肛門及神經(jīng)系統(tǒng)評(píng)估課件

肛門及神經(jīng)系統(tǒng)的評(píng)估教學(xué)目標(biāo)掌握肛門與直腸的評(píng)估要點(diǎn)掌握各種神經(jīng)反射評(píng)估內(nèi)容肛門及神經(jīng)系統(tǒng)的評(píng)估1肛門、外生殖器評(píng)估、視診:評(píng)估時(shí)注意肛門周圍有無(wú)紅腫、血性或膿性分泌物。、肛門及外傷感染肛裂:肛門及肛管皮膚全層開裂。痔瘡:內(nèi)外痔及混合痔4、肛門直腸瘺:繼發(fā)于肛周膿腫5、直腸脫垂:直腸出于肛門外。肛門、外生殖器評(píng)估2觸診:對(duì)直腸、肛門的觸診稱為直腸指檢或肛門指檢,是診斷盆腔、直腸、肛門、女性生殖器疾病不可缺少的方法1、體位:常用的體位有:(1)膝胸位:這種體位適于前列腺、精囊腺的疾病的檢查以及乙狀結(jié)腸鏡檢,還適用于子宮后傾及產(chǎn)后子宮復(fù)原。觸診:對(duì)直腸、肛門的觸診稱為直腸指檢或3(2)左側(cè)臥位:這種體位適于女病人和衰弱的病人檢查。(3)仰臥位:這種體位適于病重體弱、直腸膀胱疾病的檢查。2、評(píng)估方法:(2)左側(cè)臥位:這種體位適于女病人和衰弱的4教學(xué)目標(biāo)口1.掌握脊柱與四肢、神經(jīng)系統(tǒng)檢查的內(nèi)容、順序及正常表現(xiàn)重點(diǎn):檢查脊柱壓痛與叩擊痛、四肢與關(guān)節(jié)運(yùn)動(dòng)、肌力評(píng)估與分級(jí)、共濟(jì)運(yùn)動(dòng)檢查生理反射、病理反射、腦膜剌激征檢查、難點(diǎn):四肢與關(guān)節(jié)運(yùn)動(dòng)、腦神經(jīng)檢查、深反射檢查口2.描述脊柱與四肢、神經(jīng)系統(tǒng)檢查異常發(fā)現(xiàn)的臨床意義3.自學(xué)自主神經(jīng)功能檢查教學(xué)目標(biāo)5肛門及神經(jīng)系統(tǒng)評(píng)估課件6肛門及神經(jīng)系統(tǒng)評(píng)估課件7肛門及神經(jīng)系統(tǒng)評(píng)估課件8肛門及神經(jīng)系統(tǒng)評(píng)估課件9肛門及神經(jīng)系統(tǒng)評(píng)估課件10肛門及神經(jīng)系統(tǒng)評(píng)估課件11肛門及神經(jīng)系統(tǒng)評(píng)估課件12肛門及神經(jīng)系統(tǒng)評(píng)估課件13肛門及神經(jīng)系統(tǒng)評(píng)估課件14肛門及神經(jīng)系統(tǒng)評(píng)估課件15肛門及神經(jīng)系統(tǒng)評(píng)估課件16肛門及神經(jīng)系統(tǒng)評(píng)估課件17肛門及神經(jīng)系統(tǒng)評(píng)估課件18肛門及神經(jīng)系統(tǒng)評(píng)估課件19肛門及神經(jīng)系統(tǒng)評(píng)估課件20肛門及神經(jīng)系統(tǒng)評(píng)估課件21肛門及神經(jīng)系統(tǒng)評(píng)估課件22肛門及神經(jīng)系統(tǒng)評(píng)估課件23肛門及神經(jīng)系統(tǒng)評(píng)估課件24肛門及神經(jīng)系統(tǒng)評(píng)估課件25肛門及神經(jīng)系統(tǒng)評(píng)估課件26肛門及神經(jīng)系統(tǒng)評(píng)估課件27肛門及神經(jīng)系統(tǒng)評(píng)估課件28肛門及神經(jīng)系統(tǒng)評(píng)估課件29肛門及神經(jīng)系統(tǒng)評(píng)估課件30肛門及神經(jīng)系統(tǒng)評(píng)估課件31肛門及神經(jīng)系統(tǒng)評(píng)估課件32肛門及神經(jīng)系統(tǒng)評(píng)估課件33肛門及神經(jīng)系統(tǒng)評(píng)估課件34肛門及神經(jīng)系統(tǒng)評(píng)估課件35肛門及神經(jīng)系統(tǒng)評(píng)估課件36肛門及神經(jīng)系統(tǒng)評(píng)估課件37肛門及神經(jīng)系統(tǒng)評(píng)估課件38肛門及神經(jīng)系統(tǒng)評(píng)估課件39肛門及神經(jīng)系統(tǒng)評(píng)估課件40肛門及神經(jīng)系統(tǒng)評(píng)估課件41肛門及神經(jīng)系統(tǒng)評(píng)估課件42肛門及神經(jīng)系統(tǒng)評(píng)估課件43肛門及神經(jīng)系統(tǒng)評(píng)估課件44肛門及神經(jīng)系統(tǒng)評(píng)估課件45肛門及神經(jīng)系統(tǒng)評(píng)估課件46肛門及神經(jīng)系統(tǒng)評(píng)估課件47肛門及神經(jīng)系統(tǒng)評(píng)估課件48肛門及神經(jīng)系統(tǒng)評(píng)估課件49肛門及神經(jīng)系統(tǒng)評(píng)估課件50肛門及神經(jīng)系統(tǒng)評(píng)估課件51肛門及神經(jīng)系統(tǒng)評(píng)估課件52肛門及神經(jīng)系統(tǒng)評(píng)估課件53肛門及神經(jīng)系統(tǒng)評(píng)估課件54肛門及神經(jīng)系統(tǒng)評(píng)估課件55肛門及神經(jīng)系統(tǒng)評(píng)估課件56肛門及神經(jīng)系統(tǒng)評(píng)估課件57肛門及神經(jīng)系統(tǒng)評(píng)估課件58肛門及神經(jīng)系統(tǒng)評(píng)估課件59肛門及神經(jīng)系統(tǒng)評(píng)估課件60肛門及神經(jīng)系統(tǒng)評(píng)估課件61肛門及神經(jīng)系統(tǒng)評(píng)估課件62肛門及神經(jīng)系統(tǒng)評(píng)估課件63肛門及神經(jīng)系統(tǒng)評(píng)估課件64肛門及神經(jīng)系統(tǒng)評(píng)估課件65肛門及神經(jīng)系統(tǒng)評(píng)估課件66肛門及神經(jīng)系統(tǒng)評(píng)估課件67肛門及神經(jīng)系統(tǒng)評(píng)估課件68肛門及神經(jīng)系統(tǒng)評(píng)估課件