Intro knock, introduce, identify, privacy, explain, safety
GENERAL SURVEY Consciousness (month year), speech, general hygiene.
HEENT bumps lesions parasites hair distribution. Face sensation. perrlla x3. 6 cardinal gazes. Confrontation test. Inspect mouth (tongue midline), say "ah" uvula rises w/ phonation, swallow. Inspect nose (discharge, patency, deveation and shape). Inspect ear (cerumen, lesions and finger rub test) test head and shoulders against resistance, palpate lymph nodes (submental submadibular, tonsillar, preauricular, post auricular, anterior cervical, posterior cervical, occipital,Supra clavicular)
THORAX LUNG BACK 2:1 ratio anyeropostetior to transverse. Rate rhythm depth. No accessory muscle or cough. Spinal alignment. Costovertebral angle. Thoracic expansion. Tactile fremitus. 8 places in front, back, 2 axillary
HEART carotid pulses, bruits,AORTIC PULMONIC ERBS POINT TRICUSPID MITRAL
GASTRO shape of abdomen bowel sounds (4 quadrants) palpate 4 quadrants. Bowel & urinary habits/ problems
MUSCULOSKELETAL palpate for edema, tenderness,temp, lesions. Capillary refill. Gait &balance range of motions (arms neck legs)push against my hand. Reflexes. Pulses: radial brachial, popliteal, posterior tibial,dorsal is pedis
