02-posicoes exame fisico

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Leão HZ
02- 
Posições
 para o 
exame físico.
Posição anatômica padrão
2
Decúbito dorsal, decúbito supino
ou posição supina
litotomia
Mosby. Manual de exploración fisica
3
Litotomia
Givel, 2010
Posição Lloyd–Davies
This corresponds to some sort of lithotomy position plus a head-down tilt (Trendelenburg position), with a gradient of 15–20% to gain a good access to the perineum. Givel, 2010.
Boros, 2006
Sim’s
The patient lies on his side with the hips and knees flexed and the torso lying diagonally on the table. This position permits good access for the treatment of pilonidal sinus. Attention must be paid to
avoid straightening the knees as it can damage the lumbosacral nerves. This position is often preferred to the Jack-Knife position because of the potential complications of the latter.
10
Sentado
Mosby. Manual de 
exploración fisica
11
Posição Jack-Knife
The patient lies in prone 
position on the table.
 Providing that pressure 
points are alleviated, the
table is separated into two 
pieces at the middle or a roll 
is placed under the hips in 
order to elevate the abdomen 
and the pelvis. This position 
allows a convenient approach
for anal, rectal, coccygeal and 
pilonidal surgery. Givel, 2010.
Genucubital e Genupeitoral 
Givel, 2010
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