Saturday, April 8, 2017

Hematologic/Lymphatic/Immunologic Examination

System/Body Area : Constitutional

Elements of Examination: 

  • Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and regularity, 4) respiration, 5) temperature, 6) height, 7) weight (May be measured and recorded by ancillary staff) 
  • General appearance of patient (eg, development, nutrition, body habitus, deformities, attention to grooming) 

System/Body Area : Head and Face 

Elements of Examination: Palpation and/or percussion of face with notation of presence or absence of sinus tenderness 

System/Body Area : Eyes 

Elements of Examination:Inspection of conjunctivae and lids


System/Body Area : Ears, Nose, Mouth and Throat 

Elements of Examination:

  • Otoscopic examination of external auditory canals and tympanic membranes 
  • Inspection of nasal mucosa, septum and turbinates
  • Inspection of teeth and gums 
  • Examination of oropharynx (eg, oral mucosa, hard and soft palates, tongue, tonsils and posterior pharynx)

System/Body Area : Neck

Elements of Examination:

  • Examination of neck (eg, masses, overall appearance, symmetry, tracheal position, crepitus) Examination of thyroid (eg, enlargement, tenderness, mass) 

System/Body Area : Respiratory

Elements of Examination:

  • Assessment of respiratory effort (eg, intercostal retractions, use of accessory muscles, diaphragmatic movement) 
  • Auscultation of lungs (eg, breath sounds, adventitious sounds, rubs)

System/Body Area : Cardiovascular

Elements of Examination:

  • Auscultation of heart with notation of abnormal sounds and murmurs 
  • Examination of peripheral vascular system by observation (eg, swelling, varicosities) and palpation (pulses, temperature, edema, tenderness) 

System/Body Area : Gastrointestinal (Abdomen) 

Elements of Examination:

  • Examination of abdomen with notation of presence of masses or tenderness 
  • Examination of liver and spleen 

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