PHYSICAL ASSESSMENT CHEST AND ABDOMEN

NAME:

AGE:

BIRTHDATE:

MEDICAL REVIEW:
MAY RECENT SURGERY?

HIRAP HUMINGA?

MAY INJURY?

MEDICAL ASSESSMENT:
1) GENERAL APPEARANCE (INSPECTION)
2) THORAX (INSPECTION & PALPATION)
3) SCAPULAE PAKPAK (INSPECTION & PALPATION)
4) INTERCOSTAL SPACE & MOVEMENT (INSPECTION)
5) RIB SYMMETRY, STRUCTURE, & MOVEMENT (INSPECTION)
6) TEMPARATURE (PALPATION)
7) SKIN TURGOR (PINCH)
8) SPINAL ALIGNMENT (INSPECTION & PALPATION)
9) CHEST EXCURSION BUTTERFLY (INSPECTION & PALPATION)
10) TACTILE FREMITUS SAY 99 (PALPATION & ASSESSMENT)
11) VOCAL FREMITUS (AUSCULTATE)
A) BRONCHOPONY SAY 99 WITH STET (1-10 PATTERN)
B) EGOPHONY SAY “Eee” WITH STET (1-10 PATTERN)
C) WHISPERED PECTORILOQUY WHISPER 99 WITH STET (1-10 PATTERN)
12) BREATH SOUNDS (AUSCULTATION) INHALE EXHALE
13) CHEST WALL (PERCUSSION) 1-10 PATTERN
14) HEART & NECK VESSELS (INSPECTION)
15) CAROTID ARTERIES (AUSCULTATION & PALPATION)
16) PERICARDIUM (INSPECTION)
A) INSPECTION APICAL PULSE
B) PALPATION APICAL PULSE
C) AUSCULTATION APICAL PULSE
17) VALVE AREAS (INSPECTION & PALPATION)
A) AORTIC
B) PULMONIC
C) MITRAL
D) TRICUSPID
18) BREAST (INSPECTION)
19) AREOLA (INSPECTION)
20) NIPPLES (INSPECTION & PALPATION)
A) CIRCULAR
B) WEDGED
C) VERTICAL STRIP
21) ABDOMEN GEN. APPEARANCE (INSPECTION)
22) MASS (INSPECTION)
23) UMBILICUS (INSPECTION)
24) BOWEL SOUNDS (AUSCULTATION) 4 QUADRANTS
25) VASCULAR SOUNDS (AUSCULTATION) AORTA, RENAL, ILIAC, & FEMORAL ARTERIES
26) PERCUSSION 4 QUADRANTS
27) BLUMBERG’S TEST REBOUND TENDERNESS
28) DIRECT TENDERNESS
29) ROVSING’S TEST OPPOSITE PAIN
30) OBTURATOR SIGN ANGAT PAA
31) HYPERSENSITIVITY TEST SHARP OBJECT
32) MURPHY’S SIGN PAG DI NA HUMINGA
33) RENAL PALPATION LEFT AND ILALIM
34) RENAL PERCUSSION KIDNEY PUNCH
35) LIVER (PALPATION)
36) LIVER SIZE (PERCUSSION)
37) BLADDER (PALPATION)