PHYSICAL EXAMINATION

A. General Information Name of Client: Vilma L. Pecardal Age: 41 Sex: female Civil Status: in a common law marriage Home Address: Blk. 30 Lot 15 Macopa Mangga 3 Nagpayog, Pinagbuhatan, Pasig City B. Vital Signs Temperature: 36.5*C PR: 80 beat per minute RR: 20 breaths per minute C. GENERAL SURVEY Conscious, coherent, oriented to time, person and place No distress or in pain Well developed, looks according to age Well nourished No tense and is calm Coordinated gait D. SKIN No pallor, jaundice nor cyanosis Smooth texture Good skin turgor No rashes E. HEAD Normocephalic, symmetrical Fine hair, normal hair distribution No alopecia and dandruff No masses, lesions, scars, tenderness F. EYES Lids symmetrical No swelling, lesions, ptsosis No periorbital edema Pinkish conjunctiva, anicteric sclera No lens opacity G. EARS Pinnae normoset, symmetrical No gross abnormalities and tenderness No discharge Has hearing clarity changes H. NOSE Symmetrical, no nasal flaring Septum in midline, no perforation No discharge Both patent, no masses I. MOUTH No cracks No pallor, cyanosis, lesions Tongue in midline Pinkish mucosa, no lesions Gums pinkish, no gum bleeding Intact speech, no slurring PHARYNX Uvula in midline Pinkish mucosa BP: 150/90 mmHg Height: 153 cm Weight: 63 kgs.

J.

K. NECK Trachea in midline Non-palpable cervical lymph nodes No neck enlargement Normal ROM, no neck rigidity No masses

CHEST AND LUNGS Chest is symmetrical and without skin lesions No bony abnormalities RR regular and unlabored No hyperpnea. dyspnea No use of accessory muscles A-P ratio of 1:2 M. BREAST AND AXILLAE: No pain No masses PHYSICAL EXAMINATION . regular and strong Nail beds pink. tachypnea. BACK AND EXTREMITIES Peripheral pulse symmetrical. ABDOMEN: Slightly globular and symmetric Skin clear Umbilicus at midline No herniation No masses P. HEART: No chest pain O.L. no clubbing Full ROM No weakness Spine in midline No masses or tenderness N.

SKIN No pallor. NECK Trachea in midline Non-palpable cervical lymph nodes No neck enlargement Normal ROM. no neck rigidity No masses L. scars. GENERAL SURVEY Conscious. no masses I. cyanosis. EYES Lids symmetrical No swelling. coherent. normal hair distribution No alopecia and dandruff No masses. jaundice nor cyanosis Smooth texture Good skin turgor Rashes at face and chest E. no lesions Gums pinkish. CHEST AND LUNGS Chest is symmetrical and without skin lesions No bony abnormalities RR regular and unlabored . EARS Pinnae normoset. symmetrical Fine hair. lesions. no nasal flaring J. General Information Name of Client: Raul L. Pecardal Age: 44 Sex: male Civil Status: in a common law marriage Home Address: Blk. no slurring PHARYNX Uvula in midline Pinkish mucosa BP: 120/80 mmHg Height: 153 cm Weight: 75 kgs. Septum in midline. lesions. symmetrical No gross abnormalities and tenderness No discharge No hearing deficit H. person and place No distress or pain Well developed. ptsosis No periorbital edema Pinkish conjunctiva. no perforation No discharge Both patent.5*C PR: 80 beat per minute RR: 20 breaths per minute C. 30 Lot 15 Macopa Mangga 3 Nagpayog. K. NOSE Symmetrical. lesions Tongue in midline Pinkish mucosa. tenderness F. Pinagbuhatan. Pasig City B. HEAD Normocephalic. oriented to time.A. anicteric sclera No lens opacity No eye glasses G. Vital Signs Temperature: 36. no gum bleeding Intact speech. MOUTH No cracks No pallor. looks according to age Well nourished No tense and is calm Coordinated gait D.

BACK AND EXTREMITIES Peripheral pulse symmetrical. ABDOMEN: Slightly globular and symmetric Skin clear Umbilicus at midline No herniation No masses P. Pecardal Age: 16 .No hyperpnea. dyspnea No use of accessory muscles A-P ratio of 1:2 M. tachypnea. HEART: No chest pain No palpitations N. General Information Name of Client: Rey L. no clubbing Full ROM No weakness Spine in midline No masses or tenderness PHYSICAL EXAMINATION A. BREAST AND AXILLAE: No palpable masses Symmetrical O. regular and strong Nail beds pink.

CHEST AND LUNGS Chest is symmetrical and no skin lesions No bony abnormalities RR regular and unlabored No hyperpnea. looks according to age Well nourished No tense and is calm Coordinated gait D. 30 Lot 15 Macopa Mangga 3 Nagpayog. HEART: . no perforation Pinkish mucosa. no nasal flaring Septum in midline. GENERAL SURVEY Conscious. tachypnea. symmetrical Fine hair. coherent. tenderness F. EARS Pinnae normoset.Sex: male Civil Status: single Home Address: Blk. oriented to time. Vital Signs Temperature: 36. ptsosis No periorbital edema Pinkish conjunctiva.5*C PR: 80 beats per minute RR: 20 breaths per minute C. SKIN No pallor. lesions. MOUTH No cracks No pallor. Pinagbuhatan. J. person and place No distress nor pain Well developed. lesions Tongue in midline Pinkish mucosa. EYES Lids symmetrical No swelling. dyspnea No use of accessory muscles A-P ratio of 1:2 Equal chest expansion M. cyanosis. normal hair distribution No alopecia and dandruff No masses. symmetrical No gross abnormalities and tenderness No discharge No hearing deficit H. scars. no neck rigidity No masses L. no discharge Gross smell symmetrical Both patent. Pasig City B. no masses I. no slurring PHARYNX Uvula in midline Pinkish mucosa BP: 120/80 mmHg Height: 169 cm Weight: 60 kgs. K. no lesions Gums pinkish. HEAD Normocephalic. lesions. anicteric sclera No lens opacity No eye glasses G. jaundice nor cyanosis Smooth texture Good skin turgor No rashes at face and chest E. NECK Trachea in midline Non-palpable cervical lymph nodes No neck enlargement Normal ROM. no gum bleeding Intact speech. NOSE Symmetrical.

