1. The Physical Examination
Chapter 25
The Physical Examination

2. Methods of Examination
Observation or inspection
General health
Posture
Body movements
Skin

3. Methods of Examination
Observation or inspection
Mannerisms
Care in grooming
Body symmetry and contour
Skin rashes and color
Deformities

4. Methods of Examination
Palpation
Examination of body using touch
Abdominal masses
Skin texture, moisture, and temperature

5. Methods of Examination
Percussion
Eliciting sounds from body by tapping
Vibrations and sounds from underlying organs and cavities
Presence of air or solid material
Dull and hollow sounds
Direct and indirect methods

6. Methods of Examination
Auscultation
Listening directly to body sounds
The physician normally uses stethoscope
Lungs, heart, abdomen, bowels

7. Methods of Examination
Mensuration
Measuring process
Height, weight, length of limb, amount of flexion and extension, and so on
Use of tape measure

8. Methods of Examination
Manipulation
Checks degree of flexion and extension of joints
Range of motion of joints

9. Examination Positions
Supine (horizontal recumbent)
Dorsal recumbent
(discuss the Critical Thinking Box)

10. Examination Positions
Lithotomy
Semi-Fowler’s

11. Examination Positions
High-Fowler’s
Prone

12. Examination Positions
Sims’ (lateral) >>
Trendelenberg

13. Equipment and Supplies for a Physical Exam

14. Basic Components of a Routine Physical Examination

15. Basic Components of a Routine Physical Examination
Patient appearance
Gait
Stature
Posture
Body movements
Speech
Breath odors
Nutrition
Skin and appendages