PHYSICAL ASSESSMENT
Mrs. Shany Thomas
Asst. Professor
• A physical health assessment is conducted to
assess the function and integrity of the clients’
body part.
Responsibility...
Preparing the patient
– Explanation about the procedure
– When and where it will take place
– Importance
– What will happe...
Preparing the environment
– Depending on the time of
assessment, environment needs to be well
ventilated & lighted.
– Prov...
Positioning
Draping
• Drapes are made up of paper, cloth or
bed linen. Drapes should be arranged so
that the area to be assessed is ex...
Instrumentation
• All equipments required for the health
assessment should be clean, and in good
working condition and rea...
Assessment techniques
• Inspection
• Palpation
• Percussion
• Auscultation
Inspection
• Close and careful visualization of the person
as a whole and of each body system
• Ensure good lighting
• Per...
Palpation
Palpation is the examination of the body
using the sense of touch. The pads of the
fingers used because their co...
General guidelines for palpation
• Hands clean and warm, fingernails cut and filed
• Areas of tenderness should be palpate...
Types of palpation
 Light
 Deep
 Bimanual
1. Light palpation (superficial)
• with light palpation extend the dominant hands
fingers parallel to the skin surface & p...
Deep /Bimanual Palpation
Deep palpation is done with 2 hands/one
hand .
Extend the dominant hand like light
palpation, pla...
Location Site on the body, dorsal/ventral surface
size Length and width in centimeters
Shape Oval, round, elongated, irreg...
Percussion
• Percussion is the act of striking the body
surface to elicit sounds that can be heard
or vibrations that can ...
There are 2 types of percussion
1.Immediate or direct percussion refers to
tapping (percussion) done by striking the
finge...
Direct Percussion Indirect Percussion
Sound Intensity Location
Flatness Soft loud Muscle, bone
Dullness Medium Liver, heart
Resonance Loud Normal lung
Hyper
res...
Auscultation
 Listening to sounds produced by the body
 Instrument: stethoscope (to skin)
 Diaphragm –high pitched soun...
It is of 2 types
• Auscultation may be done with the ear
alone.It is direct auscultation.
• Indirect Auscultation may be d...
General Survey
• Appearance
– skin color, facial features
– Body Structure - figure, nutrition, posture, symmetry
– Mobili...
• Vital Signs
– Pulse
– Respirations
– Blood Pressure
– Temperature
• Height
• Weight
• Spo2
Breathing Patterns
Skin , Hair And Nails
Assessment of Integument
Skin color variations
locations Description Condition Areas
Bluish
(cyanosis)
Increased amount of
deoxygenated hemoglobin
...
• Moisture: hydration of skin and mucous
membrane.
Observe for dullness, dryness, crusting and flaking.
• Temperature: pal...
• Vascularity: observe for petechiae
• Edema: Areas of skin become swollen due to
collection of fluid in tissues
• lesion:
Hair and scalp
• Hair: note the
color, distribution, quantity, thickness, texture
and lubrication of hair.
• Scalp: check ...
• Inspect the nail bed for color, cleanliness and length;
thickness and shape of the nail plate, the texture of
the nail; ...
• Calluses and corns are found on the toes or
fingers.
• Callus is flat and painless caused by thickening
of epidermis
• C...
Assessment Normal findings Deviation from
normal
Inspect skull for size,
shape & symmetry
Rounded
(normocephalic &
symmetr...
Inspect the eyes for
edema & hollowness
Periorbital edema,
sunkun eyes.
Note symmetry of
facial movement
Elevate the
eyebr...
Eye
Some of the terminologies
• Myopia – nearsightedness
• Hyperopia – farsightedness
• Presbiopia – loss of elasticity of...
Assessment Normal findings Deviation from
normal
Inspect the eyebrows
for hair distribution
Evenly distributed Loss of hai...
Inspect the palpebral
conjunctiva
Shiny smooth and
pink or red.
Jaundiced, excessively
pale, reddened sclera,
lesions or n...
Assess for each pupils
direct and consensual
reaction to light
Illuminated pupil
constricts ( direct
response)
Either
cons...
VISUAL ACUITY: the ability to see the small
details
• Assessment of near vision: Ask the patient to
read printed material ...
Assessing the pupil reaction
• Partially darken the room
• Look straight ahead
• Using penlight from the side, shine a lig...
Extra ocular movements
• Make the patient to sit 2feet away from the
nurse.
• Hold a finger about 30 cm away from the pati...
Visual Field
• Patient sits 60cm away from the nurse, facing
the nurse at the eye level.
• Patient covers one eye
• Nurse ...
Internal eye structures
Ophthalmoscope is used to
inspect the internal eye
structures.
EAR
Auricle :
• Inspect the auricle’s size, shape , symmetry,
position and color.
• Palpate the auricle for texture , tenderne...
Hearing acuity
• Ask the patient to remove the hearing aids if
any.
• Note the clients response to questions.
• If hearing...
Tuning fork test
• Weber’s Test
• Rinne Test
Weber’s Test : (Lateralization of sound)
Steps
• Hold the tuning fork at the
base and tap it against the
heal of the palm
...
Rinne Test
Steps
• Place stem of vibrating tuning
fork against mastoid process
• Count the time
• Ask the patient when the...
Inspecting the ears with otoscope
• Attach the speculum to the otoscope
• Tilt the clients head away from you, & straighte...
Assess the
tympanic
membrane for
color & gloss
Pearly gray color, semi
transparent
Pink to red, some
opacity, yellow-amber...
Assessment of Nose
Inspect the external
nose for any
deviations in shape,
size /color & flaring /
discharge from the
nares.
Symmetric &
strai...
Determine
Patency of both
nasal cavity
Air moves freely as
the client breaths
through the nares
Air movement is
restricted...
Inspect the nasal
septum B/n nasal
chambers
Nasal septum is
intact & in midline
Septum deviation
to R/L
Facial sinuses
Pal...
Assessment of Neck
Includes:
– the muscles,
-lymph nodes,
-trachea,
-thyroid gland,
-carotid arteries and jugular veins
• The areas of the neck are defined by sterno-
cleidomastoid muscles. Which divide the each
side of the neck into two tria...
Procedure
• Explain the procedure
• Wash hands and observe infection control
procedure
• Provide for client privacy
• Inqu...
Inspect the SCM
muscle
Equal in size,
head centered
Unilateral neck
swelling, head
tilted, lumps,
injury shortening
of mus...
