The document outlines the process of conducting a general physical examination, including obtaining patient history and identifying signs of illness. It details various patient assessment methods, observations of physical and mental states, and specific conditions like different types of gait and potential causes for signs observed. Additionally, it provides essential prerequisites for effective clinical examination and relevant health history to consider.

1. General Physical
Examination
Presented by
Dr. Poorvi Pratap Singh

2. Specific Learning Objectives
1. To obtain the history of subject illness.
2. To perform the general physical examination.
3. Should be able to elicit different signs during
general examination
4. List the common causes of abnormalities of
the signs.

3. Pre-Requisites for Clinical Examination
• Proper Day lights .
• Subject should be relax and reassure
• Female attendant should be present for a female
patient
• Area to be examined should be properly exposed
• Always stand on the right side of the patient

4. Patient Personal
Details
Age
Occupation
Education
Gender Financial Condition
Address
Name

5. History
Taking
Patient past
illness
Patient present
illness Family History
Personal
Habits

6. History of Present
illness
Present Chief
complaints
Onset
Duration
Progression

7. History of Past illness
 History of illness similar to the present condition.
 History of all major illness.
 History of operation in past.
 History of venereal disease when relevant.

8. Other History
Family and Social
History
Personal History
Development
History
Menstrual History
• Diet
• Smoking
• Alchohol
• Allery
History of parents
and Sibling
Developmental
milestone
Gynae and Obs
history

9. General Physical Examination
Observation
• Patient Overall Look – Healthy, unwell or illness

10. Types of gait and their observation
1. Spastic Gait – Difficulty in
bending knees and drag his
feet on floor
Ex- Multiple Sclerosis
Gait- Manner of
Walking

11. Stamping Gait Drunken Gait

12. Waddling Gait – Trendelenburg Gait
Walk with short steps
Hip dislocation Congenital Hip Disorder

13. 2.Mental and emotional State
 Over Anxious
 Restlessness
 Sweating Palm
 Wide palpebral Fissures

14. Decubitus – Position adopted by
patient in bed
• Orthopneic Decubitus
• In Cardiac Failure
• Opisthotonus of tetanus

15. Physical and Build

16. Nutrition

17. Hair
Poliosis
Protein deficiency

18. Face
Exophthalmos Ptosis eye
Wrinkles of forehead

20. Jaundice
Its is a yellowish discolouration of patient’s skin
and sclerae

21. Cyanosis
• Lips
• Earlobe
• Nail beds
• Tip of Nose
• Tongue
• Mucous Membrane

22. Clubbing
Causes of Clubbing
C- congenital Cyanotic Heart disease
L- lung disease like emphysema
U-ulcerative Colitis
B-biliary cirrhosis
B-bronchiectasis
I-infective endochitis
N-normal people
G-gastric tumor
Bulbous enlargement of soft parts of
the terminal phalanges with over
curving of nails both transversely
and longitudinally

24. Edema
Pitting Non Pitting

28. Pulse Blood Pressure
60 to 100 Beat / min
<120/<80mmHg
as per WHO

29. Temperature
Abdomen
98.6 F (37 C)