PHYSICAL EXAMINATION

Body Head Hair Normal Findings Evenly distributed silky, black variable thick hair Rounded. Deviation from Normal Patches of hair loss (Alopecia). Very thin hair (Hypothyroidism) Brittle hair Result thin hair with presence of dandruff on the scalp

(Normocephali c % Symmetric With frontal, Parietal & occipital prominence) Increase facial hair; Asymmetric Features; Exophthalmos Myxedema facies; Moon face; Periobital edema ; Sunken eyes Drooping left side of the face No other deviations all are normal

Face

Symmetric or slightly asymmetric facial feature : Palpebral fissures; Equal size; Symmetric Nasolabial folds; Symmetric facial Movements.

Eyes

Eyebrows Symmetrically Aligned, equal Movement, black in color , Round smooth

Inconsistent color unequal;anisocoria is abnormal when difference in pupil size becomes greater during

Inconsistent color of the sclera Thin eyebrows

boarder

peripherally reaction tests.

Eyeballs are asymmetric al Pupils are brown in color

Ears

Position Alignment with pinna with a corner of the eye and within 10 angle of vertical position

Nose color, same as face consistency: smooth

Pinna position below a line from corner of eye, or unequal alignment Malaligned or low Set ears are seen with chromosomal defects or genitourinary Disorder Nodules , lesions Erythema, visible Vasculature Asymmetry

Auricles are asymmetric al and not equal in position Presence of cerumen in the ear canal Same color as the face No other deviations present Lips are dry and pale With no lesions present

Mouth Lips Cyanotic. Pale lips in shocks or anemia Reddish in keloacidocis or carbon monoxide poisoning, dry. Cracked. Nodules Missing teeth, loose or broken teeth. Jagged edge, dental carries Excessively red Gums Deviated from Center Smooth red tongue (deficiency in Vit B12)

pink, moist, smooth, with no lesion

Teeth

32 adults teeth Smooth surfaces And edges

Patient is using Dentures Yellow colored Dentures Violet in color White color on the center and pinkish in the sides Non palpable lymph nodes Color of the neck is same with the trunk

Gums

Pinkish

Tongue

Central position Pink color, no lesions, smooth Lateral margins Head centered movement is coordinated and no discomfort Lymph nodes are not palpable.

Neck

Unilateral neck swelling head tilted to one side indicates presence of masses Injury muscle, Weakness, Shortening of stermocleidomastoi d

Skin

Color: Varies from light to deep brown; from ruddy pink to light pink; From yellow overtones to olive.

Pallor, cyanosis, jaundice, erythema.

Skin is dry Macule are present Varies from light to deep brown

UPPER EXTREMITIES Chest (Breast) Skin uniform in color (same in appearan ce as skin of abdomen or back) Localized discoloratio n or hyperpigmentatio n Skin is uniform in color

Abdomen

Normal: (Skin integrity) unblemished skin Uniform color

-Presence of rash or other lesion -Tense, Glistening may indicate edema. Bones misaligned Excessively thin or obese. Negative, hostile, withdrawn.

Uniform in color

Bones

No deformities Proportionate Cooperative, able to follow instructions. Appropriate to situation

No deformities Proportionate Cooperative Kind Open Approachable Appropriate in the

Body Built Clients Attitude

Clients Affect

Inappropriate to situation.

situation Organization of Thoughts Has sense of reality Oriented to time and place Has sense of