Adult physical assessment

Adult physical assessment / Examination

1. ADULT
PHYSICAL
ASSESSMENT
Mrs. Melba Sahaya Sweety.D
MSc. Nursing
Pediatric Department
GIMSAR
Chinna Chadayan & Melba

2. PHYSICAL EXAMINATION
1, PATIENT PROFILE:-
1.Name :_____________
2.Age :_____________
3.Gender :_____________
4.Diagnosis :______________
5.Name of the surgery(if any):________
6.Ward/ Bed no :___________
7.Name of the physician :_____________
Chinna Chadayan & Melba

3. PHYSICAL EXAMINATION
2, GENERAL APPEARANCE
A, Consciousness-Conscious/Semiconscious/
Unconscious
B, Orientation -Oriented to time/place
person
C, Nourishment-Well nourished/moderate
nourished/ Malnourished
D, Health -Healthy/unhealthy
E, Body built -Thin/ moderate/ obese
F, Activity -Active/ Dull
Chinna Chadayan & Melba

4. PHYSICAL EXAMINATION
2, GENERAL APPEARANCE
G, Hygiene -Good/Bad
H, Speech -Clear/slurring/stammering/
maintains eye contact/not
clear
I, Look -Pleasant/Happy/ alert
Depressed/ Fearful/
Anxious/Tired/ Drowsy
Chinna Chadayan & Melba

5. 2, GENERAL
APPEARANCE
A, Consciousness
Conscious/
Semiconscious/
Unconscious
Chinna Chadayan & Melba

6. 2, GENERAL
APPEARANCE
B, Orientation
-Oriented to
time/place/
person
Chinna Chadayan & Melba

7. 2, GENERAL
APPEARANCE
C, Nourishment–
Well
nourished/
Moderate
nourished/
Malnourished
Chinna Chadayan & Melba

8. 2, GENERAL
APPEARANCE
D, Health
-Healthy/
unhealthy
Chinna Chadayan & Melba

9. 2, GENERAL
APPEARANCE
E, Body
built -
Thin/
moderate/
obese
Chinna Chadayan & Melba

10. 2, GENERAL
APPEARANCE
F, Activity
-Active/
Dull
Chinna Chadayan & Melba

11. 2, GENERAL
APPEARANCE
G, Hygiene
-Good/Bad
Chinna Chadayan & Melba

12. 2, GENERAL
APPEARANCE
I, Look -
Pleasant/Happy/
alert/
Depressed/
Fearful/
Anxious/Tired/
Drowsy
Chinna Chadayan & Melba

13. 2, GENERAL
APPEARANCE
H, Speech -
Clear/slurring/
stammering /
maintains eye
contact/
not clear
Chinna Chadayan & Melba

14. PHYSICAL ASSESSMENT
3, ANTHROPOMETRIC
MEASUREMENT
A, Height -_______ cms/not able to
stand
B, Weight -_________ kgs/not able to
stand
Chinna Chadayan & Melba

15. 3, ANTHROPOMETRIC
MEASUREMENT
A, Height -
_______ cms/not
able to stand
Chinna Chadayan & Melba

16. 3, ANTHROPOMETRIC
MEASUREMENT
B, Weight -
_________
kgs/not able to
stand
Chinna Chadayan & Melba

17. PHYSICAL ASSESSMENT
4, VITAL SIGNS
A.Temperature -______Degree C/F
B.Pulse -_______Beats/min
C.Respiration -_______Breath/min
D.Blood pressure -_____ mm of Hg
Chinna Chadayan & Melba

18. 4, VITAL SIGNS
A, Temperature
-______Degree
C/F
Chinna Chadayan & Melba

19. 4, VITAL SIGNS
Pulse -
_______Beats/
min
Chinna Chadayan & Melba

20. 4, VITAL SIGNS
Respiration -
_______Breath
/min
Chinna Chadayan & Melba

21. 4, VITAL SIGNS
Blood
pressure -
_____ mm of
Hg
Chinna Chadayan & Melba

22. PHYSICAL EXAMINATION
5, SKIN
A, Complexion –Fair/ brown/ dark
in complexion
B, Temperature –Warm/Cold/Hyperthermia
C, Texture –Smooth/soft/dry/indurated
D, Skin turgor –normal/tenting/sluggish
E,Discoloration-
Absent/yellowish/cyanosis/vitiligo/pallor/
erythema
F, Hydration –Good/moderate/dehydrated
Chinna Chadayan & Melba

