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A practical guide for Stoma SeparationRecessed Mucocutaneous separation,  . When the decision is made to perform a surgery, a careful assessment of a patient is an essential part of the process. Such assessment includes knowledge of the causes for the operation, the medical condition of the patient, and a careful evaluation of her mental and physical health. Because each patient is different, there is no one right way to perform the physical examination. However, there are steps that can be utilized to increase the likelihood that the physical assessment will lead to a successful result. This chapter focuses on the examination of the abdomen to identify the cause of abdominal pain. Such examination should include a thorough description of the location of the pain and a visual inspection of the skin, the organs, and the abdominal muscles. Assessment of the abdomen is best conducted from the left side, because most structures that create pain are readily visible from that side. Routinely, the abdomen will be examined gently with a firm but gentle palpation of the skin. However, the most reliable form of evaluation involves palpation of the abdomen while the patient is supine or in the lateral recumbent position. Inspection of the abdomen and, when indicated, palpation of the abdomen is best accomplished in a room or cubicle that allows the patient to be completely undisturbed. The examination table is a good option, although it is important that the table not be higher than the knees for individuals with lower extremity pain. A reclining chair is also an option, but a firm surface under the patient is important. Many patients have difficulty tolerating pressure on the body while lying in the supine position. A deepened chair may be a better option for some patients. A few simple steps will improve the examination of the abdomen and prevent unnecessary stress to the patient. cannabis card edirne download There are a number of tools that can be used to enhance a physical examination. One of the most common and reliable is the hand-held stethoscope. This is an essential tool that can be used to evaluate the lung sounds, conduct a physical examination of the heart and pulmonary system, examine the thyroid gland, and examine soft-tissue masses. A well-maintained stethoscope is a must, but care is needed in order to prevent damage to its diaphragm. One trick for maintaining this crucial device is to use a small amount of vegetable oil between the diaphragm and the body of the stethoscope

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