general surgery case history clinical examination

2.  History-taking is the art of
conversation and requires a
fine balance between listening
and interjecting with relevant
questions to clarify points and
obtain details as the history
unfolds

3. Cure
sometimes,
treat often,
comfort always.
Hippocrates

4.  This is one or two words summary
of the patients main symptoms by
the patients own words

5.  This is in details description of the main
symptom
 Try to put the important positive first
 Include the relevant negative
 Be very clear about chronology of events

6.  Ask about thyroid problems:
 TB
 Hypertension
 Rheumatic fever
 Epilepsy
 Asthma
 Diabetes
Asking have you ever had any medical
problem or been hospitalized for any thing ?

7.  At what time did they eat or
drink ?
 Who will look after the patient,
do they need help to mobilize ?
 Smocking and alcohol ?

9. Site
Onset
Characteristic
Radiation
Association symptoms
Timing
Exacerbating or relieving factor
Surgical history

11. The most important
aspect of clinical
examination is for the
clinician to know what
you look for ..
Leonardo da vinci call this
Saper vedere or..
‘Knowing how to see’

12. 1. Inspection
2. Palpation
3. Percussion
4. Auscultation

13. 1. Floor of an ulcer
2. Base of ulcer
3. Edge of ulcer
4. Site of ulcer
5. Shape of ulcer
6. Pain
7. Duration
8. Lymph node
9. Histopathological examination

15. 1. Position, location, shape and size
2. Inflammatory characteristics
 Hot
 Tenderness
 Redness Gardinal signs of infection
 Swelling
 Loss of function
3. Mobility

16. 4. Consistency, dullness and resonance:
 solid and hard
 tense, soft, cystic
 superficial fluid-containing cavity or collection
is fluctuant.

17. 5. Transillumination: involves shining a light
through a swelling to detect whether it transmits
light brilliantly or not

19. 50 years female patient present to the consular
clinic complain from painless lump in the right
parotid region 2*3 cm duration for 5 years ?

20. For more information's
Contact me on
www.slidshare.net > Education >
Dr. Haydar Muneer