Doc. Inspección General

7/18/2019 Doc. Inspección General

http://slidepdf.com/reader/full/doc-inspeccion-general 1/13

UNIVERSIDAD DE SAN CARLOS DE GUATEMALAFACULTAD DE CIENCIAS MÉDICAS –CUM-

FASE II, TERCER AÑO, CICLO 2015UNIDAD DIDÁCTICA SEMIOLOGÍA MÉDICA II

_____________________________________________________

INSPECCIÓN GENERAL

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INTRODUCCIÓN

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_____________________________________________________ 1. ESTADO DE CONCIENCIA (NIVELES DE CONCIENCIA) Nivel de conciencia

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• Orientación en el tiempo • Orientación en el espacio

• Reconocimiento de personas

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#$ "$r 3r+#$&($, "a$r #."!7!*ar $ $"('+. &. !&7!;!r +& #a.

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• Lucidez (normal)! E"(a#. #$ 3$&a a$r(a C.rr$"3.&#$ a a 3$r".&a &.ra E" *a3a) #$a&($&$r +&a *.&/$r"a*!& #ar r$"3+$"(a" a(!&;$&($" a a" 3r$;+&(a" "!3$" +$ "$ $7.r+a& N.ra!#a# #$ $"(a#. #$ $&($&#!!$&(. 8*.3r$&#$ "$ *.+&!*a9 /!;!!a8$"(ar #$"3!$r(.9 E $&($&#!!$&(. #$3$&#$ #$ a &.ra!#a# #$ a *.r($)a, !$&(ra" +$a /!;!!a #$3$&#$ #$ a !&#$&!#a# #$ (r.&*. *$r$ra 8(4a., $"$&*:7a. 3r.(+$ra&*!a9 C+a&#. "$ *.3r.$($ a *.r($)a, <ar4 a($ra*!& #$ $&($&#!!$&(. *.&

/!;!!a *.&"$r/a#a• Obnubilación o somnolencia! C.rr$"3.&#$ a +& #$"3$r(ar 74*! *a"! &.ra E

3a*!$&($ "$ $&*+$&(ra #$".r!$&(a#. $& $ (!$3. 8&. "a$ a 7$*<a9 . $& $ $"3a*!. 8&.r$*.&.*$ $ +;ar #.&#$ "$ $&*+$&(ra9 !&#!7$r$&($ a $#!. a!$&($ 8r$a**!.&a 7r$&($ ar+!#." !&($&"." . "!(+a*!.&$" !&$"3$ra#a" $"(4 !&#!7$r$&($ a "+ $&7$r$#a#9 E" *a3a) #$r$"3.&#$r 3r$;+&(a" "!3$" ./!!$&(." *.& 7!&$" #$7$&"!/." a&($ $"('+." /$ra$", 3.r "+ 3+$"(., #..r."."

• Sopor o estupor s$perficial! E 3a*!$&($ !3r$"!.&a $"(ar #+r!$&#. A $"(!+ar.,#$"3!$r(a, 3$r. &. $;a a a +*!#$) a*(a *.. "! $"(+/!$ra .&+!a#., r$"3.&#!$&#.$"*a"a$&($ 3r$;+&(a" "!3$" 8r$"3+$"(a /$ra $"*a"a . &+a9, a #$=ar. (ra&+!., $ 3a*!$&($ /+$/$ a #.r!r"$

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• Coma superficial & $ 3a*!$&($ &. "$ #$"3!$r(a a&($ &!&;& (!3. #$ $"('+. ". r$a!)a./!!$&(." #$".r;a&!)a#." a&($ $ #..r Coma Profundo& &. "$ .(!$&$ r$"3+$"(a a&!&;& (!3. #$ $"('+."

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2. ESTADO GENERAL

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• +$& $"(a#. ;$&$ra• r$;+ar $"(a#. ;$&$ra• a $"(a#. ;$&$ra

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3. FACIES

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+acies .ipocr'tica en paciente con pancreatitis

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4. ACTITUD

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Oc$rre en pacientes con ;emiple)a c$ya ca$sa m's com<n es laapople)a 3+$r($ "!(a $ !&"(a&(4&$a #$ *:+a" *$r$ra$" (ra" +&a!&($rr+3*!& #$ a *!r*+a*!& #$ a "a&;r$ $& $ *$r$r.9 819

5RC. C(R(1(LO- O D( (1RIO E $&7$r. *a!&a $& )!;-)a; *.. +& $.#. ! (ste tipo de marc;a indica

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5RC. D(L C8DOR

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. DISCURSO D+ra&($ (.#a a $&(r$/!"(a, ."$r/$ a" *ara*($r'"(!*a" #$ <aa #$ 3a*!$&($, !&*+$&#.

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1$. ESTADO DE NUTRICIÓNO1(-IDD

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Doc. Inspección General

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