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Physical Examination due to absence of menstruation in teenage girls

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Control of blood pressure
Height, weight and Body-mass index measurement
Abdomen Examination:
Observation (or Inspection)
Listening to the abdomen noises (Hydro-aerial noises)
Palpation (or touching) to know if there is any area causing pain and to recognize any injury that can be perceived by touching
Percussion (repetitive taps) to know how each part of the abdomen sounds like
External genitalia examination (vulva, labia, clitoris)
Vaginal touching (according to the case): this examination allows evaluating through touching the characteristics (size, shape, consistency, location, etc.) of:
-Cervix
-Uterus
-Ovaries
-Fallopian tubes
Breast examination: Observation (or Inspection)
Palpation
Evaluation of liquid coming out of nipple, spontaneously or with compression
Thyroid glands examination:
Palpation with fingers, at the neck or Adam’s apple’s level to determine the size, shape and characteristics.
Skin and mucous (of the mouth) and phaneras (nails and hairs)

Physical Examination due to bites

The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36.5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Examination of the bitten area:
. Observation (or inspection)
. Palpation (or feeling)

Physical Examination due to face injuries

The doctor may perform the following examination or exploration:
Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
Control of Temperature (Normal: 36.5 - 37 °C)
Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Systematically face examination, from the forehead to the chin:
. Inspection (observation).
. Palpation (or touching) of the injured zone and all the surrounding area.
. Evaluate sensitivity.
According to each case, it will be performed an examination of:
- Eyes
. Evaluate acuity and visual field.
. Examine the pupil, ocular motility and reflexes.
. Examination with an ophthalmoscope (a lighted instrument used by the doctor to evaluate pupillary red reflexes, the retina and the optic nerve).
. Examine the eyelids (by its eversion) and the conjunctiva.
- Nose
. Mouth, teeth, jawbone and jaw:
. Evaluate the jaw movement (opening and closing of the mouth).

Physical Examination due to Fever

The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency: Norma valuesl: Newborn: 120 to 160 beats/minute, 1 and 2 years 110-120 beats/minute, 3 to 12 years 100 beats/minute, 13 years onward 75/80 beats/minute.
.Control of Breathing Frequency Normal values: Newborn 30 to 60 breathing cycles/minute, 1 and 2 years 20 to 40 breathing cycles/minute, 3 years onward 15/25 breathing cycles/minute.
.Control of Temperature (Normal: 36,4 - 37 °C)
Throat Examination: Observation (or Inspection)
Paranasal sinus Examination:
Palpation (or touching): to know if there is any place that causes pain when touching.
Lymph node examination: (for example, lymphs of neck, armpit and other areas):
Observation (or Inspection)
Palpation
Ear examination:
Observation of ears with an Otoscope (instrument with a light the doctor uses to see the ear canal and the eardrum)
Thorax examination:
Observación (o Inspección)
Palpation(or touching)
Auscultation (hearing) the noises/sounds produced by the lungs and heart.
Percussion(repetitive taps) to know how each part of the thorax sounds like.
Skin examination.

Physical Examination due to Fever

The doctor may perform the following exam or exploration:
.Control of Cardiac Frequency: Norma valuesl: Newborn: 120 to 160 beats/minute, 1 and 2 years 110-120 beats/minute, 3 to 12 years 100 beats/minute, 13 years onward 75/80 beats/minute.
.Control of Breathing Frequency Normal values: Newborn 30 to 60 breathing cycles/minute, 1 and 2 years 20 to 40 breathing cycles/minute, 3 years onward 15/25 breathing cycles/minute.
.Control of Temperature (Normal: 36,4 - 37 °C)
Abdomen Examination:
Observation (or Inspection)
Palpation (or touching)
Hearing the noises of the abdomen (Hydro-aerial sounds)
Percussion (repetitive taps): to know how each part of the abdomen sounds like

Thorax examination:
Observation (or Inspection)
Palpation(or touching)
Auscultation (hearing) the noises/sounds produced by the lungs and heart.
Percussion (repititive taps) to know how each part of the thorax sounds like.
Throat examination: Observation (or Inspection)
Ear examination:
Observation of ears with an Otoscope (instrument with a light the doctor uses to see the ear canal and the eardrum)
Lymph node examination: (for example, lymphs of neck, armpit and other areas):
Observation
Palpation
Skin and mucous Examination (of mouth): if they are pail, dry or not.
Muscle Examination: the muscle tone and strength
Evaluate if there is or there is not a sensory problem (it includes evaluation of conscience, perception, memory)

Physical Examination due to hearing disorders

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Ear examination:
Observation of the ears with an otoscope (instrument with light the doctor uses to see the ear canal and the eardrum)
Examination of the outer ear skin
Acoumetry or test with diapason: it helps to determine the type of hearing loss using diapason, which, when vibrate, they produce a tone.
Examination of nose and throat: Observation
Examination of the head and neck lymph nodes

Physical Examination due to injuries on the ankle

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Ankle Examination
.Observation (or Inspection)
.Palpation (or touching): to know if there is some area that causes pain and to examine if there is any injury that may be perceived by touching.
.Ankle joint mobility examination: if it is or it is not restrained.
.Skin examination (colour, temperature, presence of any injury)
.Achilles (ankle) reflex evaluation; it's an evaluation of the reaction of the ankle when a small strike with a hammer is given.
Walking evaluation: to know if you can walk by yourself alone or you need help.

