Professional Documents
Culture Documents
Systems
RESPIRATORY SYSTEM:
Upper Resp. tract
Inspection:
Palpation:
Percussion:
Area
Septum
Oral cavity
Discharge
Tonsils
Sinuses
Pharynx
Shape of chest
Trachea
Spine
Hollowing;Bulging;Flattening;Retraction
Drooping of shoulder
Chest movement
Expansion
Accessory muscles
Scars;Pulsations;Dilated veins
Tenderness
Trachea
Apex
Chest movement
Expansion
Tactile vocal fremitus
Note
Rt
Auscultarion:
Rt
Area
Breath sounds
Lt
Area
Breath sounds
Lt
VR
Added sounds
VR
Added sounds
GASTROINTESTINAL SYSTEM:
Oral cavity
Inspection:
Shape of abdomen
Swellings
Pulsation
Peristalsis
Veins
Hernial orifices
Umbilicus
External genitalia
Palpation:
Tenderness
Liver
Spleen
Other organs
Percussion: Shifting dullness
Fluid thrill
Auscultation:
Bowel sounds
Bruit
CENTRAL NERVOUS SYSTEM:
Higher functions: Behaviour
Orientation
Hallucination
Memory
Speech
Intelligence
Delusion
Release reflexes
Cr.N.
1st
2nd Acuity
Colour vision
Field
3:4:6:
Eyemovements
Squint
Diplopi
Pupil: Size
Shape
Light Reflex
Accommodation Reflex
5th
Cornial Reflex
Conjuntival Reflex
Sensation over face
Nystagmus
Muscles of mastigation
Motor
Taste
8th
Rennes
Weber
9;10;1 1: Gag
Palatal Reflex
7th
Vertigo
12th
Motor system
Bulk
Tone
Power
Involuntary movt.
Reflexes Deep
Superfical
Clonus
Co-ordination
Sensory system
Posterior column
Cerebellum
Cortical sensation
Meningeal iritation
Autonomic functions
CARDIOVASCULAR SYSTEM
Inspection
poor physical development
squatting
dyspnea
tachypnea
central cyanosis
edema
finger clubbing
distention of superficial veins.
precordial bulging and abnormal pulsation
increased pulsation in the central and superior parts of the precordium
pulsation and visible lifting of the apical precordium.
Bulge is due to RV dilatation
LPH (left parasternal heave) is due to RVH.
The position of the apex beat displaced down and out means LV dilatation
Jugular venous pressure (increased if above the level of the manubrium sterni
Palpation
Applying the palm of the hand to the chest
Thrills
increased precordial pulsation (apical in left ventricular hypertrophy and basal and right sided in
right ventricular hypertrophy)
diastolic shock (in the pulmonary area in pulmonary hypertension)
The apex beat, normally in the fourth or fifth intercostal space within the mid-clavicular line