Wash hands Mouth

Ask if it is okay to drape them Look inside the mouth

Take vitals 1st Say “Ah” and cough

Check heart rate on one hand Check hypoglossal movements

Check resp while checking heart rate on other hand Test feeling on face and body

Take blood pressure Test facial expressions, eyebrows and smile/frown

Check for Skin lesions Cardio/Pulmonary (30o)

Look at cuticles Inspect back

Look along arm and forearm Check for symmetry of respiratory excursion

Look behind ear Percuss spine

Feel around head Auscultate/percuss 6 lung fields (Post)

Start HEENT mix with Cranial Nerves Check for tactile fremitus

Check sinuses with thumbs Check CVP and measure from sternal angle

Check for Swollen Lymph nodes Auscultate/palpate Carotid artery (bell)

Palpate salivary glands Palpate Sternal Notch

Check Thyroid Auscultate/Percuss 6lung fields (Ant)

Palpate trachea in sternal notch Auscultate Heart in 4 places (diaph) and 2 places (bell)

Eyes Feel for PMI

Look at sclera and conjunctiva Abdominal (flat 0o)

Check Visual Acuity on both eyes Inspect abdominal skin

Check Peripheral Vision Auscultate 4 quadrants

Check Eye movements and accommodation Palpate abdomen (superficial and deep) – look at face

Do pupilary light reflex Percuss for liver

Use fundoscope to look in back of eye Palpate for spleen

Ears Palpate kidney

Check hearing with fingers Palpate femoral pulse

Use tuning fork to check hearing equilibrium Auscultate femoral artery

Look at tympanic membrane with odoscope Palpate superficial inguinal lymph nodes

Nose Palpate Dorsal pedis

Use odoscope to look into the nose Palpate Posterior Tibial

Start upper body test

Check ROM of arm, hand, forearm, shoulder, neck

Check resistance to pressure (include trap and scm)

Check reflexes (brachoradialis, biceps, triceps)

Start Lower body test (Sitting up)

Ask to take socks off, pull up drape

Check ROM of joints and look for edema

Passive movement in leg

Resistance to pressure

Reflexes (knee jerk, ankle, babinski)

Test vibration sense via tuning fork on whole body

Test coordination

Hand eye

Heel-shin

Test gait

Test Romberg

Test pronator drift

Check ROM of spine (Flexion, extension, lateral bending and

rotation)