|
|
| Line 10: |
Line 10: |
| ==Physical Examination== | | ==Physical Examination== |
|
| |
|
| *Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
| |
| *The presence of [finding(s)] on physical examination is diagnostic of [disease name].
| |
| *The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
| |
|
| |
|
| ===Appearance of the Patient=== | | ===Appearance of the Patient=== |
| *Patients with [disease name] usually appear [general appearance]. | | *Patients with sheehan's syndrome usually appear fatigued, lethargic and weight gain. |
|
| |
|
| ===Vital Signs=== | | ===Vital Signs=== |
| Line 21: |
Line 18: |
|
| |
|
| ===Skin=== | | ===Skin=== |
| * [[Pallor]] | | *Pallor |
| | *Ppigmentation |
| | *Coarse and dry skin |
| | *Hair loss |
|
| |
|
| <gallery widths=150px> | | <gallery widths=150px> |
| Line 31: |
Line 31: |
|
| |
|
| ===HEENT=== | | ===HEENT=== |
| * Abnormalities of the head/hair may include ___ | | *Abnormalities of the hair may include |
| * Evidence of trauma | | *Brittle hair |
| * Icteric sclera
| |
| * [[Nystagmus]]
| |
| * Extra-ocular movements may be abnormal
| |
| *Pupils non-reactive to light / non-reactive to accomodation / non-reactive to neither light nor accomodation
| |
| *Ophthalmoscopic exam may be abnormal with findings of ___
| |
| * Hearing acuity may be reduced
| |
| *[[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".)
| |
| *[[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".)
| |
| * [[Exudate]] from the ear canal
| |
| * Tenderness upon palpation of the ear pinnae / tragus (anterior to ear canal)
| |
| *Inflamed nares / congested nares
| |
| * [[Purulent]] exudate from the nares
| |
| * Facial tenderness
| |
| * Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
| |
| | |
| ===Neck===
| |
| *[[Jugular venous distension]]
| |
| *[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
| |
| *[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
| |
| *[[Thyromegaly]] / thyroid nodules
| |
| *[[Hepatojugular reflux]]
| |
| | |
| ===Lungs===
| |
| * Asymmetric chest expansion / Decreased chest expansion
| |
| *Lungs are hypo/hyperresonant
| |
| *Fine/coarse [[crackles]] upon auscultation of the lung bases/apices unilaterally/bilaterally
| |
| *Rhonchi
| |
| *Vesicular breath sounds / Distant breath sounds
| |
| *Expiratory/inspiratory wheezing with normal / delayed expiratory phase
| |
| *[[Wheezing]] may be present
| |
| *[[Egophony]] present/absent
| |
| *[[Bronchophony]] present/absent
| |
| *Normal/reduced [[tactile fremitus]]
| |
| | |
| ===Heart===
| |
| *Chest tenderness upon palpation
| |
| *PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
| |
| *[[Heave]] / [[thrill]]
| |
| *[[Friction rub]]
| |
| *[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
| |
| *[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
| |
| *[[Heart sounds#Third heart sound S3|S3]]
| |
| *[[Heart sounds#Fourth heart sound S4|S4]]
| |
| *[[Heart sounds#Summation Gallop|Gallops]]
| |
| *A high/low grade early/late [[systolic murmur]] / [[diastolic murmur]] best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
| |
| | |
| ===Abdomen===
| |
| *[[Abdominal distention]]
| |
| *[[Abdominal tenderness]] in the right/left upper/lower abdominal quadrant
| |
| *[[Rebound tenderness]] (positive Blumberg sign)
| |
| *A palpable abdominal mass in the right/left upper/lower abdominal quadrant
| |
| *Guarding may be present
| |
| *[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]]
| |
| *Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
| |
| | |
| ===Back===
| |
| *Point tenderness over __ vertebrae (e.g. L3-L4)
| |
| *Sacral edema
| |
| *Costovertebral angle tenderness bilaterally/unilaterally
| |
| *Buffalo hump
| |
|
| |
|
| ===Genitourinary=== | | ===Genitourinary=== |
| *A pelvic/adnexal mass may be palpated | | *Breast tissue atrophy/inovulation |
| *Inflamed mucosa | | *Vaginal atrophy |
| *Clear/(color), foul-smelling/odorless penile/vaginal discharge
| |
|
| |
|
| ===Neuromuscular=== | | ===Neuromuscular=== |
| *Patient is usually oriented to persons, place, and time | | *Patient is usually oriented to persons, place, and time |
| * Altered mental status
| | |
| * Glasgow coma scale is ___ / 15
| |
| * Clonus may be present
| |
| * Hyperreflexia / hyporeflexia / areflexia
| |
| * Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
| |
| * Muscle rigidity
| |
| * Proximal/distal muscle weakness unilaterally/bilaterally
| |
| * ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
| |
| *Unilateral/bilateral upper/lower extremity weakness
| |
| *Unilateral/bilateral sensory loss in the upper/lower extremity
| |
| *Positive straight leg raise test
| |
| *Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
| |
| *Positive/negative Trendelenburg sign
| |
| *Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
| |
| *Normal finger-to-nose test / Dysmetria
| |
| *Absent/present dysdiadochokinesia (palm tapping test)
| |
|
| |
|
| ===Extremities=== | | ===Extremities=== |
| *[[Clubbing]]
| | *Pitting edema of the upper/lower extremities |
| *[[Cyanosis]]
| | *Muscle wasting |
| *Pitting/non-pitting [[edema]] of the upper/lower extremities | |
| *Muscle atrophy | |
| *Fasciculations in the upper/lower extremity
| |
|
| |
|
| ==References== | | ==References== |
Description (Adapted from Dermatology Atlas)
