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The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
Despite being commonly taught to medical trainees, the liver scratch test's value as part of the abdominal physical exam has been controversial as it has historically performed poorly. While it has been proposed to abandon the test altogether, [ 5 ] [ 6 ] some studies have suggested that the scratch test is at least as accurate as percussion ...
The Seidel test is used to assess the presence of aqueous humor leakage from anterior chamber of the eye. [1] Leakage may occur due to many corneal or scleral disorders, including corneal post-trauma, post-surgical leak, corneal perforation and corneal degeneration. [ 1 ]
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An abdominal examination is a portion of the physical examination which a physician or nurse uses to clinically observe the abdomen of a patient for signs of disease. The abdominal examination is conventionally split into four different stages: first, inspection of the patient and the visible characteristics of their abdomen.
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Palpation is the use of physical touch during examination. During palpation, the physician checks for areas of tenderness, abnormalities of the skin, respiratory expansion and fremitus. [14] To assess areas of tenderness, palpate areas of pain, bruises, or lesions on the front and back of the chest.
This may occur during transportation or upon arrival at the hospital. The secondary examination consists of a systematic assessment of the abdominal, pelvic, and thoracic areas, a complete inspection of the body surface to find all injuries, and a neurological examination.
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