Physical Assessment:

Appearance and mental status:

Body built: weight, height:

Posture:

Overall hygiene/grooming

Body and breathe odor

Attitude

Affect/mood

Speech

Quality:

Quantity:

Integument

Hair:

Skin:

Nails:

Capillary refill

Head

Skull:

Face:

Eyes and Vision

Eyebrows:

Eyelashes:

Eyelids:

Bulbar conjunctiva

Palpebral conjunctiva:
 Lacrimal gland, lacrimal sac, nasolacrimal duct:

Cornea:

Corneal Sensitivity test:

Pupil:

Direct and Consensual reaction to light:

Reaction to accommodation:

Visual field:

Extra ocular muscle test:

Visual Acuity:

Ears and Hearing

Auricles:

External ear canal and tympanic membrane

Gross hearing acuity tests:

Watch tick test:

Weber’s test:

Rinne test:

Nose and Sinus:

Nose:

Patency of both nasal cavity:

Inspect nasal cavity:

Facial sinuses:

Maxillary and frontal sinuses:

Mouth and oropharynx

Lips and buccal mucosa:

Teeth and gums:

 Tongue and floor of mouth:

Inspect the tough movement

Base of the tongue:

Palates and uvula:

Oropharynx and tonsils

Gag reflex:

Neck

Neck muscle

Lymph nodes:

Trachea:

Thyroid gland:

Thorax and lungs

Posterior thorax:

Inspect spinal alignment:

Palpate posterior thorax for respiratory excusion:

Palpate chest for vocal tactile:

Percuss the thorax

Percuss the diaphragmatic excursion:

Auscultate the chest:

Anterior thorax:

Inspect costal angle:

Palpate the anterior chest:

Palpate tactile fremitus:

Percuss the anterior chest:

Heart

Aortic:

Pulmonic:

Tricuspid:

Carotid Arteries:

Peripheral vascular system:

Peripheral veins:

Peripheral perfusion:

Buerger’s test:

Breast and Axilla

Breast:

Areola:

Nipples:

Axillary lymph nodes:

Subclavicular:
supraclavicular:

Breast masses:

Abdomen

Inspect abdomen:

Assess symmetry:

Observe abdominal movement:

Bowel sound:

Vascular sound:

Peritoneal friction rubs:

Percuss the abdomen:

Liver size:
 Light palpation:

Deep palpation:

Palpate liver:

Palpate bladder:

Muscles:

Inspect muscle:

Inspect muscle and tendons for contraction:

inspect muscle for fascinator and tremors:

Palpate muscle:

Sternocleidomastoid:

Trapezius:

Deltoid:

Biceps:

Triceps:

Wrista nd finger:

Grip strength:

Hip muscle:

Hip abduction:

Hip adduction:

Hamstring:

Quadtriceps:

Muscle of the ankle and feet:

Bones:

Joints:

Reflexes:

Biceps reflex test:

 Triceps reflex:

Brachioradialis reflex:

Patellar reflex:

Achilles reflex:

Plantar reflex:

Motor function

Walking gait:

Hell toe walking:

Fine motor test:

Alternating supination pronation:

Finger to nose and to the nurse’s finger:

Finger to finger:

Finger to thumb:

Heel down opposite shin:

Toe or ball of foot to the nurse’s finger:

Light to touch sensation:

Pain sensation:

Temperature sensation:

Position or kinesthetic sensation:

Tactile discrimination:

Stereognosis:

Extinction phenomenon:
Cranial nurve:

II

III

IV

VI

VII

VIII
VIIII

IX

X
XI

XII