23. PHYSICAL EXAMINATION
5, SKIN
G, Vascularity –Absent/
petechiae/purpura/ecchymoses
H, Lesions –Absent/Macule/papule/ulcer/
nodules/scar
I, Edema –Absent/pitting edema/pedal
edema
Chinna Chadayan & Melba

24. 5, SKIN
A, Complexion –
Fair/ brown/
dark in
complexion
Chinna Chadayan & Melba

25. 5, SKIN
B, Temperature
–Warm/Cold/
Hyperthermia
Chinna Chadayan & Melba

26. 5, SKIN
C, Texture –
Smooth/soft/
dry/indurated
Chinna Chadayan & Melba

27. 5, SKIN
D, Skin
turgor –
normal/
tenting/
sluggish
Chinna Chadayan & Melba

28. 5, SKIN
E,Discoloration-
Absent/yellowish
/cyanosis/vitiligo
/pallor/
erythema
Cyanosis
Chinna Chadayan & Melba

29. 5, SKIN (E,Discoloration)
Pallor Erythema
Chinna Chadayan & Melba

30. 5, SKIN (E,Discoloration)
Vitiligo Yellowish
Chinna Chadayan & Melba

31. 5, SKIN
F, Hydration
–Good/
moderate/
dehydrated
Chinna Chadayan & Melba

32. 5, SKIN
G, Vascularity
–Absent/
petechiae/
purpura/
ecchymosis
Petechiae
Chinna Chadayan & Melba

33. 5, SKIN (G, Vascularity)
Purpura Ecchymosis
Chinna Chadayan & Melba

34. 5, SKIN
H, Lesions –
Absent/Macule/
papule/ulcer/
nodules/scar
Macule
Chinna Chadayan & Melba

35. 5, SKIN(H, Lesions )
Papule Ulcer
Chinna Chadayan & Melba

36. 5, SKIN(H, Lesions )
Nodules Scar
Chinna Chadayan & Melba

37. 5, SKIN
I, Edema –
Absent/
pitting edema/
pedal edema
Chinna Chadayan & Melba

38. PHYSICAL EXAMINATION
6, NAILS
On Observation -Intact/Onycholysis/Peeling
or Cracking(Onychoschizia)/
Paronchyia
Shape - Rounded/flat/spoon shape
Nail beds –Pink / Cyanosed/Pale
Nail Plate –Flat/Clubbing/Whitening
(Leukonychia)
Schamroth’s window test –normal/AbnormalChinna Chadayan & Melba

39. 6, NAILS
On Observation -
Intact/
Onycholysis/
Peeling or
Cracking/
Paronchyia
Intact
Chinna Chadayan & Melba

40. 6, NAILS (On Observation)
Onycholysis Peeling or Cracking
Chinna Chadayan & Melba

41. 6, NAILS (On
Observation)
Paronchyia
Chinna Chadayan & Melba

42. 6, NAILS
Nail beds
–Pink/
Cyanosed/
Pale
Chinna Chadayan & Melba

43. 6, NAILS
Nail Plate
–Flat/
Clubbing/
Whitening
Chinna Chadayan & Melba

44. 6, NAILS
Schamroth’s
window test –
normal/
Abnormal
Chinna Chadayan & Melba

45. 6, NAILS
Shape -
Rounded/flat/
spoon shape
Chinna Chadayan & Melba

46. PHYSICAL EXAMINATION
7, HAIR
Color –Black/Brown/Red/Grey/flag
sign
Texture –Normal/Dry
Grooming –Not grommed/Well
grommed
Distribution -Normal/Scanty/
Bald/Alopecia
Chinna Chadayan & Melba

47. 7, HAIR (Color)
Black Brown
Chinna Chadayan & Melba

48. 7, HAIR (Color)
Red Grey
Chinna Chadayan & Melba

49. 7, HAIR
(Color)
Flag sign
Chinna Chadayan & Melba

50. 7, HAIR
Texture
–
Normal/
Dry
Chinna Chadayan & Melba

51. 7, HAIR
Grooming
–Not
grommed/
Well
grommed
Chinna Chadayan & Melba

52. 7, HAIR
Distribution -
Normal/Scanty/
Bald/Alopecia
Chinna Chadayan & Melba

53. PHYSICAL EXAMINATION
8, HEAD
Shape-Normocephalic/micro/macro/
hydrocephalic
Scalp -Clean/ Pediculosis/ dandruff/
any scar
Face -Puffiness/ moon face/ bell’s
palsy/ no complaints
Chinna Chadayan & Melba

