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  • PHYSICAL EXAMINATION-Head To Toe Examination

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    This document outlines a head-to-toe physical examination of a child, including assessments of their general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, abdomen, extremities, genitalia, anus and rectum, as well as assessments of their central nervous, respiratory, cardiovascular, hematological, gastrointestinal, and genitourinary systems. Key aspects examined include level of consciousness, activity, grooming, posture, body build, gait, anthropometric measurements, temperature, pulse, respiration, blood pressure, skin color and texture, head size and fontanelles, hair, facial expressions and symmetry, eyes, ears, nose, mouth, teeth, tongue

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    Physical Examination

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    This document outlines a head-to-toe physical examination of a child, including assessments of their general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, abdomen, extremities, genitalia, anus and rectum, as well as assessments of their central nervous, respiratory, cardiovascular, hematological, gastrointestinal, and genitourinary systems. Key aspects examined include level of consciousness, activity, grooming, posture, body build, gait, anthropometric measurements, temperature, pulse, respiration, blood pressure, skin color and texture, head size and fontanelles, hair, facial expressions and symmetry, eyes, ears, nose, mouth, teeth, tongue

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    253 visualizzazioni4 pagine

    PHYSICAL EXAMINATION-Head To Toe Examination

    Caricato da

    subi
    This document outlines a head-to-toe physical examination of a child, including assessments of their general appearance, vital signs, skin, head, eyes, ears, nose, mouth, neck, chest, abdomen, extremities, genitalia, anus and rectum, as well as assessments of their central nervous, respiratory, cardiovascular, hematological, gastrointestinal, and genitourinary systems. Key aspects examined include level of consciousness, activity, grooming, posture, body build, gait, anthropometric measurements, temperature, pulse, respiration, blood pressure, skin color and texture, head size and fontanelles, hair, facial expressions and symmetry, eyes, ears, nose, mouth, teeth, tongue

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    PHYSICAL EXAMINATION- Head to toe examination

    Physical feature Theory Child value


    General appearance Level of consciousness: Conscious/
    Semi conscious/ Unconscious
    Activity: Active/ Lethargic/Restless
    Grooming: Well groomed/ Untidy
    Posture: Normal/ Flexion/ Kyphosis/
    Lordosis/ Scoliosis
    Body build: Thin/ Obese/Normal
    Gait: Normal/ Unsteady
    Anthropometry Weight:
    Height:
    Head circumference:
    Chest circumference:
    Upper Mid-arm circumference:

    Vital signs Axillary temperature:


    Pulse Rate:
    Respiration:
    Blood pressure:
    Skin Colour: Pink/Cyanosis/ Pallor
    Texture: Smooth/ Rough
    Lesions: Macule/ Papule/ Scar

    Head Size: Normal/ Hydrocephalus/


    Macrocephalus
    Anterior Fontanelle: Closed/ Not
    closed
    Posterior Fontanelle: Closed/ Not
    closed
    Scalp: Normal/Lesion
    Skull: Normal/ Cephalohaemotoma/
    Caput succedaneum
    Hair Texture: Normal/ Brittle/Dry/ Oily
    Colour: Black/ Brown/ Grey
    Distribution: Normal/Scanty/Alopecia
    Face Facial expressions: Depression/
    Anxiety/ Anger
    Facial movements: Excessive
    blinking/ Continuous smiling
    Facial symmetry: Bulging/ Sunken
    area/Drooping
    Colour skin: Pink/ Pale
    Eyes Eyebrow: Symmetrical/ Asymmetrical
    Eyelashes: Infection/ Normal
    Eyelids: Lesions/ Normal
    Infection: Conjunctiva/ Stye/
    Opthalmia neonatrum
    Discharge: Present/Absent
    Movement: Normal/ Squint
    Vision: Normal/ Blurred vision
    Ear Symmetry: Symmetrical/Asymmetrical
    Hearing: Normal/Hearing
    Aid/Deafness
    Discharge: Present/ Absent
    Nose Symmetry: Symmetrical/
    Asymmetrical
    Nasal Septum Deviation: Present/
    Absent
    Nose Flaring: Present/ Absent
    Discharge: Present/ Absent
    Mouth Breathe: Normal/ Acetone/ Halitosis
    Lip colour: Pink/ Blue/ Pale
    Teeth: Healthy/ Poorly aligned/ Dental
    Caries/ plaque
    Tongue: Normal/ Lesions/ Dry/ Moist
    Abnormality: Cleft lip and Cleft Palate
    Neck Range of motion: Present/ Absent
    Lymph Nodes: Enlarged/ Normal
    Chest Breathing: With efforts/ Normal
    without efforts
    Symmetry: Normal/ Asymmetrical
    Breathing Rate: Normal/ Tachypenea/
    Bradypenea/ Apnea
    Breast: Normal/ Mastitis/ Lump
    Nipple: Normal/ Cracked/ Secretions

    Abdomen Inspection: Skin rash/ Hernia/ Ascites/


    Distension/ Normal
    Palpation: Tenderness/ Palpable
    organs (liver, spleen)
    Percussions: Presence of gas/ Masses
    Auscultation (bowel sounds): Present/
    Absent
    Upper Extremities:
    Range of motion: Present/ Absent
    Any Problem: Joint pain/
    Inflammation/ Tenderness
    Number of fingers: Syndactyly/
    Polydactyl/ Normal
    Lower Extremities:
    Range of motion: Present/ Absent
    Any Problem: Joint pain/
    Inflammation/ Tenderness
    Any Deformity: Club foot/ Hip
    dislocation
    Genitalia Females:
    Mons pubis: Normal/Abnormal
    External Genitalia: Inflammation/
    Edema/ Lesion/ Normal
    Urinary pattern: Normal/ Burning/
    Micturition
    Congenital Anomalies: Present/
    Absent
    Anus and Rectum Any Congenital Anomalies: Present/
    Absent
    Any Other Abnormality: Piles/ Polyps/
    Malina/ Ulcer

    SYSTEMIC EXAMINATION
    Physical Features Theory Child Value
    Central Nervous System Crying : High pitch cry/ Weak cry/
    Normal
    Raised Intra- cranial Tension:
    Headache, vomiting, neck or spinal
    stiffness present/ Absent
    Seizures: Mild/ Moderate/ Severe/
    Absent
    Respiratory System Cough: Present/Absent
    Breathing difficulty: Mild/ Moderate/
    Severe/ Absent
    Chest pain: Present/ Absent
    Dyspnea: Present/ Absent
    Cardiovascular System Feeding Difficulties: Present/ Absent
    Puffiness of face and swelling of feet:
    Present/ Absent
    Heart Rate: Bradycardia/ Tachycardia/
    Normal/ Absent
    Haematological System Anemia: Mild/ Moderate/ Severe/
    Absent
    Haemophilia, Thalassaemia: Present/
    Absent
    Gastro – intestinal Abdominal Pain and Cramping: Mild/
    System Moderate/ Severe/ Absent
    Jaundice: resent/ Absent
    Diarrhea: Mild/ Moderate/ Severe/
    Absent
    Dysphagia and Dyspepsia: Absent/
    Present
    Anorexia or excessive Appetite:
    Absent/ Present
    Genito - urinary System Abnormality of urine Passage:
    Dysuria/ Hematuria/ Absent
    Amount of urine: Oliguria/ Anuria/
    Polyuria, Nocturia
    Congenital Anomalies: present/
    Absent

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