Physical examination ( nursing procedure)

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 PHYSICAL EXAMINATION (NURSING ASSESSMENT )

What is physical examination?

Physical examination is the procedure to assess the body from head to foot for the purpose of analysing abnormalities of the patient. It was help to move further diagnosis and treatment.
There are many parts in the physical examination.

General examination:

Name of the patient
Sex
Age
Date of admission
Details of recent surgery
General appearance
Level of consciousness
Level of orientation
Foul body odour
Foul breath
Height 
Weight

Vital signs:

Temperature
Pulse
Respiration
Blood pressure

Skin:

Complexion, colour, lesions,edema
Temperature, texture,turgor.

Head:

Face, configuration of skull,hair colour, distribution of hair, hair texture,scalp.

Eyes and vision:

Globes,eye lid,eye lashes,eye brows,colour of the sclerae,reaction of pupils,visual acuity,strength of eye lids,globes.

Ears and hearing: 

Pinna,external canal, hearing acuity.

Nose and sinuses:

General deformity
Nasal septum
Discharge
Airway patency
Sinuses

Mouth:

Lips
Teeth
Gums
Odour of breath
Tongue
Hoarseness of voice
Oral cavity and tongue

Neck:

Movement
Thyroid
Muscular strength
Neck veins
Trachea
Tenderness

Breast:

Nipples
Breast tissue
Discharge
Areola

Thorax and lungs:

Shape 
Chest movement
Posterior chest
Ribs and costal margins
Sounds
Air entry
Breath sounds

Heart:

Apical impulse
Pulsations
Area of cardiac dullness
Heart sounds

Abdomen: 

Contour of the abdomen
Visible peristalsis
Abdominal circumference
Umbilicus
Bowel sounds
Light palpation
Deep palpation

Upper and lower extremities:

Shape
ROM
Muscle tone
Finger nails
Congenital deformities

Dependency level of the patient 

Patient is dependent or independent to do their own activities.

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