tag:blogger.com,1999:blog-8256480635766613452024-02-19T06:19:02.415-08:00EXPLORACION FISICAosi_paohttp://www.blogger.com/profile/09102342549902772770noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-825648063576661345.post-17256407127705901592011-01-13T21:34:00.000-08:002011-01-14T06:01:29.295-08:00PROCEDIMIENTO<div align="center" class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: center;"><b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">EXAMEN FÍSICO</span></u></b></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtzuttiD2Un0rfx_SmLGncIJsbDTGyGiHx6ODs0ZmUarvc-Y876ghfvJAqAxkNdNsgX4lbnFflG9ac7xfPR9Pt9ukc5kbXpzUhGvBNTz8SO5H8NT_1QOAsbYLmgGX-XGh4CVk0RDOubjI/s1600/espl.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" n4="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtzuttiD2Un0rfx_SmLGncIJsbDTGyGiHx6ODs0ZmUarvc-Y876ghfvJAqAxkNdNsgX4lbnFflG9ac7xfPR9Pt9ukc5kbXpzUhGvBNTz8SO5H8NT_1QOAsbYLmgGX-XGh4CVk0RDOubjI/s400/espl.bmp" width="344" /></a></div><div align="center" class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: center;"><br />
</div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Objetivos:</span></u></b></div><div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0pt 36pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Reunir datos basales sobre la salud del usuario.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Complementar, confirmar o refutar datos obtenidos en la historia de enfermería.</span></div><div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 10pt 36pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Confirmar e identificar diagnósticos e enfermería.</span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Materiales:</span></u></b></div><div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Charol de signos vitales.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Oftalmoscopio.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Otoscopio.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Guantes no estériles.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Baja lenguas.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Sabana (P.R.N)</span></div><div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 10pt 36pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Gel antibacterial (opcional).</span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Ejecución:</span></u></b></div><div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Lavado de mano higiénico</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Reúna todo el material necesario</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Colóquese los guantes.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Explique al paciente el procedimiento que se va realizar.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Toma de signos vitales </span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Realice la toma de peso y talla. </span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 36pt; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: Symbol; font-size: 12pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-family: "Times New Roman";"> </span></span></span><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Comience con el examen físico en forma céfalo-caudal.</span></div><div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Piel:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> es la primera barrera de protección frente a agresiones externas. Su valoración aporta información sobre funciones respiratorias y circulatorias, sobre el estado nutricional de hidratación. En la piel se debe valorar la coloración, presencia de edemas, temperatura, textura, grado de deshidratación e integridad.</span></div><div align="center" class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: center;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Cabeza:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> se comienza por el cabello, ojos, oídos, nariz y boca.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Cabello: se valora su presencia, brillo y elasticidad. Si se sospecha alguna infestación, se debe separarlo en mechones para inspeccionar mejor. Preguntar al paciente si ha notado disminución en la cantidad de cabello.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Ojos: se indaga sobre la presencia de dolor, molestias, escozor, drenaje, alteraciones de la visión.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Oídos: se debe valorar los pabellones auriculares, su localización, flexibilidad, tamaño, coloración y eventual presencia de signos anómalos como dolor, exudados, inflamaciones, etc.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Nariz: se debe valorar el color, forma, simetría, eventuales lesiones. La mucosa debe estar intacta; la presencia excesiva de secreciones puede deberse a procesos alérgicos o catarrales. Valorar la permeabilidad de las fosas nasales para lo que debe el paciente estar sentado y con la cabeza hacia atrás. </span></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Boca: color, hidratación y textura de las mucosas, el estado de las encías, la dentadura y la lengua y las posibles lesiones. Observar los labios en la parte externa y la parte interna, la ausencia de piezas dentarias. </span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDfUmBjX5VdHZBxGECmP57ClfDdHL5fnFwWltHgv5YBMHkK18eYwHvPTVVwIZ4vMq-CMKkvWI1pR2WeqDzmNBupVqHf5onOrn6wiL9j9TRknHH2oWRjTSYMTOifBYQgD0VikAkcxI-V_c/s1600/hqdefault%255B2%255D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="150" n4="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDfUmBjX5VdHZBxGECmP57ClfDdHL5fnFwWltHgv5YBMHkK18eYwHvPTVVwIZ4vMq-CMKkvWI1pR2WeqDzmNBupVqHf5onOrn6wiL9j9TRknHH2oWRjTSYMTOifBYQgD0VikAkcxI-V_c/s200/hqdefault%255B2%255D.jpg" width="200" /></a></div><div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Faringe:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> se explora el color, posible irritación, el estado de las amígdalas y la úvula, presencia de secreciones.