54. 8, HEAD
Shape-
Normocephalic/
micro/macro/
hydrocephalic
Chinna Chadayan & Melba

55. 8, HEAD
Scalp -Clean/
Pediculosis/
dandruff/
any scar
Chinna Chadayan & Melba

56. 8, HEAD
Face -
Puffiness/
moon face/
bell’s palsy/
no
complaints
Puffiness
Chinna Chadayan & Melba

57. 8, HEAD(Face )
Bell’s palsy
Moon face
Chinna Chadayan & Melba

58. PHYSICAL EXAMINATION
9, EYES
Eye Brows -Symmetrical/ equally
distributed/Assymetrical/
Scanty
Eye Lashes -Absent/equally
distributed/presences of
dandruff
Eye Lid -Normal/ edematous/
stye/ptosis
Chinna Chadayan & Melba

59. PHYSICAL EXAMINATION
9, EYES
Eye position –Normal/ expothalmus/
strabismus
Extraoccular movement –
Parallel/nystagmus
Sclera –White/ reddish/yellowish/
greenish
Conjunctiva -Normal/pale/yellowish/
erythemia/edema/
lesion
Chinna Chadayan & Melba

60. PHYSICAL EXAMINATION
9, EYES
Cornea -Smooth, shiny&transperent
Pupil
Size -Equal in size/pin pointed/ dilated/
Constricted
Shape –Round/oval/irregular/pin pointed
Pupillaryreaction –Equally reacted to
light (PERRLA)
Iris
Color –Black / blue/ brown/ grey/cloudy
Chinna Chadayan & Melba

61. PHYSICAL EXAMINATION
9, EYES
Visual acuity –Normal visual
acuity / myopia/
hyperopia/astigmatism
Chinna Chadayan & Melba

62. Eye Brows -Symmetrical/equallydistributed/
Assymetrical/ Scanty
Chinna Chadayan & Melba

63. Eye Lashes -Absent/equally
distributed/presences of
dandruff
Chinna Chadayan & Melba

64. Eye Lid -Normal/ edematous/
stye/ptosis
Chinna Chadayan & Melba

65. Eye position –Normal/ expothalmus/
strabismus
Chinna Chadayan & Melba

66. Extraoccular movement –
Parallel/nystagmus
Chinna Chadayan & Melba

67. Sclera –White/ reddish/yellowish
Chinna Chadayan & Melba

68. Conjunctiva -Normal/pale/yellowish/
erythemia/
Chinna Chadayan & Melba

69. Cornea -Smooth, shiny&transperent
Chinna Chadayan & Melba

70. Pupil
Size -Equal in size/pin pointed/
dilated/ Constricted
Chinna Chadayan & Melba

71. Shape –Round/oval/irregular/pin
pointed
Chinna Chadayan & Melba

72. Iris
Color –Black / blue/ brown/ grey/cloudy
Chinna Chadayan & Melba

73. Pupillaryreaction –Equally reacted to
light (PERRLA)
Chinna Chadayan & Melba

74. Visual acuity –Normal visual
acuity / myopia/
hyperopia/astigmatism
Chinna Chadayan & Melba

75. PHYSICAL EXAMINATION
10, EARS
Position -Symmetrical / Asymmetrical
Pinna –Normally placed / Anotia /
Microtia / Melotia
Cerumen –Absent / packed with
Ottorhoea –Absent / Purulent / serous/
bloody / sangiunous
Hearing –Normal / decreased (specify)
Subjective Symptoms –No complaints /
Otalgia/ tinnitus/
Vertigo / Autophony
Chinna Chadayan & Melba

76. 10, EARS
Position -Symmetrical /
Asymmetrical
Chinna Chadayan & Melba

77. Pinna –Normally placed / Anotia /
Microtia / Melotia
Chinna Chadayan & Melba

78. Cerumen –Absent / packed with
Chinna Chadayan & Melba

79. Ottorhoea –Absent / Purulent /
serous/
bloody or sangiunous
Chinna Chadayan & Melba

80. Hearing –Normal / decreased
(specify)
Chinna Chadayan & Melba

81. PHYSICAL EXAMINATION
11, NOSE
Nasal septum –Midline / Deviated
Nasal pathway –Patent / Obstructed /
Nasal polyp
Smell –Normal / absent
Rhinorrhoea –Absent/ watery/ purulent/
Mucoid/ Epistaxis
Subjective symptoms –No complaints /
Nasal flarings
Chinna Chadayan & Melba

