PHYSICAL EXAMINATION OVERVIEW o Cutaneous tags and horns

Temperature/Warmth
A. GENERAL SURVEY Mobility
Appearance Turgor
o Physical and sexual Texture
development Thickness
o Skin and color Presence of Edema
o Hygiene 2. HAIR
Level of consciousness Color
Posture and Gait Amount and distribution
Mobility Texture
Body built Hygiene
Behaviour Infestations (lice, dandruff and etc).
o Body movements 3. NAILS
o Mannerisms Grooming and cleanliness
Comfort level Color markings
Facial expression o Beaus lines
Speech o Leukonychia
o Shape
B. VITAL SIGNS AND ANTHROPOMETRIC o Texture
MEASUREMENTS o Consistency
Temperature o Capillary refill
Blood Pressure
Respiratory Rate D. HEENT
Pulse and Cardiac Rate 1. HEAD & NECK
Height Size, shape configuration
Weight Lesions
BMI Symmetry
Frame size (wrist circumference) Features and type of face
Mid-upper arm circumference Range of motion
Triceps skinfold thickness Temporomandibular joint movement
Lymph nodes
C. INTEGUMENTARY o Preauricular
1. SKIN o Postauricular
Color o Submandibular
o Generalized o Occipital
o Variations o Tonsilar
Odor o Submental
Skin integrity o Superficial cervical
Lesions o Posterior cervical
o Assymetry o Supraclavicular
o Border Position of Neck
o Color Symmetry of Neck
o Diamter Cartilages
o Evolving o Thyroid
Presence of (can be normal) o Cricoid
o Stretch marks o Adams apple
o Scars C7 prominence
o Freckles Curvature of spine
o Birthmarks Range of motion of Neck
o Senile lenttigines (liver spots) Trachea alignment
o Senile keratosis 2. EYES
o Cherry angiomas Visual acuity
o Purpura o Snellen
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 o Distance VA Odor of mouth
Gross external exam Uvula
o Eyelids Tonsils
o Lashes Posterior pharyngeal wall
o Palpebral fissures
o Eyeballs E. BREAST AND AXILLAE
o Bulbar conjunctiva Size
o Sclera Symmetry
o Lacrimal apparatus Color
o Cornea and lens Texture
o Iris and pupil Superficial venous pattern (axilla)
Pupillary exam Areola
EOMs (6 cardinal fields of gaze) Nipples
Confrontation Test Retraction
3. EARS Dimpling
Auricle, lobule Texture
Size Elasticity
Position Tenderness
Shape Temperature
Discoloration Nodules, lumps and lesions
Dishcarges Axilla lymph nodes
Lesions (skin tags, o Pectoral (anterior)
Test o Scapular (posterior)
o Whisper test o Lateral
o Weber test o Infraclavicular
o Rinne test o Apical
o Romberg Test
4. NOSE
External nose
o Shape
o Color
o Consistency
o Patency of air
Internal nose
o Nasal septum
o Nasal mucosa
o Inferior and middle turbinates
o Nasal passage
o Sinuses
5. THROAT & MOUTH
Lips
o Color
o Texture
Teeth
o Number
o Alignment
o Color
o Presence of cavities and etc.
Buccal mucosa
Gums
Tongue
o Frenulum
o Whartons duct
Palates
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