palpation is carried out by a health care professional.
They will use their fingers and hands to feel the body and examine unusual factors which may indicate a problem such as ; size, consistency, texture, location and the tenderness.
using their hands they can feel a patients heart beat and loud buzzes may be felt.
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USING A STETHASCOPE.
The GP will place the ear pieces in their ears.
They will place the bell on the pateitns chest or back.
They will listen for any sounds made.
The noise travels from the bell to the ear piece through tubes.
The GP will listen to the varios paces on the chest or back.
If a crackling sound is heard it will indicate a problem.
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USING PERCUSSION.
Percussion is the technique carried out by an examiner during health care appointments.
They will place one hand on the patient where the problem is detected and will tap the area with a finger.
Hollow and soild areas are found as they generate different vibrations.
The health care professionalwill also use this procedure to determine an enlargement of the organs.
Percussion is also used when diagnosing fluid in the abdomen and chest.
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MEASURING BLOOD PRESSURE.
The GP will use a sphygmomanometer to test for hyper tension.
A cuff will be placed around the top of the arm, it will be filled with air by the bulb attachted to the cuff.
The GP will place the flat side of the stethascope on the artery whilst they fill the cuff with air until the blood flow in the briacial artery stops.
The pressure gage is looked at once this happens.
The screw on the bulb will be tightened to ensure no air gets out, the screw is slowly resleased whilst the GP listens for a blood flow.
Once a blood flow has been detected the GP looks at the pressure gage and this is the systolic pressure.
Once the blood flow is back to normal the pressure gage is looked at again and this is the dyastolic pressure.
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