类别 全部 - head

作者:Wayne Hall 1 年以前

112

Head-to-toe Physical

A comprehensive physical examination involves a detailed assessment of various body systems. For the abdomen, it includes auscultation for bowel sounds and vascular sounds across all quadrants, palpation for tenderness and abnormalities, and inspection for symmetry and skin characteristics.

Head-to-toe Physical

Head-to-toe Physical

Musculoskeletal

Joint evaluation

Foot

Toes

Ankle

Eversion

Inversion

Plantar flexion

Dorsiflexion

Hip

Knee

Fingers

Test hand grip

Adduct

Abduct

Wrist

Radial deviation

Ulnar deviaiton

Elbow

Supination

Pronation

Shoulder

Internal rotation

External rotation

Adduction

Abduction

Spine

Rotation

Lateral bending

Walk

Touch toes

Shallow knee bend

Romberg sign

Tiptoes

Heel to toe

Across room

Neurologic

Reflexes
Babinski reflex
Achilles
Patellar
Brachioradialis
Triceps
Biceps
Position sense
Cerebellar function

Heel to shin

Finger to nose

Sterogenesis
Sensation
Feet
Legs
Arms
Hands
Nails

Lower extremities

Pulses

Popliteal

Dorsalis pedis

Posterior tibial

Pretibial edema

Abdomen

Bladder
All four quadrants
Vascular sounds

Bruit?

Bowel sounds

RUQ

RLQ

LUQ

LLQ

Pulsations
Umbilicus

Chest

Skin characteristics
Lungs
Respirations

Unlabored

Labored?

Breath sounds
Heart
Heart sounds

Erb's point

Mitral

Tricuspid

Pulmonic

Aortic

Apical impulse

Apical rhythm

Apical rate

Precordium

Heaves

Thrills

Thoracic cage
CVA tenderness
Spinous process
Tactile Fremitus

Posterior

Anterior

Symmetric expansion

Symmetric?

Upper extremities

Ulnar pulse
Radial pulse

Neck

Muscle strength
CN XI

Turn head

Shrug shoulders

Right rotation
Left rotation
Left lateral flexion
Right lateral flexion
Hyperextension
Extension
Flexion
Cervical lymph nodes
Trachea
Tender?
Midline?
Inspect & palpate
Pulsations?
Lumps?
Throat
Neck vessels
Carotid artery

Auscultate

External jugular

Jugular venous pressure

Head

Mouth
Tongue

CN X

CN IX

CN XII

Side to side

Midline

Tonsils
Buccal mucosa
Palate

Hard palate

Soft palate

Gums
Teeth
Lips
Ears
Hearing Test (Whisper test)

CN VIII

Ear Canal

Tympanic membrane

Integrity

Contour

Tragus

Pinna

Mastoid

Nose
Septum

Turbinates

Nasal Mucosa

Inspect mucus membranes

Inspect using penlight or otoscope light

Nostrils

Patency

External nose

Symmetry

Face
TMJ

ROM

Retraction

Protraction

Elevation

Depression

Assess strength

Cranial nerves

CN VII

CN V

Muscle

Ocular muscles

Facial muscles

Palpate temporal artery
Eyes

Pupillary Light Reflex

Iris

Cornea

Sclera

Conjunctiva

External structures

Puncta

Lacrimal gland

Lids

Brows

Corneal light reflex (Hirshberg)

Visual fields

Confrontation test

CN II

Extra-ocular movements

Cardinal positions of gaze

CN VI

CN IV

CN III

Skin

Vascularity/bruising

Mobility & turgor

Edema

Thickness

Moisture

Temperature

Hair distribution

Lesion

Distribution?

Size?

Shape?

Color?

Pigmentation

Sinus

Inspect

Frontal

Maxillary

Palpate

Hair & scalp
Lice
Dandruff
Distribution
Lesions
Texture
Color