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Assisting with the Patient Exam

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AB
Room preparation (check cleanliness, supplies and equipment); Patient preparation (documentation, physical assistance); participation in evaluation (being present for gynecological exams, handing equipment, assisting patient)possible roles for the MOA with the physical exam
Inspectionobservation of physical signs
Palpationusing the sense of touch to determine size, temperature, vibrations, form or position of an organ
Percussiontapping or striking the body to elicit sounds or vibratory sensations (direct or indirect)
Auscultationusing a stethoscope to listen to sounds originating from the patient's body
Mensurationprocess of measuring
Manipulationforceful passive movement of a joint to determine range of motion
keeps patient warm; protects from embarrassmentreasons for draping
supinelying flat on one's back; position used for examination of the front part of the body, such as a breast exam
dorsal recumbantlying on one's back with knees bent; used for examination of rectal, vaginal and perineal areas
lithotomylying on one's back with buttocks at the end of the table and feet in stirrups; primarily used for procedures in the vaginal, rectal and perineal areas, such as pap smears
sittingsitting upright on the examination table with feet hanging down; used for evaluation of the head, neck and chest
Fowler's; Semi-Fowler'sSitting on the examination table with legs and back supported; back is often placed at a 45 degree angle; used for postsurgical examintations and patients with difficulty breathing or head trauma
pronelying flat on one's stomach; used for examination of the back
Sims' (lateral)Lying on one's side with the top leg bent; used for rectal and some pelvic examinations, taking a rectal temperature and instillation of rectal medication
knee-chestplacement of knees and upper chest on the examination table with the buttocks elevated; used for rectal examination and proctological procedures



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