1.

Inspect: General state of health, signs of distress, facial statement, stature, build, posture, sexual development, grooming, personal hygiene, speech, mobility, mental alertness 2. Measure: Height, weight, temperature, radial pulse, respirations, BP 1. Inspect: Skull size & shape, facial symmetry (CN VII), skin lesions; hair, scalp 2. Palpate: Skull and facial bones, temporal arteries, masseter, temporal muscles, sinuses 3. ROM: TMJ: open close mouth, move jaw laterally, protrude, retract chin, 4. Special tests: CN VII: raise eyebrows, squeeze eyes shut, frown, puff out cheeks.. CNV: light and dull touch 1. Inspect: Eyebrows, eye lashes, upper and lower eyelids (ptosis: CN III), Conjunctiva, sclera, iris pupillary size and shape 2. Special Tests: Visual acuity (2), visual fields, EOM, Pupillary light reflex, accommodation, convergence 3. InspectL Fundoscopic exam: obtain red reflex, inspect disc, cup margins, vessels, fundus, macula, corena, vitreous humor 1. Inspect: Auricle and surrounding tissue for deformity, nodules, lesions, and colo 2. Palpate: Auricle ,tragus, mastoid process 3. Inspect: Otoscopic Examination (1) Inspect canals for redness, swelling, narrowing, discharge, cerumen.(2) Inspect TM for color, light reflex, landmarks, perforation, fluid 4. Special tests: CN VIII: Finger rub test, weber, rinne 1. 2. 3. 4. 1. 2. 3. 4. 5. 6. 7. 8. Inspect: Symmetry, deviations, discharge, flaring, skin lesions, nasal bridge Palpate: External nose, frontal, and maxillary sinuses Inspect: Otoscopic exam: Inspect septum, turbinates, nasal mucosa, and discharge Special tests: CN 1 Nasal patency bilaterally and smell Special Tests: CN XII protrude tongue, side to side Special Tests CN IX, X: la ted da, k L m Inspect: Lips, teeth, gums, tongue, lingular, tonsils, uvula, posterior oropharynx Palpate: Oral cavity including floor Inspect: Anterior neck for symmetry, fullness, masses , trachea, thyroid Palpate: Lymph node, tracheal position, thyroid Auscultate: Thyroid bruit Special tests: CN XI: shrug shoulders and turn head against resistance

1. Inspect: deformities and abnormal position 2. Palpate spinous processes, paravertebral muscles, trapezius muscles, SCM 3. ROM: Flexion, extension, lateral bending, rotation

1. Inspect: Skin, swelling, muscular atrophy, deformity 2. Palpate: SC joint, clavicles, acromioclavicular joint, subacromial area, bicipital groove, muscles of shoulder girdle 3. ROM: flexion, extension, abduction, adduction, internal and external rotation 4. Special tests: Arc test, Empty can test, Push off tet 1. General: Inspect, size, symmetry, swelling, venous pattern, colour of skin and nailbeds.. Elbows: Skin, position, nodules, swelling, deformity, Carrying angle (515 degrees). Hands: Swelling, redness, nodules, deformity, muscular atrophy, nails 2. Palpate: temperature, bracial pulse, epitrochlear nodes, olecranon, condyles ! arms, ular and radial pulse ! wrists anuff box fingers, nail beds thenar emincences capillary refill 3. Palpate: sterognosis, graphesthesia, two point discrimination, point location, extinction 4. Palpate: temperature, radial pulse, ulnar pulse, brachial pulse, medial and lateral epicondyle, olecranon, epitrochlear nodes. Fingers and wrists, thenar and hypothena eminence, Anatomical snuff box, Capillary refill 5. ROM passive: Elbow: flexion, extension, supination, pronation Wrist: flexion, extension, ulnar and radial deviation. 6. ROM active: grab my fingers, spread them apart, thumb opposition, bend wrists, bend elbows, 7. Special tests: reflexes 1. Inspect: Rate, rhythm, depth and effort of breathing; neck and chest for retracting, Chest deformity, AP diameter, skin colour, trachea midline. Apical impulse 2. Palpate: chest wall, apical impulse 3. Inspect: Neck for carotid pulsations, internal jugular vein pulsations, 4. Palpate: carotids, JVP, hepatojugular reflex 5. Auscultate: carotids 6. Palpate: tactile fremitus, percussion note, respiratory expansion, diaphragmatic excursion, 7. Auscultate: posterior chest, adventitious sounds, carotids for bruits, 8. Auscultate: heart PAMT S1 S2, Left lateral decubitus- Auscultate with bell at mitral area, Ask pt to lean forward, exhale, and stop breathing in expiration. Auscultate base, along LSB and apex with diaphragm 9. Special tests: egophony, 1. Inspect: skin, umbilicus, contour, mases, peristalsis and pulsations 2. Auscultate: bowel sounds (diaphgram) aorta, renal, iliac, femoral arteries (bell) 3. Percuss: 4 quadrants, liver boarder, lowest interspace in left anterior axillary line in sinpiration 4. Palpate: 4 quadrants, liver margin, spleen, kidneys, abdominal aorta 5. Special tests: abdominal reflexes above and below umbilicus

6. Special tests: shifting dullness, fluid wave, rebound tenderness, psoas sign, obturator sign, cutaneous hypersensitivity, murphys sign, CVA tenderness, rectal tenderness 1. 2. 3. 4. Inspect: curvature, shoulders and scapulae, iliac crests and gluteal folds Palpate spinous processes and paravertebral muscles ROM: flexion, hyperextension, lateral bending, rotation Special tests: gait, toe to heel walking, standing on one foot, hopping in one place, Romberg, pronator drift 5. Special tests: Cerebellar function, tap hands, quick opposition, nose to finger, tap toes 6. Special tests: reflexes: patellar and achilles 1. Inspect: legs, knees, thights, feet: skin, nodules, swelling, deformity 2. Palpate: temperature, entire foot, carpalis pedis and posteior tibial pulses, capillary refill 3. Special tests: position and vibratory sense, light and dull touch (on legs too) 4. ROM passive Range of motion active foot and knee, thight 1. Palpate: legs for muscular atrophy, knees: Palpate Patellar tendon tibial tuberosity, medial condyle, lateral condyle, medial epicondyle and lateral epicondyle. palpate MCL and LCL and suprapatellar pouch and prepatllar pursa. varicose veins, skin temperature, calves for varicose veins or homans sign 2. Ask patient to sit back with legs straight 3. Special tests: Bulge The Bulge Sign ( for minor effusions). With the knee extended, place the left hand above the knee and apply pressure on the suprapatellar pouch, dis- placing or milking fluid downward. Stroke downward on the medial as- pect of the knee and apply pressure to force fluid into the lateral area. Tap the knee just behind the lateral margin of the patella with the right hand. Ballotment Ballotting the patella. To assess large effusions, you can also compress the suprapatellar pouch and ballotte or push the patella sharply against the femur. Watch for fluid returning to the suprap- atellar pouch. 4. Palpate popliteal pulse 5. Special tests: anterior and posterior drawer test 6. Palpate: femoral pulse 7. Special tests: position sense, vibration, dull and light touch, babinski, clonus 8. Special tests: Heel to toe 9. ROM passive: flexion (straight leg test), abduction, adduction, inversion, eversion 10. Special tests: Varus, valgus, McMurray 11. Special Tests: Retrograde Filling Test (valvular competency) Postural colour changes (arterial insufficiency) 12. Palpate: palpate sciatic nerve, trocanteric bursa, ischiogluteal bursa

13. ROM passive: extension 14. Special tests: Thompson Test