Download PHYSICAL EXAMINATION Afnan .Y. Toonsi

PHYSICAL EXAMINATION
Afnan .Y. Toonsi
INTEGUMENTARY SYSTEM

Skin:

Inspect skin color.

Inspect uniformity of skin color.

Assess for edema (location, color, temperature, shape,
and degree

Inspect, palpate, and describe skin lesions according to
location, distribution, color, configuration, size, shape,
type or structure.
Macule
Papule
plaque, psoriasis
Pustule
Pustule
Nodule
Vesicle



Observe and palpate skin moisture.
Palpate skin temperature using the back of your
fingers.
Note skin turgor by pinching the skin on an extremity.

Hair:

Inspect evenness of growth over the scalp.

Inspect hair thickness or thinness.

Inspect hair texture and oiliness.

Note presence of infections by parting the hair in
several areas

Inspect amount of body hair.


Nail:
Inspect fingernail plate shape to determine its
curvature and angle


Nail:
Inspect fingernail plate shape to determine its
curvature and angle

Nail:

Inspect fingernail and toenail texture

Nail:

Inspect fingernail and toenail bed color

Nail:

Inspect tissue surrounding nails

Nail:

Perform blanch test of capillary refill
MUSCULOSKELETAL SYSTEM

Muscles:

Inspect the muscles for size .

Muscles:

Inspect the muscles and tendons for contracture.



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
Muscles:
Inspect the muscles for tremor. Inspect any tremors of
hand and arm by having the client hold the arm out in
front of the body.
Palpate muscles at rest to determine muscles tonicity .
Palpate muscles for flaccidity ( weakness or laxness ),
spasticity ( sudden involuntary muscle contraction ) and
smoothness of movement.
Test muscles strength.

Sternocleidomastoid:
Trapezius:

Deltoid :

Wrist & fingers:

Biceps:

Triceps:

Grip strength:



Hip adduction:
Hip muscles:

Hamstrings:


Hip abduction:
Quadriceps:

Dorsiflexion:




Bones:
Inspect the skeleton for normal
structure and deformity.
Palpate the bone to locate any area of
edema and tenderness.
Joints:



Inspect the joint for swelling, Palpate
each joint for tenderness, smoothness
of movement, swelling and presence of
nodules.
Assess joint range of motion. The
amount of joint movement can be
measured by goniometer ,device that
measure the angle of joint in degree.
Documentation.



Bones:
Inspect the skeleton for normal
structure and deformity.
Palpate the bone to locate any area of
edema and tenderness.
Joints:



Inspect the joint for swelling, Palpate
each joint for tenderness, smoothness
of movement, swelling and presence of
nodules.
Assess joint range of motion. The
amount of joint movement can be
measured by goniometer ,device that
measure the angle of joint in degree.
Documentation.