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SAN PEDRO COLLEGE

PHYSICAL ASSESSMENT GUIDE


Part III – MUSCULOSKELETAL & NEUROLOGICAL ASSESSMENT

MUSCLES:

● Gait smooth, with equal stride and good base


of support. Sternoclavicular joint midline with
swelling or redness. Normal curves of cervical,
thoracic, and lumbar spine. Paravertebrals
nontender.

NOTES

BONES: NOTES
● Upper and lower extremities symmetric without
lesions,nodules, deformities,or swelling. Full ROM of
TMJ with no pain, tenderness, clicking or crepitus.
JOINTS. NOTES
● Full smooth ROM of cervical and lumbar spine.
Full smooth ROM against gravity and resistance.

NEUROLOGICAL ASSESSMENT. NOTES


● Identifies correct scents Vision 20/20 OS, 20/20 OD,
full visual fields intact. 3,4,6 No ptosis, full extraocular
movements (EOM) pupils equally round, react to light
and accommodation (PERRLA) Temporal and
masseter muscles contract Bilaterally. Able to identify
light, sharp, dull touch to forehead, cheek, and chin.
Corneal reflex present. Able to smile, frown, wrinkle
forehead, show teeth, puff out cheeks, purse lips, raise
eye-brows, and close eyes against resistance.
Whispered 2 syllable words heard bilaterally. Uvula
and soft palate rise symmetrically on phonation. Gag
reflex present. Swallows without difficulty. Equal
shoulder shrug against resistance; turns head in both
directions against resistance. Protrudes tongue in
midline with no tremors, able to push tongue blade to
right and left with no difficulty.

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