Assess muscle strength
• Ask the client to turn the head to one side
against the resistance of your hand - equal
strength
...
Lymph nodes (how to palpate the neck lymph
node)
• Face the client, bend the client head forward
slightly/towards the side...
• When palpating the anterior cervical node & post.
Cervical node, move your fingertips slowly in a
forward circular motio...
Palpate the trachea
for lateral
deviation
Central placement
in midline of the
neck , spaces are
equal on the both
sides.
•...
Thyroid gland
Palpating the thyroid gland
• 2 approaches
• Posterior approach
• Place hand over the neck , lower half of the neck
over t...
• Anterior approach
– Place the tips of index & middle fingers over the
trachea & palpate the thyroid isthmus
– To palpate...
Thorax and lungs
Land marks
• Adult thorax is oval
• Mid sternal line- vertical line running through
the centre of the sternum
• Mid clavic...
Anterior axillary
line
Midsternal line
Posterior thorax
Inspect the shape
& symmetry of
the thorax from
posterior to
lateral
AP diameter is
half of the
transvers...
Palpation of post. thorax
Assess for
temperature and
integrity of chest
skin
Intact & uniform
temperature
Skin lesions.
Ar...
Palpate for respiratory excursion
• Place hands on lower thorax thumbs adjacent to
spine & fingers stretched laterally
• A...
Palpate the chest for fremitus
• Fremitus is a faintly perceptible vibration felt through
the chest wall when the client s...
Steps
• Bend the head &fold the arms forward across
the chest.
• Percuss in the ICS over the symmetrical areas of
the lung...
Percussion notes
• Resonance : Air filled lungs
• Dull : Lung mass
• Flat : Scapula, ribs, spine
• Detects the movement of air through the
tracheobronchial tree and detect mucus and
obstructed airways.
Normal breath sounds
Type Location Description characteristics
Vesicular Over
peripheral lung,
best at base of
the lung
So...
Abnormal (adventitious breath sounds)
Name description Cause Location
Crackles
(rales)
Best heard on
inspiration
Air passi...
Name description Cause Location
wheeze Continuous, high
pitched, squeaky
musical sounds
best heard on
expiration.
Air pass...
Assessment of CVS
Locating landmarks in precordium
Locate the angle of loius
• Right 2nd ICS near sternum- aortic area
• Left 2nd ICS near s...
Auscultation
• S1 usually heard at all sites & usually louder at
apical area (closure of AV Valves)
• S2 usually heard at ...
Vascular system
Carotid arteries
Palpate the carotid
artery
Symmetric pulse ,
volume and
Quality remains
same with all
activity
Assymetric...
Jugular veins
jugular venous pressure (JVP)
Blood pressure in the jugular vein, which reflects
the blood volume and pressu...
Procedure
• Have the client lie supine with the head elevated
30-45 degrees
• Use two rulers. Line up the bottom edge of a...
Peripheral vessel
Palpate for the
peripheral pulses
on both sides of
the body
Symmetric pulse
volumes
Full pulsations
Asym...
Allen’s test
Done to assess the collateral circulation of the
upper extremities.
The client makes a fist as the ulnar and ...
Gastrointestinal system
Abdominal cavity
• The abdomen is roughly divided into four quadrants:
right upper, right lower, left upper and left lower.
Inspect-color,
texture &
integrity
Uniform color, silver
white striae / surgical
scars
Tense, glittering
skin,
Inspect for...
Observe for
abdominal
movements
associated with
respiration,
peristalsis/aortic
pulsation
-symmetric
movement.
- visible p...
Auscultation of the abdomen
• Warm hands
Bowel sounds
• Auscultate with diaphragm
• Ask when did they eat
• Place the diap...
Percussion of the abdomen
Percuss the 4
quadrants to
determine the
presence of
tymphany
Tympany over the
stomach & gas
fil...
Palpation of the abdomen
Perform light
palpation to determine
areas of tenderness
No tenderness relaxed
abdomen with
smoot...
Assessment of
Reproductive system
Female reproductive system
• Assessment of breast
• Assessment of inguinal lymph nodes
• External genitalia
PUBIC HAIR
Inspect the distribution,
amount, & characteristics
of pubic hair
Inverse Triangular,
Inspect the pubic area fo...
Observe in the mirror for shape and symmetry
Breast examination
Vertical strips pattern
Concentric circles
Hands –of- the -clock
Assessment of
Male reproductive
System
Organs include
•Penis
•Scrotum & testis
•Prostate gland
PUBIC HAIR
Inspect the distribution,
amount, & characteristics of
pubic hair
Triangular, often spreading
up to abdomen
Pen...
Palpate the penis for
tenderness, thickening
& nodules
Smooth & semi firm
scrotum
Inspect the scroutum
for general size an...
Palpating a hernia
• Have the client remain at rest
• Have the client hold the breath & bear down as
though having a bowel...
ASSESSMENT OF
NEUROLOGICAL SYSTEM
NEUROLOGICAL SYSTEM
• Takes 2-3 Hrs.
• It includes –
1. Mental status including
consciousness
2. Motor function & sensory ...
Terminologies
Mental status –
• reveals clients general function
• major areas of mental status include –
language, orient...
Assessment of level of consciousness –Glasgow
coma scale
• Glasgow Coma Scale, a system for describing the
degree of loss ...
Withdrawal
Flexed
The lower the score is, the more severe
the brain injury.
• Scores below 8 indicate a severe brain
injury
• Scores between...
Cerebellar function
a) Gait
b) Co-ordination
a. Romberg test
Ask the patient to stand, feet together with
eyes closed and ...
c. Heel To Shin test
Ask the patient to run
the heel of one foot
along the shin of the
opposite leg. The
patient then does...
Sensory function:
• Superficial Touch: Touch the skin with your
fingertip, Have the patient point to the area
touched.
• S...
• Temperature and deep pressure:
Only when superficial pain is not intact, the
temperature and deep pressure sensation tes...
• Cortical Sensory function: Cortical or
discriminatory sensory functions test the cognitive
ability to interpret sensatio...
Extinction phenomenon:
Simultaneously touch the cheek, hand or other area on
each side of the body with sterile needle. As...
Reflexes: Superficial and Deep tendon Reflexes
• Superficial Reflexes:
With the patient supine, stroke each quadrant of th...
• deep tendon reflex (DTR), a quick
contraction of a muscle when its tendon is
sharply tapped by a finger or rubber
hammer...
