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What are some normal physical examination findings?

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What are some normal physical examination findings?

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:

    • How do you write HPI?

    The HPI should be written in prose with full sentences and be a narrative that builds an argument for the reason the patient was admitted.

    1. Has a starting point (i.e. “the patient was in her usual state of health until 5 days prior to admission.).
    2. Has appropriate flow, continuity, sequence, and chronologic order.

    What is a physical examination report?

    It generally consists of a series of questions about the patient’s 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.

    What is a normal physical exam?

    In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

    What are the methods of physical examination?

    WHEN YOU PERFORM a physical assessment, you’ll use four techniques: inspection, palpation, percussion, and auscultation.

    What is the purpose of a physical examination?

    A physical examination helps your PCP to determine the general status of your health. The exam also gives you a chance to talk to them about any ongoing pain or symptoms that you’re experiencing or any other health concerns that you might have.

    Do doctors check your private parts during a physical exam?

    Your doctor will both visually and physically examine your vagina, vulva, and cervix, checking for any abnormalities that may be indicative of cancer, sexually transmitted disease, or other benign condition. As part of the pelvic exam, your doctor will perform a bimanual exam.

    What are the basic steps of physical examination?

    The components of a physical exam include:

    • Inspection. Your examiner will look at, or “inspect” specific areas of your body for normal color, shape and consistency.
    • Palpation.
    • Percussion.
    • Auscultation.
    • The Neurologic Examination: