The document describes the process for conducting a thorough physical examination of a patient. It involves inspecting, palpating, and auscultating/percussion different body systems and areas including general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, heart, breasts, abdomen, genitals, rectum, extremities, and reflexes. Key findings are noted for each area and abnormalities are documented. The exam allows for a comprehensive evaluation of the patient's overall health and physical condition.
The document describes the process for conducting a thorough physical examination of a patient. It involves inspecting, palpating, and auscultating/percussion different body systems and areas including general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, heart, breasts, abdomen, genitals, rectum, extremities, and reflexes. Key findings are noted for each area and abnormalities are documented. The exam allows for a comprehensive evaluation of the patient's overall health and physical condition.
The document describes the process for conducting a thorough physical examination of a patient. It involves inspecting, palpating, and auscultating/percussion different body systems and areas including general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, heart, breasts, abdomen, genitals, rectum, extremities, and reflexes. Key findings are noted for each area and abnormalities are documented. The exam allows for a comprehensive evaluation of the patient's overall health and physical condition.
The document describes the process for conducting a thorough physical examination of a patient. It involves inspecting, palpating, and auscultating/percussion different body systems and areas including general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, heart, breasts, abdomen, genitals, rectum, extremities, and reflexes. Key findings are noted for each area and abnormalities are documented. The exam allows for a comprehensive evaluation of the patient's overall health and physical condition.
Head Size - Hydrocephalous/ Normocephalic/Microcephaly Shape – Rounded/ oval Symmetry/contour - Symmetrical/abnormal counter due to trauma , surgery Face - pale/flushing/puffiness/edema Facial feature: symmetric/ not
Eyes Eyebrows Symmetry -Aligned symmetrical/non symmetrical Distribution -Eventually/loss of hair Movement of brows: movable/Not movable Eye lids Color: Same as skin/not Presence of ectropion/entropin/edema/ptosis/lesions Eye lashes Distribution -Eventually/not Presence of follicle/stye/infection/dandruff Lacrimal gland Edema/ redness/excessive tear Tenderness: present/ not Conjunctiva Normal/pallor/yellow/reddish/conjunctivitis/subconjuctival hemorrhage Sclera Color - white/changes Cornea Transparent, smooth, shiny or cloudy/ abrasions/irregular surface Eye ball: protruded/sunken/Normal Iris: Black/blue/brown/cloudy Pupil -Dilated/pinpoint PERRLA: Pupils equally rounded reactive to light and accommodation Visual acuity - Normal/myopia/hyperopia/presbiopia. Using aids - spectacles/lens Extra Ocular movements: Possible/Not possible Peripheral vision; Normal co-ordinated/Not
Ears Inspection Color - normal as face/not Bleeding/lesions/masses/impacted cerumen/foreign bodies & discharges Deformities: microtia /anotia /low set ears/other deformities Palpation –Tenderness present / not