Physical Examination due to intoxication

The doctor may perform the following examination or exploration:
General inspection:
. Exploration of skin and mucous membranes (mouth) - Evaluates if they are pale, dry or not.
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36.5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Cardiovascular Examination:
- Auscultation (hearing): of noises/sounds produced by the heart.
Respiratory Examination:
- Auscultation (hearing): of noises/sounds produced by the lungs.
- Oxygen Saturation
Abdomen examination: Observation (or inspection). Palpation (or touching) to know if any zone produces pain. Listen to the abdominal sounds (bowel sounds).
Percussion (give repetitive blows): to know how every part of the abdomen sounds like
Neurologic Examination:
- State of consciousness (Glasgow Coma Scale)
- March evaluation.
- Muscle tone evaluation.
- Reflex evaluation.
- Sensitivity evaluation.
- Active motility and muscle strength evaluation.

Physical Examination due to Joint Pain in children

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency: Norma values: Newborn: 120 to 160 beats/minute, 1 and 2 years 110-120 beats/minute, 3 to 12 years 100 beats/minute, 13 years onward 75/80 beats/minute.
.Control of Breathing Frequency Normal values: Newborn 30 to 60 breathing cycles/minute, 1 and 2 years 20 to 40 breathing cycles/minute, 3 years onward 15/25 breathing cycles/minute.
.Control of Temperature (Normal: 36,4 - 37 °C)
Weight and height control
Joints examination:
Inspection, searching deformities or inflammation
Palpation and mobilization of joints
Functional evaluation of Joints
Skin Examination
Thorax and chest region examination:
Observation (or Inspection)
Palpation (or touching)
Auscultation (hearing) the noises/sounds produced by lungs and heart
Percussion (repetitive taps) to know how each part of the thorax sounds like

Physical Examination due to knee injuries

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36.5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Knees examination:
.Observation (or Inspection)
.Palpation (or touching): to know if there is some area that causes pain and to examine if there is any injury that may be perceived by touching.
.Knee joint mobility examination: if it is or it is not restrained.
.Skin examination (colour, temperature, presence of any injury)
.Specific tests: the doctor may evaluate, through specific movements of the affected areas, if there is pain or not

Physical Examination due to lack of menstruation

The doctor may perform the following examination:
Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
Control of Body Temperature (Normal: 36,5 - 37 °C)
Control of Blood Pressure (Normal: ≤ 120/80 mmHg).

Examination of the abdomen:
Observation (or Inspection)
Listening to the sounds of the abdomen (bowel sounds).
Palpate or touch to know if any site causes you pain and to recognize if there is any injury perceptible to touch.
Percussion (to give repetitive taps) to know how each part of the abdomen sounds like.

Observation of external genitalia (vulva, labia, clitoris).
Vaginal tactus (according to the case): this examination allows to evaluate through touch the characteristics (size, shape, consistency, location, etc.) of:
-Cervix
-Uterus
-Ovaries
-Fallopian tubes

Breasts examination: Observation (or Inspection).
Palpation.
Evaluation of the drainage of liquid through the nipple, spontaneously or with compression.

Examination of the thyroid gland:
Palpate with fingers at the level of the neck or Adam's apple, to determine size, shape and its characteristics.

Examination of skin, mucous membranes (of the mouth) and integuments (nails and hair)

Physical Examination due to Obstructive sleep apnea-hypopnea

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Nose examination: Observation in search of nasal obstruction or septum deviation.
Throat Examination: Observation in search of tongue, palate or tonsils alterations.
Neck examination: -Observation.
-Palpation.

Physical Examination due to Obstructive sleep suspicion of apnea-hypopnea

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Nose examination: Observation in search of nasal obstruction or septum deviation.
Throat Examination: Observation in search of tongue, palate or tonsils alterations.
Neck examination: -Observation.
-Palpation.

Physical Examination due to sexual dysfunction in women

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute)
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute)
.Control of Temperature (Normal: 36,5 - 37 °C)
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg)
Pelvic examination: Vulva (labia, clitoris, vagina) and Cervix
.Observation (or Inspection):
-Of the skin and mucous membranes: whether there is any change in coloration or presence of injuries
-Of the vaginal discharge (or secretion) and evaluating its characteristics: Amount, colour, smell and consistency
Vaginal tactus: according to the case

Physical Examination due to Sleep Disorders

The doctor may perform the following examination or exploration:
.Control of Cardiac Frequency (Normal: 60 to 100 beats/minute).
.Control of Breathing Frequency (Normal: 16 to 20 breathing cycles/minute).
.Control of Temperature (Normal: 36,5 - 37 °C).
.Control of Blood Pressure (Normal: ≤ 120/80 mmHg).

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