Internal Medicine

The internal medicine examination is one of the inspection items that must be checked in the routine inspection project. Through the medical history inquiry, the important diseases of the examinee are known, the physical and nutritional status of the examiner is evaluated, the health status is comprehensively evaluated, and a further health regimen is proposed. Internal medicine examination has a suggestive effect on the main organs of the human body, liver, spleen, lung, kidney are within the scope of medical examination, for many diseases and signs, such as bronchitis, pneumonia, pleurisy, arrhythmia, pericarditis, cardiopulmonary insufficiency , hepatosplenomegaly, anemia, jaundice, etc. have preliminary screening and diagnosis. Basic Information Specialist Category: Inspection Category: Other Inspections Applicable gender: whether men and women apply fasting: fasting Tips: Do not smoke 15 minutes before blood pressure measurement, and empty the bladder, do not drink alcohol, tea, coffee and other drinks, do not stay in the cold and overheated environment for too long. Normal value 1, the consultation: no convulsions, chest tightness, chest pain, vertigo, syncope, obvious weight loss, stool deformity, black bloody stool, diarrhea, dry cough, hemoptysis, irritability, frequent urination, urgency, dysuria, low fever 2, blood pressure measurement: check blood pressure, no high blood pressure or low blood pressure. 3, general examination: developmental body type, nutritional status, tone of voice, facial expression, normal skin and hair 4, lung examination: thoracic no deformity, bilateral respiratory symmetry, respiratory rhythm and frequency stability, no abnormal breath sounds, rales and pleural friction sound. 5, cardiac examination: no abnormal pulsation. Palpation without tremor, no pericardial friction. The examination of heart rate, heart rate, heart sound, murmur and pericardial friction was not abnormal. Check if the minimum heart rate is greater than 15 seconds. Heart rate is no noise. 6, abdominal examination: no abdomen in the abdomen, mass, abdominal wall varicose veins and so on. No spleen enlarges. Clinical significance 1. Interview: Key symptoms asked whether there is palpitations, chest tightness, chest pain, vertigo, syncope, obvious weight loss, stool deformity, black bloody stool, diarrhea, dry cough, hemoptysis, irritability, frequent urination, urgency, Urinary pain, low fever, etc. can determine the direction for the examination 2. Blood pressure measurement: Check blood pressure to determine whether there is high blood pressure or low blood pressure. 3. General examination: general observation of the whole body state, observe developmental body type, nutritional status, tone of voice, facial expression, skin and hair, etc., to judge the development of the individual, there may be anemia, jaundice. 4. Pulmonary examination: Observe the presence or absence of deformity in the thorax, whether the bilateral respiratory symmetry is symmetrical, pay attention to respiratory rhythm and frequency. From top to bottom, the symmetrical parts on both sides are compared, pay attention to the strength of the breath sound, whether there is abnormal breath sound, rales and pleural friction sound. Such as abnormal breath sounds, rales and pleural friction sounds. Can help diagnose bronchitis, pneumonia, pleurisy. 5. Cardiac examination: Observe the position of the apex beat and whether there is abnormal pulsation. Palpation check for tremors, or with or without pericardial friction. Percussion is performed in the order of left and right, from the outside to the inside, and from top to bottom. Heart rate, rhythm, heart sound, murmur and pericardial friction were examined in the order of the mitral auscultation area, pulmonary aortic auscultation area, aortic valve first auscultation area, aortic valve second auscultation area, and tricuspid auscultation area. Check if the minimum heart rate is greater than 60 seconds. Check your heart rate for noise. Comprehensive judgment of whether there are arrhythmia, pericarditis, cardiopulmonary insufficiency, congenital heart disease and other diseases. 6. Abdominal examination: Observe whether there is bulge, mass in the abdomen, varicose veins in the abdominal wall, etc. Starting from the left lower abdomen, in the order of "S", from shallow to deep, palpate the nine regions of the abdomen, pay attention to the tension of the abdominal wall, with or without tenderness, rebound pain and mass. The spleen is lifted from the back to the front, and the right palm is placed flat on the abdomen, perpendicular to the rib arch, and the left rib arch is approached from bottom to top to observe whether the spleen is enlarged. Comprehensive judgment may have hepatosplenomegaly. Need to check the crowd: mainly people who may have bronchitis, pneumonia, pleurisy, arrhythmia, pericarditis, cardiopulmonary dysfunction, hepatosplenomegaly, anemia, jaundice and other diseases, middle-aged and debilitated people. Precautions Contraindications before the test: Do not smoke 15 minutes before the blood pressure measurement, and empty the bladder, do not drink alcohol, tea, coffee and other drinks, do not stay in the cold and overheated environment for too long. Hypertensive patients who have taken regular medications also do not need to stop taking drugs according to the law. During the examination, the liver should be deeply palpated by the umbilical cord on the midline of the right clavicle during palpation. The subject should take a deep breath for examination. Inspection process Ask the patient's history, family history and personal history, check blood pressure and the main organs of the human body, liver, spleen, lungs, kidneys, etc., according to the results of the examination for preliminary diagnosis. Not suitable for the crowd Generally there are no people who are not suitable. Adverse reactions and risks May cause an infection.