Deep tendon Reflexes:
1. Biceps reflex
2. Brachioradial reflex
3. Triceps reflex
4. Patellar reflex
6. Achilles reflex
7. ...
1. Biceps reflex: Flex the patient's arms up to 45
degrees at elbow. Palpate the biceps tendons in
the antecubital fossa. ...
Brachioradial reflex: Flex
the patient’s arm up to
45 degrees and rest his
or her forearm on
your arm and hand
slightly pr...
• Triceps reflex: Flex the
patient’s arm at elbow up to
90 degrees and rest the
patient’s hand against side
of the body. P...
• Achilles reflex: With the
patient sitting, flex the knee
and dorsiflex the angle upto 90
degrees holding the heel of the...
Plantar reflex: Using a
pointed object, stroke the
lateral side of the foot
from heel to the ball, then
curve across the b...
• Patellar reflex
Assessment of cranial nerves
Cranial Nerve Function Method
I Olfactory Smell reception and
interpretation
Ask client to close eyes and
identify differe...
V Trigeminal Sensation of face, scalp, cornea,
and oral and nasal mucous
membranes. Chewing
movements of the jaw
Elicit bl...
IX Glossopharyngeal Taste on posterior 1/3 of
tongue, gag reflex, sensation
from the eardrum and ear
canal.
Swallowing and...
MUSCULOSKELETAL SYSTEM
MUSCLES
1. Inspect the Muscles for size. Compare the muscles on one side of
the body to the same muscle on the other side....
4. Inspect any tremors of the hands and arms
by having the client hold the arms out in
front of the body
5. Palpate muscle...
Muscle strength scale
0- No detection of muscular contraction
1- A barely detectable flicker or trace of contraction with
...
Maneuvers to assess muscle strength
Neck:
Sternocleidomastoid- place hand firmly against
upper jaw. Ask patient to turn he...
Elbow:
Biceps- pull down forearm as patient
attempts to flex arm
Triceps- apply pressure against flexed arm
as patient try...
Deviations from Normal
• Atrophy (a decrease in size) or hypertrophy (an
increase in size).
• Malposition of body part, e....
BONES
• Inspect the skeleton for normal
structure and deformities
• Palpate the bones to locate any areas
of edema or tend...
JOINTS
• Inspect the joint for swelling, Palpate each joint
for tenderness, smoothness of
movement, swelling, crepitation,...
Specific joints
1. Temporo-mandibular
joints
2. Cervical spine
3. Thoracic & lumbar
spine
4. Shoulders
5. Elbows
6. Hands ...
Temporomandibular
joints
• Open & close the
mouth
• Move the lower jaw to
each side (1-2cm)
• Protrude & extract
chin
• St...
Cervical spine
• Position, alignment of
head, symmetry of
skin folds & muscles
• Cervical & lumbar
spine should be
concave...
Thoracic & lumbar spine
• Thoracic spine should be
convex
• Bend forward & try to
touch the toes flexion of
the 75 – 900
•...
Shoulders
• Inspect symmetry & contour
of shoulder
• Palpate the joints & groves
• Examine following ROM
– Raise both arms...
Elbows
• Bend and straighten
the elbows
• Flexion at 1600
• Full extension at 1800
Hand & wrist
• Inspect the dorsal & palmer
aspects of the hands
• Identify deviations of fingers
• Examine ROM of Hand &
w...
HIPS
• Inspect the symmetry of the
iliac crest
• ROM
– Rise the leg with knee
Extended above the body
– Swing the straight...
Knees
• Inspect the Popliteal
area
• Observe the lower
leg alignment
• Bend knees for
flexion1300
• Full extension
Feet & ankles
• Dorsiflexion of 200
• Bending the foot at the
ankle
• Rotating the ankle
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  1. 1. PHYSICAL ASSESSMENT Mrs. Shany Thomas Asst. Professor
  2. 2. • A physical health assessment is conducted to assess the function and integrity of the clients’ body part. Responsibility of the nurse 1. Preparing the client – 2. Preparing the environment – 3. Positioning 4. Draping 5. Instrumentation –
  3. 3. Preparing the patient – Explanation about the procedure – When and where it will take place – Importance – What will happen during examination & is painless – Empty their bladder – Sequence of assessment differ with children and adult
  4. 4. Preparing the environment – Depending on the time of assessment, environment needs to be well ventilated & lighted. – Providing privacy
  5. 5. Positioning
  6. 6. Draping • Drapes are made up of paper, cloth or bed linen. Drapes should be arranged so that the area to be assessed is exposed & other body areas are covered.
  7. 7. Instrumentation • All equipments required for the health assessment should be clean, and in good working condition and readily accessible.
  8. 8. Assessment techniques • Inspection • Palpation • Percussion • Auscultation
  9. 9. Inspection • Close and careful visualization of the person as a whole and of each body system • Ensure good lighting • Perform at every encounter with your client
  10. 10. Palpation Palpation is the examination of the body using the sense of touch. The pads of the fingers used because their concentration of nerve endings makes them highly sensitive to tactile discrimination.
  11. 11. General guidelines for palpation • Hands clean and warm, fingernails cut and filed • Areas of tenderness should be palpated last • Deep palpation should be done after superficial palpation • Client should be relaxed – gowning, draping, comfortable positioning, and warm hands & be sensitive to client’s verbal & facial expressions indicating discomfort.
  12. 12. Types of palpation  Light  Deep  Bimanual
  13. 13. 1. Light palpation (superficial) • with light palpation extend the dominant hands fingers parallel to the skin surface & presses gently while moving in a circle. The skin is slightly depressed to determine the details of mass.
  14. 14. Deep /Bimanual Palpation Deep palpation is done with 2 hands/one hand . Extend the dominant hand like light palpation, place the finger pads of the non dominant hand on the dorsal surface of the distal interphalangeal joint of the middle 3 fingers of the dominant hand . Top hand applies pressure while lower hand remains relaxed to perceive tactile sensation. It is done with extreme caution because pressure can damage internal organs.
  15. 15. Location Site on the body, dorsal/ventral surface size Length and width in centimeters Shape Oval, round, elongated, irregular Consistency Soft, firm, hard surface Smooth, nodular Mobility Fixed /mobile pulsatility Present/absent Tenderness Degree of tenderness to palpation Characteristics of masses
  16. 16. Percussion • Percussion is the act of striking the body surface to elicit sounds that can be heard or vibrations that can be felt. • It is used to guess the size, borders, and texture of some chest organs and organs in the abdomen.
