PHYSICAL ASSESSMENT EVALUATION TOOL

(HEAD TO TOE ASSESSMENT)

VITAL SIGNS
Blood Pressure
Respiratory Rate
Pulse Rate
Temperature
ANTHROPOMETRIC MEASUREMENT
Measurement in height
Measurement in weight
Body Mass Index
Technique
Level of
consciousness
Behavior and
appearance

Normal Findings

Inspection

Fully conscious, respond to

questions quickly, perceptive
of events

Inspection

Makes eye contact with

examiner, hyperactive
expresses feelings with
response to the situation

Body Parts
Skin

Technique
Inspection
Palpation

Normal Findings
-light to dark brown
-no swelling
-good skin turgor

Hair and scalp

Inspection

Head

Inspection

-no lesion
-color black
-face is symmetrical

Inspection

-no lesion
-no swelling

Neck

Actual Findings

Analysis

Actual Findings

Analysis

Eyes

Inspection

-symmetrically align
-blinking
symmetrically
-Evenly distributed

Eye brows
-eyelashes are short
-eye lid margins are
moist
-white in color
-equally round and
reactivated to light
accommodation

Eye lashes
Eye lids
Sclera
Pupil

Ears

Palpation
Inspection

Nose

Inspection

Mouth

Inspection
Palpation

Lips

Buccal mucosa

Tongue

-equal in size
-symmetrically align
-no lesion
-no swelling
-Symmetric and
straight; no discharge
or flaring; Uniform
color.
-no lesion
-no swelling
-Pink in color, soft,
moist, smooth texture,
asymmetry of contour,
ability to purse lips
- Pink in color, soft,
moist, smooth,
glistening, and elastic
texture.
-no lesion
-no swelling
-pink and moist

Gums
-symmetrically align
Teeth

Upper Extremities

Inspection
Palpation

-symmetrically align
-no lesion
-no swelling
-no mumps
-light to dark brown in
color

ANTERIOR
THORAX

Inspection

Quiet, rhythmic, and

effortless respirations

Auscultation

Broncho vesicular and

vesicular breath
sounds

Breathing patterns
Anterior Thorax
auscultation

POSTERIOR
THORAX

Auscultation

Abdomen

Inspection
Palpation

Lower Extremities

Inspection

Vesicular
andbroncho vesicular
breath sounds
-smooth to touch
-no lesion
-no swelling
-no mumps
-no redness
-warm to touch
-round and
symmetrical
-abdomen rises with
inspiration in
synchromy with chest
-bilaterally
symmetrical and equal
-right foot has
complete fingers
-skin color is as same
as the other parts of
the body