30 Lot 15 Macopa Mangga 3 Nagpayog.No chest pain No palpitations N. ABDOMEN: Slightly globular and symmetric Skin clear Umbilicus at midline No herniation No masses P. Pecardal Age: 12 Sex: female Civil Status: single Home Address: Blk. BACK AND EXTREMITIES Peripheral pulse symmetrical. BREAST AND AXILLAE: No palpable masses Symmetrical O. General Information Name of Client: Marivic L. Pinagbuhatan. regular and strong Nail beds pink. no clubbing Full ROM No weakness Spine in midline No masses or tenderness PHYSICAL EXAMINATION A. Pasig City .

looks according to age Well nourished No tense and is calm Coordinated gait D. BP: 110/70 mmHg Height: 144 cm Weight: 34 kgs. jaundice nor cyanosis Smooth texture Good skin turgor No rashes at face and chest E. GENERAL SURVEY Conscious. lesions Tongue in midline Pinkish mucosa. coherent. no neck rigidity No masses L. no perforation Symmetrical nasolabial fold Pinkish mucosa. lesions. BREAST AND AXILLAE: No palpable masses . no gum bleeding Intact speech.B. NECK Trachea in midline Non-palpable cervical lymph nodes No neck enlargement Normal ROM. anicteric sclera No lens opacity No eye glasses G. person and place No distress nor pain Well developed. no lesions Gums pinkish. EYES Lids symmetrical No swelling. no slurring PHARYNX Uvula in midline Pinkish mucosa J. CHEST AND LUNGS Chest is symmetrical and no skin lesions No bony abnormalities RR regular and unlabored No hyperpnea. Vital Signs Temperature: 36. no discharge Gross smell symmetrical Both patent. scars. tachypnea. MOUTH No cracks No pallor. dyspnea No use of accessory muscles A-P ratio of 1:2 Equal chest expansion M. oriented to time. SKIN No pallor. normal hair distribution No alopecia and dandruff No masses. NOSE Symmetrical.5*C PR: 80 beats per minute RR: 20 breaths per minute C. HEART: No chest pain No palpitations N. ptsosis No periorbital edema Pinkish conjunctiva. HEAD Normocephalic. symmetrical Fine hair. symmetrical No gross abnormalities and tenderness No discharge No hearing deficit H. no masses I. no nasal flaring Septum in midline. tenderness F. cyanosis. EARS Pinnae normoset. lesions. K.

regular and strong Nail beds pink. BACK AND EXTREMITIES Peripheral pulse symmetrical. ABDOMEN: Slightly globular and symmetric Skin clear Umbilicus at midline No herniation No masses P.Symmetrical O.5*C PR: 80 beats per minute RR: 20 breaths per minute . Pasig City B. Vital Signs Temperature: 36. 30 Lot 15 Macopa Mangga 3 Nagpayog. General Information Name of Client: Augustin Lacava Age: 59 Sex: male Civil Status: in a common law marriage Home Address: Blk. Pinagbuhatan. no clubbing Full ROM No weakness Spine in midline No masses or tenderness PHYSICAL EXAMINATION A.

no lesions Gums pinkish. no perforation Symmetrical nasolabial fold Pinkish mucosa. PHARYNX Uvula in midline Pinkish mucosa K. NOSE Symmetrical. BREAST AND AXILLAE: No palpable masses Symmetrical . no nasal flaring Septum in midline. oriented to time. foul smelling Intact tympanic membrane Has hearing deficit H. person and place No distress or pain Well developed. scars. coherent. no masses I. dyspnea No use of accessory muscles A-P ratio of 1:2 Equal chest expansion M. NECK Trachea in midline Non-palpable cervical lymph nodes No neck enlargement Normal ROM. cyanosis. normal hair distribution White hair is present No alopecia and dandruff No masses. ptsosis No periorbital edema Pinkish conjunctiva. looks according to age Well nourished No tense and is calm Uncoordinated gait D. MOUTH Weight: 55 kgs. EYES Lids symmetrical No swelling. tenderness F. lesions. symmetrical No gross abnormalities and tenderness No discharge. SKIN No pallor. lesions. EARS Pinnae normoset. symmetrical Fine hair. HEAD Normocephalic.BP: 120/60 mmHg Height: 155 cm C. Slightly cracked lips No pallor. no discharge Both patent. no gum bleeding No dentures Incomplete set of teeth Has halitosis J. lesions Tongue in midline Pinkish mucosa. tachypnea. HEART: No chest pain No palpitations N. no neck rigidity No masses L. GENERAL SURVEY Conscious. CHEST AND LUNGS Chest is symmetrical and without skin lesions No bony abnormalities RR regular and unlabored No hyperpnea. anicteric sclera Has lens opacity No eye glasses Have disturbances in visual acuity G. jaundice nor cyanosis Saggy texture Loose skin turgor No rashes at face and chest E.

widened pulse pressure. ABDOMEN: Symmetric Skin clear Umbilicus at midline No herniation No masses P. BACK AND EXTREMITIES Peripheral pulse symmetrical. Nail beds pink.O. no clubbing Full ROM is altered Has weakness Spine in midline Increased curvature of thoracic and cervical curvature No masses or tenderness .