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your learning objectives for mastering the general survey are to assess and describe the patients general appearance including level of consciousness signs of distress apparent state of health and facial expression to assess the height weight and build of the patient and to measure the vital signs including the blood pressure heart rate both radioland apical respiratory rate and temperature the general survey of the patients appearance height and weight begins with the opening moments of the patient encounter does the patient hear you when greeted rise with ease walk easily or stiffly each observation should raise questions or hypotheses for you to consider as your assessment unfolds the best clinicians continually sharpen their powers of observation and description throughout the patient visit before beginning any physical examination elicit a careful history to clarify the patients concerns common or concerning symptoms relating to the general survey and vital signs include pain