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Click ‘Get Form’ to open the generic physical examination form in the editor.
Begin by entering the patient's personal information in the designated fields, including name, date of birth, and contact details. This ensures accurate identification.
Proceed to the medical history section. Here, you will find checkboxes for various conditions. Select all that apply to provide a comprehensive overview of the patient's health background.
Next, fill out the physical examination findings. This section may include fields for height, weight, blood pressure, and other vital signs. Input these measurements accurately for effective assessment.
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What is meant by general physical examination?

Definition. Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patients history and pathophysiology.

What is checked in a general physical exam?

General physical evaluation to check the ears, nose, throat, heart, lungs and abdomen. Height and weight measurements. Information on supplements or medications you take. Review of you and your familys medical history.

What are the 5 physical examination techniques?

Physical examination is a vital skill for health care professionals, such as nurses, paramedics, pharmacists, and health care assistants. It is the process of evaluating the physical condition of a patient by using observation, palpation, percussion, auscultation, and smell.

What are the 4 components of a physical exam?

Inspection (looking at the body) Palpation (feeling the body with fingers or hands) Auscultation (listening to sounds, usually with a stethoscope) Percussion (producing sounds, usually by tapping on specific areas of the body)

What is included in the general examination?

The general examination involves inspection of the general appearance, hands/arms, skin, face, eyes, mouth, neck, edema, lymph nodes, and vital signs. Specific signs and abnormalities are described for different body systems and diseases.

printable basic physical exam form pdf

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How to describe general appearance on a physical exam?

General: Well appearing, well nourished, in no distress. Oriented x 3, normal mood and affect . Ambulating without difficulty. Skin: Good turgor, no rash, unusual bruising or prominent lesions Hair: Normal texture and distribution.

What is the general physical examination?

A physical exam checks your overall health. Your healthcare provider will evaluate the basic function of your organs, address any concerns, update your vaccinations and help you get healthy or maintain good health.

How to document a physical examination?

List specific normal or pathological findings when relevant to the patients complaint Pupils equally round, 4 mm, reactive to light and accommodation, sclera and conjunctiva normal. Fundoscopic examination reveals normal vessels without hemorrhage. Tympanic membranes and external auditory canals normal.

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