Physical examination Skin and mucous color(reddish, paler, cyanosis, yellowish, pigmentation) swelling, moisture, elasticity, bleeding, rashes, subcutaneous nodular, spider angioma, ulceration, scar The location, size and shape should be recorded Lymph note systemic or localized lymph notes(submaxillary posterior auricular, neck, armpit, groin) Its size, number, tenderness, hardness, mobility, fistula, sacr etc
Physical examination Skin and mucous: color (reddish, paler, cyanosis, yellowish, pigmentation) swelling, moisture, elasticity, bleeding, rashes, subcutaneous nodular, spider angioma, ulceration, scar. The location, size and shape should be recorded. Lymph note: systemic or localized lymph notes (submaxillary, posterior auricular, neck, armpit, groin). Its size, number, tenderness, hardness, mobility, fistula, sacr etc
Physical examination Head and organs Head: its size, shape, tenderness, mass, hair Eye: eyebrow, eyelash, eyelid, eyeball(protrude, sunk, movement tremble, strabismus), conjunctiva, sclera, cornea(size, shape symmetry, light reflex, near reflex Ear: discharge, hearing, mastoid Nose: abnormality: tenderness of maxillary sinus. ethmoid sinus frontal sinuS; exudation, bleeding
Physical examination Head and organs Head: its size, shape, tenderness, mass, hair Eye: eyebrow, eyelash, eyelid, eyeball (protrude, sunk, movement, tremble, strabismus),conjunctiva, sclera, cornea (size, shape, symmetry, light reflex, near reflex). Ear: discharge, hearing, mastoid. Nose: abnormality; tenderness of maxillary sinus, ethmoid sinus, frontal sinus; exudation, bleeding
Physical examination Oral cavity: odor, lips(color, swelling, ulceration, herpes simplex, pigmentation); teeth; gingival; tongue(mass, ulceration, coating of the tongue, mucus(rash, bleeding, ulceration) tonsils; pharynx etc ec symmetry; texture (slightly flexed and cradled in the examiners hands); thyroid gland(size, hardness tenderness, nodular, tremble, murmur ) superficial venous distention; the position of the trachea
Physical examination •Oral cavity: odor, lips (color, swelling, ulceration, herpes simplex, pigmentation); teeth; gingival; tongue (mass, ulceration, coating of the tongue, mucus (rash, bleeding, ulceration); tonsils; pharynx etc. •Neck: symmetry; texture (slightly flexed and cradled in the examiner’s hands); thyroid gland (size, hardness, tenderness, nodular, tremble, murmur); superficial venous distention; the position of the trachea
Physical examination Chest: configuration; symmetry; local protrude; tenderness respiratory rate and pattern; abnormal pulsate breast(size, mass); venous distention Inspection: respiratory movement; interspace of ribs Palpation: the extent of chest excursion; vocal fremitus Speech creates vibrations that can be heard when one listens to the chest and lungs. These vibrations are termed vocal fremitus. When one palpates the chest wall while an individual is speaking, these vibrations can be felt and are termed tactile fremitus. Pleura friction; subcutaneous crepitus
Physical examination •Chest: configuration; symmetry; local protrude; tenderness; respiratory rate and pattern; abnormal pulsate; breast (size, mass); venous distention • Lung: Inspection: respiratory movement; interspace of ribs; Palpation: the extent of chest excursion; vocal fremitus; Speech creates vibrations that can be heard when one listens to the chest and lungs. These vibrations are termed vocal fremitus. When one palpates the chest wall while an individual is speaking, these vibrations can be felt and are termed tactile fremitus. Pleura friction; subcutaneous crepitus
Physical examination Percussion: resonance; tympany, hyperresonance, dullness flatness: diaphragmatic movement Ausculatation breath sounds (tracheal, bronchial, bronchovesicular, vesicular)
Physical examination • Percussion: resonance; tympany; hyperresonance; dullness; flatness; diaphragmatic movement • Ausculatation: breath sounds (tracheal, bronchial, bronchovesicular, vesicular)