82. 11, NOSE
Nasal septum –Midline / Deviated
Chinna Chadayan & Melba

83. Nasal pathway –Patent / Obstructed
/Nasal polyp
Chinna Chadayan & Melba

84. Smell –Normal / absent
Chinna Chadayan & Melba

85. Rhinorrhoea –Absent/ watery/ purulent/
Mucoid/ Epistaxis
Chinna Chadayan & Melba

86. Subjective symptoms –No complaints /
Nasal flarings
Chinna Chadayan & Melba

87. PHYSICAL EXAMINATION
12, MOUTH
Lips –Dry/ Cracks /Symmetrical
/Asymmetrical
Lips Color –Pink / Pale / blue
Gums –Color –Pink / pale / dark ;
Bleeding / Gingivitis
Tongue –Moist / Dry / Coating /
/ Ankyloglossia/ Glositis
Tongue Colour –Pink/ Pale / reddish
Blue
Chinna Chadayan & Melba

88. PHYSICAL EXAMINATION
12, MOUTH
Taste –Normal/ Absent
Teeth –Normal / Dental caries /
Discolouration / stains / denture
Mucus membrane –Normal / Moist / Dry
/ Stomatitis
Breath odour –Absent / Halitosis /
Fruity odor
Pharynx –Sore throat / infection
Chinna Chadayan & Melba

89. PHYSICAL EXAMINATION
Gag reflex –Present / absent
Tonsils –Normal / Enlarged / infection
Speech –Clear / Stuttering /
stammering/ aphonia /
dysphonia
Subjective symptoms –No complaint/
Toothache/ Dysphagia/
Odynophagia
Chinna Chadayan & Melba

90. 12, MOUTH
Lips –Dry/ Cracks /Symmetrical
/Asymmetrical
Chinna Chadayan & Melba

91. Lips Color –Pink / Pale / blue
Chinna Chadayan & Melba

92. Gums –Color –Pink / pale / dark ;
Bleeding / Gingivitis
Chinna Chadayan & Melba

93. Tongue –Moist / Dry / Coating /
/ Ankyloglossia/ Glossitis
Chinna Chadayan & Melba

94. Tongue Colour –Pink/ Pale / reddish
Blue
Chinna Chadayan & Melba

95. Taste –Normal/ Absent
Chinna Chadayan & Melba

96. Teeth –Normal / Dental caries /
Discoloration / stains / denture
Chinna Chadayan & Melba

97. Mucus membrane –Normal / Moist / Dry
/ Stomatitis
Chinna Chadayan & Melba

98. Breath odor –Absent / Halitosis /
Fruity odor
Chinna Chadayan & Melba

99. Pharynx –Sore throat / infection
Chinna Chadayan & Melba

100. Gag reflex –Present / absent
Chinna Chadayan & Melba

101. Tonsils –Normal / Enlarged /
infection
Chinna Chadayan & Melba

102. SpeechSpeech –Clear / Stuttering /
stammering/ aphonia /
dysphonia
Chinna Chadayan & Melba

103. Subjective symptoms –No complaint/
Toothache/ Dysphagia/
Odynophagia
Chinna Chadayan & Melba

104. PHYSICAL EXAMINATION
13, NECK
Range of motion exercise –Possible/
painful / absent / limited
Lymph Node –Not enlarged / enlarged /
Painful
Trachea –midline / deviated
Thyroid gland –Not enlarged / enlarged /
Removed
Jugular Veins –Distended / not distended
Subjective symptoms –If anyChinna Chadayan & Melba

105. 12, NECK
Range of motion exercise –Possible/
painful / absent / limited
Chinna Chadayan & Melba

106. Lymph Node –Not enlarged / enlarged /
Painful
Chinna Chadayan & Melba

107. Trachea –midline / deviated
Chinna Chadayan & Melba

108. Thyroid gland –Not enlarged / enlarged
Removed
Chinna Chadayan & Melba

109. Jugular Veins –Distended / not
distended
Chinna Chadayan & Melba

110. PHYSICAL EXAMINATION
14, CHEST
INSPECTION :-
Scar - absent
Thorax shape –Symmetrical / Barrel chest /
pectusexcavatum(Funnel chest),
pectusCarinatum( Pigeon chest )
Thorax Expansion -Symmetrical / Shallow
Asymmetrical / delayed
Respiratory rate –_____________ breath per mts
Use of Assessorymuscle –absent / Intercostal
retraction
Chinna Chadayan & Melba

