Physical examination maneuver

Physical Exam

General Inspection

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Video coming September 2026

How to Perform

Before focusing on any region, step back and observe the patient as a whole. Note the apparent state of health, level of distress, body habitus and nutritional state, level of consciousness and alertness, posture, and any abnormal movements, along with personal hygiene and grooming and the color and condition of the skin. Note any obvious odors and the patient's behavior, mood, and interaction during the encounter.

How to Interpret

Showing all 1 finding

Serious Infection

Clinician's intuitive 'gut feeling' that the child has a serious illness (impression of being more unwell than the examination suggests)
Rule in
Very helpful
Rule out
Evidence:Limited

References

  • Van den Bruel A, Thompson M, Buntinx F, Mant D. Clinicians' gut feeling about serious infections in children: observational study. BMJ. 2012;345:e6144. doi:10.1136/bmj.e6144. PMID: 23015034.
  • Bickley LS, Szilagyi PG, Hoffman RM, Soriano RP. Bates' Guide to Physical Examination and History Taking. 13th ed. Philadelphia, PA: Wolters Kluwer; 2021.
  • Swartz MH. Textbook of Physical Diagnosis: History and Examination. 9th ed. Philadelphia, PA: Elsevier; 2025.