Head To Toe Flashcards
inspect face and head for shape
normocephalic
skin color
eyes and eyebrows symmetrical
inspect nose and lips
nose is midline
lips are symmetrical pink and even
check for patency
each nare is patent, no obstructions noted
no sepum deviation
inspect and palpate scalp
hair color
no lesions or infestations
texture
evenly distributed
palpate maxillary and frontal sinus
“any pain or tenderness?”
palpate temporal artery
2+ bilaterally
inspect neck and trachea
trachea is midline
no accessory muscle use
inspect lymph nodes
non palpable
non tender
palpate external ears (pinna, tragus, mastoid process)
no swelling, redness, or tenderness
test pupillary reflexes direct and consensual
cranial nerve II and III intact
UPPER EXTREMETIES
inspect skin and symmetry
palpate temp
inspect and palpate nails
cap reflex- brisk
no clubbing
nail color
palpate radial pulses
2+ bilaterally
THORAX
inspect for JVD @ 30 degrees
no JVD
palpate carotid artery
2+ bilaterally
Auscultate carotid artery for bruit (bell)
no bruit noted bilaterally
listen to trachea for bronchial sounds (diaphragm)
bronchial sounds clear and even bilaterally
inspect anterior thorax, precordium
skin color
symmetry
no lifts or heaves
respirations are unlabored and even
access for tenting
no tenting
Auscultate anterior thorax (vesicular and bronchovesicular)
clear and equal bilaterally
Auscultate posterior thorax (vesicular and bronchovesicular)
clear and equal bilaterally
