Question

Complete physical examination form

Date---

Patient (initial only)-----Age----- Gender

occupation------ Reason for visit------

Examiner-------

General Survey of Patient

1.Appears stated age---------------'

2. Level of Consciousness---------

3. Skin color---------

4.Nutritional status --------

5. Posture and position--------

6. Obvious physical deformities-----

7. Mobility: gait, use of assisting devices, ROM of joints, no involuntary movement-------

8. Facial Expression-----

9. Mood and affect------

10. Speech: articulation, pattern, content appropriate, native language------

11. Hearing-----------

12. Personal hygiene--------

General survey of patient

1. Appears stated age

2

Answer 1

GENERAL SURVEY OF PATIENT:

1- General condition

a: Appearance b:sensorium c: gait d: posture e: height f: weight g: BMI

2-Vital signs

a:temperature b: heart rate c: respiration d: blood pressure

3- Integumentry system

a: skin colour b: pigmentation c: hydration d:scar marks e:skin wound f: nail colour

g:nail curvature h: hair colour i: hair texture

4- Cardio-vascular system:

a: blood pressure b: heart rate c:heart sound d: peripheral pulse e:capillary filling time

5- Respiratory system

a: chest / lung sound b: respiratory rate c: chest expansion d: nasal discharge e; nasal septum

f; nasal patency g: sense of smell    h: lesion

6- Gastro-intestinal system

a: oral mucosa b: abdominal girth c: fluid accumulation d: abdominal shape

e:scar marks f: skin pigmentation g: abdonimal distention h: palpable liver / spleen

i: abdominal pulsation j: constipation or loose motion

7- Neuroligic examination:

a:cervical supine rotation b: back movement c: reflexes    d: all five senses

8- Genito urinary system:

a: frequency and urine output b: urine colour c: bowel habits d: genital appearance

e: genital discharge or odor

f: congenital abnormality g: shape and symmetry h: pubic hair

9. Allergy

10- Reflexes

11. Eye and vision

a; eyebrows b; eyelashes c: eyelids d: conjunctiva e: corneal reflexes

f: other deformity g: eye colour

12: Ear and hearing

a: colour b:symmetry c: position d: elasticity e: cerumen

f: discharge g: use of hearing aids