The test patient section is intended to allow you to test your understanding of the subjective global assessment technique by presenting three patients for you to evaluate. Before starting, make sure that you have a copy of the SGA form to record your answers. correct answers can be found at the end of this section. First, view this patient to form an overall impression. A review of this patient's medical history shows the following. This patient has lost significant weight over the past six months.

Over the past two weeks, he has continued to lose Wait, the patient's dietary history has changed. Over the past four weeks he has had a sub optimal solid diet. This patient has experienced persistent nausea, vomiting and diarrhea. Often he's able to sit up for only 15 minutes or so before becoming tired. Record your impressions of the patient's history on the SGA form. Now let's initiate the physical examination by evaluating this patient's fat stores.

Pinch the skin underneath this patient's triceps to the fingers touch. Next, pinch this patient's skin above the biceps. Do the fingers seem to touch each other Now form your opinion about this patient's fat stores. Is there a consistent pattern in both of the areas? record your assessment of the patient's fat stores by placing a checkmark in one of three categories. No loss.

Yes, some loss or severe loss on the SGA form. Next, let's examine this patient's muscle tissue for signs of wasting. Look at the temple is the temporal bone prominent? What is the status of the temporalis muscle? Is the clavicle readily apparent? Are the shoulders rounded four square.

Are there any prominent bones evident? Is there a normal amount of muscle tissue at the shoulder joint? Look for the ribs on this patient's back. Are they easily visible or not? form your opinion about this patient's muscle mass. Record your assessment of the patient's muscle mass by placing a checkmark in one of three categories.

No wasting, yes some wasting or severe wasting on the SGA form. Is there any sign of edema around the ankle? record your impressions about this patient's edema status on the SGA form? Examine the patient for signs of anxieties. now examine the SGA form and decide whether this patient is well nourished, mildly or moderately malnourished. For severely malnourished, record your assessment on the form.

The answers can be found at the end of this section. First view this patient to form an overall impression. A review of this patient's medical history shows the following. This patient is not sure if she has lost body weight over the past six months. Over the past two weeks, she has lost a little weight. The patient's dietary history has changed.

Over the past two weeks she has had a liquid only diet. This patient has experienced pain when eating solid food as well as persistent nausea. She has some difficulty with Walking and standing up. Record your impressions of the patient's medical history on the SGA form. Now let's initiate the physical examination by evaluating this patient's fat stores. Pinch the skin underneath this patient's triceps through the fingers touch.

Next, pinch this patient's skin above the biceps because the fingers seem to touch each other. Now form your opinion about this patient's fat stores. Is there a consistent pattern in both of the areas? record your assessment of the patient's fat stores by placing a checkmark in one of three categories? no loss. Yes, some loss or severe loss on the SGA form.

Now let's examine this patient's muscle tissue for signs of wasting. Look at the temple. Is the temporal bone prominent? What is the status of the temporalis muscle? Is the clavicle readily apparent? Are the shoulders rounded or square?

Are there any prominent bones evident? Is there a normal degree of muscle tissue at the shoulder joint? Look for the ribs on this patient's back. Are they easily visible or not? form your opinion about this patient's muscle mass. Once you have completed the physical assessments for muscle wasting, record your assessment of the patient by placing a checkmark in In one of three categories, no wasting, yes some wasting or severe wasting on the SGA form.

Is there any sign of edema around the ankle. Record your impressions about this patient's edema status on the SGA form? Examine the patient for signs of a society's. now examine the SGA form and decide whether this patient is well nourished, mildly or moderately malnourished, or severely malnourished. Record your assessment on the form. The answers can be found at the end of this section.

First, view this patient to form an overall impression review of this patient's medical history shows the following. This patient has lost some weight over the past six months. There has been no change in his weight over the past two weeks. The patient's diet intake is lower than normal. This patient has experienced very few gastrointestinal symptoms. He has no functional impairments.

Now let's initiate the physical examination by evaluating this patient's fat stores. Pinch the skin underneath this patient's triceps. Do the fingers touch next, pinch this patient's skin above the biceps to the finger seem to touch each other. No form your opinion of This patient stat stores. Record your assessment of the patient's fat stores by placing a checkmark in one of three categories. No loss.

Yes, some loss or severe loss on the SGA form. Next, let's examine this patient's muscle tissue for signs of wasting. Look at the temple is the temporal bone prominent? What is the status of the temporalis muscle? Is the clavicle readily apparent? Are the shoulders rounded or square?

Are there any prominent bones evident? Is there a normal degree of muscle tissue at the shoulder joint Look for the ribs on this patient's back. Are they easily visible or not? form your opinion about this patient's muscle mass. Once you have completed the physical assessment for muscle wasting, record your assessment of the patient by placing a checkmark in one of three categories. No wasting, yes some wasting or severe wasting on the SGA form.

Is there any sign of edema around the ankle? record your impressions about this patient's edema status on the SGA form? Examine the patient for signs of Siv. No examine the SGA form and decide whether this patient is well nourished, mildly or moderately malnourished or severely mentally. Record your assessment on the form. These are the correct evaluations of patient one.

He would be classified as a severely malnourished patient. These are the correct evaluations of patient two. She would be classified as a moderately malnourished patient. These are the correct evaluations of patient three. He would be classified as a moderately malnourished patient.