Physical Assessment Part One
General Survey , LOC, Signs of Distress, Mood Affect, Body size, Grooming, Vital Signs, Height and Weight, Skin Condition and Color
Head and Face: Inspect and Palpate, Skull Size and Symmetry, Condition of Hair and Scalp, Facial Symmetry (assessment of Cranial Nerves), Palpation of sinus
Eyes: Color and Hydration of the Conjunctiva, Extra Ocular Movement, Visual Acuity, PERRLA
Physical Assessment Part Two
Eyes: PERRLA, Six Cardinal Fields of Gaze
Ears: External Ear, Tympanic Membrane, Weber and Rinne Test,
Mouth: Hard and Soft Palate, Oropharynx, anterior an posterior pillars, Uvula, Tonsils and Posterior Pharynx, Gag reflex, Temperomandibular Joint, Lymph nodes of Face……Continued on next video
Physical Assessment Part Three
Neck: Symmetry of neck, trachea, thyroid, range of motion, shoulder shrug, carotid pulses, lymph nodes of neck.
Thoracic Region: Anterior and Posterior, Auscultation of Lungs, Broncho-Vesicular Sounds, Tactile Fremitus, Resonance, Tenderness……Continued in next video
Physical Assessment Part Four
Thoracic Region: Anterior and Posterior, Auscultation of Lungs, Broncho-Vesicular Sounds, Tactile Fremitus, Resonance, Tenderness
Cardiac: Palpate Apical Pulse, Auscultate Heart sounds at Aortic, Pulmonic, Tricuspid, and Mitral. Identify S1 and S2.
Upper Extremities: Skin characteristic, symmetry, and deformities, brachial and radial pulse, range of motion, muscle strength, sensation, and deep tendon reflexes. Capillary refill and Clubbing of fingers.
Breast: Size, Symmetry, nipple discharge, lesions (may need to teach self-breast exam)
Physical Assessment Part Five
Neurologic: Note Use of Muscles, ease of movement and coordination, assess gait, compare vibratory sensation, spinal alignment, , two point discrimination, alternating supination and pronation, Deep tendon reflexes
Abdominal: Inspect, Auscultate, percuss, palpate, Pulsations, masses, tenderness, palpate kidney…Continues to next video
Physical Assessment Part Six
Abdominal: Inspect, Auscultate, percuss, palpate, Pulsations, masses, tenderness, palpate kidney
Lower Extremities: Skin Characteristics, Hair distribution and deformities, Vascular sufficiency, Homan’s Sign, Pulses temperature, Range of motion, motor strength, reflexes,
May also perform Romberg Test here to assess Acoustic Nerve.