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WHEN YOU PERFORM a physical assessment, youll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequenceunless youre performing an abdominal assessment. Palpation and percussion can alter bowel sounds, so youd inspect, auscultate, percuss, then palpate an abdomen.
It generally consists of a series of questions about the patients medical history followed by an examination based on the reported symptoms. Together, the medical history and the physical examination help to determine a diagnosis and devise the treatment plan. These data then become part of the medical record.
PHYSICAL EXAMINATION - Normal. Vital signs: BP 120/80; P 68/min reg; RR 14/min; T 36.9 C; Wt. General: Well-developed, well-nourished, appearing stated age. Head: Normocephalic without scalp lesions. Neck: Neck supple with full range of motion (ROM). Chest back: No abnormal curvature of spine. Lungs: Cardiovascular:
Physical Exams Some things that are performed during the physical include weight, blood pressure, temperature, heartbeat, as well as checking your ears, nose, lungs, throat, and eyes. A pap smear in women or a genital exam in men may also be performed to assess their different risk factors.
A physical examination usually includes: 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)
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Normal findings might be documented as: Skin temperature is warm and equal bilaterally on arms and legs. Skin is smooth with no perspiration and no lesions. Good skin turgor. Limb circumference is equal bilaterally with no edema.
General Appearance Consider signs of deterioration including: looks well or unwell, pale or flushed, lethargic or active, agitated or calm, compliant or combative, posture and movement. Age specific considerations can be found in the table below.
At most physicals, doctors will screen your blood pressure, heart rate, temperature, lungs and head, as well as check your general appearance. Males, specifically, should expect a testicular exam, a hernia exam, a exam and a prostate exam.

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