  17. 17. There are 2 types of percussion 1.Immediate or direct percussion refers to tapping (percussion) done by striking the fingers on the surface of the chest or abdomen. 2.Indirect, mediate, or finger percussion is striking a finger of one hand on a finger of the other hand as it is placed over an organ
  18. 18. Direct Percussion Indirect Percussion
  19. 19. Sound Intensity Location Flatness Soft loud Muscle, bone Dullness Medium Liver, heart Resonance Loud Normal lung Hyper resonance Very loud Emphysematous tympany loud Stomach filled with gas
  20. 20. Auscultation  Listening to sounds produced by the body  Instrument: stethoscope (to skin)  Diaphragm –high pitched sounds Heart Lungs Abdomen  Bell – low pitched sounds Blood vessels
  21. 21. It is of 2 types • Auscultation may be done with the ear alone.It is direct auscultation. • Indirect Auscultation may be done with the stethoscope.
  22. 22. General Survey • Appearance – skin color, facial features – Body Structure - figure, nutrition, posture, symmetry – Mobility - Gait, ROM • Behavior – Facial expression, mood, speech, dress, hygiene • Cognition – Level of Consciousness and Orientation
  23. 23. • Vital Signs – Pulse – Respirations – Blood Pressure – Temperature • Height • Weight • Spo2
  24. 24. Breathing Patterns
  25. 25. Skin , Hair And Nails Assessment of Integument
  26. 26. Skin color variations locations Description Condition Areas Bluish (cyanosis) Increased amount of deoxygenated hemoglobin Heart or lung disease, cold environment Nail beds, lips, mouth & skin (severe cases) , Pallor (decrease in color) (associated with hypoxia) Reduced amount of oxyhemoglobin Reduced visibility of oxyhemoglobin resulting from decreased blood flow Anemia Shock Face, conjunctivae, nail beds, palms of hands Skin, Loss of pigmentation Vitiligo Congenital or autoimmune Condition causing lack of pigment lips Patchy areas on skin over face, hands, arms Yellow-orange (jaundice) Increased deposit of bilirubin in tissues Liver disease, destruction of red blood cells Sclera, mucous membranes, skin Red (erythema) Increased visibility of oxyhemoglobin caused by dilation or increased blood flow Fever, direct trauma,, alcohol intake Face, area of trauma, sacrum, shoulders, other common sites for pressure ulcers Tan-brown Increased amount of melanin Suntan, pregnancy Areas exposed to sun: face, arms; areola, nipples
  27. 27. • Moisture: hydration of skin and mucous membrane. Observe for dullness, dryness, crusting and flaking. • Temperature: palpate the skin with dorsum of hand. Temperature depends on the variation in blood supply • Texture: the character of skin surface Normally smooth and soft • Turgor: Skins elasticity To assess skin turgor , a fold of skin on the back of forearm or sternal area is grasped with finger tips and released. Normally skin lifts easily and snaps back immediately. If the skin remains pinched when turgor is poor.
  28. 28. • Vascularity: observe for petechiae • Edema: Areas of skin become swollen due to collection of fluid in tissues • lesion:
  29. 29. Hair and scalp • Hair: note the color, distribution, quantity, thickness, texture and lubrication of hair. • Scalp: check for lesions, lumps or bruises.
  30. 30. • Inspect the nail bed for color, cleanliness and length; thickness and shape of the nail plate, the texture of the nail; the angle between the nail and the nail bed. observe for splinter hemorrhage and cyanosis and clubbing. • Palpate the nail base: normally smooth , round and convex. • Check the capillary refill: grasp the finger and observe the color of the nail bed. Apply gentle , firm pressure with the thumb to the nail bed and release it. As pressure applied nail bed appears white or blanched. Pink color should return immediately on release of pressure. Nails
  31. 31. • Calluses and corns are found on the toes or fingers. • Callus is flat and painless caused by thickening of epidermis • Corns are caused by friction and pressure from shoes
  32. 32. Assessment Normal findings Deviation from normal Inspect skull for size, shape & symmetry Rounded (normocephalic & symmetrical, with frontal, parietal and occipital prominences,) Lack of symmetry,increased skull size with more prominent nose and forehead Palpate the skull for nodules /masses & depressions with fingertips with rotating motion with the finger tips Smooth uniform consistency: absence of nodules and masses Sebaceous cyst; local deformities from trauma Inspect the facial features for symmetry of structure & of the distribution of hair Symmetric slightly asymmetrical facial features. ↑ Facial hair, thinning of eyebrows, asymmetric features, exophthalmos, moon face. Head and neck
  33. 33. Inspect the eyes for edema & hollowness Periorbital edema, sunkun eyes. Note symmetry of facial movement Elevate the eyebrow Close the eyes tightly Puff the cheeks Smile and show the teeth Symmetric facial movement Eyes cannot be closed, dropping eyelid & mouth, involuntary facial movements Document findings
  34. 34. Eye Some of the terminologies • Myopia – nearsightedness • Hyperopia – farsightedness • Presbiopia – loss of elasticity of the lens hence loss of ability to see close objects • Conjunctivitis– inflammation of the conjunctiva • Cataract – opacity of the lens
  35. 35. Assessment Normal findings Deviation from normal Inspect the eyebrows for hair distribution Evenly distributed Loss of hair, scaling & flakiness of the skin Inspect the eyelashes for evenness of distribution Equally distributed Inversion of the eyelid Inspect the bulbar conjunctiva(lying over the sclera) for color, texture and presence of lesions Transparent; capillaries evident, sclera appears white& yellowish in dark colored clients. Jaundiced, excessively pale, reddened sclera, lesions or nodules. General assessment
  36. 36. Inspect the palpebral conjunctiva Shiny smooth and pink or red. Jaundiced, excessively pale, reddened sclera, lesions or nodules Inspect & palpate the lacrimal gland and naso lacrimal duct No edema & tearing Increased tearing Perform corneal sensitivity test Client blinks (trigeminal intact) One or both lids fail to respond Inspect the pupils for color, shape & symmetry of shape. Black in color, equal in size, normally 3- 7mm In diameter, round smooth border Cloudiness, bulging of iris towards cornea.