111. PHYSICAL EXAMINATION
14, CHEST
PALPATION :-
Tactile fremitus–Bilateral symmetry /
Increased fremitus/
Decreased Fremitus
Lump or masses –Absent / present
Aortic thrill -Absent / present
Chinna Chadayan & Melba

112. PHYSICAL
EXAMINATION
14, CHEST
PERCUSSION : -
Fluid Collection –Absent /present
Air Collection –Absent /present
Chinna Chadayan & Melba

113. PHYSICAL EXAMINATION
14, CHEST
AUSCULTATION :-
Breath Sounds –Normal (Vesicular,
Bronchovesicular, Bronchial)/
Wheezing / Crackle/Rhonchi/
Stridor
Heart Sounds –Normal (s1, s2)/
Murmur/gallop sounds/Thrill
Heart Rate -_____________ beats per mts
Chinna Chadayan & Melba

114. 14, CHEST
INSPECTION :-
Scar - absent
Chinna Chadayan & Melba

115. Thorax shape –Symmetrical / Barrel chest
pectus excavatum (Funnel chest),
pectus Carinatum ( Pigeon chest )
Chinna Chadayan & Melba

116. Use of Assessory muscle –absent / Intercostal
retraction / Supraclavicular retraction
/Substernal retraction
Chinna Chadayan & Melba

117. Respiratory rate –_____________ breath
per mts
Chinna Chadayan & Melba

118. 14, CHEST
PALPATION :-
Tactile fremitus–Bilateral symmetry/Increased
fremitus/
Decreased Fremitus
Chinna Chadayan & Melba

119. Thorax Expansion -Symmetrical / Shallow
Asymmetrical / delayed
Chinna Chadayan & Melba

120. Lump or masses –Absent / present
Chinna Chadayan & Melba

121. Aortic thrill -Absent / present
Chinna Chadayan & Melba

122. 14, CHEST
PERCUSSION : -
Fluid Collection –Absent /present
Air Collection –Absent /present
Chinna Chadayan & Melba

123. 14, CHEST
AUSCULTATION :-Breath Sounds –
Normal(Vesicular,Bronchovesicular, Bronchial)/
Wheezing / Crackle/Rhonchi/ Stridor
Chinna Chadayan & Melba

124. Heart Sounds –Normal (s1, s2)/
Murmur/gallop sounds/Thrill
Chinna Chadayan & Melba

125. Heart Rate -_____________ beats
per mts
Chinna Chadayan & Melba

126. PHYSICAL EXAMINATION
15, BREAST AND AXILLA :-
Position –Symmetrical / Asymmetrical
Areola & Nipple –Retracted / Inverted /
Dimpling
Discharge –Absent / Milky / Yellowish
Purulent
Lesions / Masses –Absent / Ulceration /
nodes / Swelling /
moving / Painful / tender
Chinna Chadayan & Melba

127. PHYSICAL EXAMINATION
15, BREAST AND AXILLA :-
Axillary Nodes –Not palpable / Palpable
Moving / Painful / tender
Hair distribution –Well Distributed /
Scanty/ Absent
Subjective Symptoms –If any___________
Chinna Chadayan & Melba

128. 15, BREAST AND AXILLA :-
Position –Symmetrical / Asymmetrical
Chinna Chadayan & Melba

129. Areola & Nipple –Retracted / Inverted /
Dimpling
Chinna Chadayan & Melba

130. Discharge –Absent / Milky / Yellowish
Purulent /Bleeding
Chinna Chadayan & Melba

131. Lesions / Masses –Absent / Ulceration /
nodes / Swelling /
moving / Painful / tender
Chinna Chadayan & Melba

132. Axillary Nodes –Not palpable / Palpable
Moving / Painful / tender
Chinna Chadayan & Melba

133. Hair distribution –Well Distributed /
Scanty/ Absent
Chinna Chadayan & Melba

134. PHYSICAL EXAMINATION
16, ABDOMEN :-
INSPECTION :-
Skin Color -Redness / Lesions / Bruises/
Cyanosis / Rashes / lineanigra/ striae
Skin Surface & Movement –Flat /
protrution/ Visible Peristalsis
Skin Contour –Smooth
Umbilicus –Clean / infected / everted
Chinna Chadayan & Melba

