General Appearance
10
Alert Relaxed NAD Well Nourished Good Affect Palor Cyanosis Jaundis Edema Clubbing
Vital Signs
3
Vital Signs:SBP & BP
Vital Signs: HR
Vital Signs: RR
Eyes and Face
14
Lymph nodes
14
Occipital Mastoid process Post--auricular Auricles Pre--auricular Tragus tenderness Parotid Submandibular Submental Posterior cervical Anterior cervical Deep cervical Supraclavicular Infraclavicular
Cranial Nerves
4
(XI) Shoulder shrug/Head L & R
(XII) Tongue projection/Strength
(VII) Smile, cheeks, raise brows
(X) Gag reflex, uvula rise
Neck and Scalp
7
Neck Inspection (IX) Swallowing Trachea-palpation Palpate thyroid Palpate Carotids Auscultate Carotids Scalp & Hair Skin
Ears
5
VIII Hearing test
Weber (256 or 512 Hz)_Head
Rinne (AC>
Nose
6
Nose Appearance (deviation) Patency (bilaterally) Nasal mucosa Septum Turbinates Nasopharyngeal area
Eye Exam 12
Eye convergence (III, IV, VI) EOMs (VIII) Nystagmus Alignment, light reflection Pupil response,direct Pupil response, consensual Pupils, shape/symmetry_PERRLA Ant. chamber tangential light Red reflex Anterior chamber/Lens Retina/vessels/disc Transilluminate Sinuses
Mouth
9
Inspection (lips) Dentition (Dentures or Implants) Gingival area Oral mucosa (lesions) Tonsillar area Pharyngeal area Salivary ducts (Stenson's Duct) Sublingual area (Warton's Duct) Floor of mouth exam