  37. 37. Assess for each pupils direct and consensual reaction to light Illuminated pupil constricts ( direct response) Either constricts/unequal responses. Assess each pupils reaction to accommodation Pupils constricts when looking at near objects & dilate when looking at far object. One/ both pupils fail to constrict/ dilate.
  38. 38. VISUAL ACUITY: the ability to see the small details • Assessment of near vision: Ask the patient to read printed material under good lighting. • Assessment of distant vision: use of snellen chart. Ask the patient to sit or stand 20feet from the chart, cover the eye not being tested and identify the letters on the chart.
  39. 39. Assessing the pupil reaction • Partially darken the room • Look straight ahead • Using penlight from the side, shine a light on the pupil • Observe response & do on the other eye Normally pupil constrict in the presence of light source and dilates when the light source is moved away.
  40. 40. Extra ocular movements • Make the patient to sit 2feet away from the nurse. • Hold a finger about 30 cm away from the patient. • The client keeps the head fixed and follows the movement of the nurse’s finger with only the eyes.
  41. 41. Visual Field • Patient sits 60cm away from the nurse, facing the nurse at the eye level. • Patient covers one eye • Nurse closes the opposite eye. • Nurse moves a finger equidistant from the nurse and the client out side the field of vision and slowly brings it back to the visual field. • The patient is asked to say when the finger is seen.
  42. 42. Internal eye structures Ophthalmoscope is used to inspect the internal eye structures.
  43. 43. EAR
  44. 44. Auricle : • Inspect the auricle’s size, shape , symmetry, position and color. • Palpate the auricle for texture , tenderness, and skin lesions. • Inspect the opening of the ear canal for size and discharges
  45. 45. Hearing acuity • Ask the patient to remove the hearing aids if any. • Note the clients response to questions. • If hearing los is suspected check the clients response to whispered voices.
  46. 46. Tuning fork test • Weber’s Test • Rinne Test
  47. 47. Weber’s Test : (Lateralization of sound) Steps • Hold the tuning fork at the base and tap it against the heal of the palm • Place the base of the fork on the middle of the clients forehead. • Ask the patient weather the sound is heard equally in both ears or better in one ear. Rationale • Patient with normal hearing hears sound equally in both rears. In conduction deafness sound is heard best in impaired ear.
  48. 48. Rinne Test Steps • Place stem of vibrating tuning fork against mastoid process • Count the time • Ask the patient when the sound is no longer heard. • Quickly place the fork against the ear canal. Ask the patient to say when the sound is no longer heard • Compare the time the sound is heard by bone conduction versus air conduction Rationale • Air conducted sound should be heard twice as long as bone conducted sound.
  49. 49. Inspecting the ears with otoscope • Attach the speculum to the otoscope • Tilt the clients head away from you, & straighten the ear canal by pulling the pinna up & back • Hold the otoscope - either right side up, with your fingers between the otoscope handle and the client’s head. - Upside down, with your fingers & the ulnar surface of hand against the client’s head. • Gently insert the tip of the otoscope into the ear canal, avoiding pressure by the speculum against either side of the ear canal.
  50. 50. Assess the tympanic membrane for color & gloss Pearly gray color, semi transparent Pink to red, some opacity, yellow-amber, white, blue or deep red & dull surface
  51. 51. Assessment of Nose
  52. 52. Inspect the external nose for any deviations in shape, size /color & flaring / discharge from the nares. Symmetric & straight Asymmetric Light palpate external nose for areas of tenderness Not tender: no lesions Tenderness & presence of lesions
  53. 53. Determine Patency of both nasal cavity Air moves freely as the client breaths through the nares Air movement is restricted Inspect the nasal cavity with the speculum Observe the presence of redness, swelling, growths & discharge. Pink, clear, watery discharge Mucosa red, edematous, abnormal discharge, septum deviated to right / Left.
  54. 54. Inspect the nasal septum B/n nasal chambers Nasal septum is intact & in midline Septum deviation to R/L Facial sinuses Palpate the maxillary & frontal sinuses for tenderness Not tender Tenderness on one more sinuses Document deviations
  55. 55. Assessment of Neck
  56. 56. Includes: – the muscles, -lymph nodes, -trachea, -thyroid gland, -carotid arteries and jugular veins
  57. 57. • The areas of the neck are defined by sterno- cleidomastoid muscles. Which divide the each side of the neck into two triangles. The anterior and posterior • The anterior triangle - Trachea, thyroid gland, anterior cervical nodes, & carotid artery • The posterior triangle – posterior lymph nodes
  58. 58. Procedure • Explain the procedure • Wash hands and observe infection control procedure • Provide for client privacy • Inquire if the client has any h/o following: - any problems, -neck pain or stiffness, -how & when any lumps occurred, -any previous diagnosis of thyroid problems, -any other treatments
  59. 59. Inspect the SCM muscle Equal in size, head centered Unilateral neck swelling, head tilted, lumps, injury shortening of muscles. Observe head movement Head - chin Head back Head – shoulders Head – right & left Co coordinated smooth movements with no discomfort Parkinson's disease
  60. 60. Assess muscle strength • Ask the client to turn the head to one side against the resistance of your hand - equal strength • Abnormality – unequal strength
  61. 61. Lymph nodes (how to palpate the neck lymph node) • Face the client, bend the client head forward slightly/towards the side being examined to relax the soft muscles. • Move the finger tips in gentle rotating motion • When palpating the supraclavicular node, • Bend the head forward hook your index & 3rd finger over the clavicle lateral to the sternicleido mastoid muscles.
  62. 62. • When palpating the anterior cervical node & post. Cervical node, move your fingertips slowly in a forward circular motion against the sternocleido mastoid muscles respectively
  63. 63. Palpate the trachea for lateral deviation Central placement in midline of the neck , spaces are equal on the both sides. •Deviation to one side • thyroid enlargement • enlargement of nodes.
