Physical examination maneuver
Physical Exam
General Inspection
also known as General survey, General appearance
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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 14 of 32 findings
Aspiration
Drowsiness in a patient with acute stroke
Rule in
HelpfulDerived CI
Rule out
Minimally helpfulDerived CI
Evidence:Moderate
Bacteremia
Poor functional performance
Rule in
Not helpful
Rule out
Not helpful
Evidence:Moderate
Bowel Obstruction
Visible peristalsis
Rule in
Very helpfulDerived CI
Rule out
Not helpfulDerived CI
Evidence:Moderate
Distended abdomen
Rule in
HelpfulDerived CI
Rule out
Somewhat helpfulDerived CI
Evidence:Moderate
Cushing Syndrome
Generalized (non-central) obesity
Rule in
Somewhat helpfulNo CI
Rule out
Very helpfulNo CI
Evidence:Moderate
Dorsocervical fat pad (buffalo hump)
Rule in
Somewhat helpfulDerived CI
Rule out
Minimally helpfulDerived CI
Evidence:Moderate
Hepatopulmonary Syndrome
Cyanosis
Rule in
Somewhat helpfulDerived CI
Rule out
HelpfulWide CI
Evidence:Moderate
Hypothyroidism
Slow movements
Rule in
Not helpful
Rule out
Not helpfulWide CI
Evidence:Moderate
Multiple System Atrophy
Absence of tremor
Rule in
InconclusiveWide CI
Rule out
Not helpfulDerived CI
Evidence:Moderate
Myocardial Infarction
Diaphoresis
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:Strong
Pulmonary Embolism
Diaphoresis
Rule in
Not helpfulNo CI
Rule out
Minimally helpfulNo CI
Evidence:Moderate
Cyanosis
Rule in
Not helpfulWide CI
Rule out
Not helpful
Evidence:Strong
Rotator Cuff Tear
Infraspinatus atrophy
Rule in
Somewhat helpful
Rule out
Minimally helpful
Evidence:Moderate
Serious Infection
Clinician's "gut feeling" that the child is more unwell than the examination suggests
Rule in
Very helpful
Rule out
InconclusiveWide CI
Evidence:Moderate
Related Bedside Tests
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Heart Rate
Rule in:SHAtrial Fibrillation, SHDecompensation, SHHypothyroidism +15 more
Rule out:HDecompensation, SHAtrial Fibrillation, SHPostoperative Complication +15 more
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Mouth and Tongue Inspection
Rule in:HHypoxemia, SHAnemia, SHHepatopulmonary Syndrome +16 more
Rule out:HHepatopulmonary Syndrome, SHHypovolemia, MHAnemia +16 more
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Respiratory Rate
Rule in:HReduced Left Ventricular Ejection Fraction, SHCardiopulmonary Arrest, SHPneumonia +10 more
Rule out:MHCardiopulmonary Arrest, MHPulmonary Embolism, NHPneumonia +10 more
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Lung Auscultation
Rule in:VHChronic Obstructive Pulmonary Disease, VHPneumothorax, HMainstem Bronchus Intubation +29 more
Rule out:VHChronic Obstructive Pulmonary Disease, HPleural Effusion, SHInterstitial Lung Disease +28 more
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Abdomen Palpation
Rule in:VHExtrahepatic Biliary Obstruction, VHIntussusception, VHPyloric Stenosis +32 more
Rule out:VHHepatocellular Jaundice, HAppendicitis, SHDiverticulitis +32 more
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Blood Pressure
Rule in:VHHypovolemia, VHMortality, VHStructural Brain Lesion +22 more
Rule out:VHCardiac Tamponade, VHHypovolemia, HLow Cardiac Output +22 more