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| ==Overview== | | ==Overview== |
| Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
| | The most common physical examination finding is the passage of frank blood per rectum (hematochezia). |
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| Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
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| OR
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| The presence of [finding(s)] on physical examination is diagnostic of [disease name].
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| OR
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| The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
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| ==Physical Examination== | | ==Physical Examination== |
| | | The most common physical examination finding is the passage of frank blood per rectum (hematochezia). |
| *Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
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| *The presence of [finding(s)] on physical examination is diagnostic of [disease name].
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| *The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
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| ===Appearance of the Patient=== | | ===Appearance of the Patient=== |
| *Patients with [disease name] usually appear [general appearance]. | | *Patients with [disease name] usually appear [general appearance]. |
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| ===Vital Signs=== | | ===Vital Signs=== |
| | | *[[Fever]] |
| *High-grade / low-grade fever
| | *[[Tachycardia]] |
| *[[Hypothermia]] / hyperthermia may be present | | *Tachypnea |
| *[[Tachycardia]] with regular pulse or (ir)regularly irregular pulse | | *[[Hypotension]] with normal pulse pressure. |
| *[[Bradycardia]] with regular pulse or (ir)regularly irregular pulse
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| *Tachypnea / bradypnea | |
| *Kussmal respirations may be present in _____ (advanced disease state)
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| *Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
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| *High/low blood pressure with normal pulse pressure / [[wide pulse pressure]] / [[narrow pulse pressure]] | |
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| ===Skin=== | | ===Skin=== |
| *[[Cyanosis]] | | *[[Cyanosis]] |
| *[[Jaundice]]
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| * [[Pallor]]
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| * Bruises
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| <gallery widths=150px>
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| UploadedImage-01.jpg | Description {{dermref}}
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| UploadedImage-02.jpg | Description {{dermref}}
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| </gallery>
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| ===HEENT===
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| * Abnormalities of the head/hair may include ___
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| * Evidence of trauma
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| * Icteric sclera
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| * [[Nystagmus]]
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| * Extra-ocular movements may be abnormal
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| *Pupils non-reactive to light / non-reactive to accomodation / non-reactive to neither light nor accomodation
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| *Ophthalmoscopic exam may be abnormal with findings of ___
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| * Hearing acuity may be reduced
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| *[[Weber test]] may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
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| *[[Rinne test]] may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
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| * [[Exudate]] from the ear canal
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| * Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
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| *Inflamed nares / congested nares
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| * [[Purulent]] exudate from the nares
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| * Facial tenderness
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| * Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
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| ===Neck===
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| *[[Jugular venous distension]]
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| *[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
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| *[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
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| *[[Thyromegaly]] / thyroid nodules
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| *[[Hepatojugular reflux]]
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| ===Lungs=== | | ===Lungs=== |
| Normal bilateral vesicular breathe sounds. | | * Normal bilateral vesicular breath sounds. |
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| ===Heart=== | | ===Heart=== |
| Normal S1S2 sounds with regular rate and rhythm. | | * Normal S1S2 sounds with regular rate and rhythm. |
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| ===Abdomen=== | | ===Abdomen=== |
| Abdominal examination reveals
| | *[[Tenderness]] |
| *Tenderness
| | *[[Distension]] |
| *Distension
| | *[[Abdominal mass]] |
| *Abdominal mass
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| ===Back===
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| *Point tenderness over __ vertebrae (e.g. L3-L4)
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| *Sacral edema
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| *Costovertebral angle tenderness bilaterally/unilaterally
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| *Buffalo hump
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| ===Genitourinary===
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| *A pelvic/adnexal mass may be palpated
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| *Inflamed mucosa
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| *Clear/(color), foul-smelling/odorless penile/vaginal discharge
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| ===Neuromuscular===
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| *Patient is usually oriented to persons, place, and time
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| * Altered mental status
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| * Glasgow coma scale is ___ / 15
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| * Clonus may be present
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| * Hyperreflexia / hyporeflexia / areflexia
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| * Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
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| * Muscle rigidity
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| * Proximal/distal muscle weakness unilaterally/bilaterally
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| * ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
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| *Unilateral/bilateral upper/lower extremity weakness
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| *Unilateral/bilateral sensory loss in the upper/lower extremity
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| *Positive straight leg raise test
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| *Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
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| *Positive/negative Trendelenburg sign
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| *Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
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| *Normal finger-to-nose test / Dysmetria
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| *Absent/present dysdiadochokinesia (palm tapping test)
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| ===Extremities===
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| *[[Clubbing]] | |
| *[[Cyanosis]] | |
| *Pitting/non-pitting [[edema]] of the upper/lower extremities | |
| *Muscle atrophy
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| *Fasciculations in the upper/lower extremity
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{Reflist|2}} |