  64. 64. Thyroid gland
  65. 65. Palpating the thyroid gland • 2 approaches • Posterior approach • Place hand over the neck , lower half of the neck over the trachea. • Ask the client to swallow & feel for any enlargement of the thyroid • Examine on the right side & left side lobes
  66. 66. • Anterior approach – Place the tips of index & middle fingers over the trachea & palpate the thyroid isthmus – To palpate right thyroid client turns to the chin on right to feel for right lobe – To palpate left thyroid client turns to the chin on left to feel for left lobe If enlargement of the gland is suspected auscultate over the thyroid area for a bruit
  67. 67. Thorax and lungs
  68. 68. Land marks • Adult thorax is oval • Mid sternal line- vertical line running through the centre of the sternum • Mid clavicular lines • Anterior axillary lines - axillary fold • Posterior axillary line • Mid axillary line – apex of the axilla
  69. 69. Anterior axillary line Midsternal line
  70. 70. Posterior thorax Inspect the shape & symmetry of the thorax from posterior to lateral AP diameter is half of the transverse diameter Barrel chest, pigeon chest, funnel chest Inspect for the spinal alignment Straight, right & left shoulders are at same height. Spinal column deviations
  71. 71. Palpation of post. thorax Assess for temperature and integrity of chest skin Intact & uniform temperature Skin lesions. Areas of hyperthermia Palpate for bulges, tenderness, masses No tenderness or masses Lumps, bulges, depressions, areas of tenderness
  72. 72. Palpate for respiratory excursion • Place hands on lower thorax thumbs adjacent to spine & fingers stretched laterally • Ask the client take deep breath • Full & symmetric expansion • Normally thumbs separate 3-5cm(11/2 -2in.)
  73. 73. Palpate the chest for fremitus • Fremitus is a faintly perceptible vibration felt through the chest wall when the client speaks (1,2,3,or 99 or blue moon etc) • Fremitus is tested both anteriorly and posteriorly • Bilaterally symmetric • Increased – pnemothorax • Decreased – consolidation, pneumonia etc
  74. 74. Steps • Bend the head &fold the arms forward across the chest. • Percuss in the ICS over the symmetrical areas of the lungs moving side to side. • Starting posteriorly and then moving laterally and anteriorly • Compare one side of the lung with the other.
  75. 75. Percussion notes • Resonance : Air filled lungs • Dull : Lung mass • Flat : Scapula, ribs, spine
  76. 76. • Detects the movement of air through the tracheobronchial tree and detect mucus and obstructed airways.
  77. 77. Normal breath sounds Type Location Description characteristics Vesicular Over peripheral lung, best at base of the lung Soft intensity – air moving Heard On inspiration Broncho - vesicular Between the scapula &lateral to the sternum &1st & 2nd ICS Moderate intensity Equal inspiratory & expiratory phases. Bronchial (tubular) Anteriorly over the trachea High pitched, loud, harsh sound created by air Louder than vesicular sounds
  78. 78. Abnormal (adventitious breath sounds) Name description Cause Location Crackles (rales) Best heard on inspiration Air passing through fluid or mucus Base of lower lung Gurgles (rhonchi) Best heard on expiration Air passing through narrow air passage due to secretions, swelling, tumors. Predominate over trachea & bronchi Friction rub Superficial grating or creaking sounds Rubbing together of inflamed pleural spaces. Lower anterior & posterior chest.
  79. 79. Name description Cause Location wheeze Continuous, high pitched, squeaky musical sounds best heard on expiration. Air passing through constricted bronchus as a result of secretions, swellings & tumors. Heard over all lung fields
  80. 80. Assessment of CVS
  81. 81. Locating landmarks in precordium Locate the angle of loius • Right 2nd ICS near sternum- aortic area • Left 2nd ICS near sternum - pulmonic area • Left 5th ICS close to sternum- tricuspid area • Left 5th ICS midclavicular line - apical / mitral area • Left 3rd ICS near sternum – Erb’s point
  82. 82. Auscultation • S1 usually heard at all sites & usually louder at apical area (closure of AV Valves) • S2 usually heard at all sites & usually louder at base of the heart (closure of semi lunar valves)
  83. 83. Vascular system
  84. 84. Carotid arteries Palpate the carotid artery Symmetric pulse , volume and Quality remains same with all activity Assymetric volume, decreased pulsations, Auscultate the carotid artery for Bruit No sound heard Presence of bruit indicate obstruction
  85. 85. Jugular veins jugular venous pressure (JVP) Blood pressure in the jugular vein, which reflects the blood volume and pressure in the right side of the heart.
  86. 86. Procedure • Have the client lie supine with the head elevated 30-45 degrees • Use two rulers. Line up the bottom edge of a regular ruler with the top of the area of pulsation in the jugular vein. Take a centimeter ruler and align it perpendicular to the first ruler at the level of the sternal angle. Measure in centimeters the distance between the ruler and the sternal angle. • Bilateral pressure higher than 2.5cm are considered elevated.
  87. 87. Peripheral vessel Palpate for the peripheral pulses on both sides of the body Symmetric pulse volumes Full pulsations Asymmetric, absence, weak thready pulse inspect the peripheral veins for phlebitis Limbs not tender Tenderness on palpation, pain, warm & redness.
  88. 88. Allen’s test Done to assess the collateral circulation of the upper extremities. The client makes a fist as the ulnar and radial arteries are compressed simultaneously. The client then opens the hand and the nurse releases the ulnar artery. The hand should quickly turn pink if the ulnar artery is patent. The test may be repeated by releasing only the radial artery.
  89. 89. Gastrointestinal system
  90. 90. Abdominal cavity
  91. 91. • The abdomen is roughly divided into four quadrants: right upper, right lower, left upper and left lower.
  92. 92. Inspect-color, texture & integrity Uniform color, silver white striae / surgical scars Tense, glittering skin, Inspect for shape & symmetry Flat, round /scaphoid distended Ask to deep breath &hold No evidence of enlargement of organs Hepatomegaly/ spleenomegaly If distension present measure the girth at the level of umbilicus
  93. 93. Observe for abdominal movements associated with respiration, peristalsis/aortic pulsation -symmetric movement. - visible peristalsis & aortic pulsation in lean people Limited peristalsis, visible pulsation, dilated veins, marked aortic pulsation etc
  94. 94. Auscultation of the abdomen • Warm hands Bowel sounds • Auscultate with diaphragm • Ask when did they eat • Place the diaphragm at all 4 quadrants • Listen for active bowel sounds- irregular gurgling sounds occurring every 5 to 20 secs.
