PHYSICAL EXAMINATION

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PHYSICAL EXAMINATION

• Afnan .Y. Toonsi

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INTEGUMENTARY SYSTEM
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• Skin
• Inspect skin color.
• Inspect uniformity of skin color.
• Assess for edema (location, color, temperature,
  shape, and degree

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• Inspect, palpate, and describe skin lesions
  according to location, distribution, color,
  configuration, size, shape, type or structure.

Macule
Papule
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plaque, psoriasis
Nodule
Pustule
Vesicle
Pustule
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• Observe and palpate skin moisture.
• Palpate skin temperature using the back of your
  fingers.
• Note skin turgor by pinching the skin on an
  extremity.

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• Hair
• Inspect evenness of growth over the scalp.

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• Inspect hair thickness or thinness.
• Inspect hair texture and oiliness.
• Note presence of infections by parting the hair
  in several areas

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• Inspect amount of body hair.

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• Nail
• Inspect fingernail plate shape to determine its
  curvature and angle

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• Nail
• Inspect fingernail plate shape to determine its
  curvature and angle

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• Nail
• Inspect fingernail and toenail texture

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• Nail
• Inspect fingernail and toenail bed color

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• Nail
• Inspect tissue surrounding nails

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• Nail
• Perform blanch test of capillary refill

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MUSCULOSKELETAL SYSTEM
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• Muscles
• Inspect the muscles for size .

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• Muscles
• Inspect the muscles and tendons for contracture.

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• 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.

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• Sternocleidomastoid
• Trapezius
• Biceps

• Deltoid
• Triceps

• Wrist fingers
• Grip strength
  

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• Hip adduction
• Hip muscles
• Hamstrings

• Hip abduction
• Quadriceps
• Dorsiflexion

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• 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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• 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.