physical examination
Post on 07-Jan-2016
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PHYSICAL EXAMINATION
Afnan .Y. Toonsi
INTEGUMENTARY SYSTEM
Skin: Inspect skin color.
Inspect uniformity of skin color.
Assess for edema (location, color, temperature, shape, and degree
Inspect, palpate, and describe skin lesions according to location, distribution, color, configuration, size, shape, type or structure.
Macule Papule
plaque, psoriasis
Nodule
Pustule
Vesicle
Pustule
Observe and palpate skin moisture.
Palpate skin temperature using the back of your fingers.
Note skin turgor by pinching the skin on an extremity.
Hair: Inspect evenness of growth over the scalp.
Inspect hair thickness or thinness.
Inspect hair texture and oiliness.
Note presence of infections by parting the hair in several areas
Inspect amount of body hair.
Nail: Inspect fingernail plate shape to determine its
curvature and angle
Nail: Inspect fingernail plate shape to determine its
curvature and angle
Nail: Inspect fingernail and toenail texture
Nail: Inspect fingernail and toenail bed color
Nail: Inspect tissue surrounding nails
Nail: Perform blanch test of capillary refill
MUSCULOSKELETAL SYSTEM
Muscles: Inspect the muscles for size .
Muscles: Inspect the muscles and tendons for
contracture.
Muscles: Inspect the muscles for tremor. Inspect any
tremors of hand and arm by having the client hold the arm out in front of the body.
Palpate muscles at rest to determine muscles tonicity .
Palpate muscles for flaccidity ( weakness or laxness ), spasticity ( sudden involuntary muscle contraction ) and smoothness of movement.
Test muscles strength.
Sternocleidomastoid:
Trapezius:
Biceps:
Deltoid :
Triceps:
Wrist & fingers:
Grip strength:
Hip adduction: Hip muscles:
Hamstrings:
Hip abduction: Quadriceps:
Dorsiflexion:
Bones: Inspect the skeleton for normal
structure and deformity.
Palpate the bone to locate any area of edema and tenderness.
Joints: Inspect the joint for swelling,
Palpate each joint for tenderness, smoothness of movement, swelling and presence of nodules.
Assess joint range of motion. The amount of joint movement can be measured by goniometer ,device that measure the angle of joint in degree.
Documentation.
Bones: Inspect the skeleton for normal
structure and deformity.
Palpate the bone to locate any area of edema and tenderness.
Joints: Inspect the joint for swelling,
Palpate each joint for tenderness, smoothness of movement, swelling and presence of nodules.
Assess joint range of motion. The amount of joint movement can be measured by goniometer ,device that measure the angle of joint in degree.
Documentation.
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