  95. 95. Percussion of the abdomen Percuss the 4 quadrants to determine the presence of tymphany Tympany over the stomach & gas filled intestine, dullness over the liver, spleen & full bladder Large dull area indicate presence of tumor or fluid Percuss the liver to determine its size 6 – 12 cm in the mid clavicular line 4-8 cm in the midsternal line Enlarged size
  96. 96. Palpation of the abdomen Perform light palpation to determine areas of tenderness No tenderness relaxed abdomen with smooth, consistent tension. Perform deep palpation Tenderness may be present over xiphoid process, cecum, & sigmoid colon
  97. 97. Assessment of Reproductive system
  98. 98. Female reproductive system • Assessment of breast • Assessment of inguinal lymph nodes • External genitalia
  99. 99. PUBIC HAIR Inspect the distribution, amount, & characteristics of pubic hair Inverse Triangular, Inspect the pubic area for parasites, inflammation, swelling & leisons Skin of valva is slightly darker than the body
  100. 100. Observe in the mirror for shape and symmetry Breast examination
  101. 101. Vertical strips pattern
  102. 102. Concentric circles
  103. 103. Hands –of- the -clock
  104. 104. Assessment of Male reproductive System
  105. 105. Organs include •Penis •Scrotum & testis •Prostate gland
  106. 106. PUBIC HAIR Inspect the distribution, amount, & characteristics of pubic hair Triangular, often spreading up to abdomen Penis Inspect the penile shaft & glans penis for leisons, nodules, swelling & inflammation Penile skin intact, foreskin easily retractable - Smegma b/n the glans & foreskin + Inspect the urethral meatus for swelling, inflammation, & discharge Pink & slit like appearance, urethra positioned at tip of the penis
  107. 107. Palpate the penis for tenderness, thickening & nodules Smooth & semi firm scrotum Inspect the scroutum for general size and symmetry. Size varies with temperature, scrotum generally asymmetric bilaterally (left is lower) Inguinal area Inspect both inguinal areas for bulges, while the client is standing No swelling/ bulges
  108. 108. Palpating a hernia • Have the client remain at rest • Have the client hold the breath & bear down as though having a bowel movement • Bearing down makes the hernia more visible
  109. 109. ASSESSMENT OF NEUROLOGICAL SYSTEM
  110. 110. NEUROLOGICAL SYSTEM • Takes 2-3 Hrs. • It includes – 1. Mental status including consciousness 2. Motor function & sensory function 3. Reflexes 4. The cranial nerves
  111. 111. Terminologies Mental status – • reveals clients general function • major areas of mental status include – language, orientation, memory & attention span & calculation.
  112. 112. Assessment of level of consciousness –Glasgow coma scale • Glasgow Coma Scale, a system for describing the degree of loss of consciousness in the severely ill. It is also used to predict the length and result of coma, mostly in patients with head injuries.
  113. 113. Withdrawal Flexed
  114. 114. The lower the score is, the more severe the brain injury. • Scores below 8 indicate a severe brain injury • Scores between 9 and 12 indicate a moderate brain injury, • Scores above 13 indicate a minor brain injury.
  115. 115. Cerebellar function a) Gait b) Co-ordination a. Romberg test Ask the patient to stand, feet together with eyes closed and arms at sides. Romberg-only positive if loss of balance occurs. b. FTN test Ask the patient to alternately point from his or her nose to the examiner’s finger. The examiner will typically move his or her finger to different locations.
  116. 116. c. Heel To Shin test Ask the patient to run the heel of one foot along the shin of the opposite leg. The patient then does the same procedure on the opposite side
  117. 117. Sensory function: • Superficial Touch: Touch the skin with your fingertip, Have the patient point to the area touched. • Superficial pain: Alternating the point and hub of a sterile needle, touch the patients skin is an unpredictable pattern. Ask the patient to identify the sensation as dull or sharp. • Vibrations: Place the stem of a vibrating tuning fork against several bony prominences.
  118. 118. • Temperature and deep pressure: Only when superficial pain is not intact, the temperature and deep pressure sensation tests are performed. Roll test tubes of hot and cold water alternatively in an unpredictable manner to evaluate the temperature sensation.
  119. 119. • Cortical Sensory function: Cortical or discriminatory sensory functions test the cognitive ability to interpret sensation associated with co- coordination abilities. Stereognosis: Have the patient a familiar object to identify by touch and manipulation. Inability to recognize objects by touch suggests a parietal lesion. Graphesthesis: abilty to feel writing on the skin
  120. 120. Extinction phenomenon: Simultaneously touch the cheek, hand or other area on each side of the body with sterile needle. Ask the patient to tell you how many stimuli there are and where they are. Point location - Touch an area on the patients skin and withdraw the stimulus. Ask the patient to point to the area touched
  121. 121. Reflexes: Superficial and Deep tendon Reflexes • Superficial Reflexes: With the patient supine, stroke each quadrant of the abdomen with the end of a reflex hammer or tongue blade edge. The upper abdominal reflexes are elicited by stroking downward and toward the umbilicus and lower abdominal reflexes are elicited by stroking downward away from the umbilicus toward each area of stimulation should be bilaterally equal.
  122. 122. • deep tendon reflex (DTR), a quick contraction of a muscle when its tendon is sharply tapped by a finger or rubber hammer. Absence of the reflex may be caused by damage to the muscle, the nerve, nerve roots, or the spinal cord. A violent reflex may be caused by disease of the nervous system or by overactive thyroid gland.
  123. 123. Deep tendon Reflexes: 1. Biceps reflex 2. Brachioradial reflex 3. Triceps reflex 4. Patellar reflex 6. Achilles reflex 7. Plantar reflex
  124. 124. 1. Biceps reflex: Flex the patient's arms up to 45 degrees at elbow. Palpate the biceps tendons in the antecubital fossa. Place your thumb over the tendon. Strike your thumb, rather than tendon directly with reflex hammer. Contraction of biceps causes palpable flexion of the elbow.
  125. 125. Brachioradial reflex: Flex the patient’s arm up to 45 degrees and rest his or her forearm on your arm and hand slightly pronated. Strike the brachioradials tendon directly with the reflex hammer. Pronation of forearm and flexion of the elbow should occur.
  126. 126. • Triceps reflex: Flex the patient’s arm at elbow up to 90 degrees and rest the patient’s hand against side of the body. Palpate the triceps tendon strike it directly visible or palpable extension of elbow should occur.
  127. 127. • Achilles reflex: With the patient sitting, flex the knee and dorsiflex the angle upto 90 degrees holding the heel of the foot in your hand. Striking the tendon may cause contraction of the gastrocnemus muscle and plantar flexion of the foot.
  128. 128. Plantar reflex: Using a pointed object, stroke the lateral side of the foot from heel to the ball, then curve across the ball of the foot to medial side. Observe for plantar flexion, fannings of the toes or dorsiflexion of great toe with or without fanning of other toes.
