6、前胸和肺[ANTERIOR CHEST AND LUNGS]
•視、觸胸部
•雙側對稱地叩診肺尖
•叩診前胸和側胸
•雙側對稱地聽診肺尖
•聽診前、側胸部
•Inspect and palpate configuration and symmetry of chest
•Percuss supraclavicular fossae bilaterally and symmetrically
•Percuss anterior and lateral lung fields
•Auscultate supraclavicular fossae bilatcrally and symmetrically
•Auscultate anterior and lateral lung fields.
7、心臟[HEART]醫(yī)學 全在.線提供www.med126.com
•囑受檢者仰臥，粗略估計頸靜脈壓
•觀察心前區(qū)（取切線方向)
•用手掌、手指觸診心尖搏動
•用手掌觸診心前區(qū)
•叩診心臟相對濁音界
•Screening test for elevated venous pressure.
•Observe precordium (view tangentially)
•Palpate apical area with palm and fingertips
•Palpate precordial area with palm
•Percuss relative dullness of the heart
（1)用膜型胸件聽診[Auscultate with diaphragm]
•肺動脈瓣區(qū)（胸骨左緣第2肋間隙)
•主動脈瓣區(qū)（胸骨右緣第2肋間隙)
•主動脈瓣第二聽診區(qū)（胸骨左緣第3、4肋間隙)
•二尖瓣區(qū)（心尖部)
•三尖瓣區(qū)（胸骨左緣第4、5肋間隙或胸骨體下端稍偏右)
•Pulmonary area (second left ICS)
•Aortic area (second right ICS)
•Second aortic area (third and fourth left ICS)
•Mitral area (Apical area)
•Tricuspid area (fourth, fifth left ICS, LSB and RSB)
（2)用鐘型胸件聽診[Auscultate with bell]
•肺動脈瓣區(qū)
•主動脈瓣區(qū)
•主動脈瓣第二聽診區(qū)
•二尖瓣區(qū)
•三尖瓣區(qū)
•Pulmonary area
•Aortic area
•Second aortic area
•Mitral area (Apical area)
•Tricuspid area
8、腹部[ABDOMEN]
•正確暴露腹部
•頭下置一小枕，囑受檢者屈膝、盡量放松腹肌、雙上肢置于軀干兩側，平靜呼吸
•視診腹部
•聽診腸鳴音
•叩診腹部
•叩診肝濁音界
•觸診腹部時應注意受檢者面部表情及退縮反應
•淺部觸診
•深部觸診
•單手法觸診肝臟
•雙手法觸診肝臟
•在前正中線觸診肝臟
•雙手法觸診脾臟
•右側臥位觸診脾臟
•雙手觸診法檢查雙側腎臟
•檢查腹部的觸覺和痛覺
•Expose abdomen completely from just below breasts to just above pubis
•Place pillow under head, bend knees, arms at side, have patient breathe normally.
•Observe abdomen.
•Auscultate for bowel sounds, place stethoscope in area of umbilicus
•Percuss abdomen
•Percuss liver span
•Watch patient`s face and response as you palpate abdomen
•Palpate superficially
•Palpate deeply
•Palpate liver at midclavicular with monomanual method.
•Palpate liver at midclavicular line with bimanual method
•Palpate liver at midsternal line
•Palpate spleen with bimanual method
•Palpate spleen with patient rolled toward his right side.
•Palpate kidneys with bimanual method
•Test for pain of light touch on abdominal wall
9、下肢[LOWER LIMBS]
•充分暴露和視診雙下肢
•觸診雙側腹股溝淺表淋巴結（橫組)
•觸摸雙側腹股溝淺表淋巴結（縱組)
•觸診雙側股動脈
•觸診雙側足背動脈
•檢查雙下肢水腫
•檢查下肢觸覺或痛覺（至少2/3部位)
•Expose and inspect lower limbs
•Palpate transverse group of superficial groin lymph nodes
•Palpate longitudinal group of superficial groin lymph nodes
•Femoral artery (groin)
•Dorsalis pedis artery (top of foot)
•Check for pitting edema
•Test for sense of pain or light touch in at least 2 or 3 positions