135. PHYSICAL
EXAMINATION
16, ABDOMEN :-
AUSCULTATION :-
Bowel Sound -Normal / Increased /
Decreased/ no_______ Per min
Bruit –Absent / Present
Chinna Chadayan & Melba

136. PHYSICAL
EXAMINATION
16, ABDOMEN :-
PERCUSSION :-
Fluid Collection –Absent / Present
Air Collection –Absent / Present
Chinna Chadayan & Melba

137. PHYSICAL EXAMINATION
16, ABDOMEN :-
PALPATION :-
Liver –Normal / Hepatomegaly/
Tenderness
Spleen –Normal / Spleenomgaly/
Tenderness
Inguinal Lymph nodes –Enlarged /
not enlarged / Movable / painful
Chinna Chadayan & Melba

138. 16, ABDOMEN :-
INSPECTION :-
Skin Color -Redness / Lesions / Bruises/
Cyanosis / Rashes / lineanigra/ striae
Chinna Chadayan & Melba

139. Skin Surface & Movement –Flat /
Distended /protrusion/ Visible Peristalsis
Chinna Chadayan & Melba

140. Skin Contour –Smooth
Umbilicus –Clean / infected / everted
Chinna Chadayan & Melba

141. 16, ABDOMEN :-
AUSCULTATION :-
Bowel Sound -Normal / Increased /
Decreased/ no_______ Per min
Bruit –Absent / Present
Chinna Chadayan & Melba

142. 16, ABDOMEN :-
PERCUSSION :-
Fluid Collection –Absent / Present
Air Collection –Absent / Present
Chinna Chadayan & Melba

143. 16, ABDOMEN :-
PALPATION :-
Liver –Normal / Hepatomegaly/ Tenderness
Chinna Chadayan & Melba

144. Spleen –Normal / Spleenomgaly /
Tenderness
Chinna Chadayan & Melba

145. Inguinal Lymph nodes –Enlarged /
not enlarged / Movable / painful
Chinna Chadayan & Melba

146. PHYSICAL EXAMINATION
17, MUSCULOSKLETAL :-
Postural Curves –Normal / Kyphosis /
Lordosis/ Scoliosis
Muscle Tone –Normal / Hypertonia /
Hypotonia / Flaccid/
Spastic/ Rigid
Muscle strength –Normal / Weaker than
normal / Hyperactive
Chinna Chadayan & Melba

147. PHYSICAL EXAMINATION
17, MUSCULOSKLETAL :-
UPPER EXTRIMITIES :-
Symmetry –Symmetrical / Asymmetrical
Finger Nails –Capillary Refill _________ sec
Range of Motion –Possible / If impossible
( specify)
Reflexes –Biceps,Triceps(Normal /
Abnormal )
Pulses –Radial / Brachial (Normal /
Abnormal )
Chinna Chadayan & Melba

148. PHYSICAL EXAMINATION
17, MUSCULOSKLETAL :-
UPPER EXTRIMITIES :-
Oedema/ Swelling –Absent/ Present
Cyanosis –Absent/ Present
Joints –No complaints / Swollen / Stiff /
Tender / crepitus
Deformity –Absent / If any specify ____
Chinna Chadayan & Melba

149. PHYSICAL EXAMINATION
17, MUSCULOSKLETAL :-
LOWER EXTRIMITIES :-
Symmetry –Symmetrical / Asymmetrical
Toe Nails -Capillary Refill _________ sec
Gait –Normal / Scissoring / dystonic/
ataxia
Range of Motion –Possible / If impossible
( specify)
Oedema/ Swelling –Absent/ Present
Chinna Chadayan & Melba

150. PHYSICAL EXAMINATION
17, MUSCULOSKLETAL :-
LOWER EXTRIMITIES :-
Cyanosis –Absent/ Present
Joints –No complaints / Swollen / Stiff /
Tender / crepitus
Varicose Veins –Absent / Present
Pulses –Dorsalispedis/Tibial/Popliteal
(Normal / Abnormal )
Reflexes –Patellar / Achilles tendon /
Plantar
Deformity –Absent / If any specify ____Chinna Chadayan & Melba

151. 17, MUSCULOSKLETAL :-
Postural Curves –Normal / Kyphosis /
Lordosis/ Scoliosis
Chinna Chadayan & Melba

