Physical examination 1 Inspection 2 Palpation 3 Percussion

Physical examination 1. Inspection 2. Palpation 3. Percussion 4. Auscultation

Inspection • The inverted spider net

General survey • Constitution (e. g. athletic, obese, asthenic) • Nutritional status – BMI – – weight(kg)/height(m)2 Underweight < 18. 5 Normal 18. 5 -24. 9 Overweight 25 -29. 9 Obese >30 • Biological age

General survey • • Apparent state of health Level of consciousness Facial expression Motor activity

Vital signs • • Blood pressure Heart rate and rhythm Respiratory rate Temperature

Investigation of the head and neck • • Shape of the head Hair Palpebra, periorbital region Eye – Conjunctiva – Sclera – Pupil – Eye movements – Field of vision

Investigation of the head and neck • Cheek • Periauricular region • Nose and lips

Investigation of the head and neck • Mouth – Tongue • Fur (coated tongue) • Alterations • Movements – Mucous membranes • Gingiva • Bucca • Pharynx – Teeth – Tonsils – Uvula

Investigation of the head and neck • Temporomandibular articulation • Lymph nodes (localisation, size, number, consistency, tenderness, moveable or fixed, the skin above the lymph node) – – – – Occipital Periauriculars Submandibular Submental Cervical (before and behind the sternocleidomastoid muscle) Supraclavicular Infraclavicular • Thyroid gland – Size, consistency, nodules?