AbdomenInspection:

Distention Distention ScaphoidScaphoid

Visible peristaltisVisible peristaltis

Umbilical abnormalitiesUmbilical abnormalities

Distended bladderDistended bladder

Shifting dullness fluid waveShifting dullness fluid wave

AbdomenAbdomen

Palpation:Palpation: TendernessTenderness GuardingGuarding TumorTumor LiverLiver Spleen Spleen

Palpation:Palpation:

AscitesAscites

HerniaHernia

Lymph nodesLymph nodes

KidneysKidneys

BladderBladder

Aortic pulsationAortic pulsation

AbdomenAbdomen

PercussionPercussion : : Shifting dullnessShifting dullnessAuscultationAuscultation:: Bowel soundBowel soundStool:Stool: Color, consistency,worm,Color, consistency,worm,

Scratch testScratch test

Put diaphragm above Rt. Costal marginPut diaphragm above Rt. Costal marginScratch skin at mid clavicular line from Scratch skin at mid clavicular line from

umbilicus to costal marginumbilicus to costal marginYou hear change You hear change

Perineum &GenitaliaPerineum &Genitalia

Anus:Anus: Fissure , prolapseFissure , prolapse....Rectal examination:Rectal examination: Mass ,Stenosis ,bloodMass ,Stenosis ,blood,,Genitalia:Genitalia: Labia adhision ,discharge, Labia adhision ,discharge, Hypospadias ,Phymosis ,balantitisHypospadias ,Phymosis ,balantitis,, undescended testis ,hydrocele undescended testis ,hydrocele

TestisTestis

10 mm width & 15 mm length10 mm width & 15 mm lengthShould lie in scrotal sac most of timeShould lie in scrotal sac most of timeDifferentiate hydrocele from inguinal Differentiate hydrocele from inguinal

herniaherniaDelayed puberty in boys:No sighns of Delayed puberty in boys:No sighns of

puberty by 14 y/opuberty by 14 y/o

Nervous SystemNervous SystemState of consciousness: State of consciousness:

Unconsciouness ,aemiconsciouness ,drowsiness, Unconsciouness ,aemiconsciouness ,drowsiness, alertness ,hyperexcitibilityalertness ,hyperexcitibility

Posture&Movement:Posture&Movement:Hypotonia ,Tremor, Tic, Hypotonia ,Tremor, Tic, Convulsive movements,Abnormal gait,Palsy,SpeechConvulsive movements,Abnormal gait,Palsy,Speech

Cranial nerveCranial nerveMuscle toneMuscle toneSensationSensationReflexesReflexes

Nervous SystemNervous System Cranial nerveCranial nerve

1th=Olphactory1th=Olphactory 2nd=Optic2nd=Optic 3rd=Oculomotor 3rd=Oculomotor

4th=Trochlear4th=Trochlear 5th=Trigeminal 5th=Trigeminal 6th=Abducens6th=Abducens

7th=Facial7th=Facial 8th=Auditory8th=Auditory 9th=Glossopharengeal9th=Glossopharengeal 10th=Vagus10th=Vagus 11th=Spinal accessory11th=Spinal accessory 12th=Hypoglossal12th=Hypoglossal

Bell's palsy (left seventh nerve Bell's palsy (left seventh nerve weakness) weakness)

ReflexesReflexes

Biceps C5Biceps C5Triceps jerk C6-C7Triceps jerk C6-C7Abdominal Reflex T8-T12Abdominal Reflex T8-T12Cremaster reflex L1Cremaster reflex L1Knee jerk L3-L4Knee jerk L3-L4Ankle jerk L5-S1Ankle jerk L5-S1Plantar response S1Plantar response S1

Iliopsoas TestIliopsoas Test

Obturator TestObturator Test

Developmental hip dysplasia Developmental hip dysplasia Barlow's test Ortolani's test

Barlow ManeuverBarlow Maneuver

Ortolani ManeuverOrtolani Maneuver