Official Course Description: MCCCD Approval: 07/22/08
NCE252 20036-20086	LEC	2 Credit(s)	2 Period(s)
Advanced Physical Assessment
Addresses the more complex physical assessment skills of ophthalmoscopic, pelvic, genitalia, and rectal and prostate examinations. Diagnosis of abnormal findings with practice opportunities. Practice in concise presentation of assessment findings. Prerequisites: NCE201, or permission of Instructor.

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MCCCD Official Course Competencies:
NCE252   20036-20086	Advanced Physical Assessment

1.	Perform advanced physical assessment techniques with guidance. (I, III, V, VI)
2.	Relate common abnormal findings to common complaints and chronic illnesses for each body system. (I-X)
3.	Diagnose a common medical problem from symptoms and other findings for each body system. (I-X)
4.	Summarize and present findings. (I-X)

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MCCCD Official Course Outline:
NCE252   20036-20086	Advanced Physical Assessment

I. Head, face, eyes, ears, nose, mouth, and throat A. Practice of ophthalmoscopic examination B. Abnormal findings of the head, face, eyes, ears, nose, mouth, and throat 1. Common complaints 2. Chronic illnesses C. The process of clinical thinking D. Diagnosing a common medical problem of the head, face, eyes, ears, nose, mouth, and throat E. Summarizing findings II. Lungs A. Abnormal breath sounds and symptoms of the lungs 1. Common complaints 2. Chronic illnesses B. Diagnosing a common medical problem of the lungs C. Summarizing findings III. Heart and peripheral vascular A. Abnormal heart sounds (splitting, murmurs, S3 , S4 ) 1. Common complaints 2. Chronic illnesses B. Abnormal peripheral vascular findings 1. Common complaints 2. Chronic illnesses C. Diagnosing a common medical problem of the heart or peripheral vascular system D. Summarizing findings IV. Abdomen A. Abnormal findings of the abdomen 1. Common complaints 2. Chronic illnesses B. Diagnosing a common medical problem of the abdomen C. Summarizing findings NCE252 V. Female genitalia and rectum A. Guided instruction and practice of pelvic and rectal examination with speculum and palpation B. Abnormal findings of the female genitalia and rectum 1. Common complaints 2. Chronic illnesses C. Diagnosing a common medical problem of the female genitalia or rectum D. Summarizing findings VI. Male genitalia, rectum, and prostate A. Guided instruction and practice of male genitalia, rectum, prostate, and hernia examination B. Abnormal findings of the male genitalia, rectum, and prostate 1. Common complaints 2. Chronic illnesses C. Diagnosing a common medical problem of the male genitalia, rectum, or prostate D. Summarizing findings VII. Musculoskeletal A. Abnormal findings of the musculoskeletal system 1. Common complaints 2. Chronic illnesses B. Diagnosing a common medical problem of the musculoskeletal system C. Summarizing findings VIII. Neurological A. Abnormal findings of the neurological system 1. Common complaints 2. Chronic illnesses B. Diagnosing a common medical problem of the neurological system C. Summarizing findings IX. Skin, hair, nails A. Abnormal findings of the integumentary system 1. Common complaints 2. Chronic illnesses B. Diagnosing a common medical problem of the skin, hair, nails C. Summarizing findings X. Breast and lymph nodes A. Abnormal findings of the breast and lymph nodes 1. Common complaints 2. Chronic illnesses B. Diagnosing a common medical problem of the breast and lymph nodes C. Summarizing findings

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