PHYSICAL EXAMINATION  (Cont’d  )                                                

 

GENITOURINARY (Female)/(Pelvic examination):

• c Normal external genitalia [including general appearance, hair distribution, no lesion and vagina [vaginal appearance, estrogen effect , pelvic support and no discharge, lesion, cystocele, or rectocele].

• c Normal Urethra [including no discharge. meatal redness, tenderness or mass].

• c Normal bladder [including non-palpable, non-tender, no mass].

• c Normal cervix [including appearance and firmness, no lesion or discharge].

• c Normal uterus [including normal size, contour, position, mobility, tenderness, consistency, descent, support].

• c Normal adnexa/parametria [including no mass, tenderness, organomegaly or nodularity].

     c Except abnormal for

 

LYMPHATIC:

•• c Non- palpable Cervical and axillary lymph nodes.

•• c Non- palpable inguinal and               lymph nodes.

c Except abnormal for

 

MUSCULOSKLETAL:

• c Normal gait and station [including arm swings and no ataxia].

• c Normal inspection and palpation of digits and nails [including no clubbing, cyanosis, infection, ischemia, petechiae, swelling or nodes].

       c Except abnormal for

 

•••• Head and neck:     c Normal inspection and/or palpation  with no misalignment, asymmetry, crepitation, defect, tenderness, or mass.      c Normal range of motions without pain, crepitation or contacture.

c Normal stability without dislocation, subluxation or laxity.      c Normal muscle srength and tone without atrophy or abnormal movements.

c  Except abnormal for

 

•••• Spine, ribs and pelvis:     c Normal inspection and/or palpation with no misalignment, asymmetry, crepitation, defect, tenderness, or mass.      c Normal range of motions without pain, crepitation or contacture.

c Normal stability without dislocation, subluxation or laxity.      c Normal muscle srength and tone without atrophy or abnormal movements.

c Except abnormal for

 

•••• R. upper extremity:       c Normal inspection and/or palpation with no misalignment, asymmetry, crepitation, defect, tenderness, mass or effusion.       c Normal range of motions without pain, crepitation or contacture.

c Normal stability without dislocation, subluxation or laxity.      c Normal muscle srength and tone without atrophy or abnormal movements.

c Except abnormal for

 

•••• L. upper extremity:       c Normal inspection and/or palpation with no misalignment, asymmetry, crepitation, defect, tenderness, mass or effusion.       c Normal range of motions without pain, crepitation or contacture.

c Normal stability without dislocation, subluxation or laxity.      c Normal muscle srength and tone without atrophy or abnormal movements.

c Except abnormal for

 

•••• R. lower extremity:        c Normal inspection and/or palpation with no misalignment, asymmetry, crepitation, defect, tenderness, mass or effusion.       c Normal range of motions without pain, crepitation or contacture.

c Normal stability without dislocation, subluxation or laxity.      c Normal muscle srength and tone without atrophy or abnormal movements.

c Except abnormal for

 

•••• L. lower extremity:        c Normal inspection and/or palpation with no misalignment, asymmetry, crepitation, defect, tenderness, mass or effusion.       c Normal range of motions without pain, crepitation or contacture.

c Normal stability without dislocation, subluxation or laxity.      c Normal muscle srength and tone without atrophy or abnormal movements.

c Except abnormal for

 

SKIN:

• c Normal inspection [including no rash, lesion or ulcer].

• c Normal palpation [including no palpable induration, tightening, cutaneousor/subcutaneous nodule].

c Except abnormal for

-5-