152. Muscle Tone –Normal / Hypertonia /
Hypotonia / Flaccid/
Spastic/ Rigid
Chinna Chadayan & Melba

153. Muscle strength –Normal / Weaker than
normal / Hyperactive
Chinna Chadayan & Melba

154. UPPER EXTRIMITIES :-
Symmetry –Symmetrical / Asymmetrical
Chinna Chadayan & Melba

155. Finger Nails –Capillary Refill
_________ sec
Chinna Chadayan & Melba

156. Range of Motion –Possible / If impossible
( specify)
Chinna Chadayan & Melba

157. Reflexes –Biceps,Triceps (Normal /
Abnormal )
Chinna Chadayan & Melba

158. Pulses –Radial / Brachial (Normal /
Abnormal )
Chinna Chadayan & Melba

159. Oedema / Swelling –Absent/ Present
Chinna Chadayan & Melba

160. Cyanosis –Absent/ Present
Joints –No complaints / Swollen / Stiff /
Tender / crepitus
Chinna Chadayan & Melba

161. Deformity –Absent / If any specify
____
Chinna Chadayan & Melba

162. LOWER EXTRIMITIES :-
Symmetry –Symmetrical / Asymmetrical
Chinna Chadayan & Melba

163. Toe Nails -Capillary Refill _________ sec
Chinna Chadayan & Melba

164. Gait –Normal / Scissoring /
ataxia
Chinna Chadayan & Melba

165. Range of Motion –Possible / If impossible
( specify)
Chinna Chadayan & Melba

166. Oedema / Swelling –Absent/ Present
Chinna Chadayan & Melba

167. Cyanosis –Absent/ Present
Joints –No complaints / Swollen / Stiff /
Tender / crepitus
Chinna Chadayan & Melba

168. Varicose Veins –Absent / Present
Chinna Chadayan & Melba

169. Pulses –Dorsalis pedis /Tibial /Popliteal
(Normal / Abnormal )
Chinna Chadayan & Melba

170. Reflexes –Patellar / Achilles tendon /
Plantar
Chinna Chadayan & Melba

171. Deformity –Absent / If any specify
____
Chinna Chadayan & Melba

172. PHYSICAL EXAMINATION
18, GENITO URINARY :-
Male :-
Lesion / Scar –Absent / present
Discharge / Infection –Absent / present
Voiding –Continent / incontinent/
Catheterized
Inguinal hernia –Absent / present
Prostate gland –Normal / Enlarged
Chinna Chadayan & Melba

173. PHYSICAL EXAMINATION
18, GENITO URINARY :-
Female :-
Lesion –Absent / present
Discharge / Infection –Absent / present
Voiding –Continent / incontinent/
Catheterized
Episiotomy Scar –Absent / present
Vaginal orifice –No complaints /
Inflammation / Edema/ Discoloration
Chinna Chadayan & Melba

174. 18, GENITO URINARY :-
Male :-
Lesion / Scar –Absent / present
Chinna Chadayan & Melba

175. Discharge / Infection –Absent / present
Voiding –Continent / incontinent/
Catheterized
Chinna Chadayan & Melba

176. Inguinal hernia –Absent / present
Prostate gland –Normal / Enlarged
Chinna Chadayan & Melba

177. Female :-
Lesion –Absent / present
Discharge / Infection –Absent / present
Chinna Chadayan & Melba

178. Voiding –Continent / incontinent/
Catheterized
Episiotomy Scar –Absent / present
Chinna Chadayan & Melba

179. Vaginal orifice –No complaints /
Inflammation / Edema/ Discoloration
Chinna Chadayan & Melba

180. PHYSICAL EXAMINATION
19, RECTUM & ANUS :-
Lesion / Scar –Absent / present
Haemorrhoids –Absent / present
Fissure -Absent / present
Subjective Symptoms –No Complaints /
Bleeding / Pain/ Rectal mass
Chinna Chadayan & Melba

181. 19, RECTUM & ANUS :-
Lesion / Scar –Absent / present
Chinna Chadayan & Melba

182. Haemorrhoids –Absent /
present
Chinna Chadayan & Melba

183. Fissure -Absent / present
Chinna Chadayan & Melba

184. Subjective Symptoms –No Complaints /
Bleeding / Pain/ Rectal mass
Chinna Chadayan & Melba

185. THE END
Chinna Chadayan & Melba