</span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Cuello: </span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">se valora la presencia de edema, inflamación, rigidez o dolor. Se debe observar las venas yugulares y la palpación de los ganglios linfáticos, glándulas tiroides y tráquea.</span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Tórax: </span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">se debe observar para determinar los ascensos y descensos torácicos y el ritmo de los mismos. La auscultación en la que se aprecian el flujo de aire, la existencia de secreciones.</span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvhUUXEpkdzF6HfCT0Zhi7hxiJxxo72f8pK4P9Bmj35pBmXlRDwOIF6QiRWue0QUBFt5XFaQ5A09Lvw3xy6C-qnItsyJJryJtryQrLLKg9XUivkHUEaFiA2pD8DiIAG_oNaqHQuEpiaw4/s1600/imagesCAONNXKJ.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" n4="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvhUUXEpkdzF6HfCT0Zhi7hxiJxxo72f8pK4P9Bmj35pBmXlRDwOIF6QiRWue0QUBFt5XFaQ5A09Lvw3xy6C-qnItsyJJryJtryQrLLKg9XUivkHUEaFiA2pD8DiIAG_oNaqHQuEpiaw4/s1600/imagesCAONNXKJ.jpg" /></a></div><div align="center" class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: center;"><br />
</div><div class="MsoListParagraph" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Mamas:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> la exploración de la mamas es una medida imprescindible para la detección precoz del cáncer. En la inspección de la mama se debe determinar la forma, el tamaño, el color la simetría de ambas mamas, así como la presencia de edemas, depresiones, en la piel y si visible el sistema venoso.</span></div><div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmPrMh8JCXnaNTQE2HEJjrLYCzQP8e-gYi6Tm0fEpe8KUU6v6D016MY2VOScXNK7fXalB1gpWZSf16cX-zu9WnwbbsjglNiG8HjPGwyU0U6KFTmKzP9NIzTsH94pP4rOocNAw_Zsq3sTM/s1600/mamas1%255B1%255D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="160" n4="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmPrMh8JCXnaNTQE2HEJjrLYCzQP8e-gYi6Tm0fEpe8KUU6v6D016MY2VOScXNK7fXalB1gpWZSf16cX-zu9WnwbbsjglNiG8HjPGwyU0U6KFTmKzP9NIzTsH94pP4rOocNAw_Zsq3sTM/s200/mamas1%255B1%255D.jpg" width="200" /></a></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Espalda:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> se debe observar la presencia de edemas, forma de la columna vertebral y postura.</span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Abdomen:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> se realiza mediante la inspección, palpación y auscultación, percusión. Para iniciar la valoración el paciente debe vaciar la vejiga y conocer la importancia de mantener la musculatura abdominal relajada. Se debe valorar el aspecto del ombligo en busca de posibles signos de infección.<b style="mso-bidi-font-weight: normal;"></b></span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY6y3RtuGJnSmNGwFFrlmqtT74s1yD76hYYWqUrzZMoAitxhyphenhyphendZ-NSuzQlfENNlSAERUy5ZCn8YAvrZPWVQdTJW8xpgoMgQ9tEhYgu1mSxJdpfkbUR6UqvNCMiiQFa16USEgl0MIW0dS0/s1600/images%255B8%255D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" n4="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY6y3RtuGJnSmNGwFFrlmqtT74s1yD76hYYWqUrzZMoAitxhyphenhyphendZ-NSuzQlfENNlSAERUy5ZCn8YAvrZPWVQdTJW8xpgoMgQ9tEhYgu1mSxJdpfkbUR6UqvNCMiiQFa16USEgl0MIW0dS0/s1600/images%255B8%255D.jpg" /></a></div><div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 10pt 36pt;"><br />
</div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Extremidades superiores e inferiores:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> se debe comenzar por hombro, brazo, axilas y manos.</span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="margin: 0cm 0cm 10pt 72pt; mso-add-space: auto; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18pt;"><span style="font-family: "Courier New"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: 'Courier New';"><span style="mso-list: Ignore;">o<span style="font-family: "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;">Genitales:</span></b><span style="font-family: "Candara", "sans-serif"; font-size: 12pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: BatangChe;"> para valorar es importante un ambiente tranquilo, relajado y cuidar la intimidad del paciente. Se debe preparar el material con anticipación entre ellos guantes y espéculo, se debe ubicar en posición litotomía. Se inspecciona el color de la piel, la calidad del vello púbico la forma y la textura de los labios bulbares. </span></div><div class="MsoNormal" style="margin: 0cm 0cm 10pt; text-align: justify;"><br />
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</div>osi_paohttp://www.blogger.com/profile/09102342549902772770noreply@blogger.com0