Physical examination template: Difference between revisions

Jump to navigation Jump to search
Line 68: Line 68:


==Eyes==
==Eyes==
*[[Icteric sclera]] may be present
*Icteric sclera may be present
* [[Nystagmus]] may be present.
* [[Nystagmus]] may be present.
* Extra-ocular movements may be abnormal
* Extra-ocular movements may be abnormal

Revision as of 22:13, 9 August 2012

To go back to the main page, click here


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Charmaine Patel, M.D. [2]

Introduction to the Physical Examination Page

  • The page name should be "(Disease name) physical examination", with only the first letter of the title capitalized.
  • Goal:To describe in detail the various aspects of the physical examination with attention to how the disease you are describing may present.
  • Remember this section is to describe what characteristics may be found on physical examination, not how to do a physical exam (unless you are including specialized signs, eg Chvostek's sign, in which case you may give a brief description).
  • As with all microchapter pages liking to the main page, at the top of the edit box put {{CMG}}, your name template, and the microchapter navigation template you created at the beginning.
  • Remember to create links within Wikidoc by placing [[square brackets]] around key words which you want to link to other pages. For more information on how to create links click here.
  • Remember to follow the same format and capitalization of letters as outlined in the template below.
  • Below you will see examples of what you may describe as part of the physical examination.

Overview

  • The overview section should include the disease name in the first sentence.
  • The goal is to summarize the physical examination page in several sentences. This section can be the same as the physical examination segment on the overview page.
  • To see an example of an overview section on a physical examination page, click here.
  • A template sentence for the overview statement is as follows: "Disease name" is commonly associated with the findings of ___ on physical examination. Other pertinent findings include ___".

Appearance of the Patient

  • This section should give a general description of what a patient with the disease you are describing may look like. You may include a physical description such as obese, thin, cachectic, well appearing, ill appearing, diaphoretic etc.
  • For an example of the appearance of a patient section in the physical examination page, click here.

Vitals

Temperature

Pulse

Rate

Rhythm

  • The pulse is regular
  • The pules is irregularly irregular

Strength

Symmetry

  • The pulses may be asymmetric

Blood Pressure

Respiratory Rate

Skin

  • Cyanosis may be present
  • Jaundice may be present
  • A rash may be present
  • Pallor may be present
  • Lesions may be present

Head

  • Abnormalities of the head/hair may include ___
  • There may be evidence of trauma

Eyes

  • Icteric sclera may be present
  • Nystagmus may be present.
  • Extra-ocular movements may be abnormal
  • Pupils may not react to light
  • Ophthalmoscopic exam may be abnormal with findings of ___

Ears

Nose

  • Nares may be inflamed
  • There may be epistaxis
  • There may be purulent exudate from the nares
  • There may be tenderness to percussion of the sinuses
  • The nares may be congested

Throat

  • The throat may be erythematous
  • There may be exudate in the throat
  • There may be petechiae seen in the throat
  • There may be tonsillar inflammation

Neck

Lungs

Heart

Auscultation

Abdomen

Extremities

Neurologic