Physical Exam

Front 1

Steps of General Survey

Back 1

1. Washes hands w/ sanitizer upon entering room
2. Introduce self to patient, first and last name. State reason for being there.
3. Assess patients: mental status (orientation to person/place/time), apparent state of health, LOC & state of awareness, signs of distress, posture, dress/grooming/hygiene, affect/mood/manner/speech.

Front 2

Vital Signs- Blood Pressure

Back 2

1. Place cuff properly
2. Palpate brachial/radial artery
3. determine BP upper limit by palpation
4. places stethoscope properly
5. Determine BP accurately with bell

Front 3

Vital Signs- Pulse

Back 3

1. Determine rate and rhythm for 15 or 60 sec
2. Compares radial pulses bilaterally

Front 4

Vital Signs- Respirations

Back 4

1. Counts respirations for 15 or 60 seconds
2. Interprets rate & pattern (regular, tacky/shallow, deep)

Front 5

Cerebellar Functions- Gait

Back 5

1. Normal
2. Heel-to-toe
3. Toe
4. Heel
5. Romberg test
6. Pronator drift test

Front 6

Romberg test

Back 6

pt's, arms to side, eyes open/closed, 20 to 30 sec

Front 7

Pronator drift test

Back 7

pt's arms extended, palms up, eyes closed, tap down on hands

Front 8

Rapid alternating movements bilaterally

Back 8

1. Arms rapid alternating movements (hands-to-thigh)
2. Thumbs to fingers
3. Finger-to-nose w/ eye open and closed (finger still & moving)
4. Legs-rapid alternating movements (foot tap bilaterally)
5. Heel-to-shin (bilaterally)

Front 9

Spine

Back 9

1. Inspects posture & curvature, properly drape patient
2. Palpates spine

Front 10

Determine Range of Motion

Back 10

1. Flexion
2. Extension
3. Lateral Bending
4. Rotation

Front 11

Skin-Inspects

Back 11

1. Inspects entirety of skin

Front 12

Palpate entirety of skin

Back 12

1. color & any lesion
2. temperature & moisture
3. texture, turgor, & mobility
4. nail beds-both hands and feet
5. don gloves for exam of lesions if present

Front 13

Upper Extremities (1st step)

Back 13

Inspects bilateral upper extremities

Front 14

Palpates bilateral UEs

Back 14

1. digit joints
2. wrists
3. elbows
4. shoulders
5. muscles

Front 15

Determines ROM of bilateral UEs fingers on

Back 15

1. flexion
2. extension
3. spreading

Front 16

Determines ROM of bilateral UEs wrists on

Back 16

1. flexion
2. extension
3. radial & ulnar deviation

Front 17

Determines ROM of bilateral UEs elbows on

Back 17

1. flexion
2. extension
3. pronation
4. supination

Front 18

Determines ROM of bilateral UEs shoulders on

Back 18

1. flexion
2. extension
3. abduction
4. adduction
5. internal rotation
6. external rotation

Front 19

Determines muscle strength on bilateral UEs (neuro)

Back 19

1. handgrip
2. wrist flexion
3. wrist extension
4. elbow flexion
5. elbow extension
6. shoulder flexion
7. shoulder extension
8. shoulder adduction
9. shoulder abduction
10. shoulder shrugging (CN XI)