Physical examination template

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Charmaine Patel, M.D. [2]

Introduction to the Physical Examination Page

• The page name should be "(Disease name) physical examination", with only the first letter of the title capitalized.
• Goal:To describe in detail the various aspects of the physical examination with attention to how the disease you are describing may present.
• As with all microchapter pages liking to the main page, at the top of the edit box put {{CMG}}, your name template, and the microchapter navigation template you created at the beginning.
• Remember to create links within Wikidoc by placing [[square brackets]] around key words which you want to link to other pages. For more information on how to create links click here.
• Remember to follow the same format and capitalization of letters as outlined in the template below.
• You should include the name of the disease in the first sentence of every subsection.

Overview

Disease is associated with the presence of on physical examination.

Appearance of the Patient

The patient may appear anxious. The patient is often sitting upright and has difficulty breathing. The patient is often confused. Obesity may be present. The patient may complain of pain and may be in ditress.

Vitals

Temperature

• A fever is often present
• Hypothermia may be present

Pulse

Rate

• Tachycardia may be present
• Bradycardia may be present

Rhythm

• The pulse is regular
• The pules is irregularly irregular

Strength

• The pulse may be weak
• The pulse may be bounding
• The pulse may be alternating in strenght (pulsus alternans)
• A paradoxical pulse may be present

Symmetry

• The pulses may be asymmetric

Blood Pressure

• Hypotension may be present
• Hypertension may be present
• A wide pulse pressure may be present
• A narrow pulse pressure may be present

Respiratory Rate

Tachypnea may be present.

Skin

• Cyanosis may be present
• Jaundice may be present
• A rash may be present

Eyes

Icteric sclera may be present

Neck

• Jugular venous pressure may be elevated
• Carotid bruits may be present
• Lymph nodes may be present
• Thyromegaly may be present
• Hepatojugular reflux may be present

Lungs

• Pulmonary edema and rales may be present
• Wheezing may be present
• Consolidation may be present
• Egophony may be present

Heart

• A heave may be present
• A thrill may be present

Auscultation

• S1
• S2
• S3
• S4
• Gallops
• A systolic murmur best heard at the base may be present
• A systolic murmur best heard at the apex may be present
• A diastolic murmur may be present

Abdomen

• Abdominal distention may be present
• Abdominal tenderenss may be present
• Rebound may be present
• An acute abdomen may be present
• An abdominal mass may be present
• Hepatomegaly may be present
• Splenomegaly may be present

Extremities

• Clubbing may be present
• Cyanosis may be present
• Edema may be present