  129. 129. • Patellar reflex
  130. 130. Assessment of cranial nerves
  131. 131. Cranial Nerve Function Method I Olfactory Smell reception and interpretation Ask client to close eyes and identify different mild aromas such alcohol, powder and vinegar. II Optic Visual acuity and fields Ask client to read newsprint and determine objects about 20 ft. away III Oculomotor Extraocular eye movements, lid elevation, papillary constrictions lens shape Assess ocular movements and pupil reaction IV Trochlear Downward and inward eye movement Ask client to move eyeballs obliquely
  132. 132. V Trigeminal Sensation of face, scalp, cornea, and oral and nasal mucous membranes. Chewing movements of the jaw Elicit blink reflex by lightly touching lateral sclera; to test sensation, wipe a wisp of cotton over client’s forehead for light sensation and use alternating blunt and sharp ends of safety pin to test deep sensation Ask client to clench teeth VI Abducens Lateral eye movement Ask client to move eyeball laterally VII Facial Taste on anterior 2/3 of the tongue Facial movement, eye closure, speech Ask client to do different facial expressions such as smiling, frowning and raising of eyebrows; ask client to identify various tastes placed on the tip and sides of the mouth: sugar, salt and coffee VIII Acoustic Hearing and balance Assess client’s ability to hear loud and soft spoken words; do the watch tick test
  133. 133. IX Glossopharyngeal Taste on posterior 1/3 of tongue, gag reflex, sensation from the eardrum and ear canal. Swallowing and phonation muscles of the pharynx Apply taste on posterior tongue for identification (sugar, salt and coffee); ask client to move tongue from side to side and up and down; ask client to swallow and elicit gag reflex through sticking a clean tongue depressor into client’s mouth X Vagus Sensation from pharynx, viscera, carotid body and carotid sinus Ask client to swallow; assess client’s speech for hoarseness XI Spinal accessory Trapezius and sternocledomastoid muscle movement Ask client to shrug shoulders and turn head from side to side against resistance from nurse’s hands XII Hypoglossal Tongue movement for speech, sound articulation and swallowing Ask client to protrude tongue at midline, then move it side to side
  134. 134. MUSCULOSKELETAL SYSTEM
  135. 135. MUSCLES 1. Inspect the Muscles for size. Compare the muscles on one side of the body to the same muscle on the other side. For any discrepancy, measure the muscles with tape. 2. Inspect the muscles and tendons for contractures and shortening 3. Inspect the muscles for tremors.
  136. 136. 4. Inspect any tremors of the hands and arms by having the client hold the arms out in front of the body 5. Palpate muscles at rest to determine muscle tonicity (the normal condition of tension, or tones of a muscle at rest).
  137. 137. Muscle strength scale 0- No detection of muscular contraction 1- A barely detectable flicker or trace of contraction with observation or palpation. 2- Active movement of body part with elimination of gravity. 3- Active movement against gravity only and not against resistance 4- Active movement against gravity & some resistance 5- Active movement against full resistance without evident fatigue (Normal muscle strength)
  138. 138. Maneuvers to assess muscle strength Neck: Sternocleidomastoid- place hand firmly against upper jaw. Ask patient to turn head against resistance Shoulder: Trapezius- Exert mild pressure over patient’s shoulder. Have patient raise shoulders against resistance
  139. 139. Elbow: Biceps- pull down forearm as patient attempts to flex arm Triceps- apply pressure against flexed arm as patient try to straighten the arm Hip: Quadriceps- while sitting apply pressure over the thigh, ask the patient to lift the leg Gastrocnemius- Hold shin of flexed leg ,ask patient to straighten the leg
  140. 140. Deviations from Normal • Atrophy (a decrease in size) or hypertrophy (an increase in size). • Malposition of body part, e.g., foot drop (foot flexed downward). • Presence of tremor. • Atonics (lacking tone) • Flaccidity (weakness and laxness) or spasticity (sudden involuntary muscle contraction) • 25% or less of normal strength
  141. 141. BONES • Inspect the skeleton for normal structure and deformities • Palpate the bones to locate any areas of edema or tenderness
  142. 142. JOINTS • Inspect the joint for swelling, Palpate each joint for tenderness, smoothness of movement, swelling, crepitation, and presence of nodules. • Assess joints for range of motion. – Ask the client to move selected body parts. The amount of joint movements can be measured by a goniometer, a device that measures the angle of joint in degrees.
  143. 143. Specific joints 1. Temporo-mandibular joints 2. Cervical spine 3. Thoracic & lumbar spine 4. Shoulders 5. Elbows 6. Hands and wrists 7. Hips 8. Knees 9. Feet & ankles
  144. 144. Temporomandibular joints • Open & close the mouth • Move the lower jaw to each side (1-2cm) • Protrude & extract chin • Strength of temporalis muscle checked by asking to clench the teeth
  145. 145. Cervical spine • Position, alignment of head, symmetry of skin folds & muscles • Cervical & lumbar spine should be concave • Flexion & extension at 450 • Lateral bending at 40 degrees
  146. 146. Thoracic & lumbar spine • Thoracic spine should be convex • Bend forward & try to touch the toes flexion of the 75 – 900 • Expect lateral bending of 350 • Swing the waist in a circular motion
  147. 147. Shoulders • Inspect symmetry & contour of shoulder • Palpate the joints & groves • Examine following ROM – Raise both arms forward & straight up – Stretch both arms behind back – Adduction, Internal rotation, & external rotation
  148. 148. Elbows • Bend and straighten the elbows • Flexion at 1600 • Full extension at 1800
  149. 149. Hand & wrist • Inspect the dorsal & palmer aspects of the hands • Identify deviations of fingers • Examine ROM of Hand & wrist - bend the fingers at metacarpals - touch the thumb to each fingertips - bend the hand at wrist up & down - with the palm side down, turn each hand right & left
  150. 150. HIPS • Inspect the symmetry of the iliac crest • ROM – Rise the leg with knee Extended above the body – Swing the straightened leg either standing or prone – Raise knee to the chest while keeping other leg straight – Rotate inward and outwardly
  151. 151. Knees • Inspect the Popliteal area • Observe the lower leg alignment • Bend knees for flexion1300 • Full extension
  152. 152. Feet & ankles • Dorsiflexion of 200 • Bending the foot at the ankle • Rotating the ankle

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