Medical General physical examination. easy way to do a General physical examination, Remember the heading, perform on patient and stick to it always. in boxes all points of subheading are present.

1. GENERAL PHYSICAL EXAMINATION
APPERANCEANDBEHAVIOR: -
 APPERENT AGE
 NUTRITIONAL STATUS
 HYDRATION STATUS
 POSTURE
 LEVEL OF CONSCIOUSNESS
 GAIT
OR
A young/middle/old-age Men/Women,normal physique/obese/cachectic(Nutritional status),
withNosigns of Dehydration/mild/mod/severelydehydrated, lyingcomfortably onbed
(posture), Oriented toTime,Place,Person (AOx3)/ornot(Level ofconsciousness).
EXAMINATION OFHAND: -
 EXAMINATION OF PALMAR SURFACE
 EXAMINATION OF DORSAL SURFACE
 EXAMINATION OF NAILS
 EXAMINATIONS OF FINGERS
 ASSESSMENT OF PULSES
EXAMINATION OFFACE: -
 EXAMINATION OF FACIES
 EXAMINATION OF EYES
 EXAMINATION OF MOUTH &
ORAL CAVITY
EXAMINATION OFNECK: -
 EXAMINATION OF THYROID
 NECK VEIN (JVP)
 LYMPH NODES
EXAMINATION OFFEET: -
 EDEMA
NUTRITIONAL STATUS: -
 BMI
 CENTRAL VS PERIPHERAL OBESITY
 WC
 WHR = WC/HC
WC:- CUT-OFF
>94 cm ( 37 inches) in Men
>90 cm ( 32 inches)in Women
WHR :-
Better prognosis ≤ 0.8 in females & < 0.9 in males
Poor prognosis ≥ 0.8 in females & > 0.9 in males
1. APPERANCEANDBEHAVIOR
2. EXAMINATION OFHANDS
3. EXAMINATION OFFACE
4. EXAMINATION OFNECK
5. EXAMINATION OFFEET
APPERENT AGE: (years)
18-35 = YOUNG ADULT
36-55 = MIDDLE AGE
>55 = OLD AGE
EXAMINATION OF PALMAR &
DORSAL SURFACE:
 Palmarcrease
 Palmarcolor
against ownhand
 PalmarTemp. &
surface
 Palmarerythema
Examination ofNails:
 Finger
clubbing
 Koilonychias
(spooning)
 Leukonychia
 onycholysis
 Pitting
 Splinter
hemorrhages
Examination of fingers:
 Heberden’s
nodes
 Bouchard’s
nodes
 Osler’s nodes
 Z-deformity
 Boutonniere
 Swan-Neck
FACE: -
*Moon like
*Mask like
*Myxedematous face
*Grave’s face
*leonine face
*potter’s face
*renal face
EYES: -
Conjunctiva : Anemia,
conjunctivitis, sub-
conjunctival hemorrhage
Sclera: - White, yellow or
Blue
Others: - Xanthelasmas,
ptosis, lid lag or retraction,
exophthalmos(proptosis).
Mouth & Oral Cavity: -
Lips: Cold Sore, Angular Cheilitis,
Angioedema, Peutz-Jeghers Syndrome,
Chancre.
Oral Mucosa: Koplik’s spots, leukoplakia,
Aphthous ulcers
Gum & Teeth: pink(N),Red (Gingivitis),
Black line (Lead poisoning), Hutchinson’s
Teeth (Syphilis)
Tongue: Deviation, Color, Surface, texture,
Size
Thyroid: -
Inspection: deglutitiontest
palpation: deglutitiontest, Perberton’s Signfor
retrosternalGoiter(ask:Raise Arm above Head).
Auscultation: Carotid bruit, thyroidBruit (Hyper-
functioningthyroid), Venous Hum
Lymph Nodes:
*AxillaryNodes
*Cervical Nodes (inNeckflex)
*Epitrochlear